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Subarachnoid Hemorrhage
Joseph Taylor, 50 years old, while lifting weights at the gym, complained of a sudden headache and soon fell to the ground. He’s suffered an aneurysmal subarachnoid hemorrhage (SAH).
Hyperkalemia
Doug Smith, 62-year-old male, was awaiting discharge but was noted to be hypokalemic on labs. Due to clerical error he has been administered 10 times the recommended dose of KCl 10mEq in 100cc NS bolus.
Pulmonary Embolism
Joanne Black is diagnosed with ovarian cancer and is receiving chemotherapy. Surgery is planned for the next day. Around 4 hours after blood transfusion she started developing shortness of breath and central chest discomfort.
Patient Safety – Room Preparation
You have been entrusted with the task to prepare a patient room for a patient at risk for self-harm. Review the room environment and ensure that all objects of potential risk are removed or placed in inaccessible locations.
Seizure
John Wright, 67-year-old male, has suffered a generalized seizure. Initially, he appears somnolent and cannot respond to questions. His respirations are sonorous and although his airway seems patent, there is blood in his mouth.
Urologic Sepsis
Stephanie, a 59 year old female, has a worsening left flank pain, nausea, and decreased PO intake. She has a 7-day history of dysuria, urinary frequency, and fever preceded by an intermittent left flank pain.
Pneumonia
Jim Smith, 64 years old male, was admitted 3 days ago. He has difficulty breathing and an increasing productive cough. Jim has been diagnosed with a community acquired pneumonia and started on Moxifloxacin 400mg IV daily.
Bradycardia
A middle-aged patient is feeling dizzy and weak the team must perform an assessment using SAMPLE and OPQRST. Recognizing a heart block, they should ensure IV access, prepare, and perform pacing before calling for cardiology.