CPAN case studies
CPAN · Put your knowledge to work in context.
The Certified Post Anesthesia Nurse (CPAN®) credential is one of two national perianesthesia nursing certifications sponsored by the American Board of Perianesthesia Nursing Certification, Inc. (ABPANC®), the other being the Certified Ambulatory Perianesthesia Nurse (CAPA®). The CPAN case studies are 5 cases and about 4,102 words.
1Shallow Breathing and a High CO2 in a Patient with OSA on a PCA
R, 58, has severe obstructive sleep apnea (uses CPAP at home, AHI 42) and takes oxycodone 10 mg twice daily for chronic back pain. He is 25 minutes into Phase I recovery after an open inguinal hernia repair under general anesthesia with sevoflurane, rocuronium reversed with sugammadex, fentanyl 150 mcg, and no regional block.
870 words, about 4 min2Neck Tightness and Stridor After Total Thyroidectomy
L, 44, is 70 minutes into Phase I recovery after a total thyroidectomy for a large multinodular goiter. Her initial recovery was uneventful and her voice is unchanged.
798 words, about 4 min3Hypotension and Bradycardia After Spinal Anesthesia for Hip Surgery
K, 72, weighing 80 kg, had a bipolar hemiarthroplasty for a femoral neck fracture under spinal anesthesia (bupivacaine 0.5%, 12 mg) with propofol sedation. He arrives in Phase I 20 minutes after leaving the OR: BP 82/44 (preoperative 152/78), HR 54 in sinus rhythm, SpO2 96% on 2 L/min, RR 14, temperature 35.8 °C.
798 words, about 4 min4Metallic Taste and Seizure After an Interscalene Block
P, 38, weighing 62 kg, had an arthroscopic rotator cuff repair under general anesthesia with a preoperative interscalene brachial plexus block using ropivacaine 0.5%, 30 mL (150 mg). She arrives in Phase I hemodynamically stable.
768 words, about 4 min5Uncontrolled Nausea, No Escort, and a Patient Who Wants to Leave
T, 34, had an outpatient laparoscopic cholecystectomy and has been in Phase II for 90 minutes. She has vomited twice in the past hour, rates umbilical port pain 6/10, and has taken only a few sips of ginger ale.
868 words, about 4 min