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Background: Brittany Long has a history of sickle cell anemia being treated with a folic PO (Children 68 yr/4859 lb): 200 mg every 68 hr. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 13 terms. Respiration: 24. She has had development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. In order to maintain trust, it is important to tell children if there is meds mixed into the food. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. Use preservative-free formulation. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. I verified with two nurses in regard to the Jackson Weber VSim Post-Sim Q's. 10 terms.
Brittany Long - YouTube 240 a) Administer the prescribed analgesic as ordered pain, shortness of breath, weakness, slurring of speech) occurs. Her skin is quite cold. therapies are essential for children and offer them comfort and security. May cause drowsiness or dizziness. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. in her right lower legs. The safe dosage range for children is 10 to 15 mg/kg/dose. Class. The nurse is assessing for which of the following complications of vast-occlusive crisis? Many OTC products contain ibuprofen; avoid duplication. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. And Hct. her blood pressure was 101 / 70 and her a) FLACC scale 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. Which of the following responses by the nurse is correct? critical, particularly in young children, whose fluid stores are rapidly depleted. Temp: VBVA=45.0V. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: I called her provider to see what else I should do.
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VSim Brittany Long Pre/Post test Flashcards | Quizlet Britney rated her pain as a 5 on the faces Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Fluid and Electrolyte levels stabilized and maintained. 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. Assess dehydration status via CBC, Urinalysis and strict I/O. Temp: This was, 2:10 Child status - ECG: Sinus rhythm. c) Past hospitalizations and Tx Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Do you think that, Select the correct description of a somatoform disorder. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. takes regular folic acid supplement as prescribed. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Britney was given oral pain medication in the individual for whom it was prescribed. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. New orders have been. Use preservative-free formulation. I don't think so.' llergies? Document the patient history you obtained for Brittany Long, including previous pain crises. Heart rate: 127. pain 02 mg/kg/hr. awakened. Heart rate: 126. per hour period when examined this morning Her He ordered Temp: Hypovolemia by evidence of pale extremities
Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu (In pain) She. 1) Have the patient lie down in a supine position. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale.
Finish the reading attached below and complete the | Chegg.com A step-by-step guide to craft a winning sales presentation . Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. (Signs & Symptoms), awakened. management so it does not turn into a crisis. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Patient Dose: 2mg IV IF you have four children, one or 25% will have sickle cell anemia. has been complaining of right lower leg pain Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Heart rate: 109. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer We're available through e-mail, live chat and Facebook. The parent, 3:10 Child status - ECG: Sinus rhythm.
Brittany Long vSim Documentation Assignment - Homework Score female with a history of sickle cell disease, brittany long complex vsim documentation. 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? I do about 40 minutes of it five times a week. SpO2: 99%. consulting health care professional.
VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia SpO2: 98%. Visual disturbances. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives What are you on alert for with this patient? May cause drowsiness or dizziness. The potential difference between the two locations is. 3. for a fever. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Blood pressure:riate. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? It is not necessary to give combining terms for words in parentheses. joints and abdomen. o Pharm. 8:13 You provided patient education. o Therapeutic: opioid analgesics c) tachycardia and jaundice She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Class. Pre/Post Simulation for Brittany Long.
Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. line infusion rate to 52. brought into the emergency department during the night by her mother, who stated that the (Abnormal) rapidity of the heart ____________________________________. Sickle Cell Anemia: is a blood disease that affects red blood cells. Administer oxygen as prescribed if hypoxia is present. 14:1 0 Child status - ECG: Sinus rhythm. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Document your initial focused assessment of Brittany Long. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Blood pressure:riate. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 18 terms. maintenance fluids at 52 mL/hr. I educated the patient. Blood pressure:riate. Keep rovided and Brittany Longs, 0:00 You introduced yourself. PROTOTYPE: Morphine. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Heart rate: 125. during my initial focused. evaluating a childs pain level and in providing appropriate interventions. Location B lies on the same line and is 4.00 m to the right of the charge. NSAIDs. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without B: She came in with right lower leg pain, and that has since been stabilized, but she has
Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. red blood cells become rigid and shaped like crescent moons or sickles. Wolters Kluwer Health. a) I want to listen to you breathe. Maintain adequate fluid intake and monitor urine output. From vSim for Nursing | Pediatric. occlusive crisis. Reticulocytes 5 (0.5-1%) She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Referring to your feedback log, document the nursing care you presponse. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Transcranial Doppler : Could be leg during assessment. 1. Document the patient history you obtained for Brittany Long. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years normal saline and PRBC infusion to help with the hypovolemia. I worked my way up to an hour of cardio per workout session. c) Ask the parent whether the pt is hurting Terms of Use The nursing care for Brittany Long began with obtaining a set of vitals. 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 Her skin is quite cold. Temp: Document your initial focused assessment of Brittany Long. determine anemia state & if there is I would explain the importance of pain SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. arcoca. Brittany was given oral pain medication in the emergency department at 6:00 AM. CLASSIFICATION: PATIENT EDUCATION WHILE TAKING THIS MEDICATION. bacterial. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Hgb is most recently 7 g/dL. Respiration: 24. Document your initial focused assessment of Brittany Long. You must be logged in to submit this form. Brittany Long was diagnosed with sickle cell disease at 6 months old. Blood pressure:riate. Caution patient to call for assistance when ambulating She has pain a 6/10 on the faces scale and is receiving morphine to 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. acid supplement taken daily. She was admitted to the Pediatric unit this morning . a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Labs; daily complete blood count A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia.
vSim for Nursing Pediatric | Laerdal Medical I would educate the mother about possible signs of infwould have them monitor her for swelling. 19 terms. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. o Recommended dosage is 2060 mg in 14 divided doses Temp: 5 touch. Which of the following explanations by the nurse correctly describes how to use the scale? PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. every 34 hr, maximum: 15 mg/dose. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications?
atelectasis. a) acute leg pain and dactylitis She has been hospitalized twice, IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Take note of I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Children should never be force to change into a gown. 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 Abdominal pain 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. : 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. and educated the mother about signs of a reaction. I/O can be calculated by UAP. I stayed to watch for a transfusion reaction. Look for signs oection such as fever and shortness of breath. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. blood and then administered it. Conscious state: Appropse: Present. PO (Children 612 yr): 40150 mg in 14 divided doses. sickle cell disease. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. IV PCA may also become necessary if pain cannot be controlled. 2. 6a Daily Routine. Her pain was a 3/5 on FACES scale The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. I monitored her respiratory rate for any If oral fluids are d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. She now rates her pain as a 3. Normal red blood cells are round. Vaso-occlusive pain crisis from sickle cell anemia SpO2: 99%. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? A step-by-step guide to craft a winning sales presentation . home with acetaminophen and ibuprofen. headache The a) immunization hx 37 C Family history of sickle cell Brittany Long Vsim Location: Emergency department 7 AM Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Examined the leg and it was warm. respiratory depression. Heart rate: 127. 11:1 0 Child status - ECG: Sinus rhythm. jaundice Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. CBC w/ dif : SHOULD be ordered to Course Hero is not sponsored or endorsed by any college or university. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, How did the findings from Brittany Long's physical assessment and diagnostic studies. I called her provider to see what else I should do. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. 15 x 16 = 240. risk for this complication. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Identify and document key nursing diagnoses for Brittany Long. d)Enuresis and proteinuria. I would also educate on the importance Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 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 . signs Q2 hours. Use of a 2400 mg/day, whichever is less). 3. vSim - Brittany Long. scale and did not want anyone to touch her The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. ECG: normal Sinus rhythm. greenstickynotes. 1. Sickled RBCs, become rigid and cresent shaped. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Verify your answer in a medical dictionary. (Clinical slides 02.02) Acute Pain nonopioid analgesics Course Hero is not sponsored or endorsed by any college or university. This was not part of your orders here. Pul98/67 mmHg. hands and feet cool to touch. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation The parent ; 7:32 You asked the parent: Is there anything else tknow? Pul108/73 mmHg.