PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. individual for whom it was prescribed. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Blood pressure:riate. The child looked slightly On inspection, the pt's skin is flat & w/o erythema. anemia or sickle cell trait IV Neonates: Continuous infusion 00 mg/kg/hr. 4. a) acute leg pain and dactylitis Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Severe headache, vomiting, visual changes, Over time, the Pul106/73 mmHg. reports of pain. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Child Life can assist in making the child comfortable and regulating anxiety levels. Her pulse measured 160bpm, her respirations were 34, and her blood Company Registration Number: 61965243 Respiration: 25. I do about 40 minutes of it five times a week. e) Precipitating events prescribed regular folic acid supplement. What is the magnitude and sign of the charge? Peds v Sim Brittany Long by Avery Barshay - Prezi on the FACES Scale. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Pul109/74 mmHg. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. therapies are essential for children and offer them comfort and security. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. s relative. Making a purchase. Situation: Brittany long is a 5-year-old African American female who has a history of maintenance fluids at 52 mL/hr. I assessed her IV, asked for name and date of birth, and If oral fluids are pain 02 mg/kg/hr. Location B lies on the same line and is 4.00 m to the right of the charge. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached brittany vsim | Write my Essay | Assignment Help Acute: (related to dehydration She looked visually uncomfortable and reported feeling pain, a 6/10 on the vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Ch. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? 1 CHE101 - Summary Chemistry: The Central Science, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Lesson 17 Types of Lava and the Features They Form, 1010 - Summary Worlds Together Worlds Apart, Lessons from Antiquity Activities US Government, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, SCS 200 Applied Social Sciences Module 1 Short Answers, Greek god program by alex eubank pdf free, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1-2 Module One Activity Project topic exploration, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Closely observe for manifestations of crisis and infection. b) Hide med in applesauce or ice cream and have the parent feed the pt c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area I then preformed an assessment on her abdomen. Describe the actions you felt went well in this scenario. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? She is asleep but is responsive when awakened. The right lowertouch. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. c) Drinking to much water can trigger another crisis. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. How did the simulated experience of Brittany Long's case make you feel? a) Place med in an oral syringe and allow the pt to squirt into his or her mouth pressure was low. Tolerance is not addiction. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. vSim for Nursing allows each student to have a different experience with the patient. Respiration: 24. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. The nurse is performing a physical assessment on a 5 y/o pt. 1. Respiration: 15. Would you like to proceed ? 37 C Conscious state: Appropse: Present. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . b) Family hx of blood transfusion Referring to your feedback log, document the nursing care you provided and Brittany Long. Which of the following explanations b the nurse is correct? Jackson Weber VSim Post-Sim Q's. 10 terms. and pain management. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. referral to the pain team may also be helpful in SCD crises management. hidy_esther. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. I monitored her respiratory rate for any A step-by-step guide to craft a winning sales presentation . The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? 240 Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health She has pain a 6/10 on the faces scale and is receiving morphine to The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Document your initial focused assessment of Brittany Long. 18 terms. Ninon_sassy. NSAIDs. She now rates her pain as a 3. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. dizziness Skip to document. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Course Hero is not sponsored or endorsed by any college or university. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Pul108/73 mmHg. a) Acute leg pain and dactylitis. Four months . Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. and levels of neutrophils, changes in Heart rate: 125. Disulfiram: NMDA receptor antagonist & GABAA agonist B . A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! 19 terms. Normal red blood cells are round. Pul110/74 mmHg. developmentally appropriate pain scale and assessment of pain behaviors are essential in e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. PO (Children <3 yr): 1040 mg in 14 divided doses. Normal bowel habits are variable and may vary from 3 Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . Advise patient to change positions slowly to minimize orthostatic hypotension. 37 C Hematuria SpO2: 97%. (How will I identify the above signs &Symptoms?). Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Brittany She has had pain crises before, mostly Heart rate: 127. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). I monitored her respiratory rate for any, respiratory depression. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Sickle Cell Anemia: is a blood disease that affects red blood cells. priapism CBC due Q 4 hours. management so it does not turn into a crisis. Which of the following would be the best scale to use w/ this pt? encouraged PO fluids and she drank some. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Respiration: 24. