Question: I need the pages for SBAR, potential problem recognition and the pathophysiology of the medical problem pages answered(addressing the bullet points) The 3 pages on




I need the pages for SBAR, potential problem recognition and the pathophysiology of the medical problem pages answered(addressing the bullet points)
The 3 pages on the left(top) are info on patient the 3 on right (bottom) are the ones I need assistance with!





Nutritional Status: Height Sy lin weight 199 Peg Tube: ( Y) N Solution_Jevity Assessment Bolus WP Amount Type of Diet: regular soft Appetite: Good X Fair Poor SBAR Pharmacology: List medications t Pathophysiology Eaten: Breakfast 100 Lunch WOO Situation Medication Order: Generic/Brand Potential Problem Recognition What is the current or primary medi Patient: Male _Female Code Status: Intake/Output Name/Age words. Name/Dosage/Route/Frequency s patient on I & O? ()/ N 48 Fer What is the most likely complication to anticipate Medical Problem Advanced Directives: _Yes X_No Allergies : PCN, peanut oil, Norco intake L100 ml Acetaminophen ( mapap) 325 mg( 650 Summary of problem your patient? my (2 tab ar tube gah PRN Complication to Anticipate: Include clinical assessment that Lab results (include dates, abnormal patio Albuterol Sulfate 2.5 MG13ml via Why patient is pertains to the clients medical problem Admission Diagnosis: Acute respiratory failure, unspecified whether w/ h nebulizer 94h PRN admitted Include possible complications and Abnormal Relevant Lab clinical assessments that pertain to the hypertension, attention aftercare followed metabolic encephalopoth tracheo stomy, surgical to gastrostory algathy, anemia Curre Tests atoruastation Calcium ( Lipitor) medical problem. Medical History BUN 40 my I tebs per tobe abedtime Background . Medical treatment the patient is Primary diagnosis receiving. Pml of TOD HIN, PUD, thyroid cancer Bisacody/ 10 mg, I suppository Glucose Level rectally daily DRM HGB F Docu sate Sodium ( Colace liquid) Past medical history 50my / Jal " 100 m ( 10 ml ) per tube dil HCT 24.i Heparin Sodium S in sooounits inject Surgical History Cranestory , Tracheostomy + PEG tobe placed 7/9. Background data WBC N. 6 subculeneously , 8 h high alert . PICC placement 8-1:23, Hysterectomy, Thyroidectomy Insulin Glargne- Yfgn 100/ml inject 21 Assessments to Identify Calcium unit ( 020 ml ) subout 2x a day Complication EARLY: Assessment Vancomycin Trough (goos amide( Vimpat) 200m Ony in 0.91 over I hr IV piggy bade guzman Clinical assessment data . Vital signs levothyroxine sodium ( Levoxy!) 11: . Assessment HTN, Type Pulse Resp. 117/68 Concerning Lab Trends MCG i tab par tube daily edoo Lab values DUD Vital Signs 97.8 84 Lorazepam ( Ativan ) amy / ml inject Date : 8/ 7/23 Time : 9500 74 132/ 7 NIA Trends from clinical 97.5 mes Hydrox / Alumnon Hud/s. Data Date: 8/7/23 Time: 7: 22 UD Gave 30 mil per tobe gy hi PRy metoiazone ( Zaroxolyn) 2.5mg Pair give s my 2 tabs per tube daily Interventions Nursing Interventions to O Pain level on 10 scale PREVENT Complication: Patient is experiencing pain ANo Pain Treatments: (include IV solution, ra Patient response to IV Site Location: MIA IV intervention Current status of (83 ) patient 10 Wounds : Location: ear NIA Recommendations NIA Drainage PT/OT NIA Recommendation for No weight X Drains: Type_ future patient care Functional Status: Partial weight_ Bedrest 2-person assist Blood Sugar: Frequency 8/ 7/2 Weight Bearing: Full weight 1-person assist_ X Mobility: Ambulation: Independent_ Wheelchair/ propels self_Other Device Wheelchair /Geri-chair only_ 1 | Pag Other Bed bound as of nowIntake/Output is patient on 1 & OP () N Output_ 1200 ml Intake 1,100 ml Lab results (include dates, abnormal patient values, normal ranges, how lab values relate to diagnosis) Abnormal Relevant Lab Current Clinical Significance Tests BUN SIH dehydration/ kidney impairment Glucose Level 109 H Prediabetes/ may need to reckest HGB 716 L verify setting enough oxygen / anemia HCT 24. 2 L Kidney disease / heavy bleeding WBC Leukocytesis / fighting infection Calcium 2.9 L Vancomycin Trough 42. 4 H Hypocalcemia/ risk of cardiac arrest or seiz Inadequate therapy / risk of backrial re sist ano Concerning Lab TrendsPathophysiology What is the current or primary medical problem? State the pathophysiology of this problem in your ow words. Pathophysiology of Medical Problem Medical Problem . Include clinical assessment that pertains to the clients medical problem . Include possible complications and clinical assessments that pertain to the medical problem. . Medical treatment the patient is receiving.Potential Problem Recognition What is the most likely complication to anticipate based on the primary admission diagnosis of your patient? Complication to Anticipate: Assessments to Identify Complication EARLY: Nursing Interventions to PREVENT Complication:SBAR Situation Name/Age 48 Female Summary of problem Why patient is admitted Background Primary diagnosis Past medical history Background data Assessment Clinical assessment data . Vital signs . Assessment HTN, Type 2 dicbates, hisbig of thyroid cancer, new onset of sien DUD . Lab values Trends from clinical Data Interventions Patient response to interventions Current status of patient Recommendations PT / OT, wound care, nutrition vis PEG Recommendation for future patient care
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