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.
S2E2 Acute Myeloid Leukemia: Why 42,000 White Cells Failed Roberto
The episode is an in-depth clinical case review centered on 67-year-old Roberto Aguilar, who presents with presumed acute myeloid leukemia (AML). It unpacks how leukemic blasts crowd the bone marrow space, creating a stark paradox where a total white blood cell count of 42,300/µL masks anAbsolute Neutrophil Count of only 420/µL and leaves the patient severely immunocompromised.
The episode examines the mechanics of tri-lineage marrow failure. It explains why normal coagulation times co-exist with active bleeding when platelets drop to 18,000/µL. It also audits critical chart errors such as administering subcutaneous enoxaparin and continuing aspirin despite severe thrombocytopenia. Finally, it highlights the danger of misattributing febrile neutropenia to leukemic B-symptoms and outlines immediate nursing priorities for managing sepsis, tumor lysis syndrome, and urgent care escalation.
This accompanies the hematology case studies in UH Maui College’s N212 course.
6 Oct 2026
S2E1 Iron Deficiency Anemia: The Case of Leilani Kahale
This podcast episode breaks down a case focusing on a 44-year-old patient who presents with progressive fatigue, exertional dyspnea, and tachycardia.
It explores the critical clinical paradox between oxygen saturation and oxygen-carrying capacity, detailing how a patient can maintain a pulse oximetry reading of 99% SpO₂ while experiencing severe tissue hypoxia due to microcytic iron deficiency anemia.
The host discussion walks through the underlying mechanisms of chronic blood loss from heavy menses and occult gastrointestinal bleeding compounded by daily aspirin use and audits how serial chart misinterpretations, such as misdiagnosing her condition as anemia of chronic disease and continuing antiplatelet therapy, were repeatedly passed along during nursing handoffs.
This accompanies the hematology case studies in UH Maui College’s N212 course.
20 Nov 2025
S1E40 Abdominal Catastrophe and Septic Shock
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 bedside nursing priorities that shaped his care. All patient identifiers have been changed. If you’re ready for a deep dive into surgical complications, sepsis physiology, and real-world nursing strategy, this is one you won’t want to miss.
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
5.0 / 5
4 ratings
Spotify
5.0 / 5
1 ratings
Podcast Authority Score: 39 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
65
Social presence
0
YouTube
0
Engagement
32
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Questions about Clinical Adventurer
Who hosts Clinical Adventurer?
Clinical Adventurer host the show. Published by Nurse Adventurer LLC.
How often do new episodes come out?
The show publishes monthly, based on its RSS feed.
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