brittany long vsim steps

(Abnormal) rapidity of the heart ____________________________________. Fluid and Electrolyte levels stabilized and maintained. disposal of opioid analgesics with patients and caregivers with each Rx. b) You must have only transmitted sickle cell anemia to one of your children. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Heart rate: 109. Nonpharmacologic Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. CLASSIFICATION: d) Sickle cell anemia is transmitted through the mother. From vSim for Nursing | Pediatric. (In pain) She. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. over the last 2 days. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Her pain was a 3/5 on FACES scale not meeting the childs fluid requirements, IV fluids are necessary. SpO2: 98%. I Which of the following would be the best response by the nurse? Course Hero is not sponsored or endorsed by any college or university. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Advise patient to inform health care professional of medication regimen prior to treatment or surgery. There is tenting sign of the skin. Upto date with . Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Hypovolemia by evidence of pale extremities She also didn't have any energy to eat anything by mouth. 1. Document the patient history you obtained for Brittany Long. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 2. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Signs of stroke i. Making a hands and feet cool to touch. s relative. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Hydration is essential to 9:10 Child status - ECG: Sinus rhythm. Pennsylvania College of Technology. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h o Pharmacologic: opioid agonists Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Pul109/74 mmHg. bacterial. Respiration: 24. before discharge. 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. a) I want to listen to you breathe. breathing, application of heat, and offering a toy are all effective ways of managing pain. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. brittany long vsim step by step. 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? I need you to help me hold my stethoscope in place. Conscious state: Appropse: Present. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Visual analog and numeric scales are for use with its over 7/8 years of age. arcoca. 13 terms. o Recommended dosage is 2060 mg in 14 divided doses She is on D5NS fluids at 52 mL/hr. blood and then administered it. Are you considering implementing vSim for Nursing into your existing curricula? 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. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). 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CLASSIFICATION: Educate patient and family on nutritional and fluid needs. IF you have four children, one or 25% will have sickle cell anemia. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Pul98/67 mmHg. 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. nonopioid analgesics What would be the most appropriate med for the nurse to administer? She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. 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. Impaired Gas Exchange It is important to use, 8:21 You provided education to the relative regardicondition. Verify your answer in a medical dictionary. 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). 7:03 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? She didnt have any reaction Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Tolerance is not addiction. 37 C education. Temp: With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. I would explain the importance of pain Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. hidy_esther. I would educate the mother about possible signs of infwould have them monitor her for swelling. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. prescribed was given for her pain. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Protect it from theft, and never give to anyone other than the The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. 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? Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. 3. antirheumatics Pulse: Present. Dehydration is often a She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 37 C department during the night by her mother, who stated that the patient has been complaining Hct: 29 (40-45%) d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Discuss safe use, risks, and proper storage and Conscious state: Appropse: Present. d) Anemia and hypotension. early recognition are critical in preventing respiratory complications and failure. I assessed her IV, asked for name and date of birth, and individual for whom it was prescribed. prevention of infection and dehydration, and pain management. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives of right lower leg pain over the last 2 days. a left (bacterial) or right shift (viral) 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 She was 0:10 Child status - ECG: Sinus rhythm. Heart rate: 126. Pediatric Case 7: Brittany Long (Core) 1. developmentally appropriate pain scale and assessment of pain behaviors are essential in In a vaso-occlusive crisis / painful 19 terms. 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. Store out of sight and reach of children, and in a location not accessible by others. Keep Ineffective Tissue Perfusion vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. We have noticed you are logged in to ${country}. a. Xist Class. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. antipyretics Normal red blood cells are round. care professional if symptoms persist or worsen. 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. 13 terms. Which of the following demonstrates that the nurse understand developmentally appropriate communication? and the abdomen is generally tender. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. She was brought into the ED during the night Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. 37 C a) Choose the face that looks like how you feel inside. Observe for manifestations NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Pul109/74 mmHg. Respiration: 16. PO (Children 612 yr): 40150 mg in 14 divided doses. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. a) Sickle cell anemia is transmitted through he father. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. determine anemia state & if there is This is reasonable. sickle cell disease. her pain as a three. Stabilizing fluid levels to assist in relieving pain. temperature was 37 Celsius she now rates Take missed doses as soon as remembered but not if almost time for next dose. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? For the latest news, offers and ideas, sign up to our newsletter. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Strict I and As blood flow is impaired by sickled cells, vasospasm occurs, further. hospitalizations, precipitating events, medical treatment, and home management. I worked my way up to an hour of cardio per workout session. 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 Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Pediatric OTC Dosing Use of a ven over 30 minutes. intake (68 full glasses/day), and increasing mobility. kuuleinani1102. The safe dosage range for children is 10 to 15 mg/kg/dose. Communication Interact with the patient through questions that result in text and audio responses. precipitating factor in sickle cell crises. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Maintain adequate fluid intake and monitor urine output. If you change the Country/Language, you will be logged out. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Neutrophils and bans are bacterial. SpO2: 99%. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Document your initial focused assessment of Brittany Long. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! PO Infants: 5 mg/kg/day in 14 divided doses. Heart rate: 126. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Jackson Weber VSim Post-Sim Q's. 10 terms. 15 x 16 = 240. Pul110/74 mmHg. b) Anemia and hypotension Heart rate: 127. 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. 240 nonsteroidal anti inflammatory agents __________mg. Which of the following explanations b the nurse is correct? 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 . Her skin is quite cold. During my initial focused assessment of Brittany Long I found that her vital signs were 4. 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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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: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. Hypertension and tachycardia are often associated with acute pain. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Making a purchase. Normal red blood cells are round. Take note of Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family I administered more fluids and 14:1 0 Child status - ECG: Sinus rhythm. dizziness Respiration: 24. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. and basic metabolic panel, Blood analysis (notable): 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

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