You are working in the Emergency department,

You are working in the Emergency department, and at start of your shift you receive report on patient Sally Simbombastic. Sally is a 60-year-old female who presented to the ED and was placed in a bed 30 minutes ago. She states she has abdominal pain. She is A&Ox4 but states at times she can be forgetful. Patient states she takes medications, but her daughter keeps track of that. A call has been placed to the daughter and we have not heard back yet. There are no orders in the system yet. Physician is yet to see patient. Patient needs assessment. Subjective assessment: Patient states, “I am in a lot of pain, I feel very full, I have been feeling like I need to pee for 3 days, but nothing comes out except dribbles.” Patient also mentions that her last bowel movement was this morning. You take a set of vitals: BP = 130/70 Pulse = 98 RR = 18 Temp = 99.0 O2 Sat = 97% on RA Pain 8/10 abdominal pain quality: dull with pressure Rhythm: Sinus Rhythm Physical Assessment: Pain and fullness in abdomen on palpation. You note the lower abdomen to pelvic region is distended. After calling the physician you receive the following orders for medication. Patient Name: Sally Simbombastic DOB: 5/5/1962 Age: 60 MR# 598671032 Diagnosis: Abdominal Pain Drug Allergies: NKDA Date Time PHYSICIAN ORDER AND SIGNATURE 11/18/22 Measure vitals q4h 11/18/22 Regular Diet 11/18/22 0730 0.9% NaCL IV at 75ml/hr continuous 11/18/22 0800 Levemir 40U SQ daily prophylaxis for DVT 11/18/22 0800 Ceftriaxone 2 grams IVPush daily QUESTIONS Document what you would tell the physician using SBAR communication based on the subjective and physical data while asking for the medication orders. Please use the attached medication template and complete one template for each medication. Do you see any problems with the medication orders? If so, what is wrong? How would you correct using SBAR communication to the physician? What do you think is happening with the patient? What type of diagnostic tests would you expect the physician to order? SCIENCE

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