2024 SWIFT RIVER MEDICAL SURGICAL
ROOM CASES 9 GRADED A+ UPDATE 2023
All Swift River Medical-Surgical Room Cases, Solved! Graded!
Updated Spring 2022; Distinction Level Assignment Has everything. -
Swift River Virtual Clinicals
Baby Strickland R03
Baby Strickland, 1-hour-old newborn female, 37-week gestational age born
via C-section, weight 9.9 lbs. Mom has history of diabetes, not well
controlled.
Estelle Hatcher R301
Estelle Hatcher 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No
known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20,
SaO2 99%, alert and cooperative. Wound site clean, dry and intact NPO, NGtube to low
continuous suction. IV maintenance fluids with D5 1/2 NS with 20
KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at
beside. Dr. Sangerstien
Hayden Clark R302
Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking
disheveled, and not wearing a coat with the outside temperature in the low
40’s
Preston Wright R305
Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4
weeks ago. He has been readmitted for a red spot on his sacrum of 1 cm and
a 2 cm blister on his right heel. IV fluids of D5 1/2 NS are infusing at 100
mL/hour to his right forearm. Mr. Wright is pleasant and cooperative but
,needs to be reminded to avoid pressure on his heel and sacrum. Post CVA, he
has developed some aphasia and is having difficulty with verbal
communication. He has orders for dressing changes q daily and pain
medications before the dressing change
, Jack Hammond R305 SR
Jack Hammond, 10 -year old boy who was admitted last night for cystic
fibrosis exacerbation and possible pneumonia. He has an IV of D5 NS infusing
to his right arm at 75 mL/hour. Oxygen per nasal cannula is in place at 3
L/min, chest x-ray results and sputum culture are pending. He is alert and
oriented, both parents are currently at the bedside. He does complain of
intercostal pain, especially with coughing. Current oxygen saturation is 94%
Calvin Umbyuma R302SR
Calvin Umbyuma Mr. Umbyuma is a 42 y/o male who has been admitted for complaints of
shortness of breath with pleuritic chest pain. He was diagnosed with HIV positive
antibodies
over a year ago. He has recently been traveling back to his home country of Kenya to visit
his
sick mother. He received traditional medical treatment at his village. His temp is 100.9 F,
38.3 C,
R 22, P92, BP 152/89 PaO2 91%. Inflammatory markers – Erythrocyte Sedimentation Rate
(ESR) and C-Reactive Protein (CRP) are elevated at 78.9 mm/h and 67.2 mg/L. He has been
placed in a room at the end of the hall.
Carlos Mancia R301SR
Carlos Mancia 48yr-old, Spanish speaking migrant worker with no known past medical Hx.
r/o
Tuberculosis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Airborne
Isolation.
Neuro WNL. Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged mucous,
productive cough. Diet as tolerated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3
then
reduce rate to 75 ml/hr. Expresses fatigue, fear, concern, and desire for recovery. Need
frequent
reminder to stay in room and maintain mask precautions. If family/visitors come, will need
education to airborne precautions. Spanish interpreter available at extension 61178. Dr.
Rondeau
Cameron Daniels R 304 SR
Cameron Daniels just turned 18 y/o. She is being admitted from the ER with a diagnosis of
pelvic inflammatory disease (PID). She has heavy vaginal discharge with an unpleasant
odor.
ROOM CASES 9 GRADED A+ UPDATE 2023
All Swift River Medical-Surgical Room Cases, Solved! Graded!
Updated Spring 2022; Distinction Level Assignment Has everything. -
Swift River Virtual Clinicals
Baby Strickland R03
Baby Strickland, 1-hour-old newborn female, 37-week gestational age born
via C-section, weight 9.9 lbs. Mom has history of diabetes, not well
controlled.
Estelle Hatcher R301
Estelle Hatcher 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No
known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20,
SaO2 99%, alert and cooperative. Wound site clean, dry and intact NPO, NGtube to low
continuous suction. IV maintenance fluids with D5 1/2 NS with 20
KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at
beside. Dr. Sangerstien
Hayden Clark R302
Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking
disheveled, and not wearing a coat with the outside temperature in the low
40’s
Preston Wright R305
Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4
weeks ago. He has been readmitted for a red spot on his sacrum of 1 cm and
a 2 cm blister on his right heel. IV fluids of D5 1/2 NS are infusing at 100
mL/hour to his right forearm. Mr. Wright is pleasant and cooperative but
,needs to be reminded to avoid pressure on his heel and sacrum. Post CVA, he
has developed some aphasia and is having difficulty with verbal
communication. He has orders for dressing changes q daily and pain
medications before the dressing change
, Jack Hammond R305 SR
Jack Hammond, 10 -year old boy who was admitted last night for cystic
fibrosis exacerbation and possible pneumonia. He has an IV of D5 NS infusing
to his right arm at 75 mL/hour. Oxygen per nasal cannula is in place at 3
L/min, chest x-ray results and sputum culture are pending. He is alert and
oriented, both parents are currently at the bedside. He does complain of
intercostal pain, especially with coughing. Current oxygen saturation is 94%
Calvin Umbyuma R302SR
Calvin Umbyuma Mr. Umbyuma is a 42 y/o male who has been admitted for complaints of
shortness of breath with pleuritic chest pain. He was diagnosed with HIV positive
antibodies
over a year ago. He has recently been traveling back to his home country of Kenya to visit
his
sick mother. He received traditional medical treatment at his village. His temp is 100.9 F,
38.3 C,
R 22, P92, BP 152/89 PaO2 91%. Inflammatory markers – Erythrocyte Sedimentation Rate
(ESR) and C-Reactive Protein (CRP) are elevated at 78.9 mm/h and 67.2 mg/L. He has been
placed in a room at the end of the hall.
Carlos Mancia R301SR
Carlos Mancia 48yr-old, Spanish speaking migrant worker with no known past medical Hx.
r/o
Tuberculosis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Airborne
Isolation.
Neuro WNL. Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged mucous,
productive cough. Diet as tolerated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3
then
reduce rate to 75 ml/hr. Expresses fatigue, fear, concern, and desire for recovery. Need
frequent
reminder to stay in room and maintain mask precautions. If family/visitors come, will need
education to airborne precautions. Spanish interpreter available at extension 61178. Dr.
Rondeau
Cameron Daniels R 304 SR
Cameron Daniels just turned 18 y/o. She is being admitted from the ER with a diagnosis of
pelvic inflammatory disease (PID). She has heavy vaginal discharge with an unpleasant
odor.
