this is an assignment that needs an SBAR on the patient below

this is an assignment that needs an SBAR on the patient below

the patient is a 70 year old female who came to ED with chest pain. for the last 3 or 4 days, she has had squeezing intermittent chest pain. she thought it was indigestion. the spells were very intense for a few minutes but then would abate and she would feel much better. in retrospect, she has similar but much milder episodes when she walked, particularly after eating. the spells currently are quite intense and make her dyspneic and weak. the pain is now continuous and she finally got to the point where she drove herself to the emergency room. all lab results are posted and current. assessment blood pressure is HR 70, BP 211/107, SPO2 100, RR 19. PAIN 10/10. PHYSICAL EXAMINATION are

General — she is diaphoretic and anxious appearing. she has her arm holding onto her chest

HEENT—Supple, No thyromegaly no carotid bruits, she has glasses that appears to be blended trifocals.

Cardiac—- Heart sounds are unremarkable. No murmurs, rubs, or gallops. No jugular venous distension.

Respiratory—–Clear to auscultation

GI

GU–

Skeletal /Extremities—– Joints are normal. No dependent edema. 1+ pedal pulses

skin—- turgor is good

Neuro—- No facial droop, speech is normal, strength is symmetric

Lymphatics—- no lymphadenopathy

Reproductive—-

patient age is 70, gender —female , race white/Caucasian, weight 150 lbs. height 67 inches