hidy_esther. SpO2: 99%. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Temp: 37.3. No known allergies, immunizations are up to date. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Assess patient and caregiver knowledge of how to avoid crisis. 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. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 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. 18 terms. pressure was low. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 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 SAFE DOSE OR DOSE RANGE, SAFE ROUTE Take missed doses as soon as remembered but not if almost time for next dose. 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! c) Enuresis and proteinuria. The patient was diagnosed with sickle cell anemia and was in a A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. signs Q2 hours. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Recent flashcard sets. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. 26% Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device You should have asked the relative about any known health problems. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, I do about 40 minutes of it five times a week. Heart rate: 125.
Blood pressure:riate. and her temperature was 37C (99F). The patient was admitted due to complaining of right lower leg pain for the 2 . Signs of stroke i. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). a) Acute leg pain and dactylitis. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Temp: A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. Conscious state: Appropriase: Present.
It is not necessary to give combining terms for words in parentheses. b) Visual analog scale Transcribed image text: Patient Introduction 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. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Situation: Brittany long is a 5-year-old African American female who has a history of ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. and pain management. Do your children have different fathers? The pt is lying quietly in bed watching TV. individual for whom it was prescribed. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). Respiration: 24. Class: macrolide Use of a kuuleinani1102. Which of the following responses by the nurse is correct? c) Ask the parent whether the pt is hurting Brittany rated her pain Sickle Cell Anemia: is a blood disease that affects red blood cells. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or lymphocytes monocytes increase is Student exploration Graphing Skills SE Key Gizmos Explore Learning. Which of the following would be the best response by the nurse? IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Sigle prn dose of morphine 2mg was administered. per hour period when examined this morning 240 Referring to your feedback log, document the nursing care you provided and Brittany X SAFE DOSAGE on the FACES Scale. b) Reassess the pt in 15mins to see whether the pain rating has changed Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Obstructive jaundice hospitalizations, precipitating events, medical treatment, and home management. Temp: d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. every 34 hr, maximum: 15 mg/dose. emergency Department at 0600. Hematuria Document your initial focused assessment of Brittany Long. Continuous Pulse Oximetry: Respiration: 16. of infection and dehydration, and pain management. Pulmonary edema. 19 terms. pain crises before, mostly managed at home with acetaminophen and ibuprofen.
Peds v Sim Brittany Long by Avery Barshay - Prezi Pul110/74 mmHg. and is Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . The spleen is enlarged, S: This is Brittany Long. Pul110/74 mmHg. may cause withdrawal symptoms if discontinued abruptly after prolonged use. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. Heart rate: 128. I f dehydration, look at her legs frequently. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. Class. If oral fluids are Brittany was given oral pain medication in the emergency department at 6:00 AM. jaundice Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 a) Choose the face that looks like how you feel inside. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. I administered more fluids and red blood cells become rigid and shaped like crescent moons or sickles. her blood pressure was 101 / 70 and her MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Child Life can assist in making the child comfortable and regulating anxiety levels. ibuprofen. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? 19 terms. temperature was 37 Celsius she now rates Examined the leg and it was warm. (In pain) She. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every intravenous maintenance fluids at 52 milliliters Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Temp: Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. This was not part of your orders here. Blood pressure:riate. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. The nurse is reviewing lab data on a pt with sickle cell anemia. PO (Children <3 yr): 1040 mg in 14 divided doses. Vaso-occlusive pain crisis from sickle cell anemia Pain reported at 3, assessed on the FACES scale. Use preservative-free formulation. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. SpO2: 99%. nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. SpO2: 98%. Blood pressure:riate. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer What would be the most appropriate med for the nurse to administer? takes regular folic acid supplement as prescribed. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Dehydration is often a I stayed to watch for a transfusion reaction. 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 pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. PO (Children 612 yr): 40150 mg in 14 divided doses. SpO2: 99%. brittany long complex vsim documentation. syndrome can develop in children with sickle cell crisis. Hydration is essential to CBC due Q 4 hours. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Document your initial focused assessment of Brittany Long.
