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Altered Mental Status in a Patient With Insulin-Dependent Diabetes

Case Study A rapid response event was initiated for a patient with a blood glucose reading by finger stick of <10 mg On arrival of the rapid response team, the patient was somnolent but arousable to tactile stimuli. Nursing staff reported that the patient was a 75-year-old male with a history of end-stage renal disease on hemodialysis, type 2 diabetes mellitus, and congestive heart failure, who…

Hypotension in a Patient With Adrenal Insufficiency

Case Study A rapid response code was called for a patient because of new-onset hypotension. The patient was a 52-year-old male with a known history of adrenal insufficiency and asthma admitted one day prior because of pneumonia and was being treated with ceftriaxone and azithromycin. He was chronically on prednisone 5 mg daily as outpatient for primary adrenal insufficiency. Per the bedside nurse (RN), the patient…

Hypotension in a Patient With Adrenal Insufficiency

Case Study A rapid response code was called for a patient because of new-onset hypotension. The patient was a 52-year-old male with a known history of adrenal insufficiency and asthma admitted one day prior because of pneumonia and was being treated with ceftriaxone and azithromycin. He was chronically on prednisone 5 mg daily as outpatient for primary adrenal insufficiency. Per the bedside nurse (RN), the patient…

Foreign Body Ingestion

Case Study A rapid response event was initiated by the bedside nurse after the patient threatened to kill himself and swallowed a needle with no visualization in the oropharynx. Upon the prompt arrival of the rapid response team, it was noted that the patient was a 35-year-old male with a known history of prior severe suicidal ideation, bipolar disorder, alcohol use disorder, and recent imprisonment who…

Foreign Body Ingestion

Case Study A rapid response event was initiated by the bedside nurse after the patient threatened to kill himself and swallowed a needle with no visualization in the oropharynx. Upon the prompt arrival of the rapid response team, it was noted that the patient was a 35-year-old male with a known history of prior severe suicidal ideation, bipolar disorder, alcohol use disorder, and recent imprisonment who…

Acute Abdominal Pain in a Patient With Atrial Fibrillation

Case Study The bedside nurse initiated a rapid response event after the patient had an abrupt onset of severe abdominal pain while sitting calmly watching television. On prompt arrival of the rapid response team, the patient started to have severe nausea and vomiting. It was noted that the patient was a 70-year-old female with a known history of persistent atrial fibrillation, coronary artery disease with coronary…

Acute Abdominal Pain in a Patient With Atrial Fibrillation

Case Study The bedside nurse initiated a rapid response event after the patient had an abrupt onset of severe abdominal pain while sitting calmly watching television. On prompt arrival of the rapid response team, the patient started to have severe nausea and vomiting. It was noted that the patient was a 70-year-old female with a known history of persistent atrial fibrillation, coronary artery disease with coronary…

Acute Abdominal Pain in a Patient on High Dose Steroids

Case Study A rapid response event was activated for a patient for acute onset abdominal pain and hypotension. On arrival of rapid response (RRT) personnel, the patient was a 65-year-old male with a known history of chronic obstructive pulmonary disease (COPD), active smoking, and chronic back pain for which he was taking ibuprofen daily. The patient was admitted two days before for a COPD exacerbation and…

Acute Abdominal Pain in a Patient on High Dose Steroids

Case Study A rapid response event was activated for a patient for acute onset abdominal pain and hypotension. On arrival of rapid response (RRT) personnel, the patient was a 65-year-old male with a known history of chronic obstructive pulmonary disease (COPD), active smoking, and chronic back pain for which he was taking ibuprofen daily. The patient was admitted two days before for a COPD exacerbation and…

Hematochezia in a Patient With Diverticulosis

Case Study A rapid response event was initiated by the bedside nurse after the patient had a large bloody bowel movement. On prompt arrival of the rapid response team, it was noted that the patient was a 72-year-old male with a known history of atrial fibrillation, for which he was anticoagulated with rivaroxaban. He had a history of diverticulosis as well. The patient was admitted to…

Hematochezia in a Patient With Diverticulosis

Case Study A rapid response event was initiated by the bedside nurse after the patient had a large bloody bowel movement. On prompt arrival of the rapid response team, it was noted that the patient was a 72-year-old male with a known history of atrial fibrillation, for which he was anticoagulated with rivaroxaban. He had a history of diverticulosis as well. The patient was admitted to…

Hematemesis in a Patient With Alcohol Use Disorder

Case Study A rapid response event was initiated by the bedside nurse after the patient had an episode of large volume, bloody vomiting. On prompt arrival of the rapid response team, it was noted that the patient was a 28-year-old male with a known history of alcohol use and IV drug abuse who was admitted earlier for alcohol withdrawal syndrome and two episodes of bloody vomiting.…

Hematemesis in a Patient With Alcohol Use Disorder

Case Study A rapid response event was initiated by the bedside nurse after the patient had an episode of large volume, bloody vomiting. On prompt arrival of the rapid response team, it was noted that the patient was a 28-year-old male with a known history of alcohol use and IV drug abuse who was admitted earlier for alcohol withdrawal syndrome and two episodes of bloody vomiting.…

Hyperthermia in a Patient on Polypharmacy

Case Study A rapid response event was initiated by the bedside nurse for a patient who developed severe hyperthermia. Upon the arrival of the rapid response team (RRT), the patient was noted to be a 45-year-old male admitted to the hospital for severe depression. The bedside nurse informed the RRT that his temperature had been normal on morning vital signs. The patient had reported a racing…

Hyperthermia in a Patient on Polypharmacy

Case Study A rapid response event was initiated by the bedside nurse for a patient who developed severe hyperthermia. Upon the arrival of the rapid response team (RRT), the patient was noted to be a 45-year-old male admitted to the hospital for severe depression. The bedside nurse informed the RRT that his temperature had been normal on morning vital signs. The patient had reported a racing…

Severe Headache in a Patient With Migraines

Case Study A rapid response event was initiated by the bedside nurse for a patient because of a severe headache and multiple episodes of vomiting. The patient paged her nurse to inform her that she had an intense, pounding right-sided headache for the past 2 h and that the lights were making her headache worse. The patient had an episode of vomiting just before her nurse…

Severe Headache in a Patient With Migraines

Case Study A rapid response event was initiated by the bedside nurse for a patient because of a severe headache and multiple episodes of vomiting. The patient paged her nurse to inform her that she had an intense, pounding right-sided headache for the past 2 h and that the lights were making her headache worse. The patient had an episode of vomiting just before her nurse…

Seizures in a Patient With New Hemodialysis

Case Study A rapid response event was initiated for a patient in the dialysis unit. On arrival of first responders, the patient was non-arousable and having generalized shaking of extremities. Per the dialysis nurse, the patient started having seizure-like activity 3 min prior. He was also reporting nausea and headache earlier. On chart review, the patient was a 58-year-old male with a past medical history of…