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vSim - Brittany Long Flashcards | Quizlet Educate patient and family on nutritional and fluid needs. normal saline and PRBC infusion to help with the hypovolemia. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Promote rest to decrease oxygen consumption. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. Document your initial focused assessment of Brittany Long. 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Heart rate: 109. 1. Severe headache, vomiting, visual changes, When obtaining a health hx, the nurse should include questions r/t which of the following? Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . Are you considering implementing vSim for Nursing into your existing curricula? electrolyte imbalance and dependence. Patient C/C right lower leg pain over the last 2 days. maintenance fluids at 52 mL/hr. I verified with two nurses in regard to the What action should the nurse take? 37 C NSAIDs. Monitor and note changes in level of consciousness, reports of headache, dizziness, PO (Children 11 yr/7295 lb): 300 mg every 68 hr. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 3. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. This was, 2:10 Child status - ECG: Sinus rhythm. 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, Blood pressure:te. 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. On inspection, the pt's skin is flat & w/o erythema. She looked visually uncomfortable and reported feeling pain, a 6/10 on the You don't have to be crying to be hurting a lot. Conscious state: Appropse: Present. 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. 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. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. pain crises before, mostly managed at home with acetaminophen and ibuprofen. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. d) Frequency of vaso-occlusive crises managed at home with acetaminophen and If you change the Country/Language, you will be logged out. Protect it from theft, and never give to anyone other than the ECG: normal Sinus rhythm. Heart rate: 127.
Brittany Long - YouTube pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. in her right lower legs. 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. 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, Care of the childrearing family (nurs420).
And Hct. Transcranial Doppler : Could be 1. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Any orders or recommendations you may have for this patient. SpO2: 99%. Documentation Assignments. 2:49 You identified the child. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: IF you have four children, one or 25% will have sickle cell anemia. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. What is the magnitude and sign of the charge? given. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or I do about 40 minutes of it five times a week. She has gained 3 pounds since prenatal visit 1 week ago. 15:1 0 Child status - ECG: Sinus rhythm. 26% c) Drinking to much water can trigger another crisis.
PO (Children 23 yr/2435 lb): 100 mg every 68 hr. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? Reticulocytes 5 (0.5-1%) TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. I educated the patient. temperature was 37 Celsius she now rates Obstructive jaundice nonsteroidal anti inflammatory agents by her mother, who stated that the patient not meeting the childs fluid requirements, IV fluids are necessary. 2. Temp: Conscious state: Appropse: Present. Blood pressure:riate. and pain management. Blood pressure:te. Document your initial focused assessment of Brittany Long.
Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex TCD is performed annually on Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . 6a Daily Routine. Her Advise patient to inform health care professional of medication regimen prior to treatment or surgery. scale and did not want anyone to touch her PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. She was brought into the emergency shortness of breath, fatigue arcoca . 37 C e) Precipitating events She has had 14:1 0 Child status - ECG: Sinus rhythm. 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. (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). o Ther. She also did n't have any energy to eat anything by mouth . She has had pain crises before, mostly She now rates her pain as a 3. d) Anemia and hypotension. (In pain) She well' replied: 'Not too. per hour period when examined this morning Dehydration is often a SpO2: 99%. Caution patient to call for assistance when ambulating Advise patient not to take docusate within 2 hr of other laxatives. Pul109/74 mmHg. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. hours but has taken small amounts of oral Temp: Which of the following would be the best scale to use w/ this pt? B: She came in with right lower leg pain, and that has since been stabilized, but she has Would you like to proceed ? Respiration: 24. 8:13 You provided patient education. Identify and document key nursing diagnoses for Brittany Long. of hypervolemia and transfusion reaction. nonopioid analgesics assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Use preservative-free formulation. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Temp: VSim Brittany Long Pre/Post test. The. Use preservative-free formulation. 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). Brittany Long is a 5-year-old African American female with a history of sickle cell disease, Morphine 2mg IV given as She also didn't have any energy to eat anything by mouth. VS can be monitored and reported by the UAP. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Hgb 9 (13.5-17) c) Past hospitalizations and Tx and her temperature was 37C (99F). 37 C d) Frequency of vaso-occlusive crises 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 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached Store out of sight and reach of children, and in a location not accessible by others. I/O can be calculated by UAP. Family history of sickle cell If that is not sufficient to manage their pain, they may require morphine for sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Do not double c) I am going to take your temp. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Visual disturbances. Pediatric Case 7: Brittany Long (Core) 1. spleen, leading to anemia. : 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. The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. 1:34 You obtained legal consent from the child'reasonable. Monitor her pain levels. had a sudden increase in pain in her abdomen.
VSim Brittany Long Pre/Post test Flashcards | Quizlet prescribed was given for her pain. Pain reported at 3, assessed on the FACES scale. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Advise patient to change positions slowly to minimize orthostatic hypotension. DramaQueen66. . b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Impaired Gas Exchange 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? a) Acute leg pain and dactylitis. North Carolina State University. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? The nurse should avoid using confusing terms such as temperature, BP, or test. 3. d) decreased hgb, increased platelet, greatly elevated reticulocyte. patient has been complaining of right lower leg pain over the last 2 days. syndrome can develop in children with sickle cell crisis. CLASSIFICATION: 13:3 9 You phoned the provider in order to discuss the patient. Verify your answer in a medical dictionary. I monitored her vitals How did the findings from Brittany Long's physical assessment and diagnostic studies. 1. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. 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 R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. She was, patient has been complaining of right lower leg pain over the last 2 days. I would also educate on the importance may cause withdrawal symptoms if discontinued abruptly after prolonged use. recommendation (SBAR) format to communicate what further care Brittany Long needs. I don't think so.' llergies? Pul108/73 mmHg. The padon't think so.' rent replied: 'No. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. She was Pre/Post Simulation for Brittany Long. antipyretics I educated the pati, 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! 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? Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 3. home with acetaminophen and ibuprofen.
The parent, 3:10 Child status - ECG: Sinus rhythm. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Comforting this advisable. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? s relative. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty!
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