School

Indian School of Business *

*We aren’t endorsed by this school

Course

2018

Subject

Nursing

Date

Nov 24, 2024

Type

Pages

2

Uploaded by MegaHawk2517

Report
1. Predicament arrived to the site of a potential kidney stone patient. A 45-year-old male patient is in excruciating discomfort. 2. Background History of the patient: No previous kidney stones or associated illnesses are known. The main complaint was a sharp, colicky discomfort spreading from the right flank to the groin. Pain started: It started suddenly about two hours ago. No medicine or prior treatment. 3. Evaluation: Patient seems quite uncomfortable and restless. Vital indicators heartbeats per minute: 110 160/90 mmHg for blood pressure breathing in at a pace of 22 breaths per minute. On room air, oxygen saturation is 98%. Patient gives pain a pain scale score of 10 out of 10. localized right flank pain that spreads to the crotch. Palpation demonstrates pain and guarding in the right lower quadrant of the abdomen. History: The patient disputes having a fever, chills, or recent UTIs. No documented drug allergies. 4. Suggestions: Start the process of getting transported to the closest hospital. If necessary, administer oxygen to keep the oxygen saturation level high. Keep an eye on your vital indicators when you're traveling. Be ready to implement pain management measures depending on any medical control orders. Describe the patient's condition to the receiving EMS, including vital signs, pain level, and evaluation results. Draw attention to the necessity for more testing, potential imaging (such a CT scan), and urologist consultation. Upon arrival at the hospital, request intravenous access for potential pain meds. Using SBAR, hand off the report to the arriving EMS: Situation: I'm an EMR named [Your Name]. I'm at [Location] helping a 45-year-old male patient who is complaining of excruciating right flank discomfort that is radiating to his crotch. The patient assesses the pain as a 10/10 and states that it began suddenly about two hours ago.
The following vital indicators are present: oxygen saturation 98%, respiratory rate 22, heart rate 110, and blood pressure 160/90. The patient seems agitated and quite uncomfortable. Background: There is no known history of kidney stones or other similar illnesses in the patient. No known medication allergies exist. Evaluation: The right lower quadrant has discomfort and guarding on examination. The patient disputes having a fever, chills, or recent uTIs. Recommendations: I urge prompt transportation to the closest medical center. To maintain oxygen saturation, oxygen is supplied. If medical control instructions call for pain management interventions, kindly be ready. The patient will require more testing, perhaps a CT scan, and a urologist consultation. When you get to the hospital, please set up intravenous access for potential drugs.
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