Rapid Response
A nurse’s knowledge leads to immediate intervention. Takeaways: Sepsis is a life-threatening condition resulting from a dysregulated immune response to infection that can rapidly…
Boerhaave syndrome
A 27-year-old man with no significant past medical history received a diagnosis of viral gastroenteritis 2 days ago and has had persistent vomiting despite…
A post-TAVR emergency
Mr. James tells Lizzy, the PACU nurse, that he doesn’t feel well and might pass out. Lizzy knows that conduction disturbances after TAVR can…
Epiglottitis in adults
One week ago, a 46-year-old man developed a sore throat that’s progressively worsened despite supportive therapy, resulting in a visit to the ED. The…
Peritonsillar abscess
When William arrives in the ED, he tells Kara, a triage nurse, that he has right-sided throat pain with radiation to his right ear,…
Inpatient stroke
Nurses can use the BEFAST mnemonic (Balance—trouble walking, Eyes—trouble seeing, Face drooping, Arm weakness, Speech difficulty, Time to call 911), developed by Intermountain Healthcare,…
Spinal cord compression and cauda equina syndrome
Teaching patients about CES and SCC red flag symptoms (respiratory distress, loss of sensation, severe pain, sexual dysfunction, loss of bowel or bladder control)…
Organophosphate poisoning
A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a soybean field.…
COPD exacerbation
A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the ED to…
Spontaneous pneumothorax
A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain doesn’t improve…
Crohn’s disease and GI perforation
JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight loss for…
Serotonin syndrome
A 54-year-old woman arrives at the ED with flu-like symptoms, including fatigue, muscle aches, and a mild fever. Her medical history includes depression, which…
Acute sepsis
A nurse’s knowledge leads to immediate intervention. Takeaways: Sepsis is a life-threatening condition resulting from a dysregulated immune response to infection that…
Boerhaave syndrome
A 27-year-old man with no significant past medical history received a diagnosis of viral gastroenteritis 2 days ago and has had persistent…
A post-TAVR emergency
Mr. James tells Lizzy, the PACU nurse, that he doesn’t feel well and might pass out. Lizzy knows that conduction disturbances after…
Epiglottitis in adults
One week ago, a 46-year-old man developed a sore throat that’s progressively worsened despite supportive therapy, resulting in a visit to the…
Peritonsillar abscess
When William arrives in the ED, he tells Kara, a triage nurse, that he has right-sided throat pain with radiation to his…
Inpatient stroke
Nurses can use the BEFAST mnemonic (Balance—trouble walking, Eyes—trouble seeing, Face drooping, Arm weakness, Speech difficulty, Time to call 911), developed by…
Spinal cord compression and cauda equina syndrome
Teaching patients about CES and SCC red flag symptoms (respiratory distress, loss of sensation, severe pain, sexual dysfunction, loss of bowel or…
Organophosphate poisoning
A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a…
COPD exacerbation
A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the…
Spontaneous pneumothorax
A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain…
Crohn’s disease and GI perforation
JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight…
Serotonin syndrome
A 54-year-old woman arrives at the ED with flu-like symptoms, including fatigue, muscle aches, and a mild fever. Her medical history includes…
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