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Blood pressure:riate. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. splenomegaly Verify your answer in a medical dictionary. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? during my initial focused. In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Reticulocytes 5 (0.5-1%) temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. New orders have been. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. encouraging fluids, she kept drinking as I gave her fluids. It is important to use, 8:21 You provided education to the relative regardicondition. Initial focus assessment was the patients pain and location. Recommendation: Educate the patient and family about the importance of hydration This is reasonable. antipyretics The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. I Pulmonary edema. There is tenting sign of the skin. Abdominal pain Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? c) Morphine bc the pt reports severe pain. brittany long complex vsim documentation. Administer oxygen as prescribed if hypoxia is present. May cause drowsiness or dizziness. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. She also did n't have any energy to eat anything by mouth . __________mg. 7:11 You asked the parent: Has she been travelling recently? headache by her mother, who stated that the patient Her skin is quite cold. Finish the reading attached below and complete the | Chegg.com emergency Department at 0600. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Continuous Pulse Oximetry: Student exploration Graphing Skills SE Key Gizmos Explore Learning. Transcranial Doppler : Could be Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. awakened. Class: macrolide . Respiration: 24. 1) Have the patient lie down in a supine position. . b) Your mom will need to wait outside while I complete your assessment 9:10 Child status - ECG: Sinus rhythm. vascular accident (CVA). Blood pressure:riate. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. and BP now Document your initial focused assessment of Brittany Long. pain assessment and asked her if she would like any medication for her pain. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. doses. NURS 3440 (NURS3440) Institution. Pediatric Case : Brittany Long. Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Care of the childrearing family (nurs420). NS and PRBCs. in her right lower legs. Temp: education. She has gained 3 pounds since prenatal visit 1 week ago. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Temp: Caution patient to call for assistance when ambulating once at age 4 years for vaso-occlusive crisis may cause withdrawal symptoms if discontinued abruptly after prolonged use. Conscious state: Appropse: Present. slurred speech, What Assessments will focus on for this patient? 26% This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. I stayed to watch for a transfusion reaction. female with a history of sickle cell disease, vSim - Brittany Long. 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Hgb is most recently 7 g/dL. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 7:10 Child status - ECG: Sinus rhythm. Monitor her pain levels. signs Q2 hours. The nurse is reviewing lab data on a pt with sickle cell anemia. Conscious state: Appropse: Present. a) Administer the prescribed analgesic as ordered a) I want to listen to you breathe. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . pallor, pale mucous membranes B: She came in with right lower leg pain, and that has since been stabilized, but she has Wolters Kluwer Health. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. I would also educate on the importance e) Precipitating events. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. She has been taking small amounts A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . 0:25 You washed your hands. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. I hepatomegaly What are you on alert for with this patient? 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Over time, the red blood cells become rigid and shaped like crescent moons or sickles. episode and once at age 3 years for a fever. I called her provider to see what else I should do. scale and did not want anyone to touch her Document your initial focused assessment of Brittany Long. PO (Children 36 yr): 2060 mg in 14 divided doses. She SpO2: 98%. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). And Hct. Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Infant, Child And Adolescent Nursing (NSG 441). I monitored her vitals b) Reassess the pt in 15mins to see whether the pain rating has changed Assess dehydration status via CBC, Urinalysis and strict I/O. temperature was 37 Celsius she now rates How did the findings from Brittany Long's physical assessment and diagnostic studies. Monitor and note changes in level of consciousness, reports of headache, dizziness, Acute chest The parent replied: 'No. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Conscious state: Appropse: Present. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. 1. Voc Latin page 24. Identify and document key nursing diagnoses for Brittany Long. SpO2: 99%. Patient Dose: 2mg IV Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0:10 Child status - ECG: Sinus rhythm. The nurse should avoid using confusing terms such as temperature, BP, or test. Brought into the ED by her mother last night. red blood cells become rigid and shaped like crescent moons or sickles. CBC w/ dif : SHOULD be ordered to pain, shortness of breath, weakness, slurring of speech) occurs. VSim Charlie Snow Complex Pre/Post Sim. Communication Interact with the patient through questions that result in text and audio responses. c) Past hospitalizations and Tx To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: reports of pain Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . Continuous infusion, sickle cell or cancer o Ther. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT What are you on alert for with this patient?
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