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PODCAST

Clinical Adventurer

Nurse Adventurer LLC

Clinical Adventurer is the podcast created for the nursing students of the University of Hawai‘i - Maui College — and open to all nursing students, new nurses, and lifelong learners. Each episode delivers practical strategies, clinical pearls, and honest guidance with in-depth pathophysiology, interventions, nursing implications, and care. No fluff, no sugar-coating — just what you need to build confidence, strengthen skills, and thrive at the bedside.

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All Episodes

00:38:45

S1E40 Abdominal Catastrophe and Septic Shock

Clinical Adventurer ·

2025/11/20

A bowel obstruction, a suspected malignancy, and multiple comorbidities — this case had all the makings of a clinical storm. In this episode of Clinical Adventurer, we walk through the complex hospital course of a 72-year-old male whose sigmoid stricture led to large bowel obstruction, feculent peritonitis, and septic shock. From emergent surgeries and ICU-level vasopressor support to managing cardiac instability and thrombocytopenia, we unpack the critical decision points, pathophysiology, and

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00:19:55

S1E39: Cascade Under Pressure - Real Cases That Test...

Clinical Adventurer ·

2025/11/20

The coagulation cascade isn’t just a lecture topic—it’s a life-or-death system unfolding in real time in trauma bays, ORs, and ICUs. What happens when the cascade misfires? In this episode, we explore not just the science, but the stories, of three patients whose bleeding or clotting disorders reveal the power and peril of the clotting cascade. From a child with hemarthrosis to a septic patient in DIC, you’ll see how lab values like INR and aPTT are more than just numbers—they're clinical

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00:19:55

S1E38 Bleeding Edge: Demystifying Blood Clotting...

Clinical Adventurer ·

2025/09/05

Ever wonder what PT, INR, or aPTT actually mean—and why they matter right now at the bedside? In this episode, we’re cracking open the coagulation cascade to uncover how common clotting labs can reveal life-threatening risks like bleeding, clot formation, liver dysfunction, or anticoagulant overdose. Whether you’re titrating heparin, checking warfarin levels, or ruling out a PE, you need more than just a normal range—you need context.

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00:22:19

S1E37 Cardiac Clues: Cracking the Code on Troponins...

Clinical Adventurer ·

2025/08/28

When seconds count, your patient’s lab results can be the difference between catching a heart attack early or missing a silent killer. In this episode, we break down cardiac biomarkers — what they really mean, how to interpret them, and why troponins reign supreme in today’s high-stakes cardiac care. We’ll walk you through the science, the pitfalls, and the nursing implications so you can make sense of those critical labs in real time.🧠 Key Topics Covered:What Are Cardiac Biomarkers?Substances

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00:25:00

S1E36 Renal Reality Check: Decoding Kidney Function...

Clinical Adventurer ·

2025/08/28

Not all kidneys fail loudly. Sometimes the earliest signs are hidden in the labs — if you know where to look. In this episode, we go deep into renal function testing, breaking down how to spot trouble early, stage chronic kidney disease accurately, and make sense of the numbers that don’t always tell the full story. Whether you're monitoring a dialysis patient or picking up subtle trends in a post-op patient, this episode equips you with the clinical insight to interpret renal labs with

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00:23:53

S1E35 Liver Labs Decoded: What LFTs Really Tell You

Clinical Adventurer ·

2025/08/28

Think a high AST or ALT means your patient’s liver is failing? Think again. Liver function tests are one of the most misunderstood panels in clinical practice — often called "function" tests, yet many don’t measure function at all.In this episode, we break down the real meaning behind LFTs, explore the different patterns of liver injury, and help you interpret these labs like a pro. Whether it’s differentiating between cholestasis and hepatocellular injury, or figuring out when to worry

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00:14:09

S1E34 Right or Left? Decoding the Oxyhemoglobin Curve

Clinical Adventurer ·

2025/08/26

Ever wonder why a patient’s SpO₂ is normal, but their tissues are still starving for oxygen? Or why a low SpO₂ isn’t always a crisis? Welcome to the world of the oxyhemoglobin dissociation curve — where hemoglobin plays by different rules depending on your patient’s pH, CO₂, temperature, and more.In this episode, we unpack what a right shift versus a left shift really means for oxygen delivery, how to spot trouble early, and what every nurse and clinician should know about interpreting oxygen

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00:23:50

S1E33 Case Study Series #13: Breathless and Beyond -...

