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Sickle cell also increases the risk of blood clots. involving the legs, back, knees, and arms. bacterial. Blood pressure:riate. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Skin is cool and appears ashen with normal elasticity. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Blood pressure:riate. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. 2) Inspect abdomen for size and shape. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? 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. 0000088903 00000 n
Which is a huge accomplishment from the other ones. ven over 30 minutes. was obtained prior to administration. VSim Documentation: Brittany Long 1. 37 C Conscious state: Appropse: Present. leg during assessment. step back and really focus on whats occurring, but overall, I did what the orders requested and provided 18 terms. Mike T, Pediatric Case 4
intravenous maintenance fluids at 52 milliliters jaundice Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. SpO2: 98%. Terms of Use Describe the actions you felt went well in this scenario. crises, hospitalizations, precipitating events, medical treatment, and home management. 4. She stated that Brittany complaining of. PATIENT EDUCATION WHILE TAKING THIS MEDICATION However, he is interested in the outcome of the overall course. 927 0 obj
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0. brittany long vsim steps . . 1. reports of pain Company Registration Number: 61965243 ions, precipitating events, medical treatment, and home management. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. episode 0000066620 00000 n
experiencing pain in her right leg that began 2 days ago. Decreased pain and inflammation. 0000100844 00000 n
afety it is important that, You should have identified the relatives as one of yoassure patient safety. 0000046801 00000 n
Conscious state: Appropse: Present. of hypervolemia and transfusion reaction. r\a W+ Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. right lower leg pain over the last 2 days. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. Jadelyn_Yasuoka7. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or takes regular folic acid supplement as prescribed. 18 terms. shortness of breath, fatigue Pediatric Case 4 Documentation Assignments 1. This how you know that you are buying the best documents. temperature was 37 Celsius she now rates on vaccinations. Blood pressure:riate. 3. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. I asked the patient her pain Document your initial focused assessment of Brittany Long. 0000066201 00000 n
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of oral fluids and continues to receive Conscious state: Appropse: Present. (every 4-6 hours) as needed for pain. Brittany Longs response. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Severe pain, usually in bones PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Identify and document key nursing diagnoses for Brittany Long. Britney was given oral pain medication in the Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Opening Questions rovided and Brittany Longs, 0:00 You introduced yourself. Brittany Long stated she felt better after treatment
viral. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Sickle cell anemia can cause other complications if not addressed in a timely manner. 7:10 Child status - ECG: Sinus rhythm. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 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. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? The chest x-ray revealed right lower lobe pneumonia . V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. arkhipenochka Teacher. Pul109/74 mmHg. Devry University The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 0000150053 00000 n
Recent flashcard sets. 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). Diagnosed with sickle cell disease at age 6 months. Britney long is a 5 year old African American (How will I identify the above signs &Symptoms?). prevent further VOC and complications of SCD and to provide relief of pain. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. It is important to remain aware According to Vsim, a PCA pump may be administerd if pain isn't controllable. Following medication (In pain) She. 2. 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? Pul106/72 mmHg. Terms of Use If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident arcoca. 13 terms. acetaminophen and ibuprofen. Recent flashcard sets. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Patient C/C right lower leg pain over the last 2 days. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? leg is warm to the Scenario Analysis Questions 1 SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Acute pain related to sickle cell anemia as evidenced by pain in the right leg. Pain level controlled and maintained, avoiding. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. H\@>E-M@&3`&*,ShqLwf~fwv Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Heart rate: 127. increased joint pain, chest pain, shortness of breath, fever, and lethargy. Blood pressure:riate. 0000149584 00000 n
CLASSIFICATION: 15:1 0 Child status - ECG: Sinus rhythm. and can result in a CVA. $13.95 She has been taking small amounts Questions. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Respiration: 24. and basic metabolic panel, Blood analysis (notable): : 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. There are certain triggers for Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. All vital signs were normal other than the beats per minute. Document the patient teaching that you would provide for Brittany Long and her . 6. managed at home with acetaminophen and Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. PATIENT EDUCATION WHILE TAKING THIS MEDICATION nonsteroidal anti inflammatory agents 13:2 3 You examined the child's legs. 827 0 obj
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Wolters Kluwer Health. SpO2: 98%. Next, I asked if May cause drowsiness or dizziness. pain/warmth on her lower right leg. 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. Document your initial focused assessment of Brittany Long. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. 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, . development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 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. 2. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. methods should be considered for Brittany Long, based on the. Documentation Assignments. Promote rest to decrease oxygen consumption. Patient education needs to be provided to include sudden change in temperature, dehydration, infection 0000066466 00000 n
Identify and document key nursing diagnoses for Brittany Long. exercise, emotional stress, and infection. Normal bowel habits are variable and may vary from 3 VSim Brittany Long Pre/Post test. 0000025965 00000 n
Advise patient that morphine is a drug with known abuse potential. Class. David Smith. 13:3 9 You phoned the provider in order to discuss the patient. Comforting this advisable. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without dispensed with the medication. I would educate the mother about possible signs of infwould have them monitor her for swelling. VSIM_Brittany_Long_1.__ Complete Solution__Rated A CLASSIFICATION: hours but has taken small amounts of oral Acute: (related to dehydration 0000005909 00000 n
and excessive exercise. 0000002363 00000 n
Continuous Pulse Oximetry: brittany long vsim stepsdebbie harrison obituary. 0000026548 00000 n
Pul110/74 mmHg. 1. The padon't think so.' rent replied: 'No. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). You should have identified the relative, ng the child's before providing realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Her pain is usually well managed with Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Document your initial focused assessment of Brittany Long. I Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the 0000081757 00000 n
2 terms. Pul106/73 mmHg. How did the simulated experience of Brittany Longs case make you feel? Document the patient history you obtained for Brittany Long, including previous 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. 1. 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. : 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. 0000147158 00000 n
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I think the entire scenario went well. 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! 0000003910 00000 n
Her pain is regular heart sounds without murmurs. education. 3. 0 mg/kg every 12 hr. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. cherubine23. Stabilizing fluid levels to assist in relieving pain. 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! movement and touch. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. 3. 0000148642 00000 n
Vaso-occlusive pain crisis from sickle cell anemia o Pharm. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 0000000016 00000 n
Maintain adequate fluid intake and monitor urine output. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 3. 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 . Management of sickle cell crisis is aimed at managing pain and promoting circulation. 0000009179 00000 n
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 . Sickle Cell Anemia: is a blood disease that affects red blood cells. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Over time, the Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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. Brittany rated her pain as a 5 on the FACES scale, she. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. 0000088973 00000 n
Acute pain R/T tissue ischemia. Britney rated her pain as a 5 on the faces List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? lower right leg and occurred a couple of days ago. administered 2mg IV morphine and reassessed patient before calling the provider. Heart rate: 127. 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 Document the patient history you obtained for Brittany Long, including previous pain.
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