TRAUMATIC BRAIN INJURY CASE SCENARIO QUESTIONS. 1. On the given case scenario, present the relevance of each diagnostic and laboratory tests to the patient. (see photo attached) 2. In relation to the patient’s case, trace the pathophysiology of the disease. (see photo attached)
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TRAUMATIC BRAIN INJURY CASE SCENARIO
QUESTIONS.
1. On the given case scenario, present the relevance of each diagnostic and laboratory tests to the patient. (see photo attached)
2. In relation to the patient’s case, trace the pathophysiology of the disease. (see photo attached)
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- Stroke patient was administered four ounces of food thickener, orally. Enter code(s)6 Mr. Davis has a diagnosis of acute maxillary sinusitis. His licensed prescriber orders Biaxin 500 mg q 12 h × 10 days. How many tablets will the nurse administer per dose? Exp. Lot ⒸAbbott 03-2185-3/R5 0074336860 Store tablets at 15° to 30°C (59° to 86°F). SPECIMEN NDC 0074-3368-60 60 Tablets BIAXINⓇ FILMTABⓇ clarithromycin tablets 250 mg 2 Caution: Federal (U.S.A.) law prohibits dispensing without prescription. 6505-01-354-8582 Do not accept if seal over bottle opening is broken or missing. Dispense in a USP tight, light-resistant container. Each tablet contains: 250 mg clarithromycin. Usual Adult Dose: One or two tablets every twelve hours. See enclosure for full prescribing information. Filmtab-Film-sealed tablets, Abbott Abbott Laboratories North Chicago, IL60064, U.S.A.The body of a 19-year-old male is found on the roadway, alongside a vehicle that hit a tree. Three of the four doors of the vehicle have popped open. 2 other bodies are also found at the scene. On examination at the Morgue, the decedent above referenced is found to have minor abrasions of his chin and right cheek, and his jaw appears slightly distorted. However, upon palpation of the mandible, it is found to be grossly unstable, with subsequent X-Ray demonstrating 19 distinct fractures of the jaw between the Right and Left Mandibular Rami. At autopsy, his trachea is found to be filled with vomitus. No other injuries are demonstrable, although there is some fluid residue found in the stomach, smelling of alcohol. a) Given these findings, what are the possible causes of death? Which do you believe to be the most likely cause of death? b) Is it obvious from the injury pattern where the decedent was sitting in the vehicle? If not obvious, where do you believe it likely the decedent was…
- MAKE A TRADITIONAL CHARTING Patient 4hr Postop, awakens easily, oriented X 3 but groggy, incision site in front of Left ear extending and around the ear and into neck-approximately 6inches in length-without dressing. C. Jones, RN. No swelling or bleeding, bluish discoloration below left ear noted, sutures intact. Jackson-Pratt drain in left neck below ear with 20 ml blood drainage measured. C. Jones RN. Drains remains secured in place with suture and anchored to left anterior chess wall with tape. Patient denied pain buy stated she felt nauseated and promptly vomited 100ml of clear fluid. Pt. attempted to get OOB(out of bed) to ambulate to bathroom with assistance but felt dizzy upon standing. Assisted to lie down in bed. Voided 200ml clear, yellow urine in bed pan. Pt. encourage to deep breath and cough gbt, and turn frequent in bed, Lung sound clear bilaterally. Antiembolism stockings applied to both lower extremities. C. Jones RN Explanation given regarding these preventive…A 55-year-old female was transported to the floor after recovering from a surgical procedure. An epidural catheter with morphine was placed for post-operative pain control. Upon arrival, the patient complained of nausea and a headache prompting the on-call physician to prescribe, “Demerol 75mg every three hours for pain.” The preprinted medication orders from anesthesia stated “No narcotics, sedatives, or other respiratory depressants to be given during infusion of epidural medication and for 12 hours after epidural is discontinued except by order of anesthesia.” The nurse had not reviewed this order prior to obtaining and administering the new order for Demerol, a narcotic. Twenty minutes later, the patient was found unresponsive and aggressive resuscitation efforts were implemented, resulting in intubation and mechanical ventilation of the patient. When brain activity was not found, the family made the decision to take the patient off of life support and the patient died shortly…A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?
- Dr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?EXAMPLE TERM ΜΑIN ΕNTRY MEANING Hyperglycemia hy-per-gly-ce-mia excess of sugar in the blood Chapter 11 – Cardiovascular System Chapter 12 – Respiratory System TERM Main Entry (Noun-English) Meaning (Definition) systole pericardium phlebitis aneurysm cyanosis endarterecto diastole bronchus mediastinum laryngectomy hypoxemia dyspnea insomnia atelectasis apneaSITUATION Zoran Solano, a 20-year-old man was brought into theEmergency Department (ED) after an accident whilst ridingon an electric scooter. He was stabilised and transferred tothe Orthopaedic Ward for surgery in the morning.BACKGROUND Zoran Solano was out partying with his friends, celebrating abirthday in the Valley. According to his cousin, Eyad, Zoranstarted drinking at 5pm that day and by the time they leftthe club around 2am, Zoran was very intoxicated. As theywere walking out of the club, Zoran decided to jump on anelectric scooter that was parked outside the club. Eyadstarted running after Zoran, and he saw Zoran weaving inand out of cars on the road at a high speed. Eyad saw Zoranbarely manage to avoid fully hitting the concrete column of abuilding but he jumped off the electric scooter and landed inan awkward position.ASSESSMENT GCS: 15/15, both pupils: 3 equal and reactive to light,moving both upper limbs and right leg in normal strength,left leg no movement (due to severe…
- The nurse is administering an intra-enous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg e-ery 3 hours as needed for pain. The medication is supplied in -ials of 4 mg/mL. How much will be drawn into the syringe for this dose?18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…