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ISBAR Worksheet Olivia Jones Jasgou1752

Jasmyn Gould is calling from Labor and Delivery about 23-year-old Olivia Jones who was admitted for severe preeclampsia at 36 weeks gestation. Olivia has been diagnosed with severe preeclampsia and admitted on 5/7/2020. Her current vital signs show elevated blood pressure, heart rate, and decreased oxygen saturation. She is experiencing visual changes, headache, and epigastric pain. Lab results show abnormalities. Jasmyn recommends seizure precautions, limiting stimuli, continued close monitoring for preeclampsia progression or contractions, and patient education.

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Jasmyn Rose
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942 views1 page

ISBAR Worksheet Olivia Jones Jasgou1752

Jasmyn Gould is calling from Labor and Delivery about 23-year-old Olivia Jones who was admitted for severe preeclampsia at 36 weeks gestation. Olivia has been diagnosed with severe preeclampsia and admitted on 5/7/2020. Her current vital signs show elevated blood pressure, heart rate, and decreased oxygen saturation. She is experiencing visual changes, headache, and epigastric pain. Lab results show abnormalities. Jasmyn recommends seizure precautions, limiting stimuli, continued close monitoring for preeclampsia progression or contractions, and patient education.

Uploaded by

Jasmyn Rose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ISBAR worksheet

Olivia Jones

Jasmyn Gould

Introduction Hello, my name is Jasmyn Gould (SN) RN . I’m


calling from Labor and Delivery

Situation Olivia Jones, 23 y/o, BF, ADM for severe


preeclampsia, 36 wk gestation

Background Pt is diagnosed with severe preeclampsia,


admitted 5/7/2020.
Current orders: NPO until serum lab results are
in, bed rest with bathroom privileges, BP Q1Hx2
then Q4H, T, HR, RR Q1H, breath sounds Q4H,
FHR/UC monitoring, DTR Q1H, head to toe Q4H,
continuous SpO2, IV care, ultrasound, foley
catheter, place seizure pads, minimize stimuli,
NRB mask for SpO2 <92%

Assessment VS:
BP 164/98
T 99F
RR 22
HR 110
SpO2 92%
Pt c/o visual changes, headache, and epigastric
pain
The pt has crackles in the lower lobes of the lungs
The pt has low platelets, RBCs, MCH, MCHC and
elevated creatinine, BUN, ALT/AST and has
protein in the urine >455 mg/24H
Recommendation I recommend the pt be placed on seizure
precautions and environmental stimuli be
limited, including visitors. She should continue to
be monitored for progression of preeclampsia to
eclampsia. She should be fitted for a risk for falls
pt bracelet. The pt should be educated on
condition and medications. Continue to monitor
for contractions. Monitor BP Q1H

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