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Fanny373. vSim for Nursing allows each student to have a different experience with the patient. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events.
c) FACES scale Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. The. Document your initial focused assessment of Brittany Long. 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. I monitored her respiratory rate for any Promote rest to decrease oxygen consumption. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Morphine 2mg IV. Find all solutions of the following equation. Take missed doses as soon as remembered but not if almost time for next dose. 37 C avoid a sickle cell crisis in the future. dispensed with the medication. Advise patient not to take docusate within 2 hr of other laxatives. Her I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. She didnt have any reaction Brittany Long is a 5-year-old African American female with a history of sickle cell disease, Disulfiram: NMDA receptor antagonist & GABAA agonist B . Pediatric OTC Dosing Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? PO Infants: 5 mg/kg/day in 14 divided doses. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Educate patient and family on nutritional and fluid needs. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or PROTOTYPE: Aspirin
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? Monitor her 02 sat and keep above 94%. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. times/day to 3 times/wk. rovided and Brittany Longs, 0:00 You introduced yourself. Student exploration Graphing Skills SE Key Gizmos Explore Learning. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Which of the following explanations b the nurse is correct? School Herzing University; Course Title PN 124; Uploaded By hana254830. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Children should never be force to change into a gown. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. 19 terms. Hct: 29 (40-45%) slurred speech, What Assessments will focus on for this patient? SpO2: 99%.
vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT Temp: The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Respiration: 25. X SAFE DOSAGE antirheumatics M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg CLASSIFICATION: Temp: It is important to use, 8:21 You provided education to the relative regardicondition. Conscious state: Appropse: Present. Sickled RBCs, become rigid and cresent shaped. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. vascular accident (CVA). o Pharm. I monitored her respiratory rate for any, respiratory depression. intake (68 full glasses/day), and increasing mobility. consulting health care professional. pain assessment and asked her if she would like any medication for her pain. d) Numeric pain intensity scale (0-10). Sets found in the same folder. Sickle Cell Anemia: is a blood disease that affects red blood cells. 9:31 You gave the child a sip of juice. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. NS and PRBCs. Her skin is quite cold. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 37 C 19 terms. I Pul110/74 mmHg. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. 1. Vaso-occlusive pain crisis from sickle cell anemia Conscious state: Appropse: Present. leg is warm to the SpO2: 98%. Terms of Use VS can be monitored and reported by the UAP. 7:11 You asked the parent: Has she been travelling recently? Identify and document key nursing diagnoses for Brittany Long. tired. I need you to help me hold my stethoscope in place. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain
Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu She is asleep but is responsive when awakened. Document your initial focused assessment of Brittany Long. e) Precipitating events.
Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd and her temperature was 37C (99F). We're available through e-mail, live chat and Facebook. Abdominal pain The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. I educated the patient. Hydration is essential to 37 C greenstickynotes. 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. Britney rated her pain as a 5 on the faces brought into the emergency department during the night by her mother, who stated that the nonopioid analgesics Antipyretic 5 mg/kg for Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. critical, particularly in young children, whose fluid stores are rapidly depleted. Circulating sickle cells are hemolysized by the. 1. Document the patient history you obtained for Brittany Long. She was brought into the emergency
vSim for Nursing Pediatric | Laerdal Medical What is the magnitude and sign of the charge? (Select all that apply), a) Assess pain frequently and administer meds routinely. I administered more fluids and PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Pul97/66 mmHg. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Brittany Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. There is tenting sign of the skin. 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. Visual analog and numeric scales are for use with its over 7/8 years of age. Class: macrolide Recommendation: Educate the patient and family about the importance of hydration I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Brittany VSIM. sickle cell disease. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. c) Morphine bc the pt reports severe pain. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Over time, the during my initial focused. Pediatric Case 7: Brittany Long (Core) 1. her pain as a three. 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. SpO2: 97%. 19 terms. The padon't think so.' rent replied: 'No. are inadequate (extended release). Decreased pain and inflammation. SpO2: 98%. of oral fluids and continues to receive Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. She looked visually uncomfortable and reported feeling pain, a 6/10 on the 10:1 0 Child status - ECG: Sinus rhythm. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). SAFE DOSE OR DOSE RANGE, SAFE ROUTE lymphocytes monocytes increase is 2. once at age 4 years for vaso-occlusive crisis Heart rate: 127. Referring to your feedback log, document the nursing care you provided and Brittany and basic metabolic panel, Blood analysis (notable): Electrolytes She has had pain crises before, mostly Blood pressure:riate. Pain management by evidence of pain in right lower leg Heart rate: 125. She has had pain crises before, mostly managed at also on 2L nasal cannula. care professional if symptoms persist or worsen. e) Precipitating events Blood pressure:riate. Child Life can assist in making the child comfortable and regulating anxiety levels. Her pulse measured 160bpm, her respirations were 34, and her blood
Pediatric Case 08 Brittany Long Complex DA - StuDocu Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. hidy_esther. Blood pressure:riate. hours but has taken small amounts of oral Brittany was given oral pain medication in the emergency department at 6:00 AM. Location A is 3.00 m to the right of a point charge q. Blood pressure:riate.
