just wanting the best answer .. :)

Published

[COLOR=#000000] [/COLOR][COLOR=#000000] During the episode of chest pain, patient's vital signs are as follows: PR: 110 /min, BP 140/92 mmHg, RR, 20/min. The rhythm strip shows sinus tachycardia, and he is very anxious. His chest pain subsided after one sublingual nitro-glycerine dose, and he is resting quietly on oxygen via nasal prongs at 2L. The medical officer is making rounds. Using the ISBAR acronym, how would you communicate this episode to his medical officer?[/COLOR]

[COLOR=#000000] [/COLOR]

Up Vote Up Vote ×
Specializes in ER/Tele, Med-Surg, Faculty, Urgent Care.

Is this homework? Welcome to all nurses it looks like this is your first post? Are you a student you have nurse in your username?

Up Vote Up Vote ×

Could you please help me with this question? During the episode of chest pain, patient's vital signs are as follows: PR: 110 /min, BP 140/92 mmHg, RR, 20/min. The rhythm strip shows sinus tachycardia, and he is very anxious. His chest pain subsided after one sublingual nitro-glycerine dose, and he is resting quietly on oxygen via nasal prongs at 2L. The medical officer is making rounds. Using the ISBAR acronym, how would you communicate this episode to his medical officer? Thanks in advance.

Fixed that for you

Up Vote Up Vote ×

You need to change your screen name if you are not yet a nurse-LPN or RN.

Secondly, why don't you show what work you HAVE done on this problem before asking posters to give you the answer?

Up Vote Up Vote ×

oops sorrry

Up Vote Up Vote ×

okay understood

Up Vote Up Vote ×

thank you. i've been a CNA for 7 years now doing bachelors "first homework"

Up Vote Up Vote ×

I came up with

Patient substernal pressure pain reduced when rolled over with epigastric distress. No history of smoking or alcohol use and reasonably healthy except for osteoarthritis on hands knees and spine. Reasonably mobile. His taking Simvastatin and Ibuprofen and some herbs.

Capillary refill is normal, moderate oedema on both ankles. soft systolic murmur. First telemetry was normal sinus rhythm. on oxygen at 2 litres and has been given 325 mg of chewable non-enteric coated aspirin.

not diaphoretic or nauseated but is short of breath. BP 132/84 . Resps from 20 and heart rate 110. sinus tachycardia.

Up Vote Up Vote ×
Specializes in Med-Tele; ED; ICU.

Start with listing each component of ISBAR and then doing what you can.

I'll take a pass on "I" because I don't know what that means.

S = Situation... patient with chest pain

B = Background... for chest pain, think PQRST... What did you do...

A = Assessment... how's he doing now? Pain? SOB? VS? Skin signs? Nausea?

R = Recommendation... The first thing that comes to mind when a patient has chest pain is a diagnostic procedure that is typically described by three letters... may need a specific order or may just do it under protocol or common practice. Any other recommendations?

Then put it together into an actual paragraph.

Hey Doc, this is KindaBack, one of the ED nurses. I'm taking care of Chesty McChestPain, the 58 YO guy diagnosed with chronic trainwreckusitis who's been here for 32 hours waiting for a med-tele bed... Are you familiar with this patient? So about 15 minutes ago he had a sudden onset of cp, PQRST. I gave him nitro 0.4 SL x1 with complete relief. At this point he's resting quietly, VS as noted, skin is PWD, etc, etc. I figure we should probably do this and this and this and then maybe you could take a look at him. Anything else that you'd like me to do? Cool, I'll take care of it. Thanks.

Up Vote Up Vote ×

nice one thanks heaps

Up Vote Up Vote ×
+ Join the Discussion