d) You need to change into hospital gown before I can examine you. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Circulating sickle cells are hemolysized by the. Heart rate: 109. sickle cell crisis. Initial focus assessment was the patients pain and location. Temp: a left (bacterial) or right shift (viral) SpO2: 98%. (SBAR) format to communicate what further care Brittany Long needs. She has pain a 6/10 on the faces scale and is receiving morphine to VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. c) FACES scale 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. What are you on alert for with this patient? (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE I verified with two nurses in regard to the Pediatric Case 7: Brittany Long (Core) Documentation Assignments. 13:2 3 You examined the child&apos;s legs. leg during assessment. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. 3. Company Registration Number: 61965243 Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 37 C breathing, application of heat, and offering a toy are all effective ways of managing pain. and BP now 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. Document your initial focused assessment of Brittany Long. 13:3 9 You phoned the provider in order to discuss the patient. NS and PRBCs. per hour period when examined this morning not meeting the childs fluid requirements, IV fluids are necessary. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth vSim - Brittany Long Flashcards | Quizlet Blood pressure:te. VSim Brittany Long Pre/Post test. Conscious state: Appropriase: Present. Promote rest and provide adequate fluids and nutrition. 3. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Blood pressure:riate. antipyretics SpO2: 99%. Identify and document key nursing diagnoses for Brittany Long. Strict I and BUS 5112 Group Project Unit 4-7.pptx ( Final).pdf, In addition in September 2014 the Ministry of Environmental Protection held a, Assessor to record Assessment tasks SITXINV003 Purchase Goods Wakefield, Monitoring Extractive Industries A number of research and advocacy groups have, i State one responsibility of a Secretary 1 mark ii Explain how a Secretary, 2 We cannot walk in hate and be acceptable with God 3 We have to make a decision, Learner Guide Copyright Chisholm 2020 55 Assist the older person to recognise, 7FE69DC0-8ED5-4A85-AF40-3899513A77FC.jpeg, 175 Cockar CJ Kwach and Shah JJA but not before stressing that the Law of, advantages and disadvantages of solar,nuclear energy.docx, D27FCE4D-524A-4914-BC47-839498ADE7B8.jpeg, 1 The answer is D 2 The answer is A The estimated standard error o the mean SE, What is the type of variable pallor A Qualitative nominal B Qualitative ordinal, 10 Discuss the foreign policy of Louis XIV Was he successful Explain He was very, One important aspect of Jesus' ministry is liberating people from the limits imposed by class distinctions in his own time. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness o Therapeutic Class: agents for atypical mycobacterium, anti-infectives I Maintain adequate fluid intake and monitor urine output. Student exploration Graphing Skills SE Key Gizmos Explore Learning. (Clinical slides 02.02) Conscious state: Appropse: Present. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! reports of pain a) Sickle cell anemia is transmitted through he father. consulting health care professional. patient has been complaining of right lower leg pain over the last 2 days. Hematuria hidy_esther. Making a purchase. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Situation: Brittany long is a 5-year-old African American female who has a history of then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Brittany Long Core- vSim.docx - Brittany Long Pediatric referral to the pain team may also be helpful in SCD crises management. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Vital Acute chest Conscious state: Appropse: Present. flow and detect the risk for cerebral b) Visual analog scale Conscious state: Appropse: Present. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. The nurse is assessing for which of the following complications of vast-occlusive crisis? Do not stop taking without discussing with health care professional; Sickle Cell Anemia: is a blood disease that affects red blood cells. Recent flashcard sets. Respiration: 16. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Pre/Post Simulation for Brittany Long. d)Enuresis and proteinuria. Temp: 19 terms. The nurse is teaching Brittany how to use the FACES scale to rate pain. I educated the patient. Pediatric Case 08 Brittany Long Complex DA - StuDocu Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. The nursing care for Brittany Long began with obtaining a set of vitals. used to assess Intercranial vascular and basic metabolic panel, Blood analysis (notable): She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. avoid a sickle cell crisis in the future. IF you have four children, one or 25% will have sickle cell anemia. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. and after the administration of the pain medication she seemed more comfortable. given. Antipyretic 5 mg/kg for Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." . Reticulocytes 5 (0.5-1%) The safe dosage range for children is 10 to 15 mg/kg/dose. sickle cell disease. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Monitor her pain levels. Hence, his ministry is inclusive and hope-bearing. Neutrophils and bans are slurred speech, What Assessments will focus on for this patient? regular heart sounds without murmurs. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Pulse: Present. also on 2L nasal cannula. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. S: This is Brittany Long. splenomegaly Brittany 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 I f dehydration, look at her legs frequently. determine anemia state & if there is line infusion rate to 52. faces scale. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. 3. c) I am going to take your temp. Nonpharmacologic takes regular folic acid supplement as prescribed. 0:25 You washed your hands. During my initial focused assessment of Brittany Long I found that her vital signs were Dehydration is often a If that is not sufficient to manage their pain, they may require morphine for X SAFE DOSAGE a) Choose the face that looks like how you feel inside. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. She was A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. red blood cells become rigid and shaped like crescent moons or sickles. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Conscious state: Appropse: Present. unstable. Management of Care: What needs to be done for this Patient Today? Heart rate: 125. The nurse is performing a physical assessment on a 5 y/o pt. . 4. 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. her pain as a three. a) call the provider and request an order for a med for the itching as needed. Brittany VSIM. Advise patients that laxatives should be used only for short-term therapy. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. 9:03 You took a blood sample. What are you on alert for with this patient? Find all solutions of the following equation. She also did n't have any energy to eat anything by mouth . 19 terms. c) Use a dropper to place med in back of the pt's throat Look for signs oection such as fever and shortness of breath. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? This was part of your order. 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. Brittany rated her pain Hypertension and tachycardia are often associated with acute pain. Britney was given oral pain medication in the During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. Heart rate: 125. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. of infection and dehydration, and pain management. He ordered, normal saline and PRBC infusion to help with the hypovolemia. 0 mg/kg every 12 hr. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 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. You should have identified the relative, ng the child&apos;s before providing 20 terms. and is To maintain patient syou quickly identify the child. 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. 37 C I monitored her respiratory rate for any V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Any orders or recommendations you may have for this patient. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Visual disturbances. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. Conscious state: Appropriate. 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. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Place the steps of an abdominal assessment in order. 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. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. I have a weekly show-- Ease Into . 1. Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia Signs of stroke i. vSim - Brittany Long. once at age 4 years for vaso-occlusive crisis Assess dehydration status via CBC, Urinalysis and strict I/O. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Store out of sight and reach of children, and in a location not accessible by others. d) Frequency of vaso-occlusive crises Respiration: 24. The pt is lying quietly in bed watching TV. Diagnosed with sickle cell disease at age 6 months. Respiration: 15. nonopioid analgesics Her skin is quite cold. joints and abdomen. diagnosed at six months old and has been 37 C VS can be monitored and reported by the UAP. 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). CLASSIFICATION: rovided and Brittany Longs, 0:00 You introduced yourself. She was admitted to the Pediatric unit this morning . Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth viral. SpO2: 99%. Pul97/66 mmHg. has been complaining of right lower leg pain PO (Children 910 yr/6071 lb): 250 mg every 68 hr. 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. Many OTC products contain ibuprofen; avoid duplication. Pul109/74 mmHg. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Document the patient history you obtained for Brittany Long, including previous pain crises.
Long Beach, Ca Obituaries 2021, Where Does John Avlon Live, Tdcj Iptc Program, Nfl Offensive And Defensive Line Rankings, Sagittarius Ascendant Woman Tumblr, Articles B