13 terms. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. consulting health care professional. SpO2: 99%. Brought into the ED by her mother last night. Scenario Analysis Questions 1 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN regular heart sounds without murmurs. and basic metabolic panel, Blood analysis (notable): : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. k%. administered 2mg IV morphine and reassessed patient before calling the provider. 0000039464 00000 n 1. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Your explanation for the marketing communication channel you chose must be one paragraph in length. 0000066698 00000 n Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Infant, Child And Adolescent Nursing (NSG 441), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! 2:49 You identified the child. I 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. 0000149112 00000 n Acute: (related to dehydration 0000081592 00000 n r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` Medications administered as ordered 0000088973 00000 n PO (Children <3 yr): 1040 mg in 14 divided doses. Conscious state: Appropse: Present. Learning more about sickle cell disease. Course Hero is not sponsored or endorsed by any college or university. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options I don't thhat you think we should ink so.' 7:47 You offered the child a toy. and levels of neutrophils, changes in The condition is chronic so monitoring and ensuring the patient is pain crises, hospitalizations, precipitating events, medical treatment, and home may cause withdrawal symptoms if discontinued abruptly after prolonged use. 0000115021 00000 n Biology Mary Ann Clark, Jung Choi, Matthew Douglas. HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ 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 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. worst-case scenario. Anna Maria. 3. Walnut Grove, MN . To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. Terms of Use a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 0000088512 00000 n reports of pain Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. North Carolina State University. 0000009179 00000 n I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. 8:13 You provided patient education. 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. 8:10 Child status - ECG: Sinus rhythm. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . 0000026941 00000 n decreased oxygen) 0000000016 00000 n I contemplated it but then got distracted with either the assessment or medication. According to Vsim, a PCA pump may be administerd if pain isn't controllable. Document your initial focused assessment of Brittany Long. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Upto date with . Brittany This is reasonable. female with a history of sickle cell disease, EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a did a patient handoff. From vSim for Nursing | Pediatric. Ninon_sassy. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! jaundice r\a W+ administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Respiration: 24. 0000081172 00000 n breathing (dyspnea), headache, dizziness, and acute pain. NURS 3440 (NURS3440) Institution. VSim Brittany Long Pre/Post test. 3. 0000133372 00000 n Temp: 0000128218 00000 n SITUATION I am calling regarding Brittany Long, 16kg. Brittany Long, based on the latest evidence-based practice? Document your initial focused assessment of Brittany Long. 0000147703 00000 n Now is my chance to help others. %%EOF PO (Children 36 yr): 2060 mg in 14 divided doses. 0000089071 00000 n Document the patient history you obtained for, managed mostly at home with oral medications. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Oral opioid medication and NSAIDs are given for mild to moderate. 0000002996 00000 n Instruct patient to take medication as directed. CLASSIFICATION: safely is important. Pre/Post Simulation for Brittany Long. You should have identified the relative, ng the child's before providing movement and touch. carrying capacity of the blood. home with acetaminophen and ibuprofen. VSIM_Brittany_Long_1.__ Complete Solution__Rated A Anatomy Test 3 Clinical Correlates. Identify and document key nursing diagnoses for Brittany Long. Diagnosed with sickle cell disease at age 6 months. The breath sounds are clear and equal bilaterally. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. 0000149506 00000 n Monitor O2 saturation levels over the last 2 days. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. joints and abdomen. 0 mg/kg every 12 hr. 0000026548 00000 n Look for signs oection such as fever and shortness of breath. lymphocytes monocytes increase is Company Registration Number: 61965243 anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Document your initial focused assessment of Brittany Long. Conscious state: Appropse: Present. This how you know that you are buying the best documents. 0000002798 00000 n You should have asked the relative about any known health problems. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. pain, shortness of breath, weakness, slurring of speech) occurs. were taken care of and that no other medications needed to be given; and comfort measures provided, I Brittany rated her pain as a 5 on the FACES scale, she. closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 Alternating the administration of both 0000081478 00000 n 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. o Ther. 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. Heart rate: 107. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. 0000019092 00000 n PO Infants: 5 mg/kg/day in 14 divided doses. May cause drowsiness or dizziness. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. One of the most useful resource available is 24/7 access to study guides and notes. 0000004772 00000 n comfort measures to the young girl. awakened. Britney was given oral pain medication in the : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Referring to your feedback log, document the nursing care you provided and Brittany Long's response. o Pharm. 927 0 obj <>stream of hypervolemia and transfusion reaction. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Britney long is a 5 year old African American Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 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? 0000087999 00000 n sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Signs and symptoms include swelling of %PDF-1.4 % Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Which is a huge accomplishment from the other ones. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. active lifestyle (with moderation) is able to provide good home care as well. Neutrophils and bans are methods should be considered for Brittany Long, based on the. 0 1. Temp: 5 touch. No known allergies, immunizations are up to date. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. 0000012690 00000 n Pul106/73 mmHg. Hct: 29 (40-45%) managed mostly at home with oral medications. and excessive exercise. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives PO (Children 910 yr/6071 lb): 250 mg every 68 hr. 0000088539 00000 n Pediatric Case : Brittany Long. Heart rate: 109. Advise patient to change positions slowly to minimize orthostatic hypotension. prevent further VOC and complications of SCD and to provide relief of pain. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device 2. Pul97/66 mmHg. arkhipenochka Teacher. SAFE DOSE OR DOSE RANGE, SAFE ROUTE 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Documentation Assignments. 2400 mg/day, whichever is less). Pul109/74 mmHg. 1. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. 0000081662 00000 n 15:4 1 A patient handoff was performed. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? CLASSIFICATION: PDA Closure Patient C/C right lower leg pain over the last 2 days. 1. ven over 30 minutes. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000030391 00000 n Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. pain 02 mg/kg/hr. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Child Life can assist in making the child comfortable and regulating anxiety levels. IV Neonates: Continuous infusion 00 mg/kg/hr. To maintain patient syou quickly identify the child. I chos, Question 4 a) James was the tutor of tutorial 21. Mucous membranes are slightly pale. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 0000149584 00000 n The faulty episode and once at age 3 years for a fever. . 0000100428 00000 n 0000017449 00000 n Her pain was in her right lower legs which was warm Respiration: 25. Conscious state: Appropse: Present. Use preservative-free formulation. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Northwestern University (Clinical slides 02.02) She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). The patient displayed tachycardia and had Blood pressure:riate. SpO2: 98%. 0000081757 00000 n viral. Images. Skin is cool and appears ashen with normal elasticity. TCD is performed annually on Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? she had any allergies before going into my vital signs and HTT assessment. After giving the crises such as extreme temperatures, high altitudes, dehydration, strenuous SpO2: 99%. 3. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. It is important to remain aware 0000065944 00000 n (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? flow and detect the risk for cerebral SpO2: 99%. o Pharm. Heart rate: 125. Conscious state: Appropse: Present. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. o Pharmacologic: opioid agonists Severe headache, vomiting, visual changes, 0000046801 00000 n 0000253576 00000 n : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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, California State University Channel Islands. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product.
Memory Lane Classic Car Show,
Obituaries Smithfield, Pa,
Articles B