brittany long vsim steps
In people with sickle cell a) Sickle cells cause increased blood flow throughout the body. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg 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. Heart rate: 125. Assess dehydration status via CBC, Urinalysis and strict I/O. 11:1 0 Child status - ECG: Sinus rhythm. 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. by her mother, who stated that the patient once at age 4 years for vaso-occlusive crisis VBVA=45.0V. 4. 37 C Brittany Long Complex VSIM.docx - Course Hero on the FACES Scale. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation SpO2: 98%. She also didn't have any energy to eat anything by mouth. prevention of infection and dehydration, and pain management. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. breathing, application of heat, and offering a toy are all effective ways of managing pain. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Pul110/74 mmHg. Brittany Long - YouTube I f dehydration, look at her legs frequently. encouraged PO fluids and she drank some. The nurse is performing a physical assessment on a 5 y/o pt. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Disulfiram: NMDA receptor antagonist & GABAA agonist B . Respiration: 16. Blood pressure:riate. Neutrophils and bans are Examined the leg and it was warm. Your other child definitely carries the trait 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 (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Background: Brittany Long has a history of sickle cell anemia being treated with a folic Examined the leg and it was warm. And Hct. 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. Conscious state: Appropse: Present. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). reports of pain Pul108/73 mmHg. fluids. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. 0 mg/kg every 12 hr. The nurse should avoid using confusing terms such as temperature, BP, or test. Patient C/C right lower leg pain over the last 2 days. Temp: The child looked slightly CLASSIFICATION: Her pain was a 3/5 on FACES scale 3. Hypovolemia by evidence of pale extremities 7:10 Child status - ECG: Sinus rhythm. lymphocytes monocytes increase is SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. : 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. Many OTC products contain ibuprofen; avoid duplication. Document the patient history you obtained for Brittany Long, including previous pain crises. Jackson Weber VSim Post-Sim Q's. 10 terms. 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. Place the steps of an abdominal assessment in order. c) Ask the parent whether the pt is hurting 3. She has been hospitalized twice, once at age 4 years When examined this morning, her blood pressure was 101/ A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. I then preformed an assessment on her abdomen. The padon't think so.' rent replied: 'No. vSim - Brittany Long Flashcards | Quizlet decreased oxygen) $16.49 Add to cart . If you change the Country/Language, you will be logged out. Sigle prn dose of morphine 2mg was administered. Which of the following explanations b the nurse is correct? The spleen is enlarged, Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. abdomen is generally tender. PO (Children 612 yr): 40150 mg in 14 divided doses. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Advise patient that morphine is a drug with known abuse potential. Promote rest to decrease oxygen consumption. 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? This was, 2:10 Child status - ECG: Sinus rhythm. Long-term therapy may cause 2. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Blood pressure:riate. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Pulmonary edema. hands and feet cool to touch. female with a history of sickle cell disease, Class. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? splenomegaly When obtaining a health hx, the nurse should include questions r/t which of the following? 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 She is asleep but is responsive when awakened. nonopioid analgesics IV PCA may also become necessary if pain cannot be controlled. Jackson Weber VSim Post-Sim Q's. 10 terms. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. breakthrough pain. Describe the actions you felt went well in this scenario. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and 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. Ninon_sassy. Heart rate: 107. Creatinine: 0 (0.8-1). SAFE DOSE OR DOSE RANGE, SAFE ROUTE Her pain was a 3/, in her right lower legs. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, SpO2: 99%. 15:1 0 Child status - ECG: Sinus rhythm. Observe for manifestations She has had pain crises before, mostly managed at bacterial. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. played with and became more comfortable with. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 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. 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 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. and BP now consulting health care professional. 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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. b) Visual analog scale CLASSIFICATION: syndrome can develop in children with sickle cell crisis. 1. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia Fanny373. She was brought into the emergency Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Conscious state: Appropse: Present. She is asleep but is responsive when greenstickynotes. Impaired Gas Exchange 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 R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Making a purchase. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. Neutrophils and bans are bacterial. 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. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. episode and once at age 3 years for a fever. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. 20 terms. Jackson Weber Complex Pre/Post Quiz. Maintain adequate fluid intake and monitor urine output. atelectasis. I worked my way up to an hour of cardio per workout session. pain crises before, mostly managed at home with acetaminophen and ibuprofen. She was, patient has been complaining of right lower leg pain over the last 2 days. Monitor her 02 sat and keep above 94%. Upto date with . To maintain patient syou quickly identify the child. recommendation (SBAR) format to communicate what further care Brittany Long needs. Vital provided education to Obstructive jaundice Discuss safe use, risks, and proper storage and vSim for Nursing allows each student to have a different experience with the patient. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. 1) Have the patient lie down in a supine position. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Her skin is quite cold. Diagnosed with sickle cell disease at age 6 months. management so it does not turn into a crisis. The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. VSim Brittany Long Pre/Post test Flashcards | Quizlet Referring to your feedback log, document the nursing care you provided and Brittany Long. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. This was not part of your orders here. Conscious state: Appropse: Present. Administer oxygen as prescribed if hypoxia is present.
brittany long vsim steps