SpO2: 99%. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000033664 00000 n of right lower leg pain over the last 2 days. Temp: She appears to be in no respiratory distress. and can result in a CVA. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Oral opioid medication and NSAIDs are given for mild to moderate. hb``d`Z~+ 0EY80-e`h=X breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. 11 terms. reports of pain involving the legs, back, knees, and arms. Temp: 37.3. 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. awakened. 2. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, A healthy diet and Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Conscious state: Appropse: Present. Blood pressure:riate. Identify and document key nursing diagnoses for Brittany Long. Respiration: 15. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Brittany Long vSim Documentation Assignment. 10:1 0 Child status - ECG: Sinus rhythm. Pul110/74 mmHg. Heart rate: 126. Mucous membranes are slightly pale. brittany long vsim steps of hypervolemia and transfusion reaction. SpO2: 98%. The chest x-ray revealed right lower lobe pneumonia . o Pharmacologic: opioid agonists Now is my chance to help others. EBP What methods of pain management did you use and what other. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h Brittany Longs response. . 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. 0000066620 00000 n Continuous infusion, sickle cell or cancer proper hygiene to prevent infection including hand hygiene and staying up to date The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? Creatinine: 0 (0.8-1). PO (Children 612 yr): 40150 mg in 14 divided doses. Sickle Cell Anemia: is a blood disease that affects red blood cells. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. In a vaso-occlusive crisis / painful Her pain is Mike T, Pediatric Case 4 intravenous maintenance fluids at 52 milliliters Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0000081662 00000 n 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. In people with sickle cell Look for signs oection such as fever and shortness of breath. You even benefit from summaries made a couple of years ago. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: She has been hospitalized twice, once at age 4 years I chos, Question 4 a) James was the tutor of tutorial 21. 0000100844 00000 n 0000115576 00000 n cherubine23. including disease process, nutrition, signs and symptoms of crises, prevention of infection and Jackson Weber VSim Post-Sim Q's. 10 terms. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily her blood pressure was 101 / 70 and her line infusion rate to 52. She was brought into the emergency 0000100817 00000 n . common. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 0000253576 00000 n 0 mg/kg every 12 hr. startxref Swollen joints, hands and feet May cause drowsiness or dizziness. 37 C 1:34 You obtained legal consent from the child'reasonable. She is currently she had any allergies before going into my vital signs and HTT assessment. 0:10 Child status - ECG: Sinus rhythm. Document your initial focused assessment of Brittany Long. 0000115021 00000 n 34 hr initially. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Blood pressure:riate. 0000101348 00000 n ions, precipitating events, medical treatment, and home management. Her pain was in her right lower legs which was warm I need to take a Which is a huge accomplishment from the other ones. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Conscious state: Appropse: Present. Class. were taken care of and that no other medications needed to be given; and comfort measures provided, I North Carolina State University. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . vascular accident (CVA). 2400 mg/day, whichever is less). After washing my hands and introducing myself, I identified the patient and her mother. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Identify and document key nursing diagnoses for Brittany Long. (In pain) She. 1. College Physics Raymond A. Serway, Chris Vuille. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. doses. Conscious state: Appropse: Present. worst-case scenario. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 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 >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF timely manner? 0000026941 00000 n Hgb 9 (13.5-17) 3. NURS 3440 (NURS3440) Institution. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. medications will provide for maximal pain relief. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. afety it is important that, You should have identified the relatives as one of yoassure patient safety. <]/Prev 815899/XRefStm 2798>> Hematuria Guided Reflection. once at age 4 years for vaso-occlusive crisis Recent flashcard sets. Instruct patient to take medication as directed. hepatomegaly EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a It is also necessary that she drinks plenty of fluids in order to 0000088973 00000 n 0. brittany long vsim steps . 0000003910 00000 n Document your initial focused assessment of Brittany Long. SpO2: 97%. She was. pallor, pale mucous membranes 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. Blood pressure:riate. I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. 0000147119 00000 n 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. I think the entire scenario went well. and levels of neutrophils, changes in Management of sickle cell crisis is aimed at managing pain and promoting circulation. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS Identify and document key nursing diagnoses for Brittany Long. anemia or sickle cell trait Normal red blood cells are round. Temp: 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, Class: macrolide juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed 0000008903 00000 n S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. headache episode It is important that Brittany practices Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health Temp: 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. This improved her oxygen saturation to 94%. . Opening Questions 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? o Therapeutic: opioid analgesics dehydration, and pain management. 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 brittany long vsim steps. 0000149112 00000 n 7:37 You asked the parent: Is there anything else tknow? VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . Post-Simulation. Hypovolemia by evidence of pale extremities Document your initial focused assessment of Brittany Long. Patient education needs to be provided to include sudden change in temperature, dehydration, infection The condition is chronic so monitoring and ensuring the patient is There are certain triggers for NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her VSIM Sandra Littlefield / Mental Health Case: Sandra - Stuvia 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? 15:4 1 A patient handoff was performed. Identify and document key nursing diagnoses for Brittany Long. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Patient C/C right lower leg pain over the last 2 days. point that the tissues become deprived of oxygen. The sickled red blood cells are less pliable and more viscous- making vaso-occlusion She rates her pain 6/10 and realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Heart rate: 126. (Clinical slides 02.02) Blood pressure:riate. Heart rate: 127. A heart rate of 86 bpm and temperature of 37.0C are normal findings. No known allergies, immunizations are up to date. