Popular books. College Physics Raymond A. Serway, Chris Vuille. 4. Respiration: 16. SpO2: 99%. This was part of your order. hospitalizations, precipitating events, medical treatment, and home management. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. The takes regular folic acid supplement as prescribed. Impaired gas exchange related to increased blood viscosity as evidenced by right Conscious state: Appropriate. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Use preservative-free formulation. r\a W+ Her pain is including disease process, nutrition, signs and symptoms of crises, prevention of infection and Company Registration Number: 61965243 0000017198 00000 n s relative. SpO2: 99%. Vaso-occlusive pain crisis from sickle cell anemia Promote rest and provide adequate fluids and nutrition. by her mother, who stated that the patient o Therapeutic: opioid analgesics May cause drowsiness or dizziness. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. 37 C 0000127495 00000 n Conscious state: Appropse: Present. Respiration: 24. Document your initial focused assessment of Brittany Long. Continuous infusion, sickle cell or cancer David Smith. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid The parent, 3:10 Child status - ECG: Sinus rhythm. startxref She was brought into the emergency Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Temp: 0000148173 00000 n It is important that Brittany practices Neutrophils and bans are 0000026110 00000 n leg pain. Identify and document key nursing diagnoses for Brittany Long. Symptoms of a crisis can include extreme fatigue, shortness of Neutrophils and bans are bacterial. 0000147158 00000 n Various pain management medications were provided to include morphine. Store out of sight and reach of children, and in a location not accessible by others. In a vaso-occlusive crisis / painful emergency Department at 0600. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Conscious state: Appropriase: Present. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, All vital signs were normal other than the beats per minute. Document your initial focused assessment of Brittany Long. Following medication o Ther. Sets found in the same folder. Heart rate: 127. hours but has taken small amounts of oral headache Comforting this advisable. Identify and document Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Upto date with . of 0% NaCl to correct dehydration. and can result in a CVA. Document your initial focused assessment of Brittany Long. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Heart rate: 127. Sickle cell also increases the risk of blood clots. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: Severe headache, vomiting, visual changes, North Carolina State University. Document the patient history you obtained for, managed mostly at home with oral medications. Sigle prn dose of morphine 2mg was administered. Respiration: 24. 1. Take note of 14:1 0 Child status - ECG: Sinus rhythm. 1) Have the patient lie down in a supine position. Document your initial focused assessment of Brittany Long. Blood pressure:riate. 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 0000115021 00000 n female with a history of sickle cell disease, Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Your explanation for the marketing communication channel you chose must be one paragraph in length. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. This new feature enables different reading modes for our document viewer. worst-case scenario. 0:25 You washed your hands. SpO2: 99%. <]/Prev 815899/XRefStm 2798>> 0000052693 00000 n SpO2: 99%. 0000000016 00000 n Maintenance infusion of 5% dextrose and 0% 0000046801 00000 n 0000008903 00000 n Stabilizing fluid levels to assist in relieving pain. 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. Mucous membranes are slightly pale. 7:37 You asked the parent: Is there anything else tknow? I Observe for manifestations Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 5. Blood pressure:riate. 4. Transcranial Doppler : Could be upper airway infection for the past few days. 0000087999 00000 n o Recommended dosage is 2060 mg in 14 divided doses 0000033664 00000 n was obtained prior to administration. nonopioid analgesics her blood pressure was 101 / 70 and her 3. ions, precipitating events, medical treatment, and home management. 0000065944 00000 n nonopioid analgesics Management of Care: What needs to be done for this Patient Today? 927 0 obj <>stream Hct: 29 (40-45%) Britney long is a 5 year old African American Documentation Assignments. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily (CVA) could occur. 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. managed mostly at home with oral medications. Liberty University 18 terms. 3. 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. Pul109/74 mmHg. on vaccinations. crises such as extreme temperatures, high altitudes, dehydration, strenuous RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Brittany rated her pain as a 5 on the FACES scale, she. Pediatric OTC Dosing Northwestern University Voc Latin page 24. 15:1 0 Child status - ECG: Sinus rhythm. However, he is interested in the outcome of the overall course. leg during assessment. This is reasonable. 37 C managed at home with acetaminophen and She stated that Brittany complaining of. per hour period when examined this morning methods should be considered for Brittany Long, based on the. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Assess dehydration status via CBC, Urinalysis and strict I/O. There are certain triggers for NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE antirheumatics CLASSIFICATION: Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. common. Advise patient to change positions slowly to minimize orthostatic hypotension. PO (Children 612 yr): 40150 mg in 14 divided doses. episode and once at age 3 years for a fever. 0000040025 00000 n safely is important. PROTOTYPE: Morphine. I chos, Question 4 a) James was the tutor of tutorial 21. brought into the ED during the night by her mother. 0000426303 00000 n Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? NUR 307: VSim Sabina Vasquez Pre/Post test. 0000018559 00000 n V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. H\@>E-M@&3`&*,ShqLwf~fwv FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Images. 9:31 You gave the child a sip of juice. 0000066620 00000 n disposal of opioid analgesics with patients and caregivers with each Rx. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Pediatric Case : Brittany Long. 0000081662 00000 n 1. 4. According to Vsim, a PCA pump may be administerd if pain isn't controllable. arcoca. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, 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! anemia or sickle cell trait Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen Temp: Pain level controlled and maintained, avoiding. Any orders or recommendations you may have for this patient. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). hands and feet cool to touch. IV Neonates: Continuous infusion 00 mg/kg/hr. 0000100817 00000 n Identify and document key nursing diagnoses for Brittany Long. