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💧 Fluid and Electrolyte Emergency Department

💧 Fluid and Electrolyte Emergency Department

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  • 🗺️ Five Patient Scenarios

    Includes GI bleed, CHF with shortness of breath, renal failure, pediatric fluid volume deficit and adult fluid volume deficit. See learning objectives below.

  • 🏆 Level: Advanced

    Includes EKG analysis, blood transfusion, advanced lab analysis, practice with prioritization and managing multiple patients.

  • ⏱️ Estimated Time

    Stand alone activity takes about 60-90 minutes to complete.

    Time is extended to 2+ hours with debriefing suggestions provided in the answer key!

  • 🩺 Created for Small Groups

    One deck is ideal for 4-6 students. Students manage multiple patients at once.

Getting Started

How it works

Once you receive the deck in the mail, get your students in small groups. They will work together to complete the case study.

Learn to Play

Watch the Instructional Video

Students scan a QR code to learn how to play the game. You can check it out yourself too!

Check out the Instructional Video

Get to Work

Complete the Case Study

Through interactive puzzles within the deck and QR codes that connect to online questions, students must use teamwork, communication, and clinical judgment to complete patient care.

Learning Objectives

Fluid Volume Excess

  • Prioritize patient assessment findings and interventions related to shortness of breath
  • Identify respiratory support options
  • Analyze lab values related to fluid and electrolyte imbalances
  • Review expected outcomes and complete medication calculation for furosemide

Adult Fluid Volume Deficit

  • Recognize abnormal assessment findings
  • Analyze lab values related to fluid volume loss
  • Review orders and communication with a provider
  • Utilize the correct tools for the administration of IV fluids
  • Calculate IV fluid rate based on order
  • Complete evaluation by comparing previous and current assessment findings

End-Stage Renal Disease

  • Recognize abnormal assessment findings related to ESRD
  • Analyze lab values associated with a patient on dialysis
  • Interpret EKG changes related to hyperkalemia
  • Apply knowledge of pharmacology to the treatment of hyperkalemia
  • Prioritization and organization of multiple patient scenarios

Pediatric Fluid Volume Deficit

  • Recognize abnormal assessment findings in a pediatric patient
  • Prioritize patient assessment findings
  • Complete a delegation to a CNA
  • Calculate medication dosage based on weight
  • Calculate an IV fluid rate based on weight
  • Administer IV fluids to pediatric patient
  • Evaluate patient progress based on urine output

Gastrointestinal Bleed

  • Recognize abnormal assessment findings and relate to past medical history
  • Analyze lab values related to blood loss
  • Prioritize provider orders according to patient needs
  • Review policy and IV setup for blood transfusion
  • Manage multiple competing priorities

Practice Alternative Format Questions

The deck is a unique way to present Next-Gen NCLEX-style questions to students through an unfolding scenario. Types of alternative question formats include:

  • Drop-down CLOZE
  • Drop-down table
  • Multiple choice
  • Matrix multiple choice
  • Select all that apply
  • Short answer

Scan the code to try it out, or click the button below.

Try Out an Online Puzzle

🔍 Looking for more examples?

Here are a few more cards students will use during the activity.

📑Answer Key and Debriefing Guide

A debriefing guide for the instructor and an answer key accompanies the deck. Check out a few of the pages below.

An unfolding case study contained in a card deck!

Avoid the overwhelming and time-consuming task of creating an interactive and engaging activity for your students. This BreakoutRN Active Learning Deck brings puzzles, teamwork, and a clinical learning experience to any nursing classroom. 

🩺Designed to mirror nursing care at the bedside, students work through gathering and noticing important assessment data, organizing and identifying priority problems, and carrying out nursing interventions.

🗣️Through interactive puzzles within the deck and QR codes that connect to online questions, students must use teamwork, communication, and clinical judgment to complete patient care.

Interested in a Purchase Order?

If you would like an estimate for a grant application or purchase order, click the button below to get in touch!