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arun patel shadow health focused exam A+
Arun patel shadow health focused exam ;prioritization and leadership
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Shadow Health Assignment 1: Prioritization andLeadership
1. Bedside Report: Omar Haddad: Ben: Here's the situation. Omar Haddad
is a 38-year-old man who presented to the Shadow General emergency
department yesterday at 2200 hours last night with right flank and back
pain, radiating to the right lower quadrant with a pain rating of 10/10.
Omar let us know that he began experiencing subtle pain about three
days ago, but became unbearable at 2000 last night. Urinalysis and a
CT scan confirmed the presence of a renal calculi measuring 11 mm.
His provider is Dr. Yaeji Lee.
RESPONSE: Sorry to hear he's in pain. Ready to continue when you
are. Yes he followed procedure.
2. Bedside Report: OH Part 2: Ben: The background is that we've started
Mr. Haddad on IV fluids for hydration and hydromorphone 1.5 mg, IVP
every three hours as needed. I took Mr. Haddad's vitals about half an
hour ago: his temperature is
at 98.6, heart rate is 102 BPM, blood pressure at 88/55, and O2 sat is
99%. Mr. Haddad has had trouble getting around since the pain started.
He says he has never experienced pain like this before. Mr. Haddad is a
generally healthy man for his age and has no significant past medical
history. He takes no prescription medications and has no allergies at all.
1/
, RESPONSE:
OK, I've got all that. Let's
continue. No, all the components
were covered.
3. Bedside Report: OH Part 3: Ben: Here's my assessment of Mr. Haddad.
Mr. Haddad last reported his pain was much better this morning and
rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled
shock wave lithotripsy later on today.
RESPONSE:
OK, no questions so far.
No, he communicated concisely.
4. Bedside Report: OH Part 4: Ben: I recommend that you monitor Mr.
Haddad's fluid input and output and communicate with his provider to
adjust his pain medica- tion as needed. As far as what he's got on his
plate today, the urologist would like to talk with him around 1100 and
you also should know that Mr. Haddad says his wife and daughter may
be visiting this afternoon. It should be at about 1200 hours. Aside from
that, you should be all set!
REPONSE:
2/
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