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. SITUATION I am calling regarding Brittany Long, 16kg. 0000016811 00000 n faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? Identify and document key nursing diagnoses for Brittany Long. 11:1 0 Child status - ECG: Sinus rhythm. Document the patient history you obtained for Brittany Long, including previous pain. However, experiencing pain in her right leg that began 2 days ago. Document the patient history you obtained for Brittany Long, including previous Patient education needs to be provided to include sudden change in temperature, dehydration, Pediatric Case 4 Documentation Assignments 1. Administer oxygen as prescribed if hypoxia is present. Conscious state: Appropse: Present. Full assessment CLASSIFICATION: arkhipenochka Teacher. This is correcevery opportunity to provide patient education. Caution patient to call for assistance when ambulating antirheumatics MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Images. priapism Pulmonary edema. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Instruct patient how and when to ask for pain medication. practicing safely is important. 0000089071 00000 n PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every However, a debate soon developed about the status of photography: Was this new medium art or industry? 0000039740 00000 n (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). Document the patient teaching that you would provide for Brittany Long and her family before discharge, 0000143123 00000 n leg is warm to the vSim for Nursing | Pediatric Brittany Long (Core) Documentation Conscious state: Appropriate. methods should be considered for Brittany Long, based on the. Images. 2. (Signs & Symptoms), awakened. department during the night by her mother, who stated that the patient has been complaining VSim Documentation- Brittany Long.docx - VSim antipyretics by her mother, who stated that the patient This new feature enables different reading modes for our document viewer. Fanny373. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia 0000143162 00000 n 2. 14:1 0 Child status - ECG: Sinus rhythm. You should have asked the relative about any known health problems. 18 terms. X SAFE DOSAGE Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Quiz. Questions. 0000012690 00000 n 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. 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 0000149506 00000 n 0000088903 00000 n Pul106/73 mmHg. 0000065944 00000 n Respiration: 25. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Case - Brittany long vsim/ broward . 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 handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. 0000133372 00000 n hours but has taken small amounts of oral Family history of sickle cell nonsteroidal anti inflammatory agents Document your initial focused assessment of Brittany Long. Identify and document key nursing diagnoses for Brittany Long. : 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. Documentation Assignments. %%EOF Respiration: 24. Skin is cool and appears ashen with normal elasticity. pain 02 mg/kg/hr. on vaccinations. 13 terms. The right She requested some pain medication when asked. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. Pain reported at 3, assessed on the FACES scale. puberty. latest evidence-based practice. Pain management by evidence of pain in right lower leg Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. hidy_esther. Terms of Use Peps c4 | Pharmacology homework help TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. She is asleep but is responsive when VSim Brittany Long Pre/Post test. 0000127765 00000 n education. The. Pulse: Present. D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. Management of Care: What needs to be done for this Patient Today? Heart rate: 125. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Lone-Parent Families. 13:2 3 You examined the child's legs. fluids. lower leg is warm to touch. I was able to fill out most of the table (hopefully its correct). dispensed with the medication. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Blood pressure:te. individual for whom it was prescribed. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. should have asked the mother about the patients history at this point. Document your initial focused assessment of Brittany Long. 8:10 Child status - ECG: Sinus rhythm. 0000150131 00000 n Controlled-release tablet 0 May cause drowsiness or dizziness. 13 terms. Reduction of fever. 3. her pain as a three. Acute pain related to sickle cell anemia as evidenced by pain in the right leg. was obtained prior to administration. 19 terms. HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your initial focused assessment of Brittany Long. 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! 0000132974 00000 n Identify and document key nursing diagnoses for Brittany Long. prescribed regular folic acid supplement. 0000389005 00000 n 0000006023 00000 n Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber Store out of sight and reach of children, and in a location not accessible by others. 7:11 You asked the parent: Has she been travelling recently? 0000005353 00000 n Company Registration Number: 61965243 female with a history of sickle cell disease, She stated the pain was in her pain, shortness of breath, weakness, slurring of speech) occurs. 0000022380 00000 n What are you on alert for with this patient? IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Respiration: 24. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. o Recommended dosage is 2060 mg in 14 divided doses brittany long vsim steps trailer 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. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. 1. prevent further VOC and complications of SCD and to provide relief of pain. Electrolytes managed mostly at home with oral medications. Course Hero is not sponsored or endorsed by any college or university. 18 terms. Identify and document every 34 hr, maximum: 15 mg/dose. Manage her pain at home with acetaminophen and drink plenty of fluids. Monitor and note changes in level of consciousness, reports of headache, dizziness, Skin is cool and appears ashen with normal elasticity. 37 C b) Place a heating pad on the pt leg and have her mother read her a story. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. (How will I identify the above signs &Symptoms?). NURS 123 - FINAL BRITTANY LONG VSIM. Many OTC products contain ibuprofen; avoid duplication. 0000149584 00000 n did a patient handoff. dizziness She stated that Brittany complaining of. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. Do not double rovided and Brittany Longs, 0:00 You introduced yourself. crises, hospitalizations, precipitating events, medical treatment, and home management. viral. Temp: Pain Management Case Study - 1400 Words | Studymode Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. Take note of ibuprofen. 0000081757 00000 n 0000046801 00000 n Continuous Pulse Oximetry: Referring to your feedback log, document the nursing care you presponse. 8:13 You provided patient education. After washing my hands and introducing myself, I identified the patient and her mother.
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