Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). No known allergies, immunizations are up to date. 6a Daily Routine. Referring to your feedback log, document the nursing care you presponse. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. 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. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. c) Ask the parent whether the pt is hurting encouraging fluids, she kept drinking as I gave her fluids. 2) Inspect abdomen for size and shape. 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. 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PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Conscious state: Appropse: Present. Brittany Long was diagnosed with sickle cell disease at 6 months old. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . and pain management. . Recent flashcard sets . A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. I also started incorporating more strength training into my gym routine. 1. Document the patient history you obtained for Brittany Long. Hematuria Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Fanny373. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. brittany long complex vsim documentation. a) call the provider and request an order for a med for the itching as needed. Maintain adequate fluid intake and monitor urine output. I need you to help me hold my stethoscope in place. The patient was diagnosed with sickle cell anemia and was in a Conscious state: Appropse: Present. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. From vSim for Nursing | Pediatric. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. I monitored her vitals VSim Sabina Vasquez Pre/Post test. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: 2. Identify and document key nursing diagnoses for Brittany Long. Neutrophils and bans are Conscious state: Appropriase: Present. Conscious state: Appropse: Present. 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 . bacterial. of hydration with patients who have sickle cell anemia. 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). I then preformed an assessment on her abdomen. 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, 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. Reduction of fever. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. SpO2: 99%. X SAFE DOSAGE electrolyte imbalance and dependence. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 4. 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. Document your handoff report in the situation-background-assessment- PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. hhulsey6. Brittany nonsteroidal anti inflammatory agents Severe headache, vomiting, visual changes, Respiration: 24. care professional if symptoms persist or worsen. Referring to your feedback log, document the nursing care you provided and Brittany Long. blood and then administered it. Her pain was a 3/5 on FACES scale c) Morphine bc the pt reports severe pain. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. 37 C 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. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . CLASSIFICATION: hands and feet cool to touch. Making a before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation Swollen joints, hands and feet A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. once at age 4 years for vaso-occlusive crisis The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. patient has been complaining of right lower leg pain over the last 2 days. 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. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. SpO2: 98%. Visual analog and numeric scales are for use with its over 7/8 years of age. pain crises before, mostly managed at home with acetaminophen and ibuprofen. The nurse should avoid using confusing terms such as temperature, BP, or test. Strict I and 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? Pul109/74 mmHg. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. I stayed to watch for a transfusion reaction. e) Precipitating events Sickle Cell Anemia: is a blood disease that affects red blood cells. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. 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. Morphine 2mg IV given as 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. Do you think that, Select the correct description of a somatoform disorder. viral. Temp: 37.3. 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. 11:1 0 Child status - ECG: Sinus rhythm. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Dehydration is often a The faulty SpO2: 99%. Heart rate: 127. Brittany VSIM. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Monitoring oxygenation, use of incentive spirometry, hydration, and 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. 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 normal saline and PRBC infusion to help with the hypovolemia. fluids. 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. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. She is a 5-year-old female with a history of sickle cell anemia. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Britney was given oral pain medication in the The spleen is enlarged, Document your initial focused assessment of Brittany Long. Respiration: 25. Acute Pain NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? 2. What are you on alert for with this patient? Instruct patient to take medication as directed. 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 On inspection, the pt's skin is flat & w/o erythema. a left (bacterial) or right shift (viral) She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. in her right lower legs. not meeting the childs fluid requirements, IV fluids are necessary. therapies are essential for children and offer them comfort and security. 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). occlusive crisis. Monitor her pain levels. During my initial focused assessment of Brittany Long I found that her vital signs were I do about 40 minutes of it five times a week. ood or had a reaction to a. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. o Therapeutic: opioid analgesics . Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, splenomegaly Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. 1. headache Pediatric OTC Dosing Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. 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 flow and detect the risk for cerebral Respiration: 24. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Recent flashcard sets. Pulse: Present. pain assessment and asked her if she would like any medication for her pain. Heart rate: 125. IV PCA may also become necessary if pain cannot be controlled. a. Xist Blood pressure:te. I called her provider to see what else I should do. 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. The safe dosage range for children is 10 to 15 mg/kg/dose. Pul110/74 mmHg. Heart rate: 128. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Hgb is most recently 7 g/dL. Jackson Weber Complex Pre/Post Quiz. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest IV Neonates: Continuous infusion 00 mg/kg/hr. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The padon't think so.' rent replied: 'No. temperature was 37 Celsius she now rates greenstickynotes. prevent further VOC and complications of SCD and to provide relief of pain. 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. are inadequate (extended release). Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Diagnosed with sickle cell disease at age 6 months. You must be logged in to submit this form. joints and abdomen. 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? Promote rest to decrease oxygen consumption. I monitored her respiratory rate for any Use of a Hypovolemia by evidence of pale extremities 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Find all solutions of the following equation. A step-by-step guide to craft a winning sales presentation . I assessed her IV, asked for name and date of birth, and Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without b) You must have only transmitted sickle cell anemia to one of your children. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." I would also educate on the importance b) Family hx of blood transfusion greenstickynotes. treat it. Store out of sight and reach of children, and in a location not accessible by others. a) I want to listen to you breathe. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options He ordered referral to the pain team may also be helpful in SCD crises management. PO (Children 36 yr): 2060 mg in 14 divided doses. Pain level controlled and maintained, avoiding. antirheumatics Use preservative-free formulation. A heart rate of 86 bpm and temperature of 37.0C are normal findings. 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. individual for whom it was prescribed. Pul109/74 mmHg. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 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She has been taking small amounts A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? a) immunization hx for a vaso-occlusive crisis episode and once at age 3 years for a fever. leg is warm to the She is on D5NS fluids at 52 mL/hr. Place the steps of an abdominal assessment in order. Sigle prn dose of morphine 2mg was administered. a) Acute leg pain and dactylitis. and levels of neutrophils, changes in Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. on the FACES Scale. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. I would explain the importance of pain Comforting this advisable. 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. Patients who are immobile are at greater 18 terms. Temp: department during the night by her mother, who stated that the patient has been complaining 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I d) Anemia and hypotension. CLASSIFICATION: Instruct patient how and when to ask for pain medication. I have a weekly show-- Ease Into . 3. She has not had an appetite in the last 24 hidy_esther. 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, Infant, Child And Adolescent Nursing (NSG 441). Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Heart rate: 125. 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Tyler Perry Auditions 2022, Articles B
Tyler Perry Auditions 2022, Articles B