SBAR Report from Cath Lab RN for

SBAR Report from Cath Lab RN for Jimmy Blanc-Valvuloplasty S= Jimmy is a 4-year old boy admitted through ambulatory surgery this morning for balloon valvuloplasty of his aortic valve. We’ve completed a successful valvuloplasty without complication. B= Jimmy was diagnosed with aortic valvular stenosis at age 2; symptoms were noted at 18 months when mom noticed he became short of breath and easily fatigued when first learning to walk. His pediatrician found a murmur in the right sternal border, 2nd intercostal space and referred the family to a peds cardiologist. He has no other medical conditions, was born full-term, and is at the 95th percentile on the growth and development charts. He is developmentally appropriate for age. Allergy to PCN-rash. Jimmy has an older brother and sister who are being cared for at home. A parent is with Jimmy and speaks limited English. A= No murmur was auscultated post-valvuloplasty. I gave him 3mg of Versed and 50 mcg of Fentanyl IV for conscious sedation during the procedure. I had him on a 60% face mask during the procedure, but now he’s on Room Air, satting 98%. Sinus rhythm 95 94/46 RR 24. Hemostasis was achieved after 15 minutes of direct pressure on groin site. Distal pulses are palpable. He has been a little agitated upon waking up but calms with presence of parent who will come up with him. R= I have his orders with our typical post procedure protocol and will bring them up with me. He will be discharged home after 24 hours post-procedure observation. What targeted assessments will be needed? What potential complications could occur? What medications would treat common complications? What are the nursing implications of the ordered medications and medications to treat complications? SCIENCE HEALTH SCIENCE NURSING COMMUNICAT CSE562

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