23RD CASE SCENARIO.(NURSING) BLOOD TRANSFUSION.

Age/Sex 60years female. Admitting Doctor:Mountain,Ray. Admitting Diagnosis Hemoglobin 6.9,Hematocrit of 22.1 Location: Medical/Surgical floor. Room Number: 30041 MR. Q0000999322. TREATMENT: Alert and oriented x4. GCS 15 02 2L NC. Transfuse 2uints of PRBC. Vital sign Q4hours. Vital sign :15minutes before transfusions. BP 140/71,Hr 67,Resp 18,02 saturation with 02 at 2 Liter NC. 98°F. Tylenol 650mg […]

20TH CASE SCENARIO. (NURSING)SKULL FX.

Mrs Theresa Ngozi Tuan. 66years.Female. Full code. MR: Q0000999667 Location: Trauma unit Room 3042NorthEast. Admitted: 09/14/2012. Diagnosis: Intracranial Hemorrhage and Skull Fracture. Due to Car accident. SAH,Skull fracture. Bruises bilateral eyes, especially right eye.Frontal bone fracture with pneumocephaly. Right orbital wall fractures. Headache. Facial lacerations. Suture right upper eyelid. Patient said to the nurse I […]

17TH CASE SCENARIO. (NURSING)APPENDICITIS/ TREATMENT.

Age 56years Sex Male.Unit Q000099977 Admitted Date 02/15/2013 Attending doctor: Dr. Robert Hate. Medical record number :Q00009594963. Medical/Surgical Floor. Room: 42066. CODE STATUS: Full Code. GCS 15 Alert and Oriented × 4. Lungs clear. RA. Diagnosis: Acute Appendicitis. PSH: Bowel Resection 09/20/2011. PMH: Diverticulitis, RLQ Abdominal pain(unbearable pain),Nausea/Vomiting. Consultation: Dr. Nor Smile. Lap Appy and […]

6TH CASE SCENARIO.(Nursing)DNR.

Miss D.R. 65years old female was brought to the Emergency room by her son and daughter in law. CODE STATUS : DNR.(Do not resuscitate) ISOLATION PRECAUTIONS: Contact Isolation precautions for C- diff. She came in with abdominal pain x3 days, nausea, vomiting and history of left breast cancer. Admitting Diagnosis: Abdominal pain/Sepsis/ Pyelonephritis, C- diff […]