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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…

Seizures in a Patient With Hyponatremia

Case Study A rapid response event is initiated by a bedside nurse for a patient having seizure-like activity. On arrival of first responders, the patient was confused, however, not actively seizing. Per the bedside nurse, the patient was a 37-year-old male with a past medical history of alcohol use disorder admitted to the hospital a few hours earlier with confusion, headaches, and nausea. The nurse described…

Seizures in a Patient With Hyponatremia

Case Study A rapid response event is initiated by a bedside nurse for a patient having seizure-like activity. On arrival of first responders, the patient was confused, however, not actively seizing. Per the bedside nurse, the patient was a 37-year-old male with a past medical history of alcohol use disorder admitted to the hospital a few hours earlier with confusion, headaches, and nausea. The nurse described…

Seizures in a Patient With Medication Non-Compliance

Case Study A rapid response event was initiated by a floor nurse for a patient having persistent seizure-like activity. On arrival of first responders, the patient was non-arousable and was having generalized tonic-clonic movements. Per the bedside nurse, she had just administered 2 mg of IV lorazepam to no effect. Per the report, the patient was a 24-year-old male with a past medical history of seizure…

Seizures in a Patient With Medication Non-Compliance

Case Study A rapid response event was initiated by a floor nurse for a patient having persistent seizure-like activity. On arrival of first responders, the patient was non-arousable and was having generalized tonic-clonic movements. Per the bedside nurse, she had just administered 2 mg of IV lorazepam to no effect. Per the report, the patient was a 24-year-old male with a past medical history of seizure…

Loss of Consciousness in a Patient With Seizure Disorder

Case Study A rapid response event was initiated by the bedside nurse for a patient because of seizure-like activity. A phlebotomist was preparing to draw labs from the patient when she began to shake uncontrollably and lost consciousness. The phlebotomist promptly alerted the patient’s nurse. The nurse checked on the patient, and the rapid response was called. Per the bedside nurse, the patient was a 42-year-old…

Loss of Consciousness in a Patient With Seizure Disorder

Case Study A rapid response event was initiated by the bedside nurse for a patient because of seizure-like activity. A phlebotomist was preparing to draw labs from the patient when she began to shake uncontrollably and lost consciousness. The phlebotomist promptly alerted the patient’s nurse. The nurse checked on the patient, and the rapid response was called. Per the bedside nurse, the patient was a 42-year-old…

Loss of Consciousness in a Patient With Viral Gastroenteritis

Case Study A rapid response event was initiated by the bedside nurse for a patient with a brief loss of consciousness. The rapid response team quickly arrived to find the patient resting comfortably in bed. The patient was a 57-year-old female with a history of rheumatoid arthritis on methotrexate admitted for severe dehydration secondary to vomiting and diarrhea and was being treated with intravenous (IV) fluids.…

Loss of Consciousness in a Patient With Viral Gastroenteritis

Case Study A rapid response event was initiated by the bedside nurse for a patient with a brief loss of consciousness. The rapid response team quickly arrived to find the patient resting comfortably in bed. The patient was a 57-year-old female with a history of rheumatoid arthritis on methotrexate admitted for severe dehydration secondary to vomiting and diarrhea and was being treated with intravenous (IV) fluids.…

Acute Onset Facial Droop

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset left-sided facial droop that was noted by the physical therapist, who was evaluating the patient for his morning therapy session. On arrival of the rapid response team, the patient’s nurse informed the team that the patient is a 63-year-old male with a history of hypertension and gout that is…

Acute Onset Facial Droop

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset left-sided facial droop that was noted by the physical therapist, who was evaluating the patient for his morning therapy session. On arrival of the rapid response team, the patient’s nurse informed the team that the patient is a 63-year-old male with a history of hypertension and gout that is…

Acute Vision Loss in a Patient With Atrial Fibrillation

Case Study A rapid response event was initiated for a patient for acute onset change in vision. On prompt arrival of first responders, the patient was found to be a 64-year-old female with a known history of atrial fibrillation, anticoagulated with apixaban, type 2 diabetes mellitus, hypertension, and coronary artery disease for which she had received coronary artery bypass graft one year before. She was admitted…

Acute Vision Loss in a Patient With Atrial Fibrillation

Case Study A rapid response event was initiated for a patient for acute onset change in vision. On prompt arrival of first responders, the patient was found to be a 64-year-old female with a known history of atrial fibrillation, anticoagulated with apixaban, type 2 diabetes mellitus, hypertension, and coronary artery disease for which she had received coronary artery bypass graft one year before. She was admitted…

Acute Vision Loss in a Patient With Eye Pain

Case Study A rapid response event was initiated by a bedside nurse for a patient with acute vision loss. On arrival of first responders, the patient was lying in bed in severe pain, stating she could not see out of her right eye. Per the bedside nurse report, the patient was a 64-year-old female with a history of hypertension, heart failure, gastroesophageal reflux disease (GERD), and…

Acute Vision Loss in a Patient With Eye Pain

Case Study A rapid response event was initiated by a bedside nurse for a patient with acute vision loss. On arrival of first responders, the patient was lying in bed in severe pain, stating she could not see out of her right eye. Per the bedside nurse report, the patient was a 64-year-old female with a history of hypertension, heart failure, gastroesophageal reflux disease (GERD), and…

Altered Mental Status in a Patient Transferred From ICU

Case Study A rapid response event was initiated by a nurse for a patient with altered mental status (AMS). On the arrival of first responders, the patient was agitated and disoriented. The bedside nurse stated that the patient has not been responding to questions appropriately and has been trying to take out her intravenous (IV) catheters and climbing out of bed despite frequent reorientation. Per the…

Altered Mental Status in a Patient Transferred From ICU

Case Study A rapid response event was initiated by a nurse for a patient with altered mental status (AMS). On the arrival of first responders, the patient was agitated and disoriented. The bedside nurse stated that the patient has not been responding to questions appropriately and has been trying to take out her intravenous (IV) catheters and climbing out of bed despite frequent reorientation. Per the…

Altered Mental Status in a Patient With Substance Use Disorder

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset of unresponsiveness. The registered nurse (RN) was doing his morning medication rounds and found the patient unresponsive. The patient was also taking infrequent shallow breaths. On arrival of the rapid response team, the bedside RN informed that the patient is a 23-year-old male with a history of heroin abuse…

Altered Mental Status in a Patient With Substance Use Disorder

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset of unresponsiveness. The registered nurse (RN) was doing his morning medication rounds and found the patient unresponsive. The patient was also taking infrequent shallow breaths. On arrival of the rapid response team, the bedside RN informed that the patient is a 23-year-old male with a history of heroin abuse…

Altered Mental Status in a Patient With Sepsis

Case Study A bedside nurse initiated a rapid response event for a patient with new-onset altered mental status. On prompt arrival of the rapid response team, it was noted that the patient was a 72-year-old female with a history of coronary artery disease, hypertension, chronic kidney disease stage three, hypothyroidism, chronic obstructive pulmonary disease (COPD), tobacco dependence, and prior stroke with residual left-sided weakness. She was…