American Association of Critical-Care Nurses Assignment
American Association of Critical-Care Nurses Assignment
SBAR discussion Post
Situation: A member of the Rapid response team was called to the bedside to attend to a critically ill patient who was showing signs of respiratory distress, such as cyanosis and difficulty breathing, and was not responding well to treatment.
Background: The patient is a 67-year-old male having a history of COPD who has been hospitalized for pneumonia in the past 1 week. The patient has been receiving oxygen therapy through the nasal canula at 2L/m, but his oxygen saturation has been oscillating between 85 and 90% over the past few hours. His current vital signs are BP 105/ 78mmHg, PR 120bpm, RR 30bpm, and temperature 38.3°C. American Association of Critical-Care Nurses Assignment
Assessment: On examination, I noticed that the patient is cyanotic, has labored breathing, and uses accessory muscles to breathe. His oxygen saturation at present is 85% on 2 liters of oxygen per minute, and his heart rate is 105 beats per minute with a blood pressure of 84/50. Besides, I noted a diminished breath sound in all lung fields.
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Based on these findings, I suspect the patient to be suffering from acute respiratory failure, a potentially fatal condition that calls for swift intervention.
Based on these findings, I suspect that the patient is experiencing acute respiratory failure (Brodie et al.,2019), which is a potentially life-threatening condition requiring immediate intervention.
Recommendation: My first recommendation is to immediately administer high-flow oxygen via a non-rebreather mask
at 15 liters per minute to supply the patient with a higher concentration of oxygen as the patient’s oxygen saturation fluctuates and has diminished breath sounds. Then, recommend his vital signs, such as SpO2, pulse rate, and blood pressure, be monitored continuously (Crouch et al.,2021). In addition, I would recommend arranging for probable endotracheal intubation to secure the patient’s airway and preserve their breathing. Furthermore, I would suggest alerting primary healthcare providers on the case and transferring him to the ICU for further management and support. American Association of Critical-Care Nurses Assignment
References:
Brodie, D., Slutsky, A. S., & Combes, A. (2019). Extracorporeal life support for adults with respiratory failure and related indications: a review. Jama, 322(6), 557-568.
American Association of Critical-Care Nurses. (2021). SBAR Communication. https://www.aacn.org/clinical-resources/sbar-communication
Crouch, S., Trahair, L. G., & Aitken, L. M. (2021). The use of altered rapid response calling criteria in a tertiary referral facility. Australian Critical Care, 34(3), 204-208. American Association of Critical-Care Nurses Assignment