solved: A 30-year-old woman with a history of cystic fibrosis was ad

  

A 30-year-old woman with a history of cystic fibrosis was admitted… A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a spontaneous left pneumothorax (collapse of her lung). She required urgent thoracotomy with chest tube placement in the emergency department. The chest tube was connected to wall suction in order to promote re-expansion of her lung.Over the next 2 days, the patient improved, and repeat imaging showed re-expansion of her lung. The consulting pulmonary team felt that the chest tube might be able to be removed, so they requested that the tube be disconnected from suction and clamped. The plan was to obtain a chest radiograph 1 hour after clamping the tube, and if the pneumothorax had not recurred, the tube would be removed.About 45 minutes after the tube was clamped, the patient complained of acute, sharp pain radiating to her left arm rating it a 5/10 and was diaphoretic. The nurse administered pain medication. She noted that the radiograph had not yet been done but assumed that it would be done soon. Unfortunately, the radiograph was not done, and the nurse became busy with another acutely deteriorating patient. Complete an SBAR for this patient.  Health Science Science Nursing MED SURG 101 Share QuestionEmailCopy link Comments (0)