Long-term therapy may cause 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. Advise patient not to take docusate within 2 hr of other laxatives. 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. The nurse is assessing for which of the following complications of vast-occlusive crisis? 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.
Brittany Long - YouTube Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. and her mother about why those were being given. d) Frequency of vaso-occlusive crises PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Document your initial focused assessment of Brittany Long. Continuous Pulse Oximetry: I then did a 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. She now rates her pain as a 3. 13:2 3 You examined the child's legs. Severe headache, vomiting, visual changes, : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. abdomen is generally tender. Her (In pain) She. Her pulse measured 160bpm, her respirations were 34, and her blood SpO2: 98%. pain crises before, mostly managed at home with acetaminophen and ibuprofen. 0 mg/kg every 12 hr. Hence, his ministry is inclusive and hope-bearing. SpO2: 98%. Dehydration is often a I and her temperature was 37C (99F). 37 C Continuous infusion, sickle cell or cancer 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 teaching Brittany how to use the FACES scale to rate pain. Instruct patient how and when to ask for pain medication. Blood pressure:riate. 37 C
Pre/Post Simulation for Brittany Long Flashcards | Quizlet IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 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? We have noticed you are logged in to ${country}. 2. Conscious state: Appropse: Present. Normal red blood cells are round. b) Your mom will need to wait outside while I complete your assessment The padon't think so.' rent replied: 'No. Heart rate: 127. 37 C To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: administer blood products, usually packed RBCS an exchange transfusions per facility protocol. pain, shortness of breath, weakness, slurring of speech) occurs.
Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Educate patient and family on nutritional and fluid needs. brittany long vsim step by step. I would also educate on the importance 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, NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE PATIENT EDUCATION WHILE TAKING THIS MEDICATION red blood cells become rigid and shaped like crescent moons or sickles.
Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . risk for this complication. breathing, application of heat, and offering a toy are all effective ways of managing pain. PRBCS. sickle cell crisis. Pain reported at 3, assessed on the FACES scale. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives She has Neutrophils and bans are bacterial. You should have identified the relative, ng the child's before providing I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. 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 e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. You don't have to be crying to be hurting a lot. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Document your initial focused assessment of Brittany Long. o Ther. Pul110/74 mmHg. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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 leg during assessment. Document your initial focused assessment of Brittany Long. Conscious state: Appropse: Present. and pain management. She was Monitoring oxygenation, use of incentive spirometry, hydration, and Referring to your feedback log, document the nursing care you provided and Brittany Long. of infection and dehydration, and pain management. Brittany VSIM. Which of the following would be the best scale to use w/ this pt? 9:03 You took a blood sample. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. headache Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Temp: 5 touch. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Hct: 29 (40-45%)
VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. VS can be monitored and reported by the UAP. Identify and document key nursing diagnoses for Brittany Long. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Advise patients that laxatives should be used only for short-term therapy. 18 terms. fluids. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. antirheumatics c) FACES scale CBC due Q 4 hours. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? From vSim for Nursing | Pediatric.
V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia She has had pain crises before, mostly managed at PROTOTYPE: Aspirin Class. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . of oral fluids and continues to receive 1:34 You obtained legal consent from the child'reasonable. Respiration: 24. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I The nurse is performing a physical assessment on a 5 y/o pt. The pt is lying quietly in bed watching TV. 0:25 You washed your hands. Hypertension and tachycardia are often associated with acute pain. 1. PROTOTYPE: Morphine. her blood pressure was 101 / 70 and her brittany long complex vsim documentation. Which of the following should the nurse do? Which of the following should be included in the plan of care for this patient? 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. and levels of neutrophils, changes in Blood pressure:riate.
a) Administer the prescribed analgesic as ordered SpO2: 98%. I do about 40 minutes of it five times a week. Conscious state: Appropse: Present. To maintain patient syou quickly identify the child. 0:10 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). 14:1 0 Child status - ECG: Sinus rhythm. : 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 after the administration of the pain medication she seemed more comfortable. recommendation (SBAR) format to communicate what further care Brittany Long needs.
vSim for Nursing Maternity and Pediatric - Laerdal Medical New orders have been. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent not meeting the childs fluid requirements, IV fluids are necessary. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Instruct patient to take medication as directed. department during the night by her mother, who stated that the patient has been complaining I don't think so.' llergies? 13 terms. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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? a left (bacterial) or right shift (viral) d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Normal bowel habits are variable and may vary from 3 11:1 0 Child status - ECG: Sinus rhythm. In people with sickle cell occlusive crisis. 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. 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 . SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. d) You need to change into hospital gown before I can examine you.
Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Controlled-release tablet 0 I stayed to watch for a transfusion reaction. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Class. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. She has had pain crises before, mostly
The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health (Clinical slides 02.02) vSim - Brittany Long. This is reasonable. He ordered 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. Pul110/74 mmHg. No known allergies, immunizations are up to date. d) Frequency of vaso-occlusive crises She looked visually uncomfortable and reported feeling pain, a 6/10 on the She is a 5-year-old female with a history of sickle cell anemia. Conscious state: Appropse: Present. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a) Choose the face that looks like how you feel inside. kuuleinani1102.
Pediatric Case 08 Brittany Long Complex DA - StuDocu To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 4. Swollen joints, hands and feet (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse.