Topic: Nursing Science case study

Nursing Science Questions
2000 words ± 10% limit (excluding references)
Unique Individual Paper
Outline:
• An introduction and conclusion are NOT required for each question.
• Typed using double spacing and size 11 or 12 font and text left justified.
• Typed in accordance with the American Psychological Association 7th (APA) style.
• It is important to link sentences to establish the flow of ideas and there should be no
single sentence paragraphs.
• Two References/Sources for each question.

Case Study One:
George (He/Him) is a 22-year-old-man diagnosed with bipolar disorder 6 months ago. On
admission to the Emergency Department, George stated that he has taken six times the
usual dose of his lithium carbonate immediate release (6000mg) over the last two days.
Medical records data indicate that subsequent to lithium carbonate overdose George has
developed polyuria, polydipsia, proteinuria, and hypervolemia and has now been diagnosed
with acute renal failure.
Questions:
a) Explain why George has developed polyuria, polydipsia, proteinuria, and
hypovolaemia following overdose with lithium carbonate.
(Approx. 350 words)
b) George must undergo haemodialysis to help stabilise his condition.
Considering what you know of normal renal function, propose how
haemodialysis replaces kidney’s function.
(Approx. 175 words)

Case Study Two:
Kate (She/Her) is a 48-year-old woman who has been admitted with Spontaneous Coronary
Artery Dissection diagnosed after a coronary angiography. Kate started to experience chest
pain about three days ago but initially ignored it as she thought it may be due to her anxiety.
She has a recent history of three days of chest pain. She has a medical history of anxiety
and hypertension. Her vital signs included blood pressure 180/93, heart rate 73, respiratory
rate 23 breaths per minute, Spo2 96%. ECG demonstrates sinus rhythm without ST
elevation. Laboratory results revealed an elevated troponin level. On arrival to the
emergency department, she was administered sublingual glyceryl trinitrate
Her usual medication list is: Lisinopril 20mg orally D and Escitalopram 20mg orally D
Questions:
a) Considering Kate’s presentation, discuss how the ECG provides information
on Kate’s heart function.
(Approx. 250 words)
b) In terms of pharmacokinetics discuss how Glyceryl trinitrate will impact Kate’s
chest pain and its implications in relation to haemodynamics
(Approx. 300 words)

Case Study Three
Chad (They/Them) is a 16-year-old with 3rd degree burns from a cooking accident to their
anterior left forearm. Chad frying bacon when the fat from the bacon caught fire. To
extinguish the fire, Chad dumped water on it, but this exploded, scalding her left forearm.
Chad is an asthmatic, well controlled with a preventer and has no other relevant clinical
history. Chad is admitted to the burns unit you are working on.
Questions:
a) Discuss which layers of the skin are likely to be damaged by third degree burn
and how this may impact skin function and scar formation.
(Approx. 225 words)
b) You are concerned Chad will develop compartment syndrome of the forearm.
Clarify which forearm structures are likely to be affected by the compartment
syndrome and what signs you would expect to develop in this case.
(Approx. 250 words)

Case Study Four:
Yvette (She/Her), a 55-year-old woman, has experienced confusion and headache as well
as fatigue over the last four hours post fall and head strike. On arrival at her local
emergency department, she became unconscious. Her GCS is 8 (E2, V2, M4) her
respiration rate is 15 breaths per minute and irregular, radial pulse is 50 and BP is 210/70.
An urgent CT scan of her brain finds a large left subdural hematoma.
Questions:
a. Yvette’s has a left sided Subdural hematoma. Describe the function and
location of the meninges in relation to other structures and propose where
this bleed may be located.
(Approx. 175 words)
b. Discuss how Yvette’s initial GCS findings reflect which anatomical and
physiological brain structures may be damaged.
(Approx. 300 words)

Type of service: Academic paper writing
Type of assignment: Case study
Subject: Nursing
Pages/words: 6/1650
Number of Sources: 16
Academic level: Master’s
Paper format: APA
Line Spacing: Double
Language Style: AU English

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