Spinal Cord Injury Case Study (60 min)

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Study Tools For Spinal Cord Injury Case Study (60 min)

Spinal Cord Injury Pathochart (Cheatsheet)
Complications of Spinal Cord Injuries (Mnemonic)
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Outline

Mr. White is a 17 year old male who was injured in a snowboarding accident 3 weeks ago. He sustained a vertebral fracture and complete spinal cord injury at T7. His fracture has been stabilized with rods and screws.  The plan is for him to be discharged home in 3 days with home health and family care.

Critical Thinking Check
Bloom's Taxonomy: Comprehension

Considering the level of the spinal cord injury, do you anticipate any concern for respiratory weakness?

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Critical Thinking Check
Bloom's Taxonomy: Application

What are the possible complications of a spinal cord injury?

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The CNA reports to you that the bath has been completed, there was no BM or incontinence of urine. However, Mr. White’s blood pressure has risen to 189/100 with a heart rate of 56. You immediately go to the room to check on Mr. White.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What could be going on with Mr. White?

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Critical Thinking Check
Bloom's Taxonomy: Application

What things should you assess in order to determine the problem?

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You note that Mr. White is warm to touch, his temp is 103.6°F. You palpate his abdomen, which is soft and nondistended throughout. His bladder is also nondistended. He tells you he’s starting to feel very anxious  You ask the CNA to help you turn Mr. White and you find a washcloth had been left under his back.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What is going on with Mr. White, physiologically?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What medications might be ordered for Mr. White? What other nursing interventions should you include?

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Together with the CNA, you remove the cloth, straighten Mr. White’s sheets, and make him comfortable. You provide a cool cloth for his forehead, and place a small ice pack under each armpit. You administer Nitroglycerin 0.4 mg SL as ordered. In 5 minutes you recheck and his BP has come down to 142/90, and his HR is 70. He reports his anxiety is decreasing and his temperature has come down to 100.6°F.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What would you discuss with the CNA to prevent this from recurring in the future?

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Critical Thinking Check
Bloom's Taxonomy: Application

What education will be required for Mr. White and his family on discharge to prevent complications?

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Exam 4

Concepts Covered:

  • Hematologic Disorders
  • Hematologic Disorders
  • Labor Complications
  • Respiratory Disorders
  • Proteins
  • Oncologic Disorders
  • Oncology Disorders
  • Cardiac Disorders
  • Medication Administration
  • Immunological Disorders
  • Renal Disorders
  • Eating Disorders
  • Liver & Gallbladder Disorders
  • Substance Abuse Disorders
  • Intraoperative Nursing
  • Infectious Respiratory Disorder
  • Pregnancy Risks
  • Upper GI Disorders
  • Microbiology
  • Shock
  • Postpartum Complications
  • Studying
  • Shock
  • Disorders of the Posterior Pituitary Gland
  • Emergency Care of the Trauma Patient
  • Integumentary Disorders
  • Central Nervous System Disorders – Brain
  • Neurological Trauma
  • Respiratory Emergencies
  • Emergency Care of the Cardiac Patient
  • Acute & Chronic Renal Disorders
  • Endocrine and Metabolic Disorders
  • Urinary System
  • Urinary Disorders

Study Plan Lessons

Sickle Cell Anemia
Nursing Care and Pathophysiology for Sickle Cell Anemia
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Blood Transfusions (Administration)
Anti-Infective – Antivirals
Blood Transfusions (Administration)
Hemoglobin (Hbg) Lab Values
Hemoglobin (Hbg) Lab Values
Hemoglobin and Myoglobin
Red Blood Cell (RBC) Lab Values
Red Blood Cell (RBC) Lab Values
Nursing Care Plan (NCP) for Sickle Cell Anemia
Sickle Cell Anemia
Nursing Care Plan (NCP) for Sickle Cell Anemia
Leukemia Case Study (60 min)
Nursing Care Plan (NCP) for Leukemia
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Nursing Care Plan (NCP) for Leukemia
Leukemia
Leukemia
Antimetabolites
Alkylating Agents
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Neutropenia
Hematocrit (Hct) Lab Values
Platelets (PLT) Lab Values
Chemotherapy Patients
Anti-Platelet Aggregate
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Thrombocytopenia
Platelets (PLT) Lab Values
Hematocrit (Hct) Lab Values
Oncology Module Intro
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Lymphoma
Anti Tumor Antibiotics
Brain Tumors
Head/Neck Assessment
Corticosteroids
Pediatric Oncology Basics
Head/Neck Assessment
Corticosteroids
Multiple Myeloma
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Acute Kidney Injury
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Liver Cancer
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Cirrhosis (Liver)
Nutrition (Diet) in Disease
Liver Function Tests
Liver/Gallbladder Module Intro
Cirrhosis Case Study (45 min)
Barbiturates
Anti-Infective – Antitubercular
Benzodiazepines
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Creatinine (Cr) Lab Values
Coagulation Studies (PT, PTT, INR)
Albumin Lab Values
Furosemide (Lasix) Nursing Considerations
Anti-Infective – Antitubercular
Barbiturates
Enteral & Parenteral Nutrition (Diet, TPN)
Cholesterol (Chol) Lab Values
Atorvastatin (Lipitor) Nursing Considerations
Creatinine (Cr) Lab Values
Total Bilirubin (T. Billi) Lab Values
Cholesterol (Chol) Lab Values
Albumin Lab Values
Benzodiazepines
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Antimicrobial Vaccinations
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Fluid Volume Overload
Nursing Care Plan (NCP) for Hypovolemic Shock
Septic Shock (Sepsis) Case Study (45 min)
Nursing Care Plan (NCP) for Cardiogenic Shock
Hypovolemic Shock Case Study (OB sim) (60 min)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Cardiogenic Shock
Shock
Shock Module Intro
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Distributive Shock
Sepsis Concept Map
Sepsis Concept Map
Nursing Care Plan (NCP) for Diabetes Insipidus
Massive Transfusion Protocol
Disseminated Intravascular Coagulation Case Study (60 min)
Burn Injury Case Study (60 min)
Spinal Cord Injury Case Study (60 min)
Cerebral Perfusion Pressure Case Study (60 min)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Metabolic Acidosis (interpretation and nursing diagnosis)
Burn Injuries
Disseminated Intravascular Coagulation (DIC)
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Fluid Volume Deficit
Nursing Care and Pathophysiology for Sepsis
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
ARDS causes Nursing Mnemonic (GUT PASS)
Nursing Care Plan (NCP) for Spinal Cord Injury
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Penetrating Thoracic Trauma
Renin Angiotensin Aldosterone System (RAAS)
Burn Injuries
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Dialysis & Other Renal Points
Blunt Chest Trauma
Spinal Cord Injury