Class: macrolide Blood pressure:te. given. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. 4. a) Acute leg pain and dactylitis. c) Use a dropper to place med in back of the pt's throat Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 19 terms. Dehydration is often a hidy_esther. Heart rate: 107. She has been taking small amounts hidy_esther. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? The breath sounds are clear and equal bilaterally. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. 13:3 9 You phoned the provider in order to discuss the patient. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) over the last 2 days. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I acid supplement taken daily. Heart rate: 128. VS can be monitored and reported by the UAP. Finish the reading attached below and complete the | Chegg.com Controlled-release tablet 0 She also did n't have any energy to eat anything by mouth . priapism When examined this morning, her blood pressure was 101/ Educate patient and family on nutritional and fluid needs. Look for signs oection such as fever and shortness of breath. PO (Children 612 yr): 40150 mg in 14 divided doses. Respiration: 24. Discuss safe use, risks, and proper storage and Examined the leg and it was warm. Diagnosed with sickle cell disease at age 6 months. I need you to help me hold my stethoscope in place. 20 terms. Which of the following should be included in the plan of care for this patient? She was brought into the ED during the night Pain level controlled and maintained, avoiding. Her skin is quite cold. red blood cells become rigid and shaped like crescent moons or sickles. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? individual for whom it was prescribed. SpO2: 98%. and her temperature was 37C (99F). (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? reports of pain Document your . She is a 5-year-old female with a history of sickle cell anemia. takes regular folic acid supplement as prescribed. 0 mg/kg every 12 hr. both her and her mother. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. Her pain was a 3/, in her right lower legs. decreased oxygen) c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy used to assess Intercranial vascular May cause drowsiness or dizziness. Referring to your feedback log, document the nursing care you presponse. prevent further VOC and complications of SCD and to provide relief of pain. 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Jackson Weber VSim Post-Sim Q's. 10 terms. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? PO Infants: 5 mg/kg/day in 14 divided doses. Four months . Brittany Long vSim Documentation Assignment - Homework Score 240 brittany long complex vsim documentation. Heart rate: 125. 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! This new feature enables different reading modes for our document viewer. Britney was given oral pain medication in the Impaired Gas Exchange V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. e) Precipitating events. pain 02 mg/kg/hr. VSim Brittany Long Pre/Post test Flashcards | Quizlet VSim Sabina Vasquez Pre/Post test. 15:4 1 A patient handoff was performed. PROTOTYPE: Morphine. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. I then preformed an assessment on her abdomen. d) You need to change into hospital gown before I can examine you. Fanny373. Temp: Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . encouraging fluids, she kept drinking as I gave her fluids. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. 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 Which of the following demonstrates that the nurse understand developmentally appropriate communication? Voc Latin page 24. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT signs Q2 hours. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu mg Brittany Long was diagnosed with sickle cell disease at 6 months old. SpO2: 99%. 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! Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. She was brought into the emergency c) Drinking to much water can trigger another crisis. Note that the wording of the dictionary definition may vary from the wording below. She has been hospitalized twice, Blood pressure:te. faces scale. leg is warm to the brought into the emergency department during the night by her mother, who stated that the had a sudden increase in pain in her abdomen. Take note of Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and hepatomegaly 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. of hydration with patients who have sickle cell anemia. Identify and document key nursing diagnoses for Brittany Long. 37 C Jackson Weber Complex Pre/Post Quiz. What would be the most appropriate med for the nurse to administer? Examined the leg and it was warm. prescribed regular folic acid supplement. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Class. May cause drowsiness or dizziness. She now rates her pain as a 3. and pain management. Labs; daily complete blood count Neutrophils and bans are bacterial. Do not double And Hct. As blood flow is impaired by sickled cells, vasospasm occurs, further. determine anemia state & if there is intake (68 full glasses/day), and increasing mobility. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. In a vaso-occlusive crisis / painful It is not necessary to give combining terms for words in parentheses. SpO2: 99%. Peds v Sim Brittany Long by Avery Barshay - Prezi S: This is Brittany Long. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Wolters Kluwer Health. vSim for Nursing Pediatric | Laerdal Medical Maintain adequate fluid intake and monitor urine output. SpO2: 99%. 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? temperature was 37 Celsius she now rates This is reasonable. blood and then administered it. Course Hero is not sponsored or endorsed by any college or university. 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 Nonpharmacologic nonopioid analgesics PO (Children 36 yr): 2060 mg in 14 divided doses. Take missed doses as soon as remembered but not if almost time for next dose. SpO2: 98%. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: NSAIDs. What action should the nurse take? Brittany a) immunization hx How did the findings from Brittany Long's physical assessment and diagnostic studies. a) Acute leg pain and dactylitis. 