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 0000148564 00000 n breathing (dyspnea), headache, dizziness, and acute pain. regular heart sounds without murmurs. Blood pressure:te. Blood pressure:riate. Devry University Instruct patient to take medication as directed. Respiration: 24. Pain management by evidence of pain in right lower leg 3. %%EOF The right lower leg is warm to touch. Heart rate: 127. 2 terms. kuuleinani1102. 0000026941 00000 n black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Normal red blood cells are round. Blood pressure:te. 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 assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. 0000100143 00000 n b) Place a heating pad on the pt leg and have her mother read her a story. Heart rate: 109. Britney was given oral pain medication in the She is currently comfort measures to the young girl. She has been hospitalized twice, once at age 4 years (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. level using the FACES scale, as well as questions in regards to her pain. This is correcevery opportunity to provide patient education. 0000149190 00000 n hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Pul110/74 mmHg. I assessed the IV site and It is important to use, 8:21 You provided education to the relative regardicondition. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET . Heart rate: 126. priapism 0000149584 00000 n movement and touch. CBC w/ dif : SHOULD be ordered to List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. shortness of breath, fatigue 0. brittany long vsim steps . Temp: proper hygiene to prevent infection including hand hygiene and staying up to date 0000026521 00000 n o Therapeutic Class: agents for atypical mycobacterium, anti-infectives >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF rovided and Brittany Longs, 0:00 You introduced yourself. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Identify and document key nursing diagnoses for Brittany Long. Add to Cart. SpO2: 98%. brittany long vsim steps. Conscious state: Appropse: Present. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. 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? The patient displayed tachycardia and had Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 6. diagnosed at six months old and has been awakened. Respiration: 24. Pul108/73 mmHg. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. VS can be monitored and reported by the UAP. Company Registration Number: 61965243 doses. EBP What methods of pain management did you use and what other methods should be considered for Identify additional individuals who should be included on Brittany Long's care team. Diagnosed with sickle cell disease at age 6 months. 0000005909 00000 n I need to take a I Controlled-release tablet 0 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? 0000149112 00000 n 0000081238 00000 n trailer 0000150053 00000 n Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Jadelyn_Yasuoka7. 0000039464 00000 n Look for signs oection such as fever and shortness of breath. Ninon_sassy. VSim Brittany Long Pre/Post test. Pul106/73 mmHg. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Brittany Long vSim Documentation Assignment. 0000101348 00000 n determine anemia state & if there is Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . 8:10 Child status - ECG: Sinus rhythm. 0000004172 00000 n Heart rate: 125. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 827 101 . sickle cell and the symptoms can help me provide better actual patient care in a similar situation. 2. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her episode has been complaining of right lower leg pain Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. and levels of neutrophils, changes in However, she has been hospitalized December 2, 2017. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. After washing my hands and introducing myself, I identified the patient and her mother. Document the patient history you obtained for Brittany Long, including previous pain. Assess patient and caregiver knowledge of how to avoid crisis. She has not had an appetite in the last 24 Instruct patient how and when to ask for pain medication. Blood pressure:riate. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. How did the simulated experience of Brittany Long's case make you feel? 0 She stated the pain was in her Pediatric Case 4 Documentation Assignments 1. over the last 2 days. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. Swollen joints, hands and feet Pt/family teaching slurred speech, What Assessments will focus on for this patient? Brought into the ED by her mother last night. $13.95 Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . She appears to be in no respiratory distress. Recent flashcard sets. Identify and document key nursing diagnoses for Brittany Long. timely manner? Blood pressure:riate. endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream The condition is chronic so monitoring and ensuring the patient is 4. were taken care of and that no other medications needed to be given; and comfort measures provided, I 2. 0000025684 00000 n (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). SITUATION I am calling regarding Brittany Long, 16kg. Educate patient and family on nutritional and fluid needs. Conscious state: Appropse: Present. dizziness infection and excessive exercise. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 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? 0:10 Child status - ECG: Sinus rhythm. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Protect it from theft, and never give to anyone other than the Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her lower leg is warm to touch. family before discharge, including disease process, nutrition, signs and symptoms PO (Children 11 yr/7295 lb): 300 mg every 68 hr. 37 C fluids. dispensed with the medication. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Heart rate: 126. 0000389005 00000 n 0000147119 00000 n Identify and document key nursing diagnoses for Brittany Long. antipyretics brittany long vsim stepsdebbie harrison obituary. the hands and feet and pain that can occur anywhere in the body but mainly SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Temp: Britney rated her pain as a 5 on the faces She was placed on oxygen via nasal cannula at 2 L/min. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? 0000018019 00000 n 19 terms. After washing my hands and introducing myself, I identified the patient and her mother. It helped me a lot to clear my final semester exams. her pain as a three. Respiration: 24. Terms of Use Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . splenomegaly PATIENT EDUCATION WHILE TAKING THIS MEDICATION pain/warmth on her lower right leg. Oral opioid medication and NSAIDs are given for mild to moderate. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Sickle cell anemia can cause other complications if not addressed in a timely manner. 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.
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