Question

The client consumed less than 10% of her dinner and drank only 250ml if water with her meal. She explains that it hurts to swallow or put anything in her mouth. She is complaining of more pain (3/10), which has increased in consistency, in her right calf. She is on call for her ultrasound. The client’s husband went home to feed the family dog and call their children to notify them of their mother’s hospitalization. The client’s call light is activated. She is sitting in a chair several feet from her bed when you enter the room. She complains of a sudden onset of severe chest pain and appears diaphoretic and extremely short of breath. 15. What treatment and medication do you anticipate would be prescribed for her based on her symptoms 16. Write an SBAR that you would give to the nurse who will be caring for this client in the medical ICU.

Answer 1

The patient's symptoms of severe chest pain and difficulty breathing point to a critical situation where emergency treatment with nitroglycerin, aspirin, and anticoagulants may be prescribed. An SBAR format is provided for communicating the patient's situation to the nurse in the medical ICU for prompt care and evaluation.

Step-by-step explanation:

Given the client's symptoms of severe chest pain, diaphoresis, and shortness of breath, which can indicate a potential cardiac event, swift evaluation and intervention are crucial. The client's symptoms, along with the recent surgery and difficulty swallowing, could suggest a range of complications including pulmonary embolism, myocardial infarction, or severe infection. Emergency treatments such as oxygen therapy, electrocardiogram (ECG), and administration of nitroglycerin, aspirin, and anticoagulants might be anticipated based on the presenting symptoms.

Situation: The client is experiencing sudden onset of severe chest pain and difficulty breathing postoperatively. Background: She recently underwent a cholecystectomy and has trouble swallowing with increased calf pain. Assessment: Significant distress suggesting possible cardiac event or pulmonary complication.

Recommendation: Immediate evaluation, oxygen therapy, ECG, and potential administration of cardiac and anticoagulation medications.