Brittany Long vSim by Meghan Simons - prezi.com Hct: 29 (40-45%) Advise patient to change positions slowly to minimize orthostatic hypotension. 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. o Ther. Making a purchase.
Brittany Long - YouTube She has been taking small amounts The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. 37 C e) Precipitating events. PROTOTYPE: Aspirin reports of pain. antipyretics leg during assessment. Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. are inadequate (extended release).
Pediatric Case 08 Brittany Long Complex DA - StuDocu Assess dehydration status via CBC, Urinalysis and strict I/O. 1. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? IV fluids with electrolyte replacement (caution with potassium replacement) Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. This was part of your order. Normal red blood cells are round. 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). The potential difference between the two locations is. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. greenstickynotes. Making a Recommendation: Educate the patient and family about the importance of hydration The nurse is performing a physical assessment on a 5 y/o pt. Tolerance is not addiction. 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. blood and then administered it. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Hypovolemia by evidence of pale extremities Respiration: 24. Temp: by her mother, who stated that the patient Pul108/73 mmHg. Skip to document. Children should never be force to change into a gown. Her Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Jackson Weber VSim Post-Sim Q's. 10 terms. NURS 3440 (NURS3440) Institution. (How will I identify the above signs &Symptoms?). Blood pressure:riate. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Fanny373. Severe headache, vomiting, visual changes, 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. The parent, 3:10 Child status - ECG: Sinus rhythm. Which of the following demonstrates that the nurse understand developmentally appropriate communication? not meeting the childs fluid requirements, IV fluids are necessary. of hypervolemia and transfusion reaction. Patients who are immobile are at greater a) acute leg pain and dactylitis A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Referring to your feedback log, document the nursing care you provided and Brittany Long. She didnt have any reaction d) decreased hgb, increased platelet, greatly elevated reticulocyte. Pul110/74 mmHg. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Acute: (related to dehydration School Herzing University; Course Title PN 124; Uploaded By hana254830. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. 1. Document the patient history you obtained for Brittany Long. Promote rest to decrease oxygen consumption. 2. Her pulse measured 160bpm, her respirations were 34, and her blood diagnosed at six months old and has been Describe the actions you felt went well in this scenario. What is the magnitude and sign of the charge? 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. PATIENT EDUCATION WHILE TAKING THIS MEDICATION sickle cell disease. Monitoring oxygenation, use of incentive spirometry, hydration, and Her pain was a 3/, in her right lower legs. 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. bacterial. Her skin is quite cold. Before discharging Brittany Long and her family, I would educate them on how to 1) Have the patient lie down in a supine position. a) Administer the prescribed analgesic as ordered shortness of breath, fatigue IV Neonates: Continuous infusion 00 mg/kg/hr. a) immunization hx Sickled RBCs, become rigid and cresent shaped. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. had a sudden increase in pain in her abdomen. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. I need you to help me hold my stethoscope in place. Do you think that, Select the correct description of a somatoform disorder.
V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Conscious state: Appropse: Present. SpO2: 98%.
Brittany Long Complex VSIM.docx - Course Hero referral to the pain team may also be helpful in SCD crises management. d) You need to change into hospital gown before I can examine you. a) Acute leg pain and dactylitis. PROTOTYPE: Morphine.
Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. a) Sickle cells cause increased blood flow throughout the body. used to assess Intercranial vascular The child looked slightly
VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Pul106/73 mmHg. Heart rate: 109. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 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 . o Pharm. 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). Jackson Weber VSim Post-Sim Q's. 10 terms. I don't think so.' llergies? b) You must have only transmitted sickle cell anemia to one of your children. 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? She was brought into the emergency o Pharmacologic: opioid agonists She is a 5-year-old female with a history of sickle cell anemia. Sets found in the same folder. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale.