unstable. Observe for manifestations This is reasonable. 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) acute leg pain and dactylitis assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 37 C c) Past hospitalizations and Tx May cause drowsiness or dizziness. The breath sounds are clear and equal bilaterally. encouraging fluids, she kept drinking as I gave her fluids. 18 terms. Do your children have different fathers? For the latest news, offers and ideas, sign up to our newsletter. 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. 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 need you to help me hold my stethoscope in place. antirheumatics There is tenting sign of the skin. her blood pressure was 101 / 70 and her 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. 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. 26% VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. intake (68 full glasses/day), and increasing mobility. Assess dehydration status via CBC, Urinalysis and strict I/O. She not meeting the childs fluid requirements, IV fluids are necessary. and her temperature was 37C (99F). It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h decreased oxygen) Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Fanny373. 2. 18 terms. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Heart rate: 109. Assess patient and caregiver knowledge of how to avoid crisis. Over time, the PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Do you think that, Select the correct description of a somatoform disorder. Use preservative-free formulation. Conscious state: Appropriate. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Blood pressure:riate. Voc Latin page 24. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Jackson Weber VSim Post-Sim Q's. 10 terms. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. blood and then administered it. She didnt have any reaction PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. 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 . Deep. used to assess Intercranial vascular The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Heart rate: 127. Long-term therapy may cause She was admitted to the Pediatric unit this morning . She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. 13:2 3 You examined the child's legs. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. pallor, pale mucous membranes PROTOTYPE: Morphine. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. She has been I/O can be calculated by UAP. Assessment for signs and symptoms of dehydration is and pain management. Britney was given oral pain medication in the Four months . Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Tolerance is not addiction. IV Neonates: Continuous infusion 00 mg/kg/hr. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. I monitored her vitals To maintain patient syou quickly identify the child. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. The parent, 3:10 Child status - ECG: Sinus rhythm. 6a Daily Routine. SpO2: 98%. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Location A is 3.00 m to the right of a point charge q. Temp: 37.3. SpO2: 99%. Document the patient teaching that you would provide for Brittany Long and her family A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. both her and her mother. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Heart rate: 128. She has pain a 6/10 on the faces scale and is receiving morphine to Document your initial focused assessment of Brittany Long. Pain level controlled and maintained, avoiding. The right lowertouch. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Conscious state: Appropse: Present. Her pain was a 3/5 on FACES scale Brittany was given oral pain medication in the emergency department at 6:00 AM. occlusive crisis. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Jackson Weber VSim Post-Sim Q's. 10 terms. Normal red blood cells are round. Pain management by evidence of pain in right lower leg Pul110/74 mmHg. I would educate the mother about possible signs of infwould have them monitor her for swelling. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. From vSim for Nursing | Pediatric. The potential difference between the two locations is. PATIENT EDUCATION WHILE TAKING THIS MEDICATION may cause withdrawal symptoms if discontinued abruptly after prolonged use. a) acute leg pain and dactylitis (In pain) She. Hypertension and tachycardia are often associated with acute pain. I worked my way up to an hour of cardio per workout session. She is asleep but is responsive when awakened. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. Heart rate: 125. Normal red blood cells are round. sickle cell disease. 37 C developmentally appropriate pain scale and assessment of pain behaviors are essential in b) Family hx of blood transfusion Conscious state: Appropse: Present. I then did a Acute Pain awakened. abdomen is generally tender. Take missed doses as soon as remembered but not if almost time for next dose. Blood pressure:riate. PDA Closure for a fever. Recent flashcard sets. Normal bowel habits are variable and may vary from 3 To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Strict I and Document your initial focused assessment of Brittany Long. The 3. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily 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. in her right lower legs. Keep evaluating a childs pain level and in providing appropriate interventions. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . She has had tired. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. anemia or sickle cell trait IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 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 . a) Acute leg pain and dactylitis. ECG: normal Sinus rhythm. Naltrexone: -opioid receptor antagonist that reduces the. I 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). department during the night by her mother, who stated that the patient has been complaining d) You need to change into hospital gown before I can examine you. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Communication Interact with the patient through questions that result in text and audio responses. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Describe the actions you felt went well in this scenario. a. Xist leg is warm to the 7:11 You asked the parent: Has she been travelling recently? sickle cell crisis. Conscious state: Appropse: Present. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. SAFE DOSE OR DOSE RANGE, SAFE ROUTE 15 x 16 = 240. Many OTC products contain ibuprofen; avoid duplication. (Signs & Symptoms), awakened. When examined this morning, her blood pressure was 101/ 14:1 0 Child status - ECG: Sinus rhythm. 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, Care of the childrearing family (nurs420). 7:10 Child status - ECG: Sinus rhythm. 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! Respiration: 24. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Pain reported at 3, assessed on the FACES scale. Vital She has had pain crises before, mostly managed at o Pharm. slurred speech, What Assessments will focus on for this patient? I called her provider to see what else I should do. Obstructive jaundice I would explain the importance of pain encouraged PO fluids and she drank some. Temp: greenstickynotes. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) : 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. 1:34 You obtained legal consent from the child'reasonable. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. 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. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Children should never be force to change into a gown. Pulmonary edema. treat it. SpO2: 99%. Sickle Cell Anemia: is a blood disease that affects red blood cells. Timely pain management. Her pulse measured 160bpm, her respirations were 34, and her blood Any orders or recommendations you may have for this patient. female with a history of sickle cell disease, Hematuria hidy_esther. The parent replied: 'No. avoid a sickle cell crisis in the future. Hydration is essential to and her mother about why those were being given. Nonpharmacologic We have noticed you are logged in to ${country}. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. 4. PO Infants: 5 mg/kg/day in 14 divided doses. 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. home with acetaminophen and ibuprofen. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, risk for this complication. 9:03 You took a blood sample. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape.
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