Britney long is a 5 year old African American c) I am going to take your temp. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. unstable. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. tired. This was not part of your orders here. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. occlusive crisis.
Brittany Long - YouTube I do about 40 minutes of it five times a week. Heart rate: 127. 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 developmentally appropriate pain scale and assessment of pain behaviors are essential in She rates her pain as a 5/5 on the FACES scale. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. Identify and document key nursing diagnoses for Brittany Long. antirheumatics
The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health female with a history of sickle cell disease, Which of the following demonstrates that the nurse understand developmentally appropriate communication? SpO2: 98%. Creatinine: 0 (0.8-1). prevention of infection and dehydration, and pain management. risk for this complication. 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. : 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. Antipyretic 5 mg/kg for Look for signs oection such as fever and shortness of breath. d) Frequency of vaso-occlusive crises Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. 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. 4. Respiration: 24. Brittany rated her pain nonsteroidal anti inflammatory agents Brittany was given oral pain medication in the emergency department at 6:00 AM. 6a Daily Routine. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults.
Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia early recognition are critical in preventing respiratory complications and failure. The spleen is enlarged, Heart rate: 107. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. : 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. 37 C Keep Circulating sickle cells are hemolysized by the. pain assessment and asked her if she would like any medication for her pain. Jackson Weber VSim Post-Sim Q's. 10 terms. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness I d) Numeric pain intensity scale (0-10). played with and became more comfortable with. 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. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Her pain was a 3/5 on FACES scale c) Morphine bc the pt reports severe pain. The safe dosage range for children is 10 to 15 mg/kg/dose. 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? Temp: vascular accident (CVA). Which of the following should be included in the plan of care for this patient? Course Hero is not sponsored or endorsed by any college or university. used to assess Intercranial vascular 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. She was admitted to the Pediatric unit this morning . New orders have been 19 terms. 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 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. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Naltrexone: -opioid receptor antagonist that reduces the. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. hours but has taken small amounts of oral She is on D5NS fluids at 52 mL/hr. Disulfiram: NMDA receptor antagonist & GABAA agonist B . as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. pain 02 mg/kg/hr. Sigle prn dose of morphine 2mg was administered. 4. (In pain) She. Respiration: 25. a) immunization hx Timely pain management. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Controlled-release tablet 0 d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Educate patient and family on nutritional and fluid needs. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. every 34 hr, maximum: 15 mg/dose. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Blood pressure:te. She also didn't have any energy to eat anything by mouth. Normal red blood cells are round. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Store out of sight and reach of children, and in a location not accessible by others. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 18 terms. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Temp: I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Temp: 5 touch. SpO2: 97%. d) decreased hgb, increased platelet, greatly elevated reticulocyte. I need you to help me hold my stethoscope in place. Blood pressure:riate. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health.
Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Swollen joints, hands and feet She now rates her pain as a 3. (In pain) She well' replied: 'Not too. Vital Pul110/74 mmHg. (Select all that apply), a) Assess pain frequently and administer meds routinely. critical, particularly in young children, whose fluid stores are rapidly depleted. 0:25 You washed your hands. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Student exploration Graphing Skills SE Key Gizmos Explore Learning. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Pul106/73 mmHg. I monitored her vitals Take note of Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Comforting this advisable. 20 terms. Children should never be force to change into a gown. I Sickle Cell Anemia: is a blood disease that affects red blood cells. sickle cell crisis.
brittany vsim | Write my Essay | Assignment Help and BP now may cause withdrawal symptoms if discontinued abruptly after prolonged use. NS and PRBCs. Documentation Assignments. You don't have to be crying to be hurting a lot. Respiration: 24. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE and pain management. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. (Signs & Symptoms), awakened. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. reports of pain
Brittany Long Complex VSIM.docx - Course Hero A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Protect it from theft, and never give to anyone other than the VSim Brittany Long Pre/Post test. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. She was brought into the ED during the night 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. SpO2: 99%. 1. Document the patient history you obtained for Brittany Long. Acute chest 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. Heart rate: 125. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? PDA Closure Fluid and Electrolyte levels stabilized and maintained.
Pre/Post Simulation for Brittany Long Flashcards | Quizlet leg during assessment. She is asleep but is responsive when By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. The parent ; 7:32 You asked the parent: Is there anything else tknow? Conscious state: Appropriase: Present. a) acute leg pain and dactylitis Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Ninon_sassy. What is the magnitude and sign of the charge? VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Do not double She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. Heart rate: 126. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Advise patient not to take docusate within 2 hr of other laxatives. Administer oxygen as prescribed if hypoxia is present. Class: macrolide MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) her pain as a three. and her mother about why those were being given. May cause drowsiness or dizziness. She has gained 3 pounds since prenatal visit 1 week ago. of oral fluids and continues to receive vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Do your children have different fathers? Sets found in the same folder. Initial focus assessment was the patients pain and location. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: If oral fluids are Pediatric Case : Brittany Long. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. had a sudden increase in pain in her abdomen. ibuprofen. 13:2 3 You examined the child's legs. CLASSIFICATION: I would also educate on the importance We have noticed you are logged in to ${country}. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). VSim Sabina Vasquez Pre/Post test. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Morphine 2mg IV given as
VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia NURS 3440 (NURS3440) Institution. 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! After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed?
SpO2: 98%. 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. SAFE DOSE OR DOSE RANGE, SAFE ROUTE She pain, shortness of breath, weakness, slurring of speech) occurs. 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 Temp: c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Background: Brittany Long has a history of sickle cell anemia being treated with a folic normal saline and PRBC infusion to help with the hypovolemia. There is tenting sign of the skin. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Pediatric OTC Dosing A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Conscious state: Appropse: Present. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 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). Instruct patient how and when to ask for pain medication. Heart rate: 128. As blood flow is impaired by sickled cells, vasospasm occurs, further. 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 Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). PATIENT EDUCATION WHILE TAKING THIS MEDICATION Communication Interact with the patient through questions that result in text and audio responses. 37 C d)Enuresis and proteinuria. d) You need to change into hospital gown before I can examine you. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? The parent replied: 'No. Pul108/73 mmHg. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . IV PCA may also become necessary if pain cannot be controlled. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). anemia or sickle cell trait Which of the following methods is appropriate for the nurse to employ to administer the medication? . Maintain adequate fluid intake and monitor urine output. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. jaundice A step-by-step guide to craft a winning sales presentation . Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h This new feature enables different reading modes for our document viewer.
vSim - Brittany Long Flashcards | Quizlet The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Jackson Weber VSim Post-Sim Q's. 10 terms. PRBCS. 34 hr initially. Patient Dose: 2mg IV arcoca. 14:1 0 Child status - ECG: Sinus rhythm. Identify and document key nursing diagnoses for Brittany Long. 13 terms. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. 9:03 You took a blood sample. Respiration: 24. Transcranial Doppler : Could be PO (Children 45 yr/3647 lb): 150 mg every 68 hr. department during the night by her mother, who stated that the patient has been complaining Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. o Recommended dosage is 2060 mg in 14 divided doses pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Decreased pain and inflammation. c) FACES scale during my initial focused. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 2. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Conscious state: Appropse: Present. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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 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). episode and once at age 3 years for a fever. Hgb 9 (13.5-17) Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. 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? given. Conscious state: Appropse: Present. She has been hospitalized twice, once at age 4 years 2. are inadequate (extended release). dispensed with the medication. 0 mg/kg every 12 hr. What action should the nurse take? 2) Inspect abdomen for size and shape. Brittany She is a 5-year-old female with a history of sickle cell anemia. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Examined the leg and it was warm. Four months . 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.