ENP-BC case studies
ENP-BC · Put your knowledge to work in context.
The Emergency Nurse Practitioner – Board Certified (ENP-BC) credential is a specialty certification for advanced practice registered nurses who assess, diagnose, treat, and manage patients across the emergency care continuum. It signals that a nurse practitioner has demonstrated knowledge beyond general family or adult-gerontology preparation in undifferentiated presentation triage, rapid stabilization, procedural competence, and disposition planning. The ENP-BC case studies are 5 cases and about 4,197 words.
1Septic Shock in a Dialysis Patient With Reduced Ejection Fraction
A 71-year-old man is brought from a skilled nursing facility with 2 days of cough and today's confusion. Triage: T 38.9 C, HR 122, BP 84/48 mmHg, RR 26, SpO2 91% on room air, GCS 13 (E3 V4 M6), weight 82 kg.
884 words, about 4 min2Major GI Bleed on a Direct Oral Anticoagulant at a Hospital Without Andexanet
A 74-year-old woman presents with 6 hours of melena and one episode of coffee-ground emesis. She takes apixaban 5 mg twice daily for atrial fibrillation, last dose 10 hours ago, plus metoprolol and atorvastatin; she is not on a proton pump inhibitor.
675 words, about 3 min3Informed Refusal of Lumbar Puncture in Suspected Bacterial Meningitis
A 46-year-old man presents with 12 hours of fever to 39.4 C, severe generalized headache, neck stiffness and photophobia. He is alert, oriented to person, place and time, and conversant; he is not delirious or intoxicated.
875 words, about 4 min4Provider-in-Triage Pilot With Physician Objection and Fixed Resources
You are the lead nurse practitioner in an emergency department with 62,000 annual visits, 24 licensed beds and 3 hallway spots. Over the past 6 months, left-without-being-seen (LWBS) rose from 2.1% to 4.9% and door-to-provider time increased from 38 to 74 minutes.
897 words, about 4 min5Hot Swollen Knee on Apixaban: Aspirate or Treat Blindly
A 68-year-old man presents with 2 days of severe right knee pain and swelling. He cannot bear weight.
866 words, about 4 min