Clinical Adventurer ·

2025/08/24

When a 91-year-old woman presents with shortness of breath and back pain, the initial concern might be pneumonia or a musculoskeletal issue—but what if it’s much more? This case unravels into a multi-system diagnostic challenge involving pulmonary embolism, atrial fibrillation with RVR, and suspicious findings pointing to possible metastatic disease. It’s a deep dive into the complexity of geriatric presentations—and the clinical judgment required when intervention decisions aren’t clear-cut.Key

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00:17:35

S1 E32 Understanding the Complete Blood Count (CBC)...

Clinical Adventurer ·

2025/08/14

Source: StatPearls via the National Center for Biotechnology Information (NCBI) BookshelfThis comprehensive clinical reference explains the components of the Complete Blood Count (CBC) with differential, breaking down its critical role in patient assessment. It outlines:Key Components:Red Blood Cell (RBC) Indices: Includes RBC count, hemoglobin, hematocrit, MCV, MCH, and MCHC.White Blood Cell (WBC) Differential: Evaluates the relative percentages of neutrophils, lymphocytes, monocytes, eosinophils,

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00:24:09

S1 E31 Case Study Series: When a Fall Reveals More...

Clinical Adventurer ·

2025/08/14

A seemingly routine fall turns out to be only the tip of the clinical iceberg. An elderly female presents with generalized weakness, right-sided rib and hip pain—but what starts as an orthopedic case quickly evolves. As the team investigates, imaging and labs uncover a urinary tract infection and developing pneumonia, shifting the differential and the treatment strategy. This case underscores the importance of maintaining a wide diagnostic lens when assessing older adults and how non-specific

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00:26:42

S1 E30 Case Study Series: When the Legs Give Out -...

Clinical Adventurer ·

2025/08/14

Imagine you're in the ED, and a previously mobile 55-year-old male arrives with sudden, severe leg weakness, worsening back pain, and fecal incontinence. Alarming, right? This is more than a typical sciatica flare. As the team dives deeper, they uncover a medical maze—chronic vascular disease, prior urinary issues, new neurological deficits, and even a possible Guillain-Barré or neurosarcoidosis diagnosis on the table. With imaging revealing everything from spinal neuroforaminal narrowing to

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00:26:58

S1 E29 Case Study Series: The Aneurysm That...

Clinical Adventurer ·

2025/08/14

What started as a suspected STEMI turned out to be something far more catastrophic. This case takes us inside the emergency hospitalization of an 85-year-old male who collapsed at home, later found to have a ruptured infrarenal abdominal aortic aneurysm. With intubation, central line placement, and emergent endovascular repair, this is a deep dive into rapid response, cross-disciplinary coordination, and critical decision-making.But the story doesn’t stop in the OR—acute kidney injury, persistent

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00:19:50

S1 E28 Case Study Series: Neck Mass, Sepsis, and...

Clinical Adventurer ·

2025/08/14

He’s just 40 years old—but walks into the ED with a rapidly worsening neck mass, a history of oropharyngeal squamous cell carcinoma, and signs of full-blown sepsis. Add to that a history of substance use, non-compliance with treatment, and a storm of social barriers, and you’ve got a case that forces you to ask: When the patient’s body and choices are both failing—how do you lead with both clinical skill and compassion?This episode dives into a case that’s as much about medical decision-making as it

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00:27:47

S1 E27 Case Study Series: Code GI Bleed - Navigating...

