NGN Case Studies

Mrs. Ramos is post-op day 2 and something is off — new confusion, soft blood pressure, falling urine output. Work all six clinical judgment steps before revealing each answer.

Four patients, one nurse, an LPN, and a UAP — who do you see first, what can you hand off, and which 'stable' patient is quietly the sickest one on the board?

Mr. Delgado's 'indigestion' won't quit — diaphoresis, an arm that aches, and a 12-lead that changes everything. Work the chest-pain case from first cue to cath lab.

Mrs. Okada gained six pounds in three days and now can't lie flat — work the decompensation from crackles to flash pulmonary edema, and the bolus that must never be given.

Mr. Okafor can't finish a sentence, and the well-meaning fix — more oxygen — is exactly where this case gets dangerous. Work the exacerbation through all six steps.

Post-op day 1 after a knee replacement, Ms. Ferreira stands up and suddenly can't breathe — the deterioration everyone wants to call anxiety, and the minutes that matter.

Mrs. Chen's face droops at breakfast and the clock is already running — last known well, the glucose check everyone forgets, and the thrombolytic window. Work the case in real time.

Mr. Novak hit his head, talked normally for an hour, and is now hard to wake — the lucid interval, the pupil you check twice, and why Cushing's triad means you're already late.

A 19-year-old with vomiting, deep sighing breaths, and a glucose meter that just reads HIGH — fluids first, the potassium rule, and the insulin drip done safely.

Mr. Adeyemi got his breakfast insulin — then got made NPO for a scan. Two hours later he's diaphoretic and won't wake up. Work the rescue, then find the system error that caused it.

Mr. Whitfield's potassium results at 6.8 and his T waves are climbing — the lab you never sit on, the EKG you get first, and why calcium comes before everything else.

Found down for an unknown number of hours, Mr. Petrov's urine runs dark brown and his CK comes back in the tens of thousands — the muscle that's poisoning the kidneys, and the fluids that save them.

Ms. Bauer is 34 weeks with a headache that won't lift and a blood pressure climbing past severe — magnesium sulfate, the toxicity checks, and the seizure that must not happen.

One hour after delivery, Ms. Trent's fundus is boggy and the pads keep coming — the Four T's, the hand that acts before the phone, and the trickle that young patients hide.

Ms. Okoro's water breaks and the fetal heart rate crashes into the 70s — a loop of cord at the introitus, a hand that can't leave, and the position that keeps the baby alive until the OR is ready.

Six-year-old Mateo is wheezing, retracting, and getting quieter — and quieter is the part that should scare you. Work the exacerbation before the silent chest arrives.

Ten-month-old Amara has had diarrhea for two days and stopped making tears — grading dehydration by exam, the weight that tells the truth, and the potassium rule before any additive.

Mr. Reyes came in for a fractured ankle — nobody asked about the drinking, and by hospital day 2 his hands shake and his heart races. Catch the withdrawal before it becomes DTs.

Mr. Calloway, admitted for back surgery, mentions he 'wouldn't mind not waking up' — the comment you never let pass, asking directly, and building safety without breaking trust.