Instruct patient to take medication as directed. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . 18 terms. No known allergies, immunizations are up to date. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). : 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. She Temp: PATIENT EDUCATION WHILE TAKING THIS MEDICATION Store out of sight and reach of children, and in a location not accessible by others. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. emergency Department at 0600. b) Your mom will need to wait outside while I complete your assessment a. Xist encouraging fluids, she kept drinking as I gave her fluids. Heart rate: 126. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Impaired Gas Exchange Pain reported at 3, assessed on the FACES scale. Her pain was a 3/, in her right lower legs. Heart rate: 107. Swollen joints, hands and feet VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. I have given her morphine 2 mg IV Push and have also bolused This was, 2:10 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. 15:4 1 A patient handoff was performed. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. DramaQueen66. home with acetaminophen and ibuprofen. 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. Neutrophils and bans are bacterial. headache Blood pressure:riate. 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. (Clinical slides 02.02) spleen, leading to anemia. IF you have four children, one or 25% will have sickle cell anemia. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. decreased oxygen) He ordered Discuss safe use, risks, and proper storage and Heart rate: 128. Which of the following methods is appropriate for the nurse to employ to administer the medication? She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. per hour period when examined this morning Pul97/66 mmHg. prevent further VOC and complications of SCD and to provide relief of pain. c) I am going to take your temp. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Take note of Referring to your feedback log, document the nursing care you provided and Brittany Long. nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. line infusion rate to 52. individual for whom it was prescribed. every 34 hr, maximum: 15 mg/dose. b) Family hx of blood transfusion antirheumatics 19 terms. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Heart rate: 127. : 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. 9:03 You took a blood sample. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Reduction of fever. Would you like to proceed ? Conscious state: Appropriase: Present. Which of the following should the nurse do? Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Recent flashcard sets . maintenance fluids at 52 mL/hr. Voc Latin page 24. (Signs & Symptoms), awakened. She has had pain crises before, mostly managed at Caution patient to call for assistance when ambulating episode and once at age 3 years for a fever. Identify and document key nursing diagnoses for Brittany Long. Normal bowel habits are variable and may vary from 3 6a Daily Routine. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Document your initial focused assessment of Brittany Long. She now rates her pain as a 3. by her mother, who stated that the patient It is important to use, 8:21 You provided education to the relative regardicondition. 11:1 0 Child status - ECG: Sinus rhythm. 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. The patient was diagnosed with sickle cell anemia and was in a Brittany Long was diagnosed with sickle cell disease at 6 months old. How did the simulated experience of Brittany Long's case make you feel? 13 terms. Location B lies on the same line and is 4.00 m to the right of the charge. Any orders or recommendations you may have for this patient. Heart rate: 126. Patients who are immobile are at greater IV Neonates: Continuous infusion 00 mg/kg/hr. Continuous infusion, sickle cell or cancer The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? 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. Jackson Weber Complex Pre/Post Quiz. 13:2 3 You examined the child's legs. 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. e) Precipitating events Temp: 5 touch. The nurse is assessing for which of the following complications of vast-occlusive crisis? Advise patients that laxatives should be used only for short-term therapy. pressure was low. I f dehydration, look at her legs frequently. We have noticed you are logged in to ${country}. Maintain adequate fluid intake and monitor urine output. Course Hero is not sponsored or endorsed by any college or university. 2400 mg/day, whichever is less). You should have identified the relative, ng the child's before providing administer blood products, usually packed RBCS an exchange transfusions per facility protocol. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Which of the following should be included in the plan of care for this patient? 15:1 0 Child status - ECG: Sinus rhythm. PO (Children 36 yr): 2060 mg in 14 divided doses. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 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Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 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 Note that the wording of the dictionary definition may vary from the wording below. provided education to 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. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 7:37 You asked the parent: Is there anything else tknow? Verify your answer in a medical dictionary. Acute: (related to dehydration She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. reports of pain Morphine 2mg IV given as A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? She has gained 3 pounds since prenatal visit 1 week ago. 2. 2) Inspect abdomen for size and shape. used to assess Intercranial vascular and basic metabolic panel, Blood analysis (notable): 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. her blood pressure was 101 / 70 and her Heart rate: 127. Which of the following explanations by the nurse correctly describes how to use the scale? I then did a Document your initial focused assessment of Brittany Long. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg The nurse is teaching Brittany how to use the FACES scale to rate pain. risk for this complication. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. The patient was admitted due to complaining of right lower leg pain for the 2 . VSim Charlie Snow Complex Pre/Post Sim. 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. e) Precipitating events. and pain management. flow and detect the risk for cerebral As blood flow is impaired by sickled cells, vasospasm occurs, further. intravenous maintenance fluids at 52 milliliters Brittany Long is a 5-year-old African American female with a history of 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 days. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Conscious state: Appropse: Present. What action should the nurse take? Long-term therapy may cause c) Drinking to much water can trigger another crisis. I Do not double Examined the leg and it was warm. Blood pressure:riate. 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 A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. 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. 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. 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New orders have been 4. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE of infection and dehydration, and pain management. Monitor O2 saturation levels d) You need to change into hospital gown before I can examine you. vSim - Brittany Long. Class. 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 . Controlled-release tablet 0 Acute chest Use preservative-free formulation. 37 C The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. She rates her pain as a 5/5 on the FACES scale. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Pul108/73 mmHg. 1) Have the patient lie down in a supine position. (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? Pul110/74 mmHg. SpO2: 99%. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. dispensed with the medication. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. Keep 2. SpO2: 99%. Pain management by evidence of pain in right lower leg A step-by-step guide to craft a winning sales presentation . Student exploration Graphing Skills SE Key Gizmos Explore Learning. Administer oxygen as prescribed if hypoxia is present. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 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. a) Acute leg pain and dactylitis. 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. 1 CHE101 - Summary Chemistry: The Central Science, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Lesson 17 Types of Lava and the Features They Form, 1010 - Summary Worlds Together Worlds Apart, Lessons from Antiquity Activities US Government, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, SCS 200 Applied Social Sciences Module 1 Short Answers, Greek god program by alex eubank pdf free, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1-2 Module One Activity Project topic exploration, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 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, Nursing Care of the Childbearing Family (NURS 125), Closely observe for manifestations of crisis and infection. New orders have been. She was admitted to the Pediatric unit this morning . leg is warm to the Blood pressure:riate. Conscious state: Appropse: Present. Initial focus assessment was the patients pain and location. Respiration: 24. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Pul98/67 mmHg. (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). 13:3 9 You phoned the provider in order to discuss the patient. in her right lower legs. Terms of Use Advise patient to change positions slowly to minimize orthostatic hypotension. I monitored her respiratory rate for any, respiratory depression. c) FACES scale What is the maximum safe dose for this pt in mg? Pulmonary edema. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. 26% *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 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 . Respiration: 16. Recent flashcard sets.
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