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SBAR Hand-Off Current day and time: Tuesday 1530 Admission day and time: Tuesday 1130 Situation Name: Jason Eastland Age: 62 Sex: Male Ethnicit y: White Religio n: Baptist Provider: Pamela Westmoreland, MD Admission diagnosis: Crohn's disease Background Pertinent medical history: Patient has a history of Crohn's disease. Over the past month, he experienced an exacerbation of the disease, with a lengthy bout of diarrhea and abdominal pain that left him dehydrated and malnourished. His weight decreased from 77 kg to 70 kg. He had a left subclavian central line placed 2 weeks ago for administration of fluids and hyperalimentation in the home care setting. He was also started on infliximab, which has helped control his symptoms. His first dose of infliximab was 2 weeks ago. He was admitted today to an outpatient bed on the medical-surgical unit for reevaluation and his second dose of infliximab. He tolerated the infusion well. He is no longer experiencing diarrhea or abdominal pain. His weight has increased to 74 kg. The provider has written
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  • Spring '19
  • Dr. Smith
  • Ulcerative colitis, Crohn's disease, Infliximab

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