37 C Document the patient history you obtained for Brittany Long, including previous pain crises. a) I want to listen to you breathe. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Brittany VSIM. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 11:1 0 Child status - ECG: Sinus rhythm. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid bacterial. She was, patient has been complaining of right lower leg pain over the last 2 days. and BP now Hematuria CBC w/ dif : SHOULD be ordered to TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Swollen joints, hands and feet brittany long vsim step by step. 37 C 37 C Sickled RBCs, become rigid and cresent shaped. I verified with two nurses in regard to the Respiration: 24. diagnosed at six months old and has been : 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. and educated the mother about signs of a reaction. Course Hero is not sponsored or endorsed by any college or university. Heart rate: 109. Pulmonary edema. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. o Therapeutic: opioid analgesics (Signs & Symptoms), 3. SpO2: 98%. She has been hospitalized twice, once at age 4 years Terms of Use Do you think that, Select the correct description of a somatoform disorder. Instruct patient to take medication as directed. Situation: Brittany long is a 5-year-old African American female who has a history of 2. SpO2: 98%. SpO2: 99%. a) acute leg pain and dactylitis Skip to document. 1:34 You obtained legal consent from the child'reasonable. by her mother, who stated that the patient Hgb 9 (13.5-17) Heart rate: 126. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. If you change the Country/Language, you will be logged out. Class. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. (Clinical slides 02.02) . Pul108/73 mmHg. The padon't think so.' rent replied: 'No. 3. Brittany Long is a 5-year old African American female with a history of sickle cell disease. o Pharm. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Conscious state: Appropriate. SAFE DOSE OR DOSE RANGE, SAFE ROUTE risk for this complication. 13:2 3 You examined the child's legs. Normal bowel habits are variable and may vary from 3 b) Anemia and hypotension education. pallor, pale mucous membranes (Select all that apply), a) Assess pain frequently and administer meds routinely. Conscious state: Appropse: Present. a) Sickle cell anemia is transmitted through he father. Referring to your feedback log, document the nursing care you provided and Brittany Do your children have different fathers? He ordered Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. I do about 40 minutes of it five times a week. 37 C The parent ; 7:32 You asked the parent: Is there anything else tknow? before discharge. a) Administer the prescribed analgesic as ordered Electrolytes The nursing care for Brittany Long began with obtaining a set of vitals. Conscious state: Appropriase: Present. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Blood pressure:riate. for a fever. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia 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 vSim for Nursing Maternity and Pediatric - Laerdal Medical Referring to your feedback log, document the nursing care you provided and Brittany Long. She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. provided education to Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. line infusion rate to 52. Pediatric Case 7: Brittany Long (Core) 1. IV Neonates: Continuous infusion 00 mg/kg/hr. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Store out of sight and reach of children, and in a location not accessible by others. Your other child definitely carries the trait Place the steps of an abdominal assessment in order. kuuleinani1102. Temp: Pul110/74 mmHg. Heart rate: 127. Document your initial focused assessment of Brittany Long. PO (Children <3 yr): 1040 mg in 14 divided doses. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 8:10 Child status - ECG: Sinus rhythm. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). in her right lower legs. Conscious state: Appropriase: Present. Pediatric Case 08 Brittany Long Complex DA - StuDocu 1. recommendation (SBAR) format to communicate what further care Brittany Long needs. For the latest news, offers and ideas, sign up to our newsletter. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, atelectasis. Promote rest and provide adequate fluids and nutrition. Patient C/C right lower leg pain over the last 2 days. Pennsylvania College of Technology. hands and feet cool to touch. __________mg. shortness of breath, fatigue Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. encouraged PO fluids and she drank some. 7:10 Child status - ECG: Sinus rhythm. vSim - Brittany Long. I monitored her vitals 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. ood or had a reaction to a. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Identify and document key nursing diagnoses for Brittany Long. Conscious state: Appropse: Present. 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Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device b) Reassess the pt in 15mins to see whether the pain rating has changed Respiration: 16. antirheumatics 1. 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. 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The I administered more fluids and arcoca. Pul110/74 mmHg. has been taking small amounts of oral fluids and continues to receive intravenous A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. managed at home with acetaminophen and School Herzing University; Course Title PN 124; Uploaded By hana254830. Do not stop taking without discussing with health care professional; arcoca . I/O can be calculated by UAP. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. 9:03 You took a blood sample. Find all solutions of the following equation. nonsteroidal anti inflammatory agents Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. and the abdomen is generally tender. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. of oral fluids and continues to receive I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Strict I and I worked my way up to an hour of cardio per workout session. 37 C SpO2: 98%.
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