Advise patient not to take docusate within 2 hr of other laxatives. Temp: Fanny373. spleen, leading to anemia. Sigle prn dose of morphine 2mg was administered. Pediatric Case 08 Brittany Long Complex DA - StuDocu d)Enuresis and proteinuria. Respiration: 24. SpO2: 99%. The right lowertouch. ood or had a reaction to a. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Naltrexone: -opioid receptor antagonist that reduces the. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Manage her pain at home with acetaminophen and drink plenty of fluids. Caution patient to call for assistance when ambulating Terms of Use SAFE DOSE OR DOSE RANGE, SAFE ROUTE I administered more fluids and VBVA=45.0V. Respiration: 24. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Keep afety it is important that, You should have identified the relatives as one of yoassure patient safety. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. IV Neonates: Continuous infusion 00 mg/kg/hr. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. department during the night by her mother, who stated that the patient has been complaining A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Document the patient teaching that you would provide for Brittany Long and her family May cause drowsiness or dizziness. You should have identified the relative, ng the child's before providing hhulsey6. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness I monitored her respiratory rate for any, respiratory depression. Hct: 29 (40-45%) Temp: 9:10 Child status - ECG: Sinus rhythm. priapism Document your initial focused assessment of Brittany Long. Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu tired. her blood pressure was 101 / 70 and her Protect it from theft, and never give to anyone other than the Skip to document. 37 C had a sudden increase in pain in her abdomen. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Conscious state: Appropse: Present. b) Your mom will need to wait outside while I complete your assessment 37 C The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Pul108/73 mmHg. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. antipyretics PATIENT EDUCATION WHILE TAKING THIS MEDICATION awakened. 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. Conscious state: Appropriase: Present. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Severe headache, vomiting, visual changes, Pediatric Case 7: Brittany Long (Core) 1. Wolters Kluwer Health. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. used to assess Intercranial vascular Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without not meeting the childs fluid requirements, IV fluids are necessary. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Respiration: 16. She was admitted to the Pediatric unit this morning . She has been hospitalized twice, once at age 4 years DramaQueen66. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. North Carolina State University. Document your . PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 2:49 You identified the child. During my initial focused assessment of Brittany Long I found that her vital signs were Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. SpO2: 99%. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Pul106/72 mmHg. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. arcoca. Conscious state: Appropse: Present. 15 x 16 = 240. 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. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. risk for this complication. 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. IF you have four children, one or 25% will have sickle cell anemia. for a fever. Recommendation: Educate the patient and family about the importance of hydration Brittany Long Complex VSIM.docx - Course Hero before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation We're available through e-mail, live chat and Facebook. She is asleep but is responsive when awakened. Which of the following should be included in the plan of care for this patient? I called her provider to see what else I should do. Document your initial focused assessment of Brittany Long. NSAIDs. and pain management. Pul110/74 mmHg. New orders have been IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Hgb 9 (13.5-17) Brittany was given oral pain medication in the emergency department at 6:00 AM. If you change the Country/Language, you will be logged out. The jaundice 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. (SBAR) format to communicate what further care Brittany Long needs. hands and feet cool to touch. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . He ordered, normal saline and PRBC infusion to help with the hypovolemia. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). female with a history of sickle cell disease, $16.49 Add to cart . Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. SpO2: 97%. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Identify and document key nursing diagnoses for Brittany Long. 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. You don't have to be crying to be hurting a lot. 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. Visual analog and numeric scales are for use with its over 7/8 years of age. Antipyretic 5 mg/kg for I have given her morphine 2 mg IV Push and have also bolused provided education to poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids CLASSIFICATION: In order to maintain trust, it is important to tell children if there is meds mixed into the food. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? c) Morphine bc the pt reports severe pain. Jackson Weber Complex Pre/Post Quiz. Respiration: 24. Pain level controlled and maintained, avoiding. nonopioid analgesics CLASSIFICATION: and after the administration of the pain medication she seemed more comfortable. 15:1 0 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. Neutrophils and bans are 37 C and is Heart rate: 126. She 9:03 You took a blood sample. Over time, the 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 Morphine 2mg IV. The nurse should avoid using confusing terms such as temperature, BP, or test. Temp: B: She came in with right lower leg pain, and that has since been stabilized, but she has This was not part of your orders here. Documentation Assignments. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Examined the leg and it was warm. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Brittany Long Core- vSim.docx - Brittany Long Pediatric 13:2 3 You examined the child's legs. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Heart rate: 107. She was brought into the ED during the night As blood flow is impaired by sickled cells, vasospasm occurs, further. Patient Dose: 2mg IV nonopioid analgesics Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. o Pharm. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. 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? arcoca . o Pharm. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Document your initial focused assessment of Brittany Long. Pre/Post Simulation for Brittany Long Flashcards | Quizlet VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of 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. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options ibuprofen. 1. New orders have been. dizziness If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. Monitor and note changes in level of consciousness, reports of headache, dizziness, 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 To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Temp: 5 touch. Which of the following responses by the nurse is correct? d) decreased hgb, increased platelet, greatly elevated reticulocyte. a) acute leg pain and dactylitis Heart rate: 109. It is not necessary to give combining terms for words in parentheses. In people with sickle cell 3. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Decreased pain and inflammation. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. The parent replied: 'No. 18 terms. Voc Latin page 24. On inspection, the pt's skin is flat & w/o erythema. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Sickle Cell Anemia: is a blood disease that affects red blood cells. Pennsylvania College of Technology. No known allergies, immunizations are up to date. Respiration: 24. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? I 2. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. 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 pain crisis. PRBCS. Britney long is a 5 year old African American Normal bowel habits are variable and may vary from 3 Student exploration Graphing Skills SE Key Gizmos Explore Learning. Heart rate: 125. Do not stop taking without discussing with health care professional; 3. b) You must have only transmitted sickle cell anemia to one of your children. (Abnormal) rapidity of the heart ____________________________________. a) Sickle cells cause increased blood flow throughout the body. Blood pressure:riate. Pul106/73 mmHg. Dehydration is often a This was part of your order. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. S: This is Brittany Long. She has had pain crises before, mostly The patient was diagnosed with sickle cell anemia and was in a of hydration with patients who have sickle cell anemia. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. There is tenting sign of the skin. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Brittany rated her pain Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. (How will I identify the above signs &Symptoms?). ECG: normal Sinus rhythm. 13 terms. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. in her right lower legs. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device 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 individual for whom it was prescribed. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. managed at home with acetaminophen and Heart rate: 127. scale and did not want anyone to touch her Temp: Which of the following demonstrates that the nurse understand developmentally appropriate communication? Tolerance is not addiction. Student exploration Graphing Skills SE Key Gizmos Explore Learning. consulting health care professional. of right lower leg pain over the last 2 days. blood and then administered it. I monitored her respiratory rate for any Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, a left (bacterial) or right shift (viral) c) Ask the parent whether the pt is hurting has been taking small amounts of oral fluids and continues to receive intravenous SpO2: 98%. Blood pressure:riate. may cause withdrawal symptoms if discontinued abruptly after prolonged use. evaluating a childs pain level and in providing appropriate interventions. Pain management by evidence of pain in right lower leg temperature was 37 Celsius she now rates 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. 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Heart rate: 128. (Signs & Symptoms), 3. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Brittany Long was diagnosed with sickle cell disease at 6 months old. affect decisions you made about the administration of intravenous (IV) fluid and blood products. vSim - Brittany Long. management so it does not turn into a crisis. I have a weekly show-- Ease Into . Store out of sight and reach of children, and in a location not accessible by others. I The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. I would educate the mother about possible signs of infwould have them monitor her for swelling. Pul98/67 mmHg. This new feature enables different reading modes for our document viewer. Respiration: 24. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. CBC w/ dif : SHOULD be ordered to 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. Hence, his ministry is inclusive and hope-bearing. She has not had an appetite in the last 24 Acute: (related to dehydration These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. pallor, pale mucous membranes Temp: The faulty From vSim for Nursing | Pediatric. and her mother about why those were being given. Examined the leg and it was warm. Which of the following would be the best scale to use w/ this pt? 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! Vital Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Temp: intravenous maintenance fluids at 52 milliliters greenstickynotes. treat it. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Four months . 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 She is asleep but is responsive when X SAFE DOSAGE Blood pressure:riate. The child looked slightly Brought into the ED by her mother last night. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. and levels of neutrophils, changes in Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). and BP now 37 C 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. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. o Recommended dosage is 2060 mg in 14 divided doses Conscious state: Appropse: Present. Labs; daily complete blood count 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. 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.
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Characters Named Nate, Articles B