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today were talking about i s bar i is for identification s is for situation b is for background a is for assessment and r is for recommendation hey mike im katherine from 5b we just brought down miss claire oh yeah so i wanted to give you a report real quick okay all right sounds good um and uh while were talking your charge nurse is already in the room uh miss claires oxygen is up and running and shes getting all her monitoring set up so miss claire first came to us for some shortness of breath and it was really only a couple hours ago she got up to the bathroom and just became suddenly much much worse rapid breathing her oxygen saturation went down to 86 percent and she just you know started to feel kind of panicky and and started to look cyanotic in the past half an hour so weve increased her oxygen from two liters to a venturi mask at 40 percent just to keep her sats about 89 ive just gotten a call from lab that her d dimer is elevated we did draw a full lab panel but i don