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Jennifer Hoffman Discharge Information for SBAR No signs of respiratory distress at rest. Pain is well controlled with prescribed medications. Vital Signs: P 98.6 F, P 80 R 20 BP 124/72 O2 Sat 94 to 95% Pain 3/10 Respiratory: • Lungs: Mild residual crackles in affected lung fields, improving. No signs of significant wheezing or respiratory distress. • Oxygen requirements: None needed at discharge. Musculoskeletal: • Rib fractures: Stable, mild tenderness with deep breathing, improving. • Right wrist fracture: Immobilized in a splint, minimal swelling, no neurovascular compromise. ________________________________________ Discharge Medications: o Levofloxacin 500 mg PO daily for 4 more days o Albuterol (Ventolin) Inhaler: 2 puffs every 4-6 hours as needed for wheezing or shortness of breath o Fluticasone/Salmeterol (Advair) 250/50 mcg DPI: 1 puff twice daily (if on maintenance therapy) o Acetaminophen 500-1000 mg PO every 6 hours as needed o Ibuprofen 400 mg PO every 6 hours as needed o Oxycodone 5 mg PO every 6 hours as needed for severe pain

 
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