How to Answer Sbar Doctor With Questions (Complete Guide)

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Original Question

Do a SBAR to the doctor with these informations: The patient is a 36 years old Female who presents as a transfer from BCGMC. The patient was initially admitted in mid-December 2021for COViD PNA and required intubation 12131. COVID-19 was s/p treatment with Solu-Medrol, Remdesivir, and Baricitinib. She has also had septic shock due to pneumonia requiring pressors. An ULl22, she developed a tension pneumothorax with pneumomediastinum requiring chest tube placement, which has since been removed. She had persistent dysphagia requiring PEG tube placement on February 18. She was initially extubated January 15 but then required reintubation three times, eventually requiring tracheostomy placement on2l11. Unfortunately, CT demonstrated that the tube was leaking, and the patient had free air in the abdomen. She was taken to the OR for laparotomy with abdominal washout and replacement of surgical gastrostomy tube on 212t. She continued to have drainage around her PEG tube and was noted to have intraperitoneal free air and possible intraabdominal abscess, noted on Cf 314122, for which a drain was placed. Gastrograffin was also administered through the G-tube and demonstrated extravasation into the abdominal cavity. A pigtail catheter was placed to drain the fluid collection on Zosyn, Zyvox, and Fluconazole. Tube feeds are on hold; she is on D10 for recurrent hypoglycemia. Her hospitalization has also been complicated by AKI, suspected ATN, with hyperkalemia, and was stafted on HD 21L7. After her permacath placement, she had significant bleeding requiring transfusions totaling 10 units of pRBC during her hospitalization. She intermittently required a Cardene gtt for hypertensive urgency during her hospitalization. She was transferred to BUMCP due to a desire for a new surgeon. History is obtained primarily from chaft review as the patient is generally unable to communicate due to being mechanically ventilated, and she is too weak to write with a pen.

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