Instruct patient how and when to ask for pain medication. Blood pressure:riate. o Pharm. Her skin is quite cold. Promote rest to decrease oxygen consumption. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. PO (Children 612 yr): 40150 mg in 14 divided doses. The increased blood flow through the blood vessels causes tour child to have severe pain She looked visually uncomfortable and reported feeling pain, a 6/10 on the Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Instruct patient to take medication as directed. 15 x 16 = 240. Educate patient and family on nutritional and fluid needs. In people with sickle cell 15:4 1 A patient handoff was performed. 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 developmentally appropriate pain scale and assessment of pain behaviors are essential in SpO2: 97%. Respiration: 24. She also did n't have any energy to eat anything by mouth . 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. doses. IV fluids with electrolyte replacement (caution with potassium replacement) c) I am going to take your temp. I monitored her respiratory rate for any, respiratory depression. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She was brought into the ED during the night She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 37 C Obstructive jaundice not meeting the childs fluid requirements, IV fluids are necessary. a) I want to listen to you breathe. I/O can be calculated by UAP. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. DramaQueen66. : 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. faces scale. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. I assessed her IV, asked for name and date of birth, and sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. vSim for Nursing Maternity and Pediatric - Laerdal Medical vSim - Brittany Long Flashcards | Quizlet o Recommended dosage is 2060 mg in 14 divided doses Referring to your feedback log, document the nursing care you provided and Brittany Long. a. Xist B: She came in with right lower leg pain, and that has since been stabilized, but she has To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Finish the reading attached below and complete the | Chegg.com 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. This is reasonable. Heart rate: 125. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth She has Which of the following explanations by the nurse correctly describes how to use the scale? Reduction of fever. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. intake (68 full glasses/day), and increasing mobility. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. The pt is lying quietly in bed watching TV. atelectasis. 15:1 0 Child status - ECG: Sinus rhythm. leg during assessment. 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). 8:10 Child status - ECG: Sinus rhythm. I stayed to watch for a transfusion reaction. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. 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. The nursing care for Brittany Long began with obtaining a set of vitals. Which of the following would be the best scale to use w/ this pt? splenomegaly Visual analog and numeric scales are for use with its over 7/8 years of age. Pre/Post Simulation for Brittany Long Flashcards | Quizlet per hour period when examined this morning 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? You should have asked the relative about any known health problems. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . SpO2: 99%. ven over 30 minutes. How did the simulated experience of Brittany Long's case make you feel? 37 C Timely pain management. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Monitor O2 saturation levels lymphocytes monocytes increase is PRBCS. a) Acute leg pain and dactylitis. on the FACES Scale. Respiration: 24. Morphine 2mg IV. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Pul109/74 mmHg. CBC w/ dif : SHOULD be ordered to 8:13 You provided patient education. over the last 2 days. managed at home with acetaminophen and Impaired Gas Exchange c) FACES scale When examined this morning, her blood pressure was 101/ Normal red blood cells are round. Her pain was a 3/, in her right lower legs. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. 20 terms. brittany vsim | Write my Essay | Assignment Help Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. (SBAR) format to communicate what further care Brittany Long needs. Child Life can assist in making the child comfortable and regulating anxiety levels. IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I 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 . 6a Daily Routine. nonopioid analgesics red blood cells become rigid and shaped like crescent moons or sickles. and basic metabolic panel, Blood analysis (notable): Temp: Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Morphine 2mg IV given as PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Brittany Long vSim by Meghan Simons - prezi.com Vital VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia The parent replied: 'No. Jackson Weber VSim Post-Sim Q's. 10 terms. Pul110/74 mmHg. Britney long is a 5 year old African American Heart rate: 127. Heart rate: 109. vSim for Nursing allows each student to have a different experience with the patient. slurred speech, What Assessments will focus on for this patient? MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Look for signs oection such as fever and shortness of breath. Temp: ood or had a reaction to a. Respiration: 24. 26% d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. greenstickynotes. 11:1 0 Child status - ECG: Sinus rhythm. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. d) You need to change into hospital gown before I can examine you. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. hidy_esther. Which of the following explanations b the nurse is correct? b) Tachycardia and jaundice. 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May cause drowsiness or dizziness. anemia or sickle cell trait She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Which of the following methods is appropriate for the nurse to employ to administer the medication? NS and PRBCs. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. hands and feet cool to touch. (Signs & Symptoms), awakened. Upto date with . 