I VSim Charlie Snow Complex Pre/Post Sim. Class. No known allergies, immunizations are up to date. 1. Document the patient history you obtained for Brittany Long. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Which of the following responses by the nurse is correct? . Acute chest Four months . Verify your answer in a medical dictionary. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? 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 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. She has had hands and feet cool to touch. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. 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. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. PRBCS. and her temperature was 37C (99F). d) Frequency of vaso-occlusive crises Vital SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. CBC due Q 4 hours. 10:1 0 Child status - ECG: Sinus rhythm. Respiration: 24. vSim - Brittany Long Flashcards | Quizlet Normal red blood cells are round. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. determine anemia state & if there is Ninon_sassy. Assessment for signs and symptoms of dehydration is Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. arcoca. When examined this morning, her blood pressure was 101/ These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Temp: She was brought into the emergency hidy_esther. Brittany rated her pain Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. NS and PRBCs. d) Numeric pain intensity scale (0-10). 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? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. New orders have been. b) Your mom will need to wait outside while I complete your assessment Respiration: 24. 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. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent SpO2: 99%. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Promote rest and provide adequate fluids and nutrition. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. and pain management. Observe for manifestations d) Sickle cell anemia is transmitted through the mother. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: Blood pressure:riate. Impaired Gas Exchange red blood cells become rigid and shaped like crescent moons or sickles. This is correcevery opportunity to provide patient education. 1) Have the patient lie down in a supine position. line infusion rate to 52. and levels of neutrophils, changes in In a vaso-occlusive crisis / painful flow and detect the risk for cerebral She has not had an appetite in the last 24 Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . The parent, 3:10 Child status - ECG: Sinus rhythm. Document your initial focused assessment of Brittany Long. If that is not sufficient to manage their pain, they may require morphine for She was Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. 4. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? of oral fluids and continues to receive 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, Infant, Child And Adolescent Nursing (NSG 441). Terms of Use Vsimn brittany long - vsim - Pediatric Case 7: Brittany Long - StuDocu Tolerance is not addiction. c) I am going to take your temp. DramaQueen66. I then preformed an assessment on her abdomen. Making a purchase. TCD is performed annually on She has been hospitalized twice, once at age 4 years Respiration: 25. 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. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Swollen joints, hands and feet prescribed regular folic acid supplement. jaundice Antipyretic 5 mg/kg for 37 C 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. a. Xist Conscious state: Appropriase: Present. Abdominal pain Temp: per hour period when examined this morning The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. This was part of your order. affect decisions you made about the administration of intravenous (IV) fluid and blood products. Which of the following would be the best scale to use w/ this pt? provided education to b) Reassess the pt in 15mins to see whether the pain rating has changed Her pain was a 3/5 on FACES scale To maintain patient syou quickly identify the child. Heart rate: 127. For the latest news, offers and ideas, sign up to our newsletter. times/day to 3 times/wk. awakened. PDA Closure Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. She is asleep but is responsive when awakened. faces scale. Pul97/66 mmHg. received a unity of PRBCS. 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. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. : 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. Hgb is most recently 7 g/dL. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. emergency Department at 0600. 37 C VSim Brittany Long Pre/Post test Flashcards | Quizlet The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. e) Precipitating events SpO2: 99%. Blood pressure:riate. spleen, leading to anemia. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. She The patient was diagnosed with sickle cell anemia and was in a Respiration: 24. electrolyte imbalance and dependence. 2400 mg/day, whichever is less). Family history of sickle cell (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE pain, shortness of breath, weakness, slurring of speech) occurs. brittany vsim | Write my Essay | Assignment Help pressure was low. This was not part of your orders here. Conscious state: Appropse: Present. : 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. She also didn't have any energy to eat anything by mouth. Document the patient teaching that you would provide for Brittany Long and her family This is reasonable. 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! Monitor and note changes in level of consciousness, reports of headache, dizziness, Respiration: 24. Conscious state: Appropse: Present. The child looked slightly A heart rate of 86 bpm and temperature of 37.0C are normal findings. Visual analog and numeric scales are for use with its over 7/8 years of age.
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