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A patient on your team is experiencing difficulty breathing. There is no change in the patient's status after you elevate the head of the bed, apply oxygen, have the patient use pursed-lip breathing and obtain a breathin

A patient on your team is experiencing difficulty
breathing. There is no change in the patient's status after you elevate the head of the bed, apply oxygen, have the patient use pursed-lip breathing and obtain a breathing treatment for the patient. Auscultation of the lungs demonstrates crackles bilaterally halfway up the lungs. The respiratory rate is 40 breaths/min, with an oxygen saturation level of 90% on 4 liters oxygen per nasal cannula. The patient is restless and having difficulty speaking because of the shortness of breath. After exhausting all nursing interventions, you call the physician by telephone regarding the change in the patient's status.

  1. Describe how you would communicate the following areas using the ISBARR tool.
  2. The physician orders Lasix 40 mg IVP and morphine 4 mg IVP and 1 to 2 mg IVP every 1-hour prn. You write down the telephone order and hang up. Your transcription includes the following information:
    Lasix 40 mp IVP Stat and QD
    MSO4 4.0 mg IVP Stat and 1.0-2.0 mg IVP q1hr prn
    Is this the correct transcription of the order? If no how