Simulation Pre-Case Review
Please complete in entirety. This activity counts for ONE HOUR of lab/simulation/clinical
time.
Student Name: Date: 01/23/2021
Simulation Name: Click or tap here to enter text. Simulation Date: 01/24/2021
T. Graves Age: 16 Weight: 55 kg Height: 175 cm
Case Objectives
• Performs an accurate basic physical assessment of the patient with fluid and electrolyte imbalance
(APPLYING)
• Identifies normal and abnormal assessment findings (UNDERSTANDING)
• Documents normal and abnormal assessment findings in relation to fluid and electrolyte imbalance
(APPLYING)
• Demonstrates strategies for treating dehydration related to heat exhaustion (APPLYING)
• Identifies teaching opportunities regarding heat-related illnesses (UNDERSTANDING)
• Analyze social and cultural dimensions simulated patient encounters to build understanding and
capacity for the provision of culturally congruent nursing care.
Synopsis
16 year old admitted to ED for dehydration and electrolyte imbalance caused by heat exhaustion. Client
passed out in the afternoon during practice and was brought to ED by the coach. Client’s mother is enroute
to hospital.
Patient History
Past Medical History:
Tubes placed in ears at 3-years-old, sport’s physical prior to beginning practices and was cleared to
play, immunization UTD
Allergies:
• No known allergies
Medications:
• None
Code Status:
• Full code
Social/Family History:
• Lives at home with parents and two siblings, Straight “A” student and star player for team, denies
smoking, ETOH, or illicit drug use
Patient Problem: Dehydration, electrolyte imbalance, passed out
Pathophysiology: Exertional heat illness generally occurs when health individual perform physical activity
in hot environments and the balance between body heat production and heat dissipation is upset
resulting in excessive body heat storage.
Risk Factors (if applicable): Strenuous exercise in high ambient temperature and humidity, lack of
acclimatization, poor physical fitness, obesity, dehydration, acute illness, and external load, including
clothing, equipment, and protective gear
1
, Questions:
What factors predispose a person to exertional heat illness (EHI)?
Obesity, low physical fitness level, lack of heat acclimatization, dehydration, a previous history of
EHS, sleep deprivation, sweat gland dysfunction, sunburn, viral illness, diarrhea, or certain
medications
2
Please complete in entirety. This activity counts for ONE HOUR of lab/simulation/clinical
time.
Student Name: Date: 01/23/2021
Simulation Name: Click or tap here to enter text. Simulation Date: 01/24/2021
T. Graves Age: 16 Weight: 55 kg Height: 175 cm
Case Objectives
• Performs an accurate basic physical assessment of the patient with fluid and electrolyte imbalance
(APPLYING)
• Identifies normal and abnormal assessment findings (UNDERSTANDING)
• Documents normal and abnormal assessment findings in relation to fluid and electrolyte imbalance
(APPLYING)
• Demonstrates strategies for treating dehydration related to heat exhaustion (APPLYING)
• Identifies teaching opportunities regarding heat-related illnesses (UNDERSTANDING)
• Analyze social and cultural dimensions simulated patient encounters to build understanding and
capacity for the provision of culturally congruent nursing care.
Synopsis
16 year old admitted to ED for dehydration and electrolyte imbalance caused by heat exhaustion. Client
passed out in the afternoon during practice and was brought to ED by the coach. Client’s mother is enroute
to hospital.
Patient History
Past Medical History:
Tubes placed in ears at 3-years-old, sport’s physical prior to beginning practices and was cleared to
play, immunization UTD
Allergies:
• No known allergies
Medications:
• None
Code Status:
• Full code
Social/Family History:
• Lives at home with parents and two siblings, Straight “A” student and star player for team, denies
smoking, ETOH, or illicit drug use
Patient Problem: Dehydration, electrolyte imbalance, passed out
Pathophysiology: Exertional heat illness generally occurs when health individual perform physical activity
in hot environments and the balance between body heat production and heat dissipation is upset
resulting in excessive body heat storage.
Risk Factors (if applicable): Strenuous exercise in high ambient temperature and humidity, lack of
acclimatization, poor physical fitness, obesity, dehydration, acute illness, and external load, including
clothing, equipment, and protective gear
1
, Questions:
What factors predispose a person to exertional heat illness (EHI)?
Obesity, low physical fitness level, lack of heat acclimatization, dehydration, a previous history of
EHS, sleep deprivation, sweat gland dysfunction, sunburn, viral illness, diarrhea, or certain
medications
2
