Case Study-Trauma You and your partner have been dispatched to a report of a motorcycle crash on a curvy back road. Fellow riders at the scene reported the patient was travelling too fast to negotiate a sharp curve and was thrown over a guardrail into a tree. They carried the patient up an approximate 4-foot embankment to the road. Upon your arrival, you find a male patient you estimate to be between 20-25 years of age, being cared for by a police officer who has opened the airway using an NPA and is administering oxygen via an NRB. The officer reports the patient has been unconscious since she got to the scene. Looking down the embankment, you see the patient's helmet and note it has sustained significant damage. As you approach the patient, you observe the patient has gross angulation involving his left lower leg and deformity to his right humerus. 1. In addition to scene safety, what else would you evaluate during your initial scene size-up? 2. What specific information other than that gathered through a SAMPLE history would you want to obtain from witnesses at the scene? 3. Other than potential shock and the injuries already listed, what other injuries should you consider based upon the MOI. (List a minimum of 3) 4. During the assessment of the injured extremities, what must you evaluate to determine the severity of the injuries? 5. How are you going to manage this patient? (Provide a detailed care plan and include a full trauma assessment in sequential order) Source: Prehospital Trauma Life Support, Eighth Edition

Case Study-Trauma You and your partner have been dispatched to a report of a motorcycle crash on a curvy back road. Fellow riders at the scene reported the patient was travelling too fast to negotiate a sharp curve and was thrown over a guardrail into a tree. They carried the patient up an approximate 4-foot embankment to the road. Upon your arrival, you find a male patient you estimate to be between 20-25 years of age, being cared for by a police officer who has opened the airway using an NPA and is administering oxygen via an NRB. The officer reports the patient has been unconscious since she got to the scene. Looking down the embankment, you see the patient's helmet and note it has sustained significant damage. As you approach the patient, you observe the patient has gross angulation involving his left lower leg and deformity to his right humerus. 1. In addition to scene safety, what else would you evaluate during your initial scene size-up? 2. What specific information other than that gathered through a SAMPLE history would you want to obtain from witnesses at the scene? 3. Other than potential shock and the injuries already listed, what other injuries should you consider based upon the MOI. (List a minimum of 3) 4. During the assessment of the injured extremities, what must you evaluate to determine the severity of the injuries? 5. How are you going to manage this patient? (Provide a detailed care plan and include a full trauma assessment in sequential order) Source: Prehospital Trauma Life Support, Eighth Edition

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questions. Which structure is carrying blood from the heart to all parts of the body? K Black arrows indicate direction of blood flow • Blue structures contain deoxygenated blood Red structures contain oxygenated blood В C А В A None of these D N- M- F K-
Write the name of each numbered structure on the corresponding numbered line and then follow directions shown on the image to complete the problem
3) You are called to the surgical ICU to assess Mrs. King, who had open heart surgery and is 20 hours postoperative. Describe how you would assess her readiness for extubation.
CASE STUDY - SHOCKYou and your partner are dispatched for a report of an unresponsive 77-year-old male in asenior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you thepatient is in the bedroom. As she leads you towards the bedroom, the aide begins to tellyou she arrived for work about an hour ago and found the patient in his bed. “He normallyis awake when I get here, but today I found him still in his bed. I thought he was onlywanting to sleep in so I decided I would give him a little time, but he didn’t respond when Itried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning andcooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. Ithought he might have come down with a bad cold because he was coughing a lot and Itried to encourage him to see his physician.”As you approach the patient’s bedside, you observe…
Pathophysiology: chapter 7: Neoplasia Jane Foster [JF] is a 26-year-old woman in the clinic today for her annual physical examination. As the nurse performs the initial physical assessment, it becomes apparent the client is quite concerned about her risk for developing breast cancer. Her mother and a maternal aunt both developed breast cancer in their late 40s. JF “heard that genetic testing can be done” to see whether she carries “breast cancer genes.” The nurse knows JF is asking about the BRCA1 and BRCA2 mutation genes. What additional information could the nurse share with JF? 1.Explain the role mutation genes have in the genetic mechanisms of breast cancer development.
Case Study #5 Setting: Fann Teaching Hospital in Dakar, Senegal. Subject: 12-year old boy who was hospitalized for acute meningoencephalitis. The CT scan was normal, however, study of the cerebrospinal fluid revealed cytological and biochemical abnormalities. A sample of the CSF was sent to the hospital lab for analysis. The results follow... Key to Media Used in Case Studies (in picture left to right) Phenol Red Glucose Phenol Red Sucrose Results holds for lactose too Phenol Red Xylose SIM Read as Sulfur / Indole Lysine Decarboxylase Ornithine Decarboxylase Methyl Red Vogues-Proskauer Urea Simmon’s Citrate Nutrient Gelatin Results of Inoculated Media A B C D E F G H I J K Based on the results of the media shown above, determine the causative agent of the infection. Use the figures in this presentation or in your lab manual for identification. “B” for this organism is its Phenol Red – Mannitol result
URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…
questions. Which structure is carrying blood from the heart to the lungs? A • Black arrows indicate direction of blood flow Blue structures contain deoxygenated blood Red structures contain oxygenated blood K C А- В В None of these D N- M- K- К H-
10:43 Developing Critical Thinking Through Understanding Pathophysiology Primary problem (medical diagnosis) of patient:__ 1. Define and describe in your OWN WORDS, the pathophysiology of the primary problem of your patient: 2. How would you explain and teach your patient about the pathophysiology of this medical problem using non-medical terminology? 5G UC ll 78% 3. What body system(s) are directly impacted by this disease and how are those systems affected? BODY SYSTEM(S): HOW BODY SYSTEM IS AFFECTED(S): 4. PRIORITY nursing assessments with this disease? (refer to body system that is most affected). What assessment findings may be abnormal as a result of this illness? PRIORITY ASSESSMENTS: EXPECTED ABNORMAL ASSESSMENTS: 5. What lab tests are altered by this problem? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? ABNL. LAB TESTS: HOW LAB TESTS AFFECTED: DOES IT IMPACT SESSMENTS? 6. What medications are most commonly used to manage…
An IV started at 1530 and is to set complete in 5.5 hours. At what time will it complete in military time?
needing help with an example involving the back