New Recording 42

Patient Overview

• Patient Name: Jane Doe

• Age: 68 years old

• Medical History:

  • Hypertension

  • Type 2 Diabetes

  • Recent pneumonia recovery

Current Situation

• Admission Date: 3 days ago

• Current Treatment: IV antibiotics

Vital Signs

• Blood Pressure: [Insert current BP here]

• Heart Rate: [Insert current HR here]

• Respiratory Rate: [Insert current RR here]

• Temperature: [Insert current temperature here]

• Oxygen Saturation: 88% on 2 L/min of nasal cannula (down from 95%)

  • Normal range for oxygen saturation is typically 95-100%.

Background

• Patient has a known history of hypertension and type 2 diabetes, which may complicate her recovery from pneumonia.

• Oxygen saturation has decreased significantly during the current assessment, indicating possible respiratory distress or infection exacerbation.

• Patient's recent pneumonia required hospitalization; her recovery thus far may be threatened by current respiratory issues.

Assessment

• Observed increasing shortness of breath

• Notable drop in oxygen saturation from previous assessments

• Requires immediate medical attention to address declining respiratory function

Recommendations

• Contact Physician: Immediate communication required due to concerning trends in vital signs.

• Suggestions for physician:

  • Consider increasing oxygen flow rate or changing to another oxygen delivery system

  • Evaluate for potential transfer to a higher level of care if condition does not improve

  • Monitor for signs of further respiratory distress or complications from pneumonia.