Leukemia Case Study (60 min)
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Study Tools For Leukemia Case Study (60 min)
Leukemia Pathochart (Cheatsheet)
Symptoms of Leukemia (Image)
Leukemia – Signs and Symptoms (Mnemonic)
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Outline
Mr. Devito is a 48-year-old male who presents to his Primary Care Provider with left upper abdominal pain and complaints of weakness and fatigue. The nurse immediately notes how pale his skin is. A full set of vital signs reveals the following:
HR 82 bpm
BP 142/90 mmHg
RR 16 bpm
SpO2 94% on Room Air
Temp 101.0°F
Critical Thinking Check
Bloom's Taxonomy: Application
What furtner nursing assessments would you perform at this time?
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Upon further assessment, the nurse notes a palpable mass in the left upper quadrant, possibly an enlarged spleen, that is tender on palpation. The nurse also notes petechiae and bruising to the patient’s arms and legs. When questioned, the patient says “I seem to bruise so easily these days”. The patient’s lungs have diffuse crackles, heart sounds S1 and S2 present with no murmurs. The patient also reports a slight headache.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What laboratory or diagnostic tests do you anticipate the provider ordering?
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The provider orders a complete blood count, chemistry panel, and chest x-ray. The chest x-ray shows the patient has a slight pneumonia. He is sent home with a course of antibiotics while awaiting the test results.
The next day, the lab results show the following:
RBC 4.2 BUN 22
Hgb 8.4 Cr 0.9
Hct 25.2 K 3.9
WBC 144,000 Na 148
Plt 40,000 Ca 7.6
Critical Thinking Check
Bloom's Taxonomy: Analysis
Based on the above lab results, what should the nurse be most concerned about?
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What do you believe may be going on, physiologically, with Mr. Devito?
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What further diagnostic testing should be performed to confirm a diagnosis?
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Critical Thinking Check
Bloom's Taxonomy: Application
How would you explain this to the patient’s wife?
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Mr. Devito will be started on high-dose chemotherapy.
Critical Thinking Check
Bloom's Taxonomy: Application
What education topics should be included in teaching for Mr. Devito and his wife?
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Concepts Covered:
- Gastrointestinal
- Upper GI Disorders
- Respiratory Emergencies
- Immunological Disorders
- Hematologic Disorders
- Intraoperative Nursing
- Medication Administration
- Newborn Complications
- Noninfectious Respiratory Disorder
- Peripheral Nervous System Disorders
- Studying
- Central Nervous System Disorders – Brain
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Disorders of Pancreas
- Liver & Gallbladder Disorders
- Disorders of Thermoregulation
- Musculoskeletal Trauma
- Disorders of the Posterior Pituitary Gland
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Emergency Care of the Trauma Patient
- Neurological Trauma
- Disorders of the Thyroid & Parathyroid Glands
- Male Reproductive Disorders
- Oncology Disorders
- Postoperative Nursing
- Renal Disorders
- Renal and Urinary Disorders
- Central Nervous System Disorders – Spinal Cord
- Integumentary Disorders
- Shock
- Acute & Chronic Renal Disorders
- Respiratory Disorders
- Vascular Disorders
- Lower GI Disorders
- Respiratory System
- Disorders of the Adrenal Gland
- Neurologic and Cognitive Disorders
- Infectious Disease Disorders
- Female Reproductive Disorders
- EENT Disorders
- Respiratory
- Emergency Care of the Respiratory Patient
- Neurological Emergencies
- Communication
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Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Airway Suctioning
Anemia for Progressive Care Certified Nurse (PCCN)
Anesthetic Agents
Anesthetic Agents
ARDS Case Study (60 min)
ARDS causes Nursing Mnemonic (GUT PASS)
Artificial Airways
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Asthma for Certified Emergency Nursing (CEN)
AVPU Mnemonic (The AVPU Scale)
Azithromycin (Zithromax) Nursing Considerations
Barbiturates
Brain Death v. Comatose
Brain Tumors
Bronchoscopy
Carbon Dioxide (Co2) Lab Values
Chest Tube Management
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Diabetes Mellitus Case Study (45 min)
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Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
General Anesthesia
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Hypothermia (Thermoregulation)
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Morphine (MS Contin) Nursing Considerations
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Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Myasthenia Gravis
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 Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
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Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes Insipidus
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Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
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)
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Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rubeola – Measles
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Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
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Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
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Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
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Opioids
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Patient Positioning
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Peritonitis for Certified Emergency Nursing (CEN)
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Post-Anesthesia Recovery
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
Propofol (Diprivan) Nursing Considerations
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
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Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
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Respiratory Procedures Module Intro
Respiratory Trauma for Certified Emergency Nursing (CEN)
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Stroke Assessment (CVA)
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Systemic Lupus Erythematosus (SLE)
The Medical Team
Thoracentesis
Trach Suctioning
Tuberculosis for Certified Emergency Nursing (CEN)
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Ventilator Settings
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)