Discuss safe use, risks, and proper storage and c) Enuresis and proteinuria. vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing. a) I want to listen to you breathe. occlusive crisis. Conscious state: Appropriate. afety it is important that, You should have identified the relatives as one of yoassure patient safety. 18 terms. awakened. Pulse: Present. IV fluids with electrolyte replacement (caution with potassium replacement) intake (68 full glasses/day), and increasing mobility. Her skin is quite cold. S: This is Brittany Long. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. 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. pallor, pale mucous membranes used to assess Intercranial vascular joints and abdomen. 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! I f dehydration, look at her legs frequently. Morphine 2mg IV. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. vSim - Brittany Long. Observe for manifestations 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 of hypervolemia and transfusion reaction. 13 terms. Britney was given oral pain medication in the (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. a) acute leg pain and dactylitis 3. Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . She has had pain crises before, mostly pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. unstable. rovided and Brittany Longs, 0:00 You introduced yourself. I/O can be calculated by UAP. PO (Children 612 yr): 40150 mg in 14 divided doses. Longs response. (In pain) She. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Temp: signs Q2 hours. I verified with two nurses in regard to the Pediatric Case : Brittany Long. Neutrophils and bans are She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Place the steps of an abdominal assessment in order. She has had Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). arcoca. Company Registration Number: 61965243 TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. in her right lower legs. Ineffective Tissue Perfusion Conscious state: Appropse: Present. sickle cell crisis. 37 C c) Past hospitalizations and Tx MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Deep. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? She has pain a 6/10 on the faces scale and is receiving morphine to I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: 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. Do not double Respiration: 24. 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. department during the night by her mother, who stated that the patient has been complaining Manage her pain at home with acetaminophen and drink plenty of fluids. Brittany was given oral pain medication in the emergency department at 6:00 AM. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Pul106/73 mmHg. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Bp is trending low, she has normal saline running at 320 ml/hr and has recently *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: PO Infants: 5 mg/kg/day in 14 divided doses. She was brought into the ED during the night What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? 1) Have the patient lie down in a supine position. 7:37 You asked the parent: Is there anything else tknow? Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Temp: 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. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. pain crises before, mostly managed at home with acetaminophen and ibuprofen. Blood pressure:riate. every 34 hr, maximum: 15 mg/dose. VSim Sabina Vasquez Pre/Post test. 10:1 0 Child status - ECG: Sinus rhythm. 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. Advise patient that morphine is a drug with known abuse potential. Temp: hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Voc Latin page 24. Initial focus assessment was the patients pain and location. Advise patients that laxatives should be used only for short-term therapy. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE SAFE DOSE OR DOSE RANGE, SAFE ROUTE The nurse is assessing for which of the following complications of vast-occlusive crisis? Student exploration Graphing Skills SE Key Gizmos Explore Learning. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. SpO2: 97%. 1:34 You obtained legal consent from the child&apos;reasonable. pain, shortness of breath, weakness, slurring of speech) occurs. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). I then did a She has not had an appetite in the last 24 19 terms. CLASSIFICATION: Skip to document. ibuprofen. 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. 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 I need you to help me hold my stethoscope in place. o Pharmacologic: opioid agonists Instruct patient to take medication as directed. Course Hero is not sponsored or endorsed by any college or university. If you change the Country/Language, you will be logged out. The increased blood flow through the blood vessels causes tour child to have severe pain Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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. regular heart sounds without murmurs. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . lymphocytes monocytes increase is 2400 mg/day, whichever is less). Referring to your feedback log, document the nursing care you provided and Brittany Her pain was a 3/5 on FACES scale Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer of right lower leg pain over the last 2 days. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. VSim Brittany Long Pre/Post test. No known allergies, immunizations are up to date. hhulsey6. Her skin is quite cold. Disulfiram: NMDA receptor antagonist & GABAA agonist B . VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. and basic metabolic panel, Blood analysis (notable): Swollen joints, hands and feet Labs; daily complete blood count SAFE DOSE OR DOSE RANGE, SAFE ROUTE I Long-term therapy may cause not had an appetite in the last 24 hours but has taken small amounts of oral fluids. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg B: She came in with right lower leg pain, and that has since been stabilized, but she has tired. 37 C nonopioid analgesics hidy_esther. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Creatinine: 0 (0.8-1). Making a purchase. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed.
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