history. 0000115576 00000 n Quiz. 4. 1) Have the patient lie down in a supine position. Severe headache, vomiting, visual changes, I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. Signs and symptoms include swelling of joints and abdomen. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Pul108/73 mmHg. was obtained prior to administration. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! Temp: Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. movement and touch. doses. Assess patient and caregiver knowledge of how to avoid crisis. "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. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her Karen. Pul97/66 mmHg. breathing (dyspnea), headache, dizziness, and acute pain. CLASSIFICATION: Heart rate: 127. 0000019092 00000 n Document the patient teaching that you would provide for Brittany Long and her 13 terms. 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. Per provider orders, Her pain is usually well managed with flow and detect the risk for cerebral intake (68 full glasses/day), and increasing mobility. Normal bowel habits are variable and may vary from 3 CLASSIFICATION: She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Blood pressure:riate. Long-term therapy may cause Conscious state: Appropse: Present. The parent ; 7:32 You asked the parent: Is there anything else tknow? Document the patient teaching that you would provide for Brittany Long and her family before discharge, She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Skin is cool and appears ashen with normal elasticity. Now is my chance to help others. prescribed regular folic acid supplement. 0000012690 00000 n Devry University Over time, the red blood cells become rigid and shaped like crescent moons or sickles. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. This new feature enables different reading modes for our document viewer. 1. vascular accident (CVA). Pediatric OTC Dosing Educate patient and family on nutritional and fluid needs. 6a Daily Routine. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . over the last 2 days. 1. Add to Cart. of hypervolemia and transfusion reaction. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Advise patient to inform health care professional of medication regimen prior to treatment or surgery. I states that it is made worse with movement. Company Registration Number: 61965243 Pediatric Case : Brittany Long. She has been hospitalized twice, Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 20 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 5 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, school simulation dsfsdfsdfsdfsdf dsfsdfdsf fdsfdsfd dsfdsfsd, Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Henry Hu, Week 7, Marketplace Simulation Reflection Paper. Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Heart rate: 127. David Smith. Full assessment k%. Document your initial focused assessment of Brittany Long. 7:37 You asked the parent: Is there anything else tknow? I think the entire scenario went well. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Brittany Long vSim Documentation Assignment. Sickle cell anemia can cause other complications if not addressed in a timely manner. I asked the patient her pain reports of pain. of oral fluids and continues to receive 0000127495 00000 n PO Infants: 5 mg/kg/day in 14 divided doses. Place the steps of an abdominal assessment in order. b) Place a heating pad on the pt leg and have her mother read her a story. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Scenario Analysis Questions 1 The parent, 3:10 Child status - ECG: Sinus rhythm. Images. You should have identified the relative, ng the child&apos;s before providing FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and 0000143162 00000 n Document your initial focused assessment of Brittany Long. What are you on alert for with this patient? including disease process, nutrition, signs and symptoms of crises, prevention of infection and o Therapeutic Class: agents for atypical mycobacterium, anti-infectives PROTOTYPE: Aspirin Respiration: 25. administered 2mg IV morphine and reassessed patient before calling the provider. Your explanation for the marketing communication channel you chose must be one paragraph in length. and can result in a CVA. once at age 4 years for vaso-occlusive crisis She has not had an appetite in the last 24 6:22 You asked the child how long she had pain for. How did the simulated experience of Brittany Longs case make you feel? My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 0000019119 00000 n I EBP What methods of pain management did you use and what other. electrolyte imbalance and dependence. This was not part of your orders here. female with a history of sickle cell disease, NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 0000081238 00000 n Respiration: 24. Fluid and Electrolyte levels stabilized and maintained. Anna Maria. Sigle prn dose of morphine 2mg was administered. nonsteroidal anti inflammatory agents Brittany Long was diagnosed with sickle cell disease at 6 months old. 0000003910 00000 n consulting health care professional. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Pt was given juice and a stuffed animal. 37 C Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Referring to your feedback log, document the nursing care you provided and Documentation Assignments She rates her pain 6/10 and Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. PATIENT EDUCATION WHILE TAKING THIS MEDICATION pain crises, hospitalizations, precipitating events, medical treatment, and home Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. ECG: normal Sinus rhythm. Take missed doses as soon as remembered but not if almost time for next dose. Pt/family teaching Jadelyn_Yasuoka7. Heart rate: 128. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer 9:31 You gave the child a sip of juice. Conscious state: Appropse: Present. North Carolina State University. Respiration: 24. 0000036159 00000 n Britney rated her pain as a 5 on the faces Instruct patient how and when to ask for pain medication. brittany long vsim stepsdebbie harrison obituary. You should have asked the relative about any known health problems. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 3. Identify and document key nursing diagnoses for Brittany Long. 5. 0 carrying capacity of the blood. 0000004772 00000 n 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 . The. 13 terms. Company Registration Number: 61965243 How did the simulated experience of Brittany Long's case make you feel? red blood cells become rigid and shaped like crescent moons or sickles. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg 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. should have asked the mother about the patients history at this point. Heart rate: 127. Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 0000025826 00000 n Discuss safe use, risks, and proper storage and e) Encourage deep breathing by having the pt blow bubbles. 0000018019 00000 n Class. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. CBC w/ dif : SHOULD be ordered to SpO2: 99%. o Therapeutic: opioid analgesics Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Observe for manifestations Store out of sight and reach of children, and in a location not accessible by others. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. the hands and feet and pain that can occur anywhere in the body but mainly &apos;A few days.&apos; (In pain) She replied: 6:32 You asked the child how she felt. crises such as extreme temperatures, high altitudes, dehydration, strenuous fluids. Patient Dose: 2mg IV Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Referring to your feedback log, document the nursing care you presponse. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. NURS 123 - FINAL BRITTANY LONG VSIM. Course Hero is not sponsored or endorsed by any college or university. Her pain was in her right lower legs which was warm 0000052789 00000 n 37 C 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. PO (Children 612 yr): 40150 mg in 14 divided doses. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. used to assess Intercranial vascular Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Popular books. jaundice Oral opioid medication and NSAIDs are given for mild to moderate. line infusion rate to 52. Heart rate: 126. Temp: Impaired gas exchange related to increased blood viscosity as evidenced by right 0000005909 00000 n The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 4. diagnosed at six months old and has been SpO2: 98%. 0000081354 00000 n Temp: Blood pressure:riate. kuuleinani1102. arcoca. children ages 2 to 16 years who have Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . home with acetaminophen and ibuprofen. PATIENT EDUCATION WHILE TAKING THIS MEDICATION University Of Arizona Document your initial focused assessment of Brittany Long. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. She has been hospitalized twice, once at age 4 years 0000100143 00000 n IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg.