SWIFT RIVER: Medical Surgical (92%
Score) Newest With complete solution
2024/25
Ann Rails | Room 301
ii ii ii ii
Patient Overview ii
38 years old, c/o back pain, non-significant past medical history. No known allergies
ii ii ii ii ii ii ii ii ii ii ii ii
(NKA). Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and numbness
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
in legs for one week. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
scale. Neuro WNL, except leg pain upon movement. Activity as tolerated with
ii ii ii ii ii ii ii ii ii ii ii ii
assistance. D/C plan- decrease pain and restore normal gait. Regular diet. Dr. Suculo
ii ii ii ii ii ii ii ii ii ii ii ii ii
________________________________________________________
Assign acuities of "normal" or "increased" based on report.
ii ii ii ii ii ii ii ii
Educational Needs ii
Normal/ Increased ii
Fall Risk ii
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Pain Level ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational Needsii ii ii ii ii ii
INCREASED
Fall Risk ii
INCREASED
Health Change ii
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
, ii Arthur Thomason | Room 302
ii ii ii ii
Patient Overview ii
56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
experiencing new onset of shortness of breath and has a nasal cannula with 2L of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Oxygen in place. He is restless with slight confusion but is easily orientated with attempts
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
from last night shift. Skin cool to touch and appears pale. His coughing, to clear his
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial
ii ii ii ii ii ii ii ii ii ii
infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and
ii ii ii ii ii ii ii ii ii ii ii ii
increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened
ii ii ii ii ii ii ii ii ii ii ii
from the shift before in overall condition.
ii ii ii ii ii ii ii
________________________________________________________
Assign acuities - Educational
ii ii ii ii ii
INCREASED
Health Change ii
INCREASED
LOC
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
Safety
INCREASED
ii Calvin Umbyuma | Room 303
ii ii ii ii
Patient Overview ii
Mr. Umbyuma is a 42 y/o male who has been admitted for complaints of shortness of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
breath with pleuritic chest pain. He was diagnosed with HIV positive antibodies over a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
year ago. He has recently been traveling back to his home country of Kenya to visit his
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
sick mother. He received traditional medical treatment at his village. His temp is 100.9 F,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
38.3 C, R 22, P92, BP 152/89 PaO2 91%. Inflammatory markers - Erythrocyte
ii ii ii ii ii ii ii ii ii ii ii ii ii
Sedimentation Rate (ESR) and C-Reactive Protein (CRP) are elevated at 78.9 mm/h and
ii ii ii ii ii ii ii ii ii ii ii ii ii
67.2 mg/L. He has been placed in a room at the end of the hall.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
________________________________________________________
, Assign acuities of "normal" or "increased" based on report.
ii ii ii ii ii ii ii ii
Educational
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Neurological
Normal/ Increased ii
Pain level ii
Normal/ Increased ii
Psychological Needs ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational ii ii ii ii ii
INCREASED
Fall Risk ii
NORMAL
Health Change ii
INCREASED
Neurological
NORMAL
Pain Level ii
INCREASED
Psychological Needs ii
NORMAL
ii Cameron Daniels | Room 304 ii ii ii ii
Patient Overview ii
Ms Daniels just turned 18 y/o. She is being admitted from the ER with a diagnosis of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pelvic inflammatory disease (PID). She has heavy vaginal discharge with an unpleasant
ii ii ii ii ii ii ii ii ii ii ii ii
odor. She is complaining of abdominal pain and looks pale. She was seen by OBGYN in
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
the ER and a culture was sent to the lab for Chlamydia and Neisseria Gonorrhea. She
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
was a very difficult IV start and has a 23g saline lock (SL) in her right hand. They have
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ordered a liter bolus of LR, but it is running very slowly and the IV is positional. VS BP
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
96/58, P 116, R 18, T 101.2 PaO2 98%.
ii ii ii ii ii ii ii ii ii
Score) Newest With complete solution
2024/25
Ann Rails | Room 301
ii ii ii ii
Patient Overview ii
38 years old, c/o back pain, non-significant past medical history. No known allergies
ii ii ii ii ii ii ii ii ii ii ii ii
(NKA). Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and numbness
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
in legs for one week. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
scale. Neuro WNL, except leg pain upon movement. Activity as tolerated with
ii ii ii ii ii ii ii ii ii ii ii ii
assistance. D/C plan- decrease pain and restore normal gait. Regular diet. Dr. Suculo
ii ii ii ii ii ii ii ii ii ii ii ii ii
________________________________________________________
Assign acuities of "normal" or "increased" based on report.
ii ii ii ii ii ii ii ii
Educational Needs ii
Normal/ Increased ii
Fall Risk ii
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Pain Level ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational Needsii ii ii ii ii ii
INCREASED
Fall Risk ii
INCREASED
Health Change ii
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
, ii Arthur Thomason | Room 302
ii ii ii ii
Patient Overview ii
56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
experiencing new onset of shortness of breath and has a nasal cannula with 2L of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Oxygen in place. He is restless with slight confusion but is easily orientated with attempts
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
from last night shift. Skin cool to touch and appears pale. His coughing, to clear his
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial
ii ii ii ii ii ii ii ii ii ii
infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and
ii ii ii ii ii ii ii ii ii ii ii ii
increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened
ii ii ii ii ii ii ii ii ii ii ii
from the shift before in overall condition.
ii ii ii ii ii ii ii
________________________________________________________
Assign acuities - Educational
ii ii ii ii ii
INCREASED
Health Change ii
INCREASED
LOC
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
Safety
INCREASED
ii Calvin Umbyuma | Room 303
ii ii ii ii
Patient Overview ii
Mr. Umbyuma is a 42 y/o male who has been admitted for complaints of shortness of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
breath with pleuritic chest pain. He was diagnosed with HIV positive antibodies over a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
year ago. He has recently been traveling back to his home country of Kenya to visit his
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
sick mother. He received traditional medical treatment at his village. His temp is 100.9 F,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
38.3 C, R 22, P92, BP 152/89 PaO2 91%. Inflammatory markers - Erythrocyte
ii ii ii ii ii ii ii ii ii ii ii ii ii
Sedimentation Rate (ESR) and C-Reactive Protein (CRP) are elevated at 78.9 mm/h and
ii ii ii ii ii ii ii ii ii ii ii ii ii
67.2 mg/L. He has been placed in a room at the end of the hall.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
________________________________________________________
, Assign acuities of "normal" or "increased" based on report.
ii ii ii ii ii ii ii ii
Educational
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Neurological
Normal/ Increased ii
Pain level ii
Normal/ Increased ii
Psychological Needs ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational ii ii ii ii ii
INCREASED
Fall Risk ii
NORMAL
Health Change ii
INCREASED
Neurological
NORMAL
Pain Level ii
INCREASED
Psychological Needs ii
NORMAL
ii Cameron Daniels | Room 304 ii ii ii ii
Patient Overview ii
Ms Daniels just turned 18 y/o. She is being admitted from the ER with a diagnosis of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pelvic inflammatory disease (PID). She has heavy vaginal discharge with an unpleasant
ii ii ii ii ii ii ii ii ii ii ii ii
odor. She is complaining of abdominal pain and looks pale. She was seen by OBGYN in
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
the ER and a culture was sent to the lab for Chlamydia and Neisseria Gonorrhea. She
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
was a very difficult IV start and has a 23g saline lock (SL) in her right hand. They have
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ordered a liter bolus of LR, but it is running very slowly and the IV is positional. VS BP
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
96/58, P 116, R 18, T 101.2 PaO2 98%.
ii ii ii ii ii ii ii ii ii
