HS3201: Mr. Peter Poon, a 35-year-old man was admitted to the Emergency Department (ED): Adult Nursing 3 Assignment, NYP, Singapore

Assignment Case Study 1

Mr. Peter Poon, a 35-year-old man was admitted to the Emergency Department (ED) after a motor vehicle accident. At the scene, he was found to be unresponsive and was intubated immediately. A non-contrast CT scan of the brain revealed extensive bleeding at the dura mater and arachnoid.

Questions:

1. Discuss and analyze the immediate management including the goals of management for Mr. Peter.

2. Discuss the principles of intracranial pressure (ICP) management and care of patients post neurosurgery. Support both of your answers with the latest guidelines and evidence.

Assignment Case Study 2

Mr. Aaron Lim, a 40-year-old accountant, was found in a gym bathroom with left-sided weakness and urinary incontinence shortly after lifting weights. An emergent non-contrast head CT scan revealed a right frontal intracranial hemorrhage and bleeding is seen at the space between the pia and the arachnoid membranes. He was intubated for airway protection with IV propofol and rocuronium. IV mannitol 50g was administered due to concerns of rising intracranial pressure (ICP).

Questions:

1. Discuss and critique the immediate management and treatment options for Mr. Aaron’s condition.

2. Discuss the potential hazards and the principles and methods for maintaining Mr. Aaron’s safety in the perioperative setting.

Support both of your answers with the latest guidelines and evidence.

Assignment Case Study 3

Mr. Suresh, a 62-year-old man is brought into the Emergency Department (ED) at 10 am after being scaled by a pot of boiling stew. Upon examination, his upper chest appears bright red, blanches on pressure and touch. Both his upper limbs appear pale, and large blisters are present.

Questions

1. Discuss and analyze the potential complications in relation to the pathophysiological process.

2. Discuss and critique the immediate and subsequent management for Mr. Suresh.

Support both of your answers with the latest guidelines and evidence.

Assignment Case Study 4

Mrs. Eleanor Wong, a 35-year-old teacher, is diagnosed with Stage II endometrial cancer. She is scheduled for a radical hysterectomy and bilateral salpingo-oophorectomy. The doctor informed her that she will require adjuvant chemotherapy and may require radiation therapy.

Questions

1. Discuss and analyze Mrs. Eleanor’s treatment plans.

2. Discuss the potential hazards and the principles and methods for maintaining Mrs. Eleanor’s safety in the perioperative setting.

Support both of your answers with the latest guidelines and evidence.