Case Study One (1) – scenario Raihana

Case Study One (1) – scenario Raihana Ding is a 65-year-old woman who has been admitted to your ward with cellulitis to her right leg, past history of stable angina & asthma. She has an IVT left forearm, 8/24 Normal Saline, daily Ceftriaxone 1gm. The cellulitis has been marked. Q1.What is cellulitis & why is it necessary for it to be marked? Q2 .You perform vital signs which are BP 92/61, HR 133, RR 22, Sao2 95%RA, Temp 40.7°C. What will your immediate actions be? Q3.Why might she be displaying these values on her vital signs? Case study 2 – scenario Balun is a 52-year-old indigenous man who suffers from Type 1 Diabetes Mellitus. He presented to hospital with severe flank pain, dysuria, glycosuria, ketonuria and haematuria. Q1.Name the classification of AKI Balun is most likely experiencing? Q2.List six (6) clinical signs & symptoms that Balun may present with, associated with his acute renal failure. Q3.Describe the nursing management for Balun relating to his acute kidney injury? Q4.What is Short Term Haemofiltration? Case study three (3) – scenario Stella is a 65-year-old woman who has been transferred to your ward following L) lower lobectomy two (2) days ago for Ca, she also suffers from asthma. She has had an uneventful post-op period although she states she has pain when coughing. She has an intercostal catheter insitu attached to an underwater seal drainage unit with minimal drainage. Q1. Identify three (3) reasons why post-op pain management is so important? Q2.What might you see in the UWSD if Stella is bleeding post-operatively? Q3.Explain what you would do if this occurs? Q4. Identify four (4) signs that indicate Stella may be experiencing respiratory distress. Q5. What is the nursing care of ICC & UWSD? Q6. Explain the pathophysiology of asthma Q7. Explain diverticulitis and include in which demographic it is most prevalent. Q8. What four (4) things are considered when assessing the severity of burn injuries? Q9. How much blood loss and over what period of time would be considered a haemorrhage. Q10. What causes a myocardial infarction? Q11. What are the signs and symptoms of initial and severe shock?

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