Clinical Adventurer ·

2025/08/14

Imagine you're on call, and EMS rolls in an 88-year-old nursing home resident with bright red rectal bleeding. He’s on dual anticoagulation, has a history of an aortic aneurysm repair, and the CT angiogram lights up a suspicious bleed in the sigmoid colon. Now you’re juggling active bleeding, bleeding risks, thrombotic history, and meds you can’t just stop without a team huddle. This case isn’t just about treating the bleed—it’s about managing the intersection of geriatrics, cardiology, GI, and

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00:17:23

S1 E26 Case Study Series: HFrEF (Heart Failure with...

Clinical Adventurer ·

2025/08/13

This inpatient case study follows the complex hospitalization of a 65-year-old male admitted for worsening edema and dyspnea—symptoms that ultimately unveiled acute on chronic heart failure with reduced ejection fraction. As the care team navigates his comorbidities—including uncontrolled diabetes, hypertension, and a long-standing history of tobacco use—the evolving treatment plan reveals how intricate chronic disease management becomes during acute exacerbations. Diagnostic findings, daily

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00:28:49

S1 E25 Case Study Series 6: Beyond the Fall -...

Clinical Adventurer ·

2025/07/19

This case delves into the intricate unraveling of a seemingly straightforward fall in a 75-year-old legally blind male. What began as trauma evaluation quickly evolved into a layered clinical puzzle—uncovering severe dysphagia, fractures, subclinical alcohol withdrawal, and ultimately, an unexpected diagnosis of advanced head and neck cancer. Through this single patient, we explore how chronic alcoholism, malnutrition, and limited social support silently sculpt clinical outcomes. The conversation

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00:22:58

S1 E24 Case Study Series 5: Multi-Systemic Injury...

Clinical Adventurer ·

2025/07/18

In this episode, we take you inside one of the most intense trauma cases we've encountered. This isn’t just a case—it’s a masterclass in managing catastrophic polytrauma.We’ll walk you through every layer of this complex cascade—from life-threatening abdominal herniation and pulmonary collapse, to vertebral artery transection, brachial plexus avulsion, and the heartbreaking aftermath of a likely permanent neurological injury.You’ll hear how a multidisciplinary trauma team responded in real time:

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00:26:16

S1 E23 Case Study Series 4: End-Stage Heart Failure

Clinical Adventurer ·

2025/07/16

Today’s journey is dedicated to nursing students at the University of Hawai‘i Maui College and to every nurse-in-the-making learning to navigate the complexity and compassion required in end-stage care. In this deep dive, we follow the story of Colton Reyes, a 52-year-old patient with advanced heart failure, whose case reveals how clinical judgment, pharmacology, pathophysiology, and human-centered care all converge. From managing inotrope dependence and worsening renal function to engaging in

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00:53:12

S1 E22 Case Study Series 3: The Enigmatic Effusion: A...

Clinical Adventurer ·

2025/07/07

What starts as back pain on the Big Island quickly spirals into a high-stakes battle with sepsis, acute respiratory failure, atrial fibrillation, and a massive loculated pleural effusion. In this episode, we take you inside the twists and turns of a case where early decisions, critical thinking, and teamwork made all the difference. From thoracentesis to the call for surgical decortication, we’ll break down how pathophysiology, rapid intervention, and nursing vigilance intersected to shape the

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00:44:38

S1 E21 Documentation Decoded: Charting for Safety,...

Clinical Adventurer ·

2025/07/07

Aloha and welcome to Clinical Adventurer — your shortcut to owning your clinical practice with confidence. Today, we’re ripping the lid off one of the most misunderstood parts of nursing: documentation. It’s not just paperwork — it’s your most powerful tool for patient safety, professional protection, and legal defense. We’ll unpack the real purpose of your notes, reveal how documentation can literally make or break a patient’s care — and your career — and share eye-opening lessons from real-world

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