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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Respiratory system

Concepts Covered:

  • Multisystem
  • Respiratory
  • Respiratory Disorders
  • Respiratory Emergencies
  • 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
  • Liver & Gallbladder Disorders
  • Emergency Care of the Neurological Patient
  • Neurological
  • Infectious Respiratory Disorder
  • Oncology Disorders
  • Tissues and Glands
  • Peripheral Nervous System Disorders
  • Studying
  • Muscular System
  • Cardiac Disorders
  • Renal and Urinary Disorders
  • Renal Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Immunological Disorders
  • Integumentary Disorders
  • Shock
  • Acute & Chronic Renal Disorders
  • Labor Complications
  • Noninfectious Respiratory Disorder
  • Lower GI Disorders
  • Respiratory System
  • Integumentary Disorders
  • EENT Disorders
  • Disorders of the Adrenal Gland
  • Endocrine and Metabolic Disorders
  • Pregnancy Risks
  • Upper GI Disorders
  • Neurologic and Cognitive Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Gastrointestinal Disorders
  • Infectious Disease Disorders
  • Musculoskeletal Disorders
  • Newborn Care
  • Hematologic Disorders
  • Neurological Trauma
  • Vascular Disorders
  • Trauma-Stress Disorders
  • Postoperative Nursing
  • Prioritization
  • Test Taking Strategies
  • Terminology
  • Communication
  • 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)