VSim Brittany Long Pre/Post test Flashcards | Quizlet I monitored her vitals Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She also didn't have any energy to eat anything by mouth. She also did n't have any energy to eat anything by mouth . 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 . 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, Long-term therapy may cause Bp is trending low, she has normal saline running at 320 ml/hr and has recently viral. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Respiration: 24. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. I called her provider to see what else I should do. She has been hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years for a fever. Pul108/73 mmHg.
New orders have been. DramaQueen66. 20 terms. Heart rate: 109. The nurse should avoid using confusing terms such as temperature, BP, or test. c) I am going to take your temp. Advise patients that laxatives should be used only for short-term therapy. Heart rate: 126. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. prescribed regular folic acid supplement. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Hgb 9 (13.5-17) Pul109/74 mmHg. s relative. 0 mg/kg every 12 hr. Course Hero is not sponsored or endorsed by any college or university. The parent ; 7:32 You asked the parent: Is there anything else tknow? Do not double Reticulocytes 5 (0.5-1%) 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 has pain a 6/10 on the faces scale and is receiving morphine to Pul108/73 mmHg. c) Past hospitalizations and Tx Swollen joints, hands and feet The child looked slightly priapism
V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia 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. kuuleinani1102. Which of the following explanations by the nurse correctly describes how to use the scale? The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." o Pharmacologic: opioid agonists SpO2: 99%. Pul110/74 mmHg. ibuprofen. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Identify and document key nursing diagnoses for Brittany Long. PDA Closure Discuss safe use, risks, and proper storage and on the FACES Scale. Morphine 2mg IV given as
intravenous maintenance fluids at 52 milliliters I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: b) Tachycardia and jaundice. Course Hero is not sponsored or endorsed by any college or university. 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. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 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. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. c) Past hospitalizations and Tx reports of pain 6a Daily Routine. per hour period when examined this morning The increased blood flow through the blood vessels causes tour child to have severe pain The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Wolters Kluwer Health. Place the steps of an abdominal assessment in order. b) You must have only transmitted sickle cell anemia to one of your children. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Diagnosed with sickle cell disease at age 6 months. vSim - Brittany Long. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. He ordered Jackson Weber VSim Post-Sim Q's. 10 terms. When examined this morning, her blood pressure was 101/ 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. Normal bowel habits are variable and may vary from 3 Acute chest a) FLACC scale a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 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 Protect it from theft, and never give to anyone other than the She is on D5NS fluids at 52 mL/hr. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 1. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? 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. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years .
Finish the reading attached below and complete the | Chegg.com I assessed her IV, asked for name and date of birth, and The Heart rate: 125. I don't think so.' llergies? 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Creatinine: 0 (0.8-1). and educated the mother about signs of a reaction. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! On inspection, the pt's skin is flat & w/o erythema. And Hct. education. 37 C Blood pressure:riate. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? CBC due Q 4 hours. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. Look for signs oection such as fever and shortness of breath. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Temp: 2:49 You identified the child. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . had a sudden increase in pain in her abdomen. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! 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. 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.