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University of Pennsylvania School of Nursing

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Artificial Airway

University of Pennsylvania School of Nursing

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...

Fundamentals Medical/Surgical

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Medical/Surgical
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway Management, anemia, Artificial airway, clinical evaluation, cough, fever, hemorrhagic stroke, mechanical ventilation, oxygen therapy, patient monitoring, respiratory assessment, stroke, tracheostomy, tracheostomy care, vital signs assessment,

Anesthesia Post-op

University of Pennsylvania School of Nursing

In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic...

Perioperative

In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 20x20
Setting: Hospital, Operating Room
Patient ect:
Patient Gender: Female
Tags: Anesthesia, anesthesia complication, extubation, extubation protocol, paralytic, pseudocholinesterase deficiency, train of four, ventilator management, ventilator settings,

Hypotension Post TAA

University of Pennsylvania School of Nursing

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR...

Cardiology Surgery

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Surgery
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: aneurysm repair, arterial line, hemorrhagic shock, hypotension, lumbar drain, post surgical hypotension, spinal shock,