•82 years old
•Admitted from home
•Over the last hours she has become SOB with a respiratory rate of 32. Her SpO2 (on 2 L
of O2) has dropped from 96% to 88%
- S = Situation: Dr.Green, This is Mary Jones from Five West. I am calling you about Anne Smith. Are you familiar with the patient? She is SOB with a resp. rate of 32 and an O2 sat. of 86 on 2L. I have placed her on a non-rebreather mask and her sats are now 94%.
- B=Background: She is 82 y.o., Full code, Admitted to the hospital yesterday with pneumonia, She has received 2 does of Levaquin since admit, Her VS10 minutes ago were 36.5, 75, 22, 138/60 and 95% on 2L.
- A=Assessment: I believe she is developing respiratory failure
- R=Recommendation: I would like to an order for a chest x-ray, ABGs and an Albuterol nebulizer treatment.