Question

Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal failure and has continuous peritoneal dialysis (CAPD) exchanges every 6 hours. The Tenckhoft peritoneal catheter site has redness, which goes across the abdomen. The client states that her abdomen is tender to touch all over, and the nurse notes the abdomen is rigid. The bowel sounds are decreased, and the peritoneal dialysate is in the dwelling phase of the cycle. The vital signs are T, 101° F; BP, 140/90 mm Hg; HR, 110 beats/minute; RR, 28 breaths/minute. The client asks the LPN/LVN to provide the peritoneal dialysis because she has a broken hip and cannot manage it.

Write the SBAR each by each

Answer 1

S	Situation: I am (name), nurse I am calling about Joni Winter I am calling because I am concerned that she has an infection of the Tenckhoff peritoneal and peritonitis
B	Background: The patient was admitted with a fractured hip. The patient also has underlying chronic renal failure and is on peritoneal dialysis. The patient complains of pain in the abdomen and fever.
A	Assessment: I think the patient has peritonitis
R	Recommendation: Ultrasonography guided drainage of the peritoneal fluid Start broad spectrum antibiotics with anaerobic coverage (Injection - meropenem)