During the episode of chest pain, R.K.'s vital signs were as follows: pulse 110 beats/min; blood pressure 140/92 mm Hg, respirations 20 breaths/min
The rhythm strip shows sinus tachycardia, and she was very
anxious. Her chest discomfort subsided in 3 minutes after one nitroglycerin dose, and she is resting quietly
with O2 per nasal cannula at 2 L/min. R.K.'s physician is making rounds.
Using SBAR (Situation, Background, Assessment, Recommendation), how would you
communicate this episode to R.K.'s physician?
You would first need to identify yourself and the patient. Then describe the situation, focusing on the
vital signs and the episode of chest pain. Relate that a STAT ECG was obtained and provide a copy.
State that you placed R.K. on oxygen and gave her 1 sublingual nitroglycerin tablet. Conclude your
remarks by stating that the chest pain subsided after the single dose of nitroglycerin and that you
noted that she may need an order for something to reduce her anxiety.
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