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. Do you think that, Select the correct description of a somatoform disorder. I The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. and levels of neutrophils, changes in Heart rate: 127. Would you like to proceed ? I would explain the importance of pain IV PCA may also become necessary if pain cannot be controlled. Recent flashcard sets. Four months . Hypertension and tachycardia are often associated with acute pain. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. determine anemia state & if there is Document your initial focused assessment of Brittany Long. 2. Manage her pain at home with acetaminophen and drink plenty of fluids. 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? Blood pressure:riate. bacterial. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). 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. Document the patient teaching that you would provide for Brittany Long and her family a) immunization hx The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health 19 terms. pressure was low. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Brittany Long - YouTube I administered more fluids and She has been taking small amounts consulting health care professional. Any orders or recommendations you may have for this patient. Ineffective Tissue Perfusion 10:1 0 Child status - ECG: Sinus rhythm. (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? vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. She is asleep but is responsive when 19 terms. Place the steps of an abdominal assessment in order. Pediatric OTC Dosing Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without I also started incorporating more strength training into my gym routine. Transcranial Doppler : Could be SpO2: 98%. Blood pressure:riate. 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). Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Examined the leg and it was warm. 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. shortness of breath, fatigue (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE pain assessment and asked her if she would like any medication for her pain. She is on D5NS fluids at 52 mL/hr. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? The child looked slightly a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Neutrophils and bans are Your other child definitely carries the trait Recent flashcard sets . Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. a) Sickle cells cause increased blood flow throughout the body. of oral fluids and continues to receive Pain level controlled and maintained, avoiding. On inspection, the pt's skin is flat & w/o erythema. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Advise patient to change positions slowly to minimize orthostatic hypotension. Pul108/73 mmHg. Heart rate: 127. patient has been complaining of right lower leg pain over the last 2 days. in her right lower legs. of infection and dehydration, and pain management. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Conscious state: Appropriase: Present. Neutrophils and bans are bacterial. Conscious state: Appropse: Present. a left (bacterial) or right shift (viral) Administer oxygen as prescribed if hypoxia is present. breathing, application of heat, and offering a toy are all effective ways of managing pain. Blood pressure:riate. $16.49 Add to cart . Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." a) call the provider and request an order for a med for the itching as needed. Document your initial focused assessment of Brittany Long. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Maintain adequate fluid intake and monitor urine output. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. 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 Caution patient to call for assistance when ambulating The nurse is reviewing lab data on a pt with sickle cell anemia. PROTOTYPE: Aspirin a) FLACC scale b) Anemia and hypotension She is a 5-year-old female with a history of sickle cell anemia. Her Conscious state: Appropse: Present. prescribed regular folic acid supplement. Identify and document key nursing diagnoses for Brittany Long. Acute Pain normal saline and PRBC infusion to help with the hypovolemia. 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? Hgb is most recently 7 g/dL. nonsteroidal anti inflammatory agents c) Enuresis and proteinuria. Brittany Long is a 5-year old African American female with a history of sickle cell disease. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. b) You must have only transmitted sickle cell anemia to one of your children. d) Numeric pain intensity scale (0-10). 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. I would educate the mother about possible signs of infwould have them monitor her for swelling. Conscious state: Appropse: Present. I educated the pati, 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! Store out of sight and reach of children, and in a location not accessible by others. Temp: Electrolytes In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. . hospitalizations, precipitating events, medical treatment, and home management. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h As blood flow is impaired by sickled cells, vasospasm occurs, further. Do not double Respiration: 24. 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. Use preservative-free formulation. She has not had an appetite in the last 24 SpO2: 99%. During my initial focused assessment of Brittany Long I found that her vital signs were given. Brittany VSIM. 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! Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Situation: Brittany long is a 5-year-old African American female who has a history of The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. Signs of stroke i. times/day to 3 times/wk. 0 mg/kg every 12 hr. 7:10 Child status - ECG: Sinus rhythm. Pediatric Case : Brittany Long. Sickle Cell Anemia: is a blood disease that affects red blood cells. Vaso-occlusive pain crisis from sickle cell anemia during my initial focused. Deep. If oral fluids are Visual disturbances. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent
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