Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. VSim Sabina Vasquez Pre/Post test. 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? Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Jackson Weber VSim Post-Sim Q's. 10 terms. Conscious state: Appropse: Present. Use preservative-free formulation. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth affect decisions you made about the administration of intravenous (IV) fluid and blood products. o Recommended dosage is 2060 mg in 14 divided doses A step-by-step guide to craft a winning sales presentation . SpO2: 98%. VS can be monitored and reported by the UAP. of right lower leg pain over the last 2 days. acid supplement taken daily. before discharge. Document the patient teaching that you would provide for Brittany Long and her family Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. b) Tachycardia and jaundice. 9:10 Child status - ECG: Sinus rhythm. How did the simulated experience of Brittany Long's case make you feel? 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. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. I called her provider to see what else I should do. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. 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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. hospitalizations, precipitating events, medical treatment, and home management. Conscious state: Appropse: Present. He ordered, normal saline and PRBC infusion to help with the hypovolemia. Brittany Long vSim by Meghan Simons - prezi.com I monitored her vitals Initial focus assessment was the patients pain and location. North Carolina State University. PRBCS. on the FACES Scale. In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. We have noticed you are logged in to ${country}. SpO2: 98%. I educated the patient. B: She came in with right lower leg pain, and that has since been stabilized, but she has dispensed with the medication. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? maintenance fluids at 52 mL/hr. Instruct patient to take medication as directed. I need you to help me hold my stethoscope in place. I do about 40 minutes of it five times a week. antipyretics Sets found in the same folder. Which of the following explanations b the nurse is correct? Pul109/74 mmHg. (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? 18 terms. awakened. I have a weekly show-- Ease Into . 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Protect it from theft, and never give to anyone other than the Blood pressure:riate. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: of infection and dehydration, and pain management. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Respiration: 16. greenstickynotes. Identify and document key nursing diagnoses for Brittany Long. A heart rate of 86 bpm and temperature of 37.0C are normal findings. splenomegaly slurred speech, What Assessments will focus on for this patient? Identify and document key nursing diagnoses for Brittany Long. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 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 . TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Britney was given oral pain medication in the She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? I would also educate on the importance Pediatric OTC Dosing Do you think that, Select the correct description of a somatoform disorder. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). SpO2: 98%. episode and once at age 3 years for a fever. 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? Conscious state: Appropse: Present. Are you considering implementing vSim for Nursing into your existing curricula? Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. a) Administer the prescribed analgesic as ordered d) Frequency of vaso-occlusive crises If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Brittany was given oral pain medication in the emergency department at 6:00 AM. 240 of oral fluids and continues to receive SAFE DOSE OR DOSE RANGE, SAFE ROUTE PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). jaundice She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. greenstickynotes. Pul110/74 mmHg. Skip to document. VBVA=45.0V. Her She did Keep 10:1 0 Child status - ECG: Sinus rhythm. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Long-term therapy may cause The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. normal saline and PRBC infusion to help with the hypovolemia. e) Precipitating events (Signs & Symptoms), awakened. 7:10 Child status - ECG: Sinus rhythm. PO (Children <3 yr): 1040 mg in 14 divided doses. 0 mg/kg every 12 hr. c) tachycardia and jaundice Monitoring oxygenation, use of incentive spirometry, hydration, and She is on D5NS fluids at 52 mL/hr. intravenous maintenance fluids at 52 milliliters PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. She has been hospitalized twice, once at age 4 years Acute chest Many OTC products contain ibuprofen; avoid duplication. She has been The nurse is assessing for which of the following complications of vast-occlusive crisis? Assessment for signs and symptoms of dehydration is I don't thhat you think we should ink so.' 7:47 You offered the child a toy. IF you have four children, one or 25% will have sickle cell anemia. hands and feet cool to touch. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Blood pressure:riate. o Therapeutic: opioid analgesics SpO2: 99%. The right lowertouch. Her pulse measured 160bpm, her respirations were 34, and her blood Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Impaired Gas Exchange The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? PO (Children 612 yr): 40150 mg in 14 divided doses. dizziness 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. I f dehydration, look at her legs frequently. It is not necessary to give combining terms for words in parentheses. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. encouraged PO fluids and she drank some. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Reticulocytes 5 (0.5-1%) blood and then administered it. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? a left (bacterial) or right shift (viral) arcoca. Reduction of fever. Document your . Temp: vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT Blood pressure:riate. The parent replied: 'No. Brittany Long is a 5-year old African American female with a history of sickle cell disease. I also started incorporating more strength training into my gym routine. Document your initial focused assessment of Brittany Long. 15 x 16 = 240. (Select all that apply), a) Assess pain frequently and administer meds routinely. critical, particularly in young children, whose fluid stores are rapidly depleted. Heart rate: 127. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Cross), 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), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Give Me Liberty! Timely pain management. The nurse is reviewing lab data on a pt with sickle cell anemia. breakthrough pain. atelectasis. 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. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Abdominal pain To maintain patient syou quickly identify the child. Fluid and Electrolyte levels stabilized and maintained. Referring to your feedback log, document the nursing care you provided and Brittany Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. CBC w/ dif : SHOULD be ordered to d) Numeric pain intensity scale (0-10).
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