Critical Thinking Case Studies Nursing

Critical Thinking Case Studies Nursing-57
Your patient is a 28-year-old woman in the neuro (brain) ICU who was in a motor vehicle accident and sustained a head injury. Her heart rate has dropped and her blood pressure is elevated. Injury to the brain can be tricky to care for, especially when trauma is involved.When there is injury to any part of the body, inflammation (swelling) occurs as part of the body's normal response.

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Additionally, we covered a neurological patient with a head injury and potential brainstem herniation, who also was treated with medications for lowering pressure in the brain and surgery to relieve that pressure.

Finally, we discussed a surgical patient with possible sepsis, also treated with medications to fight off infection. We have over 200 college courses that prepare you to earn credit by exam that is accepted by over 1,500 colleges and universities.

This patient will need a trip to the cardiac catheterization lab (cath lab) so the cardiologist can open up the blocked blood vessel in the heart to restore blood flow.

This is a common scenario in the cardiac ICU and usually ends in a good patient outcome.

Critically ill patients are those who are cared for in a hospital's intensive care unit and need breathing tubes, blood pressure stabilization medication, and frequent monitoring.

Caring for critically ill patients requires assessment, intervention, communication, and treatment.Some of the tools they might need are: We reviewed scenarios and case studies for common situations found in the different types of intensive care units (ICUs).We also discussed a cardiac patient with a possible heart attack who was treated with medications for blood pressure and intervention in the cath lab.You are caring for a 38-year-old woman in the surgical ICU who had surgery to remove the gallbladder two days ago.She has a history of high cholesterol and gallstones. Cases can be pretty straightforward in the surgical ICU. We know she's got abdominal pain, which could be from the surgery. Her heart rate is elevated, her blood pressure is low, and she has a fever of 101 F. The elevated WBCs and fever tell us she has some type of infection.When inflammation of the brain occurs, the brainstem is compromised and pushed through the foramen magnum (brainstem herniation), which affects the heart rate, blood pressure, and breathing.The healthcare provider should be notified immediately of these findings.Blood needs to be drawn to evaluate his cardiac enzymes, which will tell you if damage is actually occurring in the heart muscle.The cardiologist, or heart doctor, needs to be notified of all of your findings to help form a plan.He will need oxygen to help his heart muscle that is dying from potential blockage.Because his heart rate and blood pressure are elevated, he needs medications to bring those down to normal levels.


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