Answer Happy

You are working on the Pediatrics unit of your Regional Center Hospital when Renee 0., a 12 year old girl who lives in the surrounding area served by the Regional center is admitted for an emergency appendectomy which determines that her appendix ruptured before surgery. She is now postoperative Day 2. Her preoperative weight was 94.2 pounds. She had a maintenance IV of D5 1/2 NS running at 80 ml per hour until she was started on clear liquids 24 hours after surgery. She was NPO for 24 hours after surgery and has a history of a foley catheter and penrose drain which were removed on post-operative Day 1. Her urine output is adequate. Her IV line is saline locked. The incision is well approximated with no drainage or redness. Her pain is 4 to 6 out of 10 with pain medication every 4 hours. Later that evening your assessment shows that Renee is pale and listless; bowel sounds are absent; abdomen is distended and tender to the touch; the NGT is draining an increased amount of dark, greenish black fluid. Her lung sounds are moist bilaterally, and her temperature has spiked to 40.2 °C (104.4 °F), 02 saturation is 97% on room air. she rates her pain at 10 out of 10 and is having difficulty taking deep breaths because of the pain, which she says "hurts over my whole stomach." You obtain additional data {You decide what is appropriate to assess at this time) and contact the surgeon. Use SBAR to communicate with the surgeon. The following will assist you in planning your SBAR report,