fluids. Pain management by evidence of pain in right lower leg Brought into the ED by her mother last night. vSim - Brittany Long Flashcards | Quizlet 37 C Brittany was given oral pain medication in the emergency department at 6:00 AM. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? 2. SAFE DOSE OR DOSE RANGE, SAFE ROUTE b) Tachycardia and jaundice. Pediatric Case 07 Brittany Long Core DA rev - StuDocu Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. (Abnormal) rapidity of the heart ____________________________________. Reduction of fever. nonopioid analgesics also on 2L nasal cannula. 13 terms. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. She is asleep but is responsive when awakened. The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. 6:22 You asked the child how long she had pain for. Family history of sickle cell 37 C It is not necessary to give combining terms for words in parentheses. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Conscious state: Appropriase: Present. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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I monitored her respiratory rate for any, respiratory depression. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. on the FACES Scale. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex prevent further VOC and complications of SCD and to provide relief of pain. vSim - Brittany Long. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu 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 . X SAFE DOSAGE nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . Signs of stroke i. Pediatric Case 7: Brittany Long (Core) 1. e) Precipitating events. 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. Which of the following should be included in the plan of care for this patient? Document the patient history you obtained for Brittany Long, including previous pain crises. Acute Pain Use preservative-free formulation. Heart rate: 109. May cause drowsiness or dizziness. 37 C The spleen is enlarged, Instruct patient how and when to ask for pain medication. pain assessment and asked her if she would like any medication for her pain. : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. 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? Her pulse measured 160bpm, her respirations were 34, and her blood And Hct. by her mother, who stated that the patient 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. 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Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu d) Numeric pain intensity scale (0-10). Blood pressure:riate. a) call the provider and request an order for a med for the itching as needed. Brittany VSIM. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Location A is 3.00 m to the right of a point charge q. 37 C She is on D5NS fluids at 52 mL/hr. hhulsey6. Examined the leg and it was warm. I stayed to watch for a transfusion reaction. VSim Brittany Long Pre/Post test. Heart rate: 127. He ordered, normal saline and PRBC infusion to help with the hypovolemia. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. The faulty regular heart sounds without murmurs. Hgb 9 (13.5-17) Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. I monitored her respiratory rate for any Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. To maintain patient syou quickly identify the child. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. 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. shortness of breath, fatigue a) Choose the face that looks like how you feel inside. and pain management. Conscious state: Appropse: Present. SpO2: 98%. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Conscious state: Appropse: Present. 37 C Temp: 5 touch. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth o Recommended dosage is 2060 mg in 14 divided doses A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. 13:2 3 You examined the child&apos;s legs. Ineffective Tissue Perfusion This is reasonable. I do about 40 minutes of it five times a week. SpO2: 99%. 19 terms. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. New orders have been. The parent ; 7:32 You asked the parent: Is there anything else tknow? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION 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). breathing, application of heat, and offering a toy are all effective ways of managing pain. brittany long vsim step by step. Wolters Kluwer Health. Class. How did the simulated experience of Brittany Long's case make you feel? Normal red blood cells are round. 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. What is the maximum safe dose for this pt in mg? a) Sickle cell anemia is transmitted through he father. PATIENT EDUCATION WHILE TAKING THIS MEDICATION What would be the most appropriate med for the nurse to administer?
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