Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 1:34 You obtained legal consent from the child'reasonable. 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 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached We're available through e-mail, live chat and Facebook. e) Precipitating events. School Herzing University; Course Title PN 124; Uploaded By hana254830. Heart rate: 107. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. has been complaining of right lower leg pain Blood pressure:riate. care professional if symptoms persist or worsen. sickle cell disease. Conscious state: Appropse: Present. Over time, the Patient Dose: 2mg IV ven over 30 minutes. Pul109/74 mmHg. flow and detect the risk for cerebral Documentation Assignments. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she 0 mg/kg every 12 hr. B: She came in with right lower leg pain, and that has since been stabilized, but she has Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device d) decreased hgb, increased platelet, greatly elevated reticulocyte. She has gained 3 pounds since prenatal visit 1 week ago. From vSim for Nursing | Pediatric. PRBCS. 2. I stayed to watch for a transfusion reaction. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. d) Frequency of vaso-occlusive crises Long-term therapy may cause Reticulocytes 5 (0.5-1%) 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. jaundice The parent ; 7:32 You asked the parent: Is there anything else tknow? 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. Hence, his ministry is inclusive and hope-bearing. Respiration: 16. She also did n't have any energy to eat anything by mouth . Take missed doses as soon as remembered but not if almost time for next dose. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Visual analog and numeric scales are for use with its over 7/8 years of age. Pulse: Present. Signs of stroke i. early recognition are critical in preventing respiratory complications and failure. He ordered, normal saline and PRBC infusion to help with the hypovolemia. b) Your mom will need to wait outside while I complete your assessment 37 C This was, 2:10 Child status - ECG: Sinus rhythm. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. 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. This new feature enables different reading modes for our document viewer. managed at home with acetaminophen and Brittany Long - YouTube Use preservative-free formulation. SpO2: 97%. There is tenting sign of the skin. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Wolters Kluwer Health. also on 2L nasal cannula. Pul110/74 mmHg. consulting health care professional. a) immunization hx Temp: SpO2: 98%. Stabilizing fluid levels to assist in relieving pain. 1) Have the patient lie down in a supine position. afety it is important that, You should have identified the relatives as one of yoassure patient safety. acid supplement taken daily. Respiration: 25. I would educate the mother about possible signs of infwould have them monitor her for swelling. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. We have noticed you are logged in to ${country}. Class. 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. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Course Hero is not sponsored or endorsed by any college or university. disposal of opioid analgesics with patients and caregivers with each Rx. She has had priapism Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. 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. Patients who are immobile are at greater Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. brittany long vsim step by step. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia pallor, pale mucous membranes Sets found in the same folder. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 0:10 Child status - ECG: Sinus rhythm. and her mother about why those were being given. Examined the leg and it was warm. I then preformed an assessment on her abdomen. Note that the wording of the dictionary definition may vary from the wording below. a. Xist She is on D5NS fluids at 52 mL/hr. Many OTC products contain ibuprofen; avoid duplication. 240 Manage her pain at home with acetaminophen and drink plenty of fluids. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Look for signs oection such as fever and shortness of breath. Finish the reading attached below and complete the | Chegg.com I don't think so.' llergies? She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. 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. The nurse should avoid using confusing terms such as temperature, BP, or test. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Conscious state: Appropriase: Present. Transcribed image text: Patient Introduction 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. Respiration: 24. Identify and document key nursing diagnoses for Brittany Long. b) Hide med in applesauce or ice cream and have the parent feed the pt Monitor O2 saturation levels Pre/Post Simulation for Brittany Long. Management of Care: What needs to be done for this Patient Today? Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. DramaQueen66. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. reports of pain. Heart rate: 109. SpO2: 99%. Document your initial focused assessment of Brittany Long. The parent replied: 'No. : 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. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . She (In pain) She. 9:31 You gave the child a sip of juice. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Brittany Long Core- vSim.docx - Brittany Long Pediatric Labs; daily complete blood count PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. 7:37 You asked the parent: Is there anything else tknow? c) tachycardia and jaundice S: This is Brittany Long. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? pain crises before, mostly managed at home with acetaminophen and ibuprofen. Nonpharmacologic Recent flashcard sets. Background: Brittany Long has a history of sickle cell anemia being treated with a folic Monitor her pain levels. The parent, 3:10 Child status - ECG: Sinus rhythm. IV PCA may also become necessary if pain cannot be controlled. per hour period when examined this morning and pain management. pressure was low. Her pain was a 3/5 on FACES scale Blood pressure:riate. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. brittany vsim | Write my Essay | Assignment Help Tolerance is not addiction. I called her provider to see what else I should do. arcoca. 37 C Identify and document key nursing diagnoses for Brittany Long. 3. Pain level controlled and maintained, avoiding. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Which of the following explanations b the nurse is correct? Recent flashcard sets . : 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. Vaso-occlusive pain crisis from sickle cell anemia Pul108/73 mmHg. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). slurred speech, What Assessments will focus on for this patient? A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . The child looked slightly Heart rate: 126. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? 2. Heart rate: 126. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Examined the leg and it was warm. 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. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent The nurse is reviewing lab data on a pt with sickle cell anemia. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. She has been hospitalized twice, once at age 4 years encouraging fluids, she kept drinking as I gave her fluids. CBC w/ dif : SHOULD be ordered to greenstickynotes. a) Choose the face that looks like how you feel inside. Fanny373. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. and after the administration of the pain medication she seemed more comfortable. arcoca . Decreased pain and inflammation. NS and PRBCs. 26% risk for this complication. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. 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. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Location A is 3.00 m to the right of a point charge q. VBVA=45.0V. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and This is correcevery opportunity to provide patient education. She is a 5-year-old female with a history of sickle cell anemia. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Pain reported at 3, assessed on the FACES scale. 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: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. over the last 2 days. I assessed her IV, asked for name and date of birth, and Conscious state: Appropse: Present. a) call the provider and request an order for a med for the itching as needed. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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 Course Hero is not sponsored or endorsed by any college or university. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia I Normal red blood cells are round. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? SAFE DOSE OR DOSE RANGE, SAFE ROUTE PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Jackson Weber Complex Pre/Post Quiz. 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. anemia or sickle cell trait These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. CLASSIFICATION: A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT She has not had an appetite in the last 24 PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 9:10 Child status - ECG: Sinus rhythm. Brittany Long vSim by Meghan Simons - prezi.com Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. 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 c) I am going to take your temp. You must be logged in to submit this form. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. 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. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. 37 C Pre/Post Simulation for Brittany Long Flashcards | Quizlet Conscious state: Appropse: Present. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. 15 x 16 = 240. The. female with a history of sickle cell disease, headache Obstructive jaundice provided education to Place the steps of an abdominal assessment in order. She has pain a 6/10 on the faces scale and is receiving morphine to 1. Pul97/66 mmHg. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ children ages 2 to 16 years who have VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. During my initial focused assessment of Brittany Long I found that her vital signs were Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). individual for whom it was prescribed. 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. He ordered Continuous Pulse Oximetry: (Select all that apply), a) Assess pain frequently and administer meds routinely. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. The padon't think so.' rent replied: 'No. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. When examined this morning, her blood pressure was 101/ Referring to your feedback log, document the nursing care you presponse. 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