Sample ICU SBAR

Prepared by: [Your Name]

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I. Situation

• Date: August 27, 2050

• Location: [Your Company Address]

• Patient Name: Baby Bartell

• Patient ID: 987654

• ICU Nurse: [Your Name]

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II. Background

• Baby Bartell, a 45-year-old female, was admitted to the ICU on August 25, 2050, with acute respiratory distress syndrome (ARDS) following severe pneumonia. She has a history of asthma and recent influenza infection. She is currently on mechanical ventilation and broad-spectrum antibiotics.

Recent Vital Signs:

Vital Sign	Measurement
Blood Pressure	92/60 mmHg
Heart Rate	98 bpm
Respiratory Rate	26 breaths/min
Temperature	100.4°F (38°C)

Current ICU Interventions:

Intervention	Details
Mechanical Ventilation	Settings: Assist-Control Mode, PEEP 10 cmH2O
Antibiotics	Meropenem 1g IV q8h
Sedation	Propofol infusion at 20 mcg/kg/min

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III. Assessment

Baby’s oxygenation is inadequate despite high PEEP settings and increased ventilation support. Her blood pressure remains low, and she shows signs of increasing respiratory distress. There is also evidence of worsening metabolic acidosis on her latest blood gas analysis.

Lab Results:

Test	Result
Arterial Blood Gas	pH: 7.29, PaCO2: 55 mmHg, HCO3: 22 mEq/L
Serum Lactate	4.2 mmol/L
Creatinine	1.8 mg/dL

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IV. Recommendation

1. Immediate Actions:

   • Increase the tidal volume on the ventilator and reassess ABG results.

   • Administer a vasopressor (e.g., Epinephrine) to support blood pressure.

2. Further Monitoring:

   • Monitor blood gas every 2 hours; adjust ventilator as needed.

   • Track urine output and electrolytes to guide fluid management.

3. Consultation:

   • Consult a pulmonologist about adjusting ventilation.

   • Request critical care consult for additional therapy evaluation.

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