SpO2: 98%. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth She has been taking small amounts 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 To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Acute: (related to dehydration Sickled RBCs, become rigid and cresent shaped. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. a) Sickle cell anemia is transmitted through he father. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. If you change the Country/Language, you will be logged out. per hour period when examined this morning vSim - Brittany Long. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . Blood pressure:riate. Caution patient to call for assistance when ambulating Bp is trending low, she has normal saline running at 320 ml/hr and has recently Hence, his ministry is inclusive and hope-bearing. 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. 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 Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without During my initial focused assessment of Brittany Long I found that her vital signs were Referring to your feedback log, document the nursing care you presponse. referral to the pain team may also be helpful in SCD crises management. 15:4 1 A patient handoff was performed. I monitored her respiratory rate for any, respiratory depression. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Do not stop taking without discussing with health care professional; Document your initial focused assessment of Brittany Long. 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! Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy A step-by-step guide to craft a winning sales presentation . 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I 3. 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 . a left (bacterial) or right shift (viral) given. Observe for manifestations headache Respiration: 24. Blood pressure:riate. You don't have to be crying to be hurting a lot. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Reduction of fever. SpO2: 99%. 7:11 You asked the parent: Has she been travelling recently? Severe headache, vomiting, visual changes, A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. And Hct. brittany long complex vsim documentation. sickle cell disease. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. prevent further VOC and complications of SCD and to provide relief of pain. PATIENT EDUCATION WHILE TAKING THIS MEDICATION PDA Closure Course Hero is not sponsored or endorsed by any college or university. fluids. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. 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. Fanny373. I then preformed an assessment on her abdomen. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. times/day to 3 times/wk. 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. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Advise patient not to take docusate within 2 hr of other laxatives. No known allergies, immunizations are up to date. d) You need to change into hospital gown before I can examine you.
Brittany Long Core- vSim.docx - Brittany Long Pediatric 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 Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I have a weekly show-- Ease Into . A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. The child looked slightly Continuous Pulse Oximetry: Blood pressure:riate. spleen, leading to anemia. 8:10 Child status - ECG: Sinus rhythm. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. 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 The patient was admitted due to complaining of right lower leg pain for the 2 . Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. a) Acute leg pain and dactylitis. of right lower leg pain over the last 2 days. b) Visual analog scale Sigle prn dose of morphine 2mg was administered. Jackson Weber VSim Post-Sim Q's. 10 terms. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family SpO2: 98%. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. anemia or sickle cell trait Which of the following methods is appropriate for the nurse to employ to administer the medication? Visual disturbances. pallor, pale mucous membranes regular heart sounds without murmurs. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Monitor her pain levels. B: She came in with right lower leg pain, and that has since been stabilized, but she has
vSim for Nursing Maternity and Pediatric - Laerdal Medical Pediatric Case : Brittany Long. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Advise patient that morphine is a drug with known abuse potential. a) I want to listen to you breathe. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Respiration: 24. unstable. occlusive crisis. Document your initial focused assessment of Brittany Long. pain, shortness of breath, weakness, slurring of speech) occurs. Keep Conscious state: Appropse: Present. a) acute leg pain and dactylitis Which of the following responses by the nurse is correct? Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 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? administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Decreased pain and inflammation. b) Family hx of blood transfusion SpO2: 98%. The parent, 3:10 Child status - ECG: Sinus rhythm. 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. . The safe dosage range for children is 10 to 15 mg/kg/dose. a) Sickle cells cause increased blood flow throughout the body. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Brittany was given oral pain medication in the emergency department at 6:00 AM. Temp: 5 touch. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . temperature was 37 Celsius she now rates Wolters Kluwer Health. You should have asked the relative about any known health problems. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). PO (Children 23 yr/2435 lb): 100 mg every 68 hr. For the latest news, offers and ideas, sign up to our newsletter. 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. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Pediatric OTC Dosing (Signs & Symptoms), awakened. What is the magnitude and sign of the charge? Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. He ordered CBC w/ dif : SHOULD be ordered to e) Precipitating events. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. both her and her mother. Neutrophils and bans are Which of the following would be the best response by the nurse? IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. o Therapeutic: opioid analgesics Take note of PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Hgb 9 (13.5-17) recommendation (SBAR) format to communicate what further care Brittany Long needs. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. vSim - Brittany Long. Conscious state: Appropse: Present.
vSim - Brittany Long Flashcards | Quizlet a) acute leg pain and dactylitis 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. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Heart rate: 128. 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). I don't thhat you think we should ink so.' 7:47 You offered the child a toy. The nurse is assessing for which of the following complications of vast-occlusive crisis? 4. Identify and document key nursing diagnoses for Brittany Long.
brittany vsim | Write my Essay | Assignment Help She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. I f dehydration, look at her legs frequently. She has S: This is Brittany Long. vSim for Nursing allows each student to have a different experience with the patient. c) Ask the parent whether the pt is hurting PROTOTYPE: Aspirin maintenance fluids at 52 mL/hr. (In pain) She.
vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT 19 terms. and her temperature was 37C (99F). 34 hr initially. (Clinical slides 02.02) Which of the following explanations by the nurse correctly describes how to use the scale? developmentally appropriate pain scale and assessment of pain behaviors are essential in