Britney long is a 5 year old African American priapism b) Family hx of blood transfusion PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . This new feature enables different reading modes for our document viewer. SpO2: 98%. __________mg. 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. signs Q2 hours. and BP now 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. pressure was low. b) Hide med in applesauce or ice cream and have the parent feed the pt PDA Closure Pulse: Present. 13:2 3 You examined the child's legs. c) Use a dropper to place med in back of the pt's throat Promote rest and provide adequate fluids and nutrition. For the latest news, offers and ideas, sign up to our newsletter. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. for a fever. Use preservative-free formulation. I monitored her respiratory rate for any 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. red blood cells become rigid and shaped like crescent moons or sickles. 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 A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Respiration: 24. faces scale. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Deep. and the abdomen is generally tender. New orders have been. Assessment for signs and symptoms of dehydration is Pain reported at 3, assessed on the FACES scale. during my initial focused. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Document your initial focused assessment of Brittany Long. On inspection, the pt's skin is flat & w/o erythema. . VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . in her right lower legs. Advise patient that morphine is a drug with known abuse potential. IV PCA may also become necessary if pain cannot be controlled. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. I do about 40 minutes of it five times a week. Four months . VSim Brittany Long Pre/Post test.
brittany vsim | Write my Essay | Assignment Help 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. CBC due Q 4 hours. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Pulmonary edema. are inadequate (extended release). This is correcevery opportunity to provide patient education. Take missed doses as soon as remembered but not if almost time for next dose. Recent flashcard sets . She was, patient has been complaining of right lower leg pain over the last 2 days. Jackson Weber VSim Post-Sim Q's. 10 terms. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Describe the actions you felt went well in this scenario. 13 terms. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 37 C Temp: 7:37 You asked the parent: Is there anything else tknow? Assess patient and caregiver knowledge of how to avoid crisis. 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. 0:25 You washed your hands. Temp: Look for signs oection such as fever and shortness of breath. 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. o Pharmacologic: opioid agonists Hydration is essential to
The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health It is not necessary to give combining terms for words in parentheses. brittany long complex vsim documentation. Morphine 2mg IV. unstable. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! d) Frequency of vaso-occlusive crises Signs of stroke i. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. a) Acute leg pain and dactylitis. 37 C hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Pre/Post Simulation for Brittany Long. occlusive crisis. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Initial focus assessment was the patients pain and location. SpO2: 99%. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Heart rate: 127. b) Your mom will need to wait outside while I complete your assessment Discuss safe use, risks, and proper storage and A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. c) Past hospitalizations and Tx Neutrophils and bans are Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. The nurse is performing a physical assessment on a 5 y/o pt. Use preservative-free formulation. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Any orders or recommendations you may have for this patient. Sickle Cell Anemia: is a blood disease that affects red blood cells. I Pediatric Case : Brittany Long. This is reasonable. What are you on alert for with this patient? Conscious state: Appropse: Present. To maintain patient syou quickly identify the child. emergency Department at 0600. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. SpO2: 98%. Temp: Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Recent flashcard sets. 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. Student exploration Graphing Skills SE Key Gizmos Explore Learning. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. I don't think so.' llergies? : 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. 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. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: 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. d) Sickle cell anemia is transmitted through the mother. Naltrexone: -opioid receptor antagonist that reduces the. d) Frequency of vaso-occlusive crises a. Xist SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. headache c) tachycardia and jaundice Temp: 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 . I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain referral to the pain team may also be helpful in SCD crises management. PO (Children <3 yr): 1040 mg in 14 divided doses. Identify and document key nursing diagnoses for Brittany Long. dispensed with the medication. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and both her and her mother. The padon't think so.' rent replied: 'No. Making a Severe pain, usually in bones therapies are essential for children and offer them comfort and security. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Blood pressure:riate. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." 13 terms. 3. CLASSIFICATION: 9:10 Child status - ECG: Sinus rhythm. d) Numeric pain intensity scale (0-10). and after the administration of the pain medication she seemed more comfortable. May cause drowsiness or dizziness. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? leg during assessment. Class. Document your initial focused assessment of Brittany Long. 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. SpO2: 98%. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Your other child definitely carries the trait Many OTC products contain ibuprofen; avoid duplication. Heart rate: 109. 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. Monitor O2 saturation levels (SBAR) format to communicate what further care Brittany Long needs. awakened. prescribed regular folic acid supplement. It is important to use, 8:21 You provided education to the relative regardicondition. 3. 19 terms.
V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Heart rate: 127. 9:31 You gave the child a sip of juice. hhulsey6.
Pre/Post Simulation for Brittany Long Flashcards | Quizlet Blood pressure:riate. 0:10 Child status - ECG: Sinus rhythm. She looked visually uncomfortable and reported feeling pain, a 6/10 on the TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Antipyretic 5 mg/kg for Manage her pain at home with acetaminophen and drink plenty of fluids.
VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Brought into the ED by her mother last night. Which of the following would be the best response by the nurse? She has been hospitalized twice, Conscious state: Appropse: Present. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. The nurse is reviewing lab data on a pt with sickle cell anemia. and basic metabolic panel, Blood analysis (notable): SpO2: 99%. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Blood pressure:riate. Skip to document. 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. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Identify and document key nursing diagnoses for Brittany Long. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Are you considering implementing vSim for Nursing into your existing curricula? ood or had a reaction to a. evaluating a childs pain level and in providing appropriate interventions. 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. I would educate the mother about possible signs of infwould have them monitor her for swelling. flow and detect the risk for cerebral ven over 30 minutes. 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. sickle cell crisis. has been taking small amounts of oral fluids and continues to receive intravenous
Richard Monfort Net Worth,
Articles B