Patient is on the 5th postoperative day after transcalcaneal traction surgery on ‘R’ T/F G3A O#, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, 9:45: I'm nurse Sabrina from ICU, I'm calling for the patient at bed 3, 12yo, complain abdominal pain 8/10., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, The patient didn't pass stool sinceThe abdomen is soft but painful during palpation, the bowel sounds are present. V/S are in range., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, You decide to administer PCT 1gr while waiting for the doctor round and you push the patient to drink more, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, The pain is absent and during the round the doctor prescribed lactulose TID, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, We need to revise pain regularly., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Patient admitted 3 days ago. RTA with severe TBI, occipital O#, multiple rib fracture with LFT HPNX, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Patient is I.B, 30yo, bed 6 HDU., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Patient is 50 yo. Four days ago FD, perthrocanteric lft femur #. OT yesterday for omega fixation, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Yesterday and during the night patient c/o two times for tight pain (NRS 7/10), managed with PCT 1gr QID and Tramadol 100mg PRN., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, DRS is clean, the ‘L’ limb is slightly swollen and warm, pulse is present and symmetrical, CRT <2sec, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Hello Doctor, this is the nurse calling from the AB ward. I am calling about A.S., a 48-year-old patient with a urinary tract infection. She is currently hypotensive, febrile, and increasingly confused., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Would you like to order blood tests, blood cultures, IV fluids, and broad-spectrum antibiotics?, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, A.K. was admitted following a road traffic accident with a left femur fracture and underwent external fixation yesterday. After returning from theatre, he was awake, alert, oriented to time, place, and person, cooperative, and reported pain 3/10 on the Numeric Rating Scale. No neurological deficits were noted post-operatively., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, V/S are stable, patient's urine output has improved but remains borderline at about 30 mL/hour. The patient is still mildly confused, especially at night. Oral intake is improving but remains insufficient. Skin is intact, but there is risk for pressure injuries and falls., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, I.B. is an 8 yo patient admitted with dehydration and a SAM. She is currently stable but still requires close monitoring of her fluid balance and mental status., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, The patient sustained traumatic splenic injury and hemopneumothorax. He underwent emergency laparotomy and placement of a chest drain. He is now post-operative day zero in ICU., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Neurologically, he is fully conscious with a Glasgow Coma Scale of 15/15. He reports significant pain, rated 7/10 on the Numeric Rating Scale., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Subsplenic drain with approximately 150 mL of serohaematicus output per shift. Vital signs are stable, although he is tachycardic with a HR 105 bpm and BP 100/56mmHg., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION, Continue close monitoring of vital signs and drain output, particularly the subsplenic drain for ongoing bleeding., SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION
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