The patient, Mr. Derome, is 54, a labourer, married and father of three children. He was admitted to the unit just over 16 hours ago. He has been suffering from hyperthermia for three days and a pain in the right flank radiating to the lower back with hematuria. The medical diagnosis is right pyelonephritis.
Continue reading Deterioration of general condition toward septic shockHeart failure vs. fluid overload and arrhythmia
It is 8:15 AM. Bernard Castonguy, 73, was transferred to the medical unit about 30 minutes ago after spending three hours in emergency. He has been hospitalized to stabilize his condition after increasing dyspnea and edema for a few days. Mr. Castonguay was hospitalized twice in the last year for decompensation of his heart failure. He suffers poorly controlled high…
Continue reading Heart failure vs. fluid overload and arrhythmiaManagement of a patient who has undergone a coronary angiography
Arthur Laroche, 67, a widower for 2 years, has been hospitalized for a few hours in the cardiology unit, due to unstable angina. He underwent an emergency coronarography via the right femoral artery. Three arteries are blocked.
Continue reading Management of a patient who has undergone a coronary angiographyPost-laparoscopic appendectomy admission to a clinical unit
Following a report from the recovery room nurse, Donna Boorman, 22 years old, is transferred to your unit for admission post-laparoscopic appendectomy. Assess Ms. Boorman and admit her to your unit. It is now 8:00 AM.
Continue reading Post-laparoscopic appendectomy admission to a clinical unitAlcohol withdrawal syndrome in a pre-operative patient
Susan Reed (standard patient) is a 65-year-old admitted to the Orthopedic Unit from the Emergency Department during the night. She is a retired nurse who lives alone and is independent for ADLs.
Continue reading Alcohol withdrawal syndrome in a pre-operative patientManic mood disorder: Bipolar type 1
Jude Sinclair, a 40-year-old woman with a longstanding history of Bipolar 1 disorder, was admitted under court order to the Psychiatric Inpatient Unit from the Emergency Department yesterday evening for acute mania and to restart lithium therapy.
Continue reading Manic mood disorder: Bipolar type 1Post-operative hemorrhage following right knee arthroplasty
Your evening shift begins at 16:00. Paul Caron, 66 years old, returned to the orthopedic unit from the recovery room at 15:00 following total right knee arthroplasty. He has a past medical history of hypertension and atrial fibrillation. His vital signs have been taken q15 minutes for the last hour.
Continue reading Post-operative hemorrhage following right knee arthroplastyDiabetic patient with pneumonia
Suzanne Letarte is an 82-year-old woman with a history of diabetes. She was admitted last evening with pneumonia.
Continue reading Diabetic patient with pneumoniaChest trauma with pain management issue
Philippe Jones is a 36-year-old healthy male with no past medical history. He takes no medications and has no allergies. He was the belted driver in a motor vehicle incident (MVI) involving a frontal impact at 65 kilometres per hour. The driver airbag deployed on impact and he suffered no loss of consciousness prior to or following the incident. He…
Continue reading Chest trauma with pain management issueAnaphylactic reaction to a blood transfusion
Mr. Alexandrovna, a 20-year-old student involved in a bicycle accident, was admitted two days ago to a post-surgical floor following an emergency splenectomy. He also suffered a left wrist sprain. He has no other medical history. He is currently receiving a blood transfusion of PRBCs for an Hgb of 78 g/L.
Continue reading Anaphylactic reaction to a blood transfusion