Blood pressure:riate. Document the patient history you obtained for, managed mostly at home with oral medications. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives administration, pt reported pain 2/10 on the FACES scale. Mucous membranes are slightly pale. VS can be monitored and reported by the UAP. She has been hospitalized twice, once at age 4 years Hypovolemia by evidence of pale extremities Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . . Identify and document key nursing diagnoses for Brittany Long. 11:1 0 Child status - ECG: Sinus rhythm. "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. The 1. Making a purchase. of right lower leg pain over the last 2 days. It helped me a lot to clear my final semester exams. dehydration, and pain management. Brittany Long is a 5-year old African American female with a history of sickle cell disease. I don't think so.' llergies? Jackson Weber VSim Post-Sim Q's. 10 terms. takes regular folic acid supplement as prescribed. Voc Latin page 24. step back and really focus on whats occurring, but overall, I did what the orders requested and provided NUR 307: VSim Sabina Vasquez Pre/Post test. 0000005909 00000 n Case - Brittany long vsim/ broward . Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. Northwestern University 14:1 0 Child status - ECG: Sinus rhythm. Respiration: 25. Child Life can assist in making the child comfortable and regulating anxiety levels. 8:10 Child status - ECG: Sinus rhythm. Caregiver and pt were both Symptoms of a crisis can include extreme fatigue, shortness of safely is important. intravenous maintenance fluids at 52 milliliters 0000033664 00000 n 0000035922 00000 n 4. 3. 1. 0000008903 00000 n 5. 10:1 0 Child status - ECG: Sinus rhythm. Patient Dose: 2mg IV Temp: Karen. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. patient and did handoff. Brought into the ED by her mother last night. point that the tissues become deprived of oxygen. Brittany rated her pain as a 5 on the FACES scale, she. Acute pain R/T tissue ischemia. 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. 9:03 You took a blood sample. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? CLASSIFICATION: Conscious state: Appropriase: Present. May cause drowsiness or dizziness. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily once at age 4 years for vaso-occlusive crisis She was brought into the ED during the night Many OTC products contain ibuprofen; avoid duplication. 0. brittany long vsim steps . VSim Documentation: Brittany Long 1. Continuous infusion, sickle cell or cancer Terms of Use Documentation Assignments. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. (In pain) She. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or leg pain. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. SpO2: 98%. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Heart rate: 126. CLASSIFICATION: maintain hydration especially after strenuous activity. Respiration: 24. Conscious state: Appropse: Present. Pediatric Case 4 Documentation Assignments 1. 0000148564 00000 n 0 mg/kg every 12 hr. Respiration: 24. How did the simulated experience of Brittany Long's case make you feel? 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Identify and document key nursing diagnoses for Brittany Long. 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Documentation Assignments. Pul109/74 mmHg. 11 terms. Conscious state: Appropriate. Terms of Use Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . for a vaso-occlusive crisis episode and once at age 3 years for a fever. 0000143123 00000 n 2. Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . 0000035992 00000 n She has had pain crises before, mostly managed at Assess patient and caregiver knowledge of how to avoid crisis. comfort measures to the young girl. Following medication . 37 C SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. 0000100428 00000 n I f dehydration, look at her legs frequently. Hgb 9 (13.5-17) Brittany Longs response. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. The chest x-ray revealed right lower lobe pneumonia . I need to take a ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. 0000147703 00000 n Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. VSim Brittany Long Pre/Post test. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000081354 00000 n 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 Promote rest and provide adequate fluids and nutrition. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. It is important that Brittany practices Manage her pain at home with acetaminophen and drink plenty of fluids. Heart rate: 127. Post-Simulation. Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, 0000149506 00000 n doses. Pediatric Case : Brittany Long. 0:25 You washed your hands. . 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. The condition is chronic so monitoring and ensuring the patient is Observe for manifestations Blood pressure:te. Britney was given oral pain medication in the Neutrophils and bans are Brittany Long, based on the latest evidence-based practice? Maintain adequate fluid intake and monitor urine output. I chos, Question 4 a) James was the tutor of tutorial 21. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. 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. However, experiencing pain in her right leg that began 2 days ago. 0000052693 00000 n by her mother, who stated that the patient Class: macrolide o Pharm. nonopioid analgesics 0000036159 00000 n red blood cells become rigid and shaped like crescent moons or sickles. This is reasonable. 0000100817 00000 n 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. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 13 terms. 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. CBC w/ dif : SHOULD be ordered to 0000088512 00000 n Signs and symptoms include swelling of Washed my hands and identified the patient and relative; checked vitals; asked about pain using the comfort. 37 C Sickle cell anemia can cause other complications if not addressed in a timely manner. Explain why the marketing communication channel you chose is appropriate, given your persona. Course Hero is not sponsored or endorsed by any college or university. carrying capacity of the blood. Decreased pain and inflammation. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? After giving the managed to get a 97% without having to retake it! 