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 …

18TH CASE SCENARIO. (NURSING)APPENDICITIS.

Age/Sex 37years Male. Unit : Q00000071 Admitted. 07/19/2007 MR:Q0008242624. Diagnosis Acute Appendicitis. Secondary Diagnosis : Hx ESRD HD Monday/Wednesday/Friday. Left kidney removal 06 /01/2004. Left permacatheter for Hemodialysis. General Surgery consult: Dr. Not Nice. On 07/19/2007 S/P Laparoscopic Appendectomy. Allergy: NKDA. Lungs clear on RA(Room air) DIET: Renal diet. Patient on dialysis = 90g protein, …

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 …

7TH CASE SCENARIO.(Nursing)Diabetic foot ulcer.

Mr A.J. 44years old man came into the Emergency room. Alert and oriented ×4 .Full code. Diagnosis: Diabetic foot infection Right great toe and second toe abcess,blister pop opened. Consultation: Podiatrist doctor consulted. ( Doctor Too Cute) Adaptive dressing change Qday. Incisions and drainage to be done at 1045am. NPO after midnight. Room air. Lungs …

4TH CASE SCENARIO.(Nursing)Necrotic Fascitis Cellulitis.

Mr J.D. 49years old male was admitted into Medical/ Surgical Floor. Admitting Diagnosis: Necrotic Fasciitis Cellulitis. Secondly Diagnosis: Hypertension, diabetes poorly managed. Blood sugar in Emergency department 800.Insulin NPH 20units ,and 5units,of regular insulin given subQ to his right lower abdomen.Left leg red ,swollen with wound. Left leg elevated on pillows. SCD to the right …