Diabetes Insipidus Case Study (60 min)
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Study Tools For Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Pathochart (Cheatsheet)
Diabetes Insipidus (Mnemonic)
Diabetes Insipidus Assessment (Picmonic)
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Outline
Mrs. Ford is a 32 year old female who was admitted to the neuro ICU two days ago after a fall, which caused a large epidural hematoma over the left parietal lobe. She was intubated due to a low level of consciousness to protect her airway. An External Ventricular Drain (EVD) was placed to monitor her ICP. She also has an orogastric tube, and a Foley catheter in place
Critical Thinking Check
Bloom's Taxonomy: Application
You just started your shift, what nursing assessments will be your priority at this point?
VIEW ANSWER
Mrs. Ford’s vital signs are as follows:
BP 124/68 MAP 86
HR 84 Temp 98.9
RR 16 (ventilated)
ICP 12
She is not on any sedation. You determine her GCS is 6, she withdraws to pain, but does not open her eyes. Her pupils are equal and reactive bilaterally, 4mm. For this hour she has put out 120 ml of urine that is clear and yellow. She is receiving normal saline at 75 mL/hour as well as tube feeds at 40 mL/hour. Her EVD is open at 15 cmH2O and draining a clear pink fluid, 6 ml this hour.
faq lesson=”true” blooms=”Application” question=”Calculate her cerebral perfusion pressure.”]
- CPP = MAP – ICP
- 86 – 12 = 74 mmHg [/faq]
Critical Thinking Check
Bloom's Taxonomy: Analysis
Given the assessment information that you have, what are you most concerned for with this patient?
VIEW ANSWER
Hourly urine output for Mrs. Ford For the last 3 hours were 180 mL, 240 mL, and 440 mL. The urine is clear and barely pale yellow. Her blood pressure is 108/56, HR is 104. Her ICP is 15.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What could be going on physiologically with Mrs. Ford?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
What further diagnostic testing do you expect the provider to order?
VIEW ANSWER
Lab Values:
Na+ 155 mg/dL
Serum osmo 310 mOsm/kg
Urine SG 1.005
Critical Thinking Check
Bloom's Taxonomy: Analysis
Explain the significance of these lab values considering the patient's diagnosis.
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
What medications and or treatment changes do you expect the provider to order?
VIEW ANSWER
The provider orders the following:
Free water flush via OG Tube – 200 mL q4h
Change IVF to D5W at 125 mL/hr
Desmopressin (DDAVP) 2 mcg IV push q 12h
Daily weight
q4h Sodium and Serum Osmolality levels
You set the tube feeding pump to administer the free water and change the IV fluids while waiting for the DDAVP from the pharmacy
Critical Thinking Check
Bloom's Taxonomy: Analysis
What regular monitoring will need to be done for Mrs. Ford during this treatment?
VIEW ANSWER
After 2 days of treatment, misses Fords urine output and urine specific gravity return to Baseline. However, she continues to have a GCS between 4 + 6, and now her left pupil is 8mm and fixed. The nurse notes her respiratory rate is erratic, her ICP is 18, and her heart rate is dropping.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What do you believe could be happening to Mrs. Ford at this time?
VIEW ANSWER
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Respiratory system
Concepts Covered:
- Multisystem
- Respiratory
- Respiratory Disorders
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- Newborn Complications
- Microbiology
- Medication Administration
- Nervous System
- Central Nervous System Disorders – Brain
- Disorders of Thermoregulation
- Cardiovascular Disorders
- Disorders of the Posterior Pituitary Gland
- Disorders of Pancreas
- Hematologic Disorders
- Fetal Development
- Musculoskeletal Trauma
- Intraoperative Nursing
- Substance Abuse Disorders
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- Emergency Care of the Neurological Patient
- Neurological
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- Oncology Disorders
- Tissues and Glands
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- Studying
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- Renal and Urinary Disorders
- Renal Disorders
- Central Nervous System Disorders – Spinal Cord
- Immunological Disorders
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- Shock
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- Respiratory System
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- Disorders of the Thyroid & Parathyroid Glands
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- Hematologic Disorders
- Neurological Trauma
- Vascular Disorders
- Trauma-Stress Disorders
- Postoperative Nursing
- Prioritization
- Test Taking Strategies
- Terminology
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- Learning Pharmacology
- Endocrine System
Study Plan Lessons
06.03 Multi-System CCRN Important Points for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
ABG (Arterial Blood Gas) Interpretation-The Basics
ABGs Nursing Normal Lab Values
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Addicted Newborn
Antimicrobial Vaccinations
Asthma
Atropine (Atropen) Nursing Considerations
AVPU Mnemonic (The AVPU Scale)
Body System Assessments
Bronchodilators
Chest Tube Management
Chest Tube Management Case Study (60 min)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Congenital Heart Defects (CHD)
Cranial Nerves
Day in the Life of a Med-surg Nurse
Diabetes Insipidus Case Study (60 min)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Disseminated Intravascular Coagulation Case Study (60 min)
Fetal Environment
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
General Anesthesia
Head to Toe Nursing Assessment (Physical Exam)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Histamine 1 Receptor Blockers
Hypothermia (Thermoregulation)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Local Anesthesia
Lung Cancer
Melanoma
Membranes
Miscellaneous Nerve Disorders
Mnemonic for Organ Systems (MR DICE RUNS)
Muscle Anatomy (anatomy and physiology)
Myocardial Infarction (MI) Case Study (45 min)
Nephrotic Syndrome Case Study (Peds) (45 min)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Scleroderma
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Pediatric Asthma
Nursing Case Study for Pneumonia
Obstruction for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Post-Anesthesia Recovery
Prioritizing Assessments
Respiratory Course Introduction
Respiratory Structure & Function
Respiratory Terminology
Respiratory Trauma Module Intro
SBAR Practice Scenarios
Spinal Cord Injury Case Study (60 min)
Systemic Lupus Erythematosus (SLE)
The SOCK Method – O
Thyroid Gland
Tuberculosis for Certified Emergency Nursing (CEN)
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)