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    PBL NCM 112 2nd ROTATION

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    Leanne Princess Gamboa
    The document outlines 3 case studies for medical-surgical nursing students. Case 1 involves a 56-year-old man with diabetes and hypertension admitted to the ICU for chest pain. Case 2 is about a 65-year-old man admitted with altered mental status and hyperglycemia. Case 3 is a 68-year-old woman with respiratory distress. For each case, students are asked diagnostic and treatment questions. The document also provides objectives for problem-based learning rotations, focusing on improving learning, integrating knowledge, autonomous learning, teamwork, and self-evaluation.

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    PBL NCM 112 2nd ROTATION

    Uploaded by

    Leanne Princess Gamboa
    81 views3 pages
    The document outlines 3 case studies for medical-surgical nursing students. Case 1 involves a 56-year-old man with diabetes and hypertension admitted to the ICU for chest pain. Case 2 is about a 65-year-old man admitted with altered mental status and hyperglycemia. Case 3 is a 68-year-old woman with respiratory distress. For each case, students are asked diagnostic and treatment questions. The document also provides objectives for problem-based learning rotations, focusing on improving learning, integrating knowledge, autonomous learning, teamwork, and self-evaluation.

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    The document outlines 3 case studies for medical-surgical nursing students. Case 1 involves a 56-year-old man with diabetes and hypertension admitted to the ICU for chest pain. Case 2 is about a 65-year-old man admitted with altered mental status and hyperglycemia. Case 3 is a 68-year-old woman with respiratory distress. For each case, students are asked diagnostic and treatment questions. The document also provides objectives for problem-based learning rotations, focusing on improving learning, integrating knowledge, autonomous learning, teamwork, and self-evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    81 views3 pages

    PBL NCM 112 2nd ROTATION

    Uploaded by

    Leanne Princess Gamboa
    The document outlines 3 case studies for medical-surgical nursing students. Case 1 involves a 56-year-old man with diabetes and hypertension admitted to the ICU for chest pain. Case 2 is about a 65-year-old man admitted with altered mental status and hyperglycemia. Case 3 is a 68-year-old woman with respiratory distress. For each case, students are asked diagnostic and treatment questions. The document also provides objectives for problem-based learning rotations, focusing on improving learning, integrating knowledge, autonomous learning, teamwork, and self-evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    SYSTEMS PLUS COLLEGE FOUNDATION

    Angeles City

    COLLEGE OF NURSING
    First Semester Academic Year 2021-2022
    Problem Based Learning
    2nd Rotation

    NCM 112 – Medical Surgical Nursing (ICU)

    PROBLEM BASED LEARNING

    Objectives:

    1. The main objective of the PBL, as of any methodology, is improving the


    learning of our students.
    2. Integrate knowledge and skills from various areas through more complex
    and multidisciplinary projects
    3. Autonomous learning and work: unstructured problems that need research.
    Autonomy will lead to research and the search for information, and in that
    context is essential to develop their ability to discern which information is
    reliable and which is not.
    4. Teamwork: preparing students for a social environment
    5. Self-evaluation and self-criticism, against self-complacency, trying to see
    beyond their own ideas and knowledge

    CASE 1

    Mang Johnny a 56 year old male, a diabetic client with a blood glucose ranging 180-
    300mg/dl on his RBS results upon checking regularly every morning and evening. He
    was diagnosed with diabetes 2 years ago. He is known also to be a hypertensive
    taking Atenolol 10mg taking 1 tablet 2 times a day. Presently he was confined in the
    ICU with a complaint of chest pain. Prior to admission to the emergency department
    he complained of chest tightness with a difficulty of breathing and easy fatigability
    when moving. In the emergency department he was given nitroglycerin tablet
    sublingually for 3 doses but no relief and having a blood pressure of 130/70mm/hg.
    Morphine sulfate 0.5cc was administered instead. He was relieved from his chest
    pain. ECG result indicates premature ventricular contractions (PVCs). Oxygen was
    ordered 2Lpm per nasal canula.

    Questions:
    1. What is the most likely diagnosis?

    2. What are the diagnostics steps?

    3. What therapies should be instituted immediately?

    4. What some diagnostics procedures for Acute MI.

    5. What recommended health teachings will you give to mang Johnny?

    6. What medication can be possibly given to Mang Johnny?

    Case 2

    A 65 yearl old man was admitted to the Medicine ward with and altered level of
    consciousness. The patient symptoms began approximately 48 hours previously,
    when he complained of body weakness and a 2 month old non-healing wound. His
    RBS result is 300mg/dl. He complained of frequent urination, excessive thirsts every
    now and then, and increased frequency in eating due to body weakness.. a 12 lead
    ECG shows sinus tachycardia.

    Questions:

    1. What is most likely the diagnosis?

    2. What are your emergency interventions and therapies be instituted immediately?

    3. What is the possible diagnostic procedures?

    A 34 year old Type 1 diabetic male is brought into the emergency department for the
    suspected diagnosis of Diabetic Mellitus. Which of the following would ,provide the
    strongest evidence of the diagnosis?

    The patient’s glucose level elevated at 6am at 250mg/dl, Nurse Andrea checked the
    sliding scale before giving insulin SQ.

    What is a sliding scale?


    Case 3

    A 68 year old woman in the medicine department complained of respiratory distress


    with a respiratory rate of 40breaths per minute. Nurse Vincent made a referral at 9am
    to Dr. Divina for an intervention. Dr. Divina ordered Lasix 40mg to be given
    intravenously as a STAT order. Her blood pressure raise to 180/100 mmHg. Edema
    on his ankles were noted. The patient has the history of DM type I.

    Questions:

    A. What mostly is the diagnosis?

    B. What would be the appropriate independent and dependent nursing interventions?

    C. Why Lasix is given intravenously?

    Evaluated by: _______________________ Student Signature: ____________


    Signature of the Clinical Instructor

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