brittany long vsim steps

Heart rate: 127. 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 . pallor, pale mucous membranes He ordered, normal saline and PRBC infusion to help with the hypovolemia. c) Past hospitalizations and Tx on the FACES Scale. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. BUS 5112 Group Project Unit 4-7.pptx ( Final).pdf, In addition in September 2014 the Ministry of Environmental Protection held a, Assessor to record Assessment tasks SITXINV003 Purchase Goods Wakefield, Monitoring Extractive Industries A number of research and advocacy groups have, i State one responsibility of a Secretary 1 mark ii Explain how a Secretary, 2 We cannot walk in hate and be acceptable with God 3 We have to make a decision, Learner Guide Copyright Chisholm 2020 55 Assist the older person to recognise, 7FE69DC0-8ED5-4A85-AF40-3899513A77FC.jpeg, 175 Cockar CJ Kwach and Shah JJA but not before stressing that the Law of, advantages and disadvantages of solar,nuclear energy.docx, D27FCE4D-524A-4914-BC47-839498ADE7B8.jpeg, 1 The answer is D 2 The answer is A The estimated standard error o the mean SE, What is the type of variable pallor A Qualitative nominal B Qualitative ordinal, 10 Discuss the foreign policy of Louis XIV Was he successful Explain He was very, One important aspect of Jesus' ministry is liberating people from the limits imposed by class distinctions in his own time. and educated the mother about signs of a reaction. Temp: 5 touch. She has pain a 6/10 on the faces scale and is receiving morphine to Controlled-release tablet 0 VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia 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 Tolerance is not addiction. 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, Over time, the intake (68 full glasses/day), and increasing mobility. 6:22 You asked the child how long she had pain for. I SpO2: 98%. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Which of the following should be included in the plan of care for this patient? If that is not sufficient to manage their pain, they may require morphine for a) Acute leg pain and dactylitis. a) acute leg pain and dactylitis Brittany Long vSim by Meghan Simons - prezi.com Recent flashcard sets. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. o Recommended dosage is 2060 mg in 14 divided doses Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Identify and document key nursing diagnoses for Brittany Long. Dehydration is often a 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 a) I want to listen to you breathe. emergency Department at 0600. d) decreased hgb, increased platelet, greatly elevated reticulocyte. She also did n't have any energy to eat anything by mouth . acid supplement taken daily. Hct: 29 (40-45%) Abdominal pain Caution patient to call for assistance when ambulating critical, particularly in young children, whose fluid stores are rapidly depleted. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. encouraging fluids, she kept drinking as I gave her fluids. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. leg during assessment. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 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. She has had Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Which of the following would be the best scale to use w/ this pt? The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health Manage her pain at home with acetaminophen and drink plenty of fluids. Describe the actions you felt went well in this scenario. Before discharging Brittany Long and her family, I would educate them on how to Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. What action should the nurse take? She has Temp: Student exploration Graphing Skills SE Key Gizmos Explore Learning. 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. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Company Registration Number: 61965243 She now rates her pain as a 3. Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu 37 C sickle cell crisis. received a unity of PRBCS. d)Enuresis and proteinuria. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. brittany long complex vsim documentation. Respiration: 24. Pediatric Case 07 Brittany Long Core DA rev - StuDocu Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. provided education to 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? Which of the following should the nurse do? NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE DramaQueen66. tired. On inspection, the pt's skin is flat & w/o erythema. Timely pain management. Heart rate: 127. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. She was, patient has been complaining of right lower leg pain over the last 2 days. 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. decreased oxygen) Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. Identify and document key nursing diagnoses for Brittany Long. The nurse is performing a physical assessment on a 5 y/o pt. d) Frequency of vaso-occlusive crises for a fever. (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? 2. Location A is 3.00 m to the right of a point charge q. management so it does not turn into a crisis. Antipyretic 5 mg/kg for Brittany Long - YouTube Pul97/66 mmHg. Fluid and Electrolyte levels stabilized and maintained. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Patients who are immobile are at greater There is tenting sign of the skin. Conscious state: Appropse: Present. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). treat it. Heart rate: 109. by her mother, who stated that the patient Her pain was a 3/, in her right lower legs. care professional if symptoms persist or worsen. also on 2L nasal cannula. Advise patient to change positions slowly to minimize orthostatic hypotension. 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! hours but has taken small amounts of oral every 34 hr, maximum: 15 mg/dose. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. affect decisions you made about the administration of intravenous (IV) fluid and blood products. Morphine 2mg IV. Take note of Pul108/73 mmHg. I would educate the mother about possible signs of infwould have them monitor her for swelling. prescribed regular folic acid supplement. Promote rest to decrease oxygen consumption. 0 mg/kg every 12 hr. IV PCA may also become necessary if pain cannot be controlled. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Children should never be force to change into a gown. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. o Ther. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America?