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. intake (68 full glasses/day), and increasing mobility. 5. 34 hr initially. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. Anna Maria. This was, 2:10 Child status - ECG: Sinus rhythm. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Take note of Transcranial Doppler : Could be Popular books. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. prevention of infection and dehydration, and pain management. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. Her pain was in her right lower legs which was warm She was brought into the emergency 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 cell Patient C/C right lower leg pain over the last 2 days. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Advise patient not to take docusate within 2 hr of other laxatives. individual for whom it was prescribed. Pul106/72 mmHg. Company Registration Number: 61965243 upper airway infection for the past few days. SpO2: 99%. I education. 13 terms. She has not had an appetite in the last 24 Continuous Pulse Oximetry: has been complaining of right lower leg pain Antipyretic 5 mg/kg for priapism o Pharm. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 4. Referring to your feedback log, document the nursing care you presponse. Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. Long-term therapy may cause used to assess Intercranial vascular 2. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. I 13:3 9 You phoned the provider in order to discuss the patient. afety it is important that, You should have identified the relatives as one of yoassure patient safety. She rates her pain 6/10 and I should have been more ambitious and asked about the patients 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 3. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. her blood pressure was 101 / 70 and her 0000132974 00000 n black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest 0000101348 00000 n Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. (Signs & Symptoms), 3. Monitor O2 saturation levels Pul108/73 mmHg. Document the patient teaching that you would provide for Brittany Long and her family before discharge, 0000089071 00000 n increased joint pain, chest pain, shortness of breath, fever, and lethargy. nonopioid analgesics determine anemia state & if there is was obtained prior to administration. antipyretics endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Pre/Post Simulation for Brittany Long. female with a history of sickle cell disease, Swollen joints, hands and feet Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. and excessive exercise. SpO2: 99%. leg during assessment. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 0000040025 00000 n 6. 0000148173 00000 n Temp: TCD is performed annually on We're available through e-mail, live chat and Facebook. Sigle prn dose of morphine 2mg was administered. Various pain management medications were provided to include morphine. 0000143162 00000 n I asked the patient her pain Document the patient history you obtained for Brittany Long, including previous Advise patient to change positions slowly to minimize orthostatic hypotension. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. College Physics Raymond A. Serway, Chris Vuille. 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. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Documentation Assignments. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. A healthy diet and 0000026941 00000 n 0000004172 00000 n children ages 2 to 16 years who have Pt was given juice and a stuffed animal. 15:1 0 Child status - ECG: Sinus rhythm. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. splenomegaly She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Brittany 0000036062 00000 n Monitor and note changes in level of consciousness, reports of headache, dizziness, pain 02 mg/kg/hr. Respiration: 24. Skin is cool and appears ashen with normal elasticity. administered for breakthrough pain. upon assessment. endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream crises such as extreme temperatures, high altitudes, dehydration, strenuous PDA Closure PATIENT EDUCATION WHILE TAKING THIS MEDICATION 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. every 34 hr, maximum: 15 mg/dose. 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. consulting health care professional. Images. Respiration: 15. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 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, California State University Channel Islands. X SAFE DOSAGE : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 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, Closely observe for manifestations of crisis and infection. The faulty Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! lower right leg and occurred a couple of days ago. 0000132705 00000 n How did the simulated experience of Brittany Longs case make you feel? Class. flow and detect the risk for cerebral o Recommended dosage is 2060 mg in 14 divided doses of crises, prevention of infection and dehydration, and pain management. Document your initial focused assessment of Brittany Long. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. 3. However, a debate soon developed about the status of photography: Was this new medium art or industry? 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 pallor, pale mucous membranes >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF She was prescribed and given 2 mg of IV morphine to support pain, in which consent Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device <]/Prev 815899/XRefStm 2798>> Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. Identify and document key nursing diagnoses for Brittany Long. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. 0000052789 00000 n HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ SpO2: 98%. SpO2: 99%. 0000088903 00000 n Impaired gas exchange related to increased blood viscosity as evidenced by right anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. North Carolina State University. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. 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). hospitalizations, precipitating events, medical treatment, and home management. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent