occlusive crisis. I 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. Monitoring oxygenation, use of incentive spirometry, hydration, and Conscious state: Appropse: Present. rovided and Brittany Longs, 0:00 You introduced yourself. . (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. And Hct. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Situation: Brittany long is a 5-year-old African American female who has a history of c) tachycardia and jaundice Blood pressure:te. Temp: A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. (Signs & Symptoms), awakened. c) Enuresis and proteinuria. spleen, leading to anemia. 34 hr initially. 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! o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Antipyretic 5 mg/kg for I need you to help me hold my stethoscope in place. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. 240 Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 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. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth pallor, pale mucous membranes 1 CHE101 - Summary Chemistry: The Central Science, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Lesson 17 Types of Lava and the Features They Form, 1010 - Summary Worlds Together Worlds Apart, Lessons from Antiquity Activities US Government, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, SCS 200 Applied Social Sciences Module 1 Short Answers, Greek god program by alex eubank pdf free, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1-2 Module One Activity Project topic exploration, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 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, Nursing Care of the Childbearing Family (NURS 125), Closely observe for manifestations of crisis and infection. Identify and document key nursing diagnoses for Brittany Long. 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. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Heart rate: 126. 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. individual for whom it was prescribed. vSim - Brittany Long. 26% a) immunization hx black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. nonsteroidal anti inflammatory agents Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Background: Brittany Long has a history of sickle cell anemia being treated with a folic assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. NURS 3440 (NURS3440) Institution. IV fluids with electrolyte replacement (caution with potassium replacement) Terms of Use 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 per hour period when examined this morning 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. The nurse is performing a physical assessment on a 5 y/o pt. Brittany was given oral pain medication in the emergency department at 6:00 AM. Examined the leg and it was warm. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Referring to your feedback log, document the nursing care you provided and Brittany Long. Identify and document key nursing diagnoses for Brittany Long. atelectasis. VSim Brittany Long Pre/Post test Flashcards | Quizlet a. Xist had a sudden increase in pain in her abdomen. 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). A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. greenstickynotes. are inadequate (extended release). c) Past hospitalizations and Tx Do not stop taking without discussing with health care professional; I Naltrexone: -opioid receptor antagonist that reduces the. Which of the following would be the best response by the nurse? 7:37 You asked the parent: Is there anything else tknow? d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." IV PCA may also become necessary if pain cannot be controlled. of oral fluids and continues to receive maintenance fluids at 52 mL/hr. School Herzing University; Course Title PN 124; Uploaded By hana254830. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 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 I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? SAFE DOSE OR DOSE RANGE, SAFE ROUTE slurred speech, What Assessments will focus on for this patient? Blood pressure:riate. prevention of infection and dehydration, and pain management. Take missed doses as soon as remembered but not if almost time for next dose. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Creatinine: 0 (0.8-1). Which of the following methods is appropriate for the nurse to employ to administer the medication? 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Blood pressure:riate. 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. 0:10 Child status - ECG: Sinus rhythm. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Conscious state: Appropse: Present. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. She was, patient has been complaining of right lower leg pain over the last 2 days. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Communication Interact with the patient through questions that result in text and audio responses. antirheumatics Conscious state: Appropriase: Present. vSim - Brittany Long. hhulsey6. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 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 . Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. 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 breath sounds are clear and equal bilaterally. I educated the patient. VBVA=45.0V. The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health 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. Respiration: 24. Temp: her pain as a three. Ineffective Tissue Perfusion Temp: Sickled RBCs, become rigid and cresent shaped. b) Hide med in applesauce or ice cream and have the parent feed the pt intravenous maintenance fluids at 52 milliliters Visual disturbances. The pt is lying quietly in bed watching TV. Pediatric Case 08 Brittany Long Complex DA - StuDocu SpO2: 99%. once at age 4 years for vaso-occlusive crisis a) call the provider and request an order for a med for the itching as needed. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Examined the leg and it was warm. Pul110/74 mmHg. a) I want to listen to you breathe. intake (68 full glasses/day), and increasing mobility. Blood pressure:riate. signs Q2 hours. Monitor her 02 sat and keep above 94%. 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! She has gained 3 pounds since prenatal visit 1 week ago. Acute Pain There is tenting sign of the skin. CLASSIFICATION: 7:10 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? c) FACES scale Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Deep. blood and then administered it. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. used to assess Intercranial vascular 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. 1. The patient was diagnosed with sickle cell anemia and was in a Respiration: 24. Respiration: 24. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: CLASSIFICATION: Pediatric Case 07 Brittany Long Core DA rev - StuDocu e) Precipitating events Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 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. She now rates her pain as a 3. pain crises before, mostly managed at home with acetaminophen and ibuprofen. PROTOTYPE: Morphine. hidy_esther. This was part of your order. (Clinical slides 02.02) I have a weekly show-- Ease Into . a) Place med in an oral syringe and allow the pt to squirt into his or her mouth o Therapeutic: opioid analgesics vSim for Nursing Pediatric | Laerdal Medical She looked visually uncomfortable and reported feeling pain, a 6/10 on the provided education to 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. 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. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Acute chest Assess dehydration status via CBC, Urinalysis and strict I/O. Class. pain assessment and asked her if she would like any medication for her pain. Conscious state: Appropriate. I f dehydration, look at her legs frequently. 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.
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