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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…

Altered Mental Status in a Patient With CNS Lymphoma

Case Study A rapid response event was initiated by the bedside nurse for acute change in mental status of her patient. On prompt arrival of the rapid response team, it was noted that the patient was a 66-year-old female with a known history of depression, alcohol abuse, and CD20 + diffuse large B-cell lymphoma status post six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone along…

Altered Mental Status in a Patient With CNS Lymphoma

Case Study A rapid response event was initiated by the bedside nurse for acute change in mental status of her patient. On prompt arrival of the rapid response team, it was noted that the patient was a 66-year-old female with a known history of depression, alcohol abuse, and CD20 + diffuse large B-cell lymphoma status post six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone along…

Altered Mental Status From Medication Adverse Effect

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset of confusion in the morning. On arrival of the rapid response team, the patient was found yelling at staff and grabbing at things in the air. The patient’s nurse provided a bedside report informing the rapid response team that this was a 72-year-old male with a history of coronary…

Altered Mental Status From Medication Adverse Effect

Case Study The bedside nurse initiated a rapid response event for a patient because of acute onset of confusion in the morning. On arrival of the rapid response team, the patient was found yelling at staff and grabbing at things in the air. The patient’s nurse provided a bedside report informing the rapid response team that this was a 72-year-old male with a history of coronary…

Altered Mental Status of Unknown Cause

Case Study The bedside nurse initiated a rapid response event for a patient for acute change in his mental status. The patient’s roommate called the nursing staff because he heard the patient thrashing around in his bed for approximately 1 min. Upon the arrival of the rapid response team, the patient’s nurse reported that the patient is a 19-year-old male with a history of asthma admitted…

Altered Mental Status of Unknown Cause

Case Study The bedside nurse initiated a rapid response event for a patient for acute change in his mental status. The patient’s roommate called the nursing staff because he heard the patient thrashing around in his bed for approximately 1 min. Upon the arrival of the rapid response team, the patient’s nurse reported that the patient is a 19-year-old male with a history of asthma admitted…

Facial Swelling in a Patient With Penicillin Allergy

Case Study The bedside nurse initiated a rapid response event after the patient was found to be in acute respiratory distress. Upon the arrival of the rapid response team, the patient was found to be a 34-year-old male with a history of alcohol abuse admitted a few hours ago for suspicion of aspiration pneumonia. He was receiving his first dose of ampicillin-sulbactam when he developed dyspnea…

Facial Swelling in a Patient With Penicillin Allergy

Case Study The bedside nurse initiated a rapid response event after the patient was found to be in acute respiratory distress. Upon the arrival of the rapid response team, the patient was found to be a 34-year-old male with a history of alcohol abuse admitted a few hours ago for suspicion of aspiration pneumonia. He was receiving his first dose of ampicillin-sulbactam when he developed dyspnea…

Facial Swelling in a Patient After Bronchoscopy

Case Study A rapid response event was activated for a patient who appeared to be in acute distress. On arrival of the rapid response team, the patient was short of breath with visible swelling of the face. Per the bedside registered nurse, the patient was a 40-year-old male with a history of chronic obstructive pulmonary disease, admitted four days ago for right lower lobe pneumonia with…

Hypoxia in a Patient With Hemoptysis

Case Study The bedside nurse initiated a rapid response event for a patient who developed large volume hemoptysis along with dyspnea. On arrival of the condition team, the patient was coughing bright red blood and visibly dyspneic, using accessory muscles of respiration. Per report from the nurse, the patient was an 80-year-old male with a history of atrial fibrillation, admitted two days ago for exacerbation of…

Hypoxia in a Morbidly Obese Patient

Case Study The bedside nurse initiated a rapid response event for a patient who went to sleep earlier in the evening and was unable to be aroused by verbal commands. The nurse noted his oxygen saturation drop as low as 78% and prolonged episodes of apnea lasting up to 20 s. On prompt arrival of the rapid response team, the patient was given a sternal rub,…

Hypoxia in a Patient With Massive Pleural Effusion

Case Study A rapid response event was initiated by the bedside nurse for a patient who developed altered mentation and shallow breathing. On arrival of the condition team, the patient was found to be an 80-year-old female with a history of lung adenocarcinoma who presented a few hours ago for dyspnea on exertion and was found to have a large right-sided pleural effusion. Since admission, she…

Hypoxia in a Patient With Myasthenia Gravis

Case Study A rapid response code was activated for a patient who appeared to be in acute respiratory distress. On arrival of the condition team, the patient was found to be a 45-year-old male with a history of myasthenia gravis who was admitted to the hospital with possible pneumonia. The patient has been experiencing fever for one to two weeks associated with increased sputum production and…

Hypoxia in a Patient With Bullous Emphysema

Case Study The bedside nurse activated a rapid response code for a patient who appeared to be in acute respiratory distress and had new right-sided chest pain. On arrival of the rapid response team (RRT), the patient was found to be a 62-year-old male with a history of chronic obstructive pulmonary disease (COPD) who was admitted one day ago for COPD exacerbation. Overnight, the patient was…

Hypoxia in a Patient With COVID-19

Case Study A rapid response code was activated for a patient who developed acute dyspnea. On arrival of the condition team, the patient was found to be a 75-year-old male with a known history of chronic obstructive pulmonary disease (COPD), who was admitted to the hospital one day earlier for cough and fever secondary to coronavirus disease 2019 (COVID-19) pneumonia. The patient’s oxygenation had been stable…

Hypoxia in a Patient With Chronic Obstructive Pulmonary Disease (COPD)

Case Study The bedside nurse initiated a rapid response event after the patient was found to be in significant respiratory distress and with oxygen saturation in the 80 s. On prompt arrival of the rapid response team, the patient was found to be a 65-year-old male with an extensive history of smoking, oxygen-dependent chronic obstructive pulmonary disease (COPD), hypertension, and heart failure with a preserved ejection…

Acute Hypoxia in a Patient With Stroke

Case Study The bedside nurse initiated a rapid response event after the patient had an aspiration event where he had desaturated to the 70 s. Upon prompt arrival of the rapid response team, the patient was found to be a 77-year-old male with a known history of chronic obstructive pulmonary disease, coronary artery disease, type 2 diabetes mellitus, hypertension, and poor oral dentition. He was admitted…