0000040025 00000 n 0000039740 00000 n Referring to your feedback log, document the nursing care you provided and of right lower leg pain over the last 2 days. did a patient handoff. 9:31 You gave the child a sip of juice. hours but has taken small amounts of oral College Physics Raymond A. Serway, Chris Vuille. 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. distract/soothe the patient. Voc Latin page 24. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. (In pain) She. (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? upper airway infection for the past few days. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. Pul97/66 mmHg. Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. Sickle cell also increases the risk of blood clots. Brittany Longs response. Mucous membranes are slightly pale. latest evidence-based practice. The rovided and Brittany Longs, 0:00 You introduced yourself. Document your initial focused assessment of Brittany Long. 0000081662 00000 n 0000026941 00000 n Jadelyn_Yasuoka7. IV Neonates: Continuous infusion 00 mg/kg/hr. 8:13 You provided patient education. viral. All vital signs were normal other than the beats per minute. Identify and document key nursing diagnoses for Brittany Long. 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, Pain management by evidence of pain in right lower leg Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. We're available through e-mail, live chat and Facebook. 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. Conscious state: Appropse: Present. 37 C crises such as extreme temperatures, high altitudes, dehydration, strenuous The breath sounds are clear and equal bilaterally. With a profile at Docmerit you are definitely prepared well for your exams. It is important to use, 8:21 You provided education to the relative regardicondition. Document the patient teaching that you would provide for Brittany Long and her . 0000066585 00000 n This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. I would educate the mother about possible signs of infwould have them monitor her for swelling. atelectasis. Acute pain related to sickle cell anemia as evidenced by pain in the right leg. 37 C The padon&apos;t think so.&apos; rent replied: &apos;No. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Anatomy Test 3 Clinical Correlates. active lifestyle (with moderation) is able to provide good home care as well. Temp: 2 terms. Post-Simulation. Identify and document key nursing diagnoses for Brittany Long. Add to Cart. SpO2: 99%. After washing my hands and introducing myself, I identified the patient and her mother. Swollen joints, hands and feet management. r\a W+ Reticulocytes 5 (0.5-1%) PO (Children 910 yr/6071 lb): 250 mg every 68 hr. worst-case scenario. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Signs of stroke i. She was brought into the emergency 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). takes regular folic acid supplement as prescribed. 0000149584 00000 n prevent further VOC and complications of SCD and to provide relief of pain. 0000009179 00000 n afety it is important that, You should have identified the relatives as one of yoassure patient safety. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Heart rate: 127. o Pharm. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. o Therapeutic: opioid analgesics She was brought into the ED during the night Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. It helped me a lot to clear my final semester exams. comfort measures to the young girl. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. 0000147625 00000 n Wolters Kluwer Health. 0000000016 00000 n PATIENT EDUCATION WHILE TAKING THIS MEDICATION 0000115576 00000 n (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). ven over 30 minutes. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. Acute pain r/t tissue hypoxia (3 out of 5 on FACES scale). Questions. experiencing pain in her right leg that began 2 days ago. Brittany Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen 0000100817 00000 n 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? hands and feet cool to touch. 3. children ages 2 to 16 years who have sickle cell disease. endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Explain why the marketing communication channel you chose is appropriate, given your persona. Obstructive jaundice EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a point that the tissues become deprived of oxygen. 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. The condition is chronic so monitoring and ensuring the patient is Monitor and note changes in level of consciousness, reports of headache, dizziness, pain, shortness of breath, weakness, slurring of speech) occurs. 0000008903 00000 n EBP What methods of pain management did you use and what other methods should be considered for Conscious state: Appropse: Present. 37 C X SAFE DOSAGE Heart rate: 127. University Of Arizona hidy_esther. 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. Identify additional individuals who should be included on Brittany Long's care team. Instruct patient to take medication as directed. Assess patient and caregiver knowledge of how to avoid crisis. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Respiration: 24. Her pain is usually well managed with 0000026521 00000 n managed at home with acetaminophen and 0000002996 00000 n In people with sickle cell Respiration: 16. and basic metabolic panel, Blood analysis (notable): I Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. Pul106/73 mmHg. 0000127765 00000 n NURS 123 - FINAL BRITTANY LONG VSIM. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. No known allergies, immunizations are up to date. 15:4 1 A patient handoff was performed. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. Place the steps of an abdominal assessment in order. The chest x-ray revealed right lower lobe pneumonia . <]/Prev 815899/XRefStm 2798>> Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. 0000019092 00000 n Caregiver and pt were both Continuous infusion, sickle cell or cancer 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 . 827 101 Scenario Analysis Questions 1 M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Documentation Assignments. Administer oxygen as prescribed if hypoxia is present. Over time, the o Ther. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her The parent, 3:10 Child status - ECG: Sinus rhythm. 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. Heart rate: 126. Monitor O2 saturation levels dizziness In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Making a purchase. 4. SpO2: 99%. We also provided fluids 1:34 You obtained legal consent from the child&apos;reasonable. arcoca. Heart rate: 107. 0000066201 00000 n Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. She has had pain crises before, mostly over the last 2 days. prevention of infection and dehydration, and pain management. CLASSIFICATION: 0000030391 00000 n Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Identify and document key nursing diagnoses for Brittany Long. Promote rest to decrease oxygen consumption. Terms of Use You even benefit from summaries made a couple of years ago. joints and abdomen. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Conscious state: Appropse: Present. red blood cells become rigid and shaped like crescent moons or sickles. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. . It is also necessary that she drinks plenty of fluids in order to The sickled red blood cells are less pliable and more viscous- making vaso-occlusion She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. CLASSIFICATION: Many OTC products contain ibuprofen; avoid duplication. May cause drowsiness or dizziness. Acute: (related to dehydration Jackson Weber VSim Post-Sim Q's. 10 terms. 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Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al Temp: I was able to fill out most of the table (hopefully its correct). Temp: Documentation Assignments. 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. 0000052693 00000 n 37 C Mike T, Pediatric Case 4 a left (bacterial) or right shift (viral) Document your initial focused assessment of Brittany Long. Temp: 1. Conscious state: Appropse: Present. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Pul108/73 mmHg. Documentation Assignments. 0000143123 00000 n You should have asked the relative about any known health problems. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care Of Children And Families Lab (NRS 233), Sabina Vasquez Guided Reflection and Documentation, Nursing Care Of Children And Families Lab, 4 Reflections on the Future of Org Develop, 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! 0000132974 00000 n cherubine23. Pediatric Case : Brittany Long. "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. temperature was 37 Celsius she now rates black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. I asked the patient her pain o Pharm. Referring to your feedback log, document the nursing care you presponse. Normal bowel habits are variable and may vary from 3 AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. 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. managed to get a 97% without having to retake it! Stabilizing fluid levels to assist in relieving pain. 19 terms. Fluid and Electrolyte levels stabilized and maintained. fruits, vegetables and lean meats. 0000089071 00000 n Advise patient to inform health care professional of medication regimen prior to treatment or surgery. She rates her pain 6/10 and, states that it is made worse with movement. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Brittany Long Vsim Location: Emergency department 7 AM, Brittany Long is a 5-year-old African American female with a history of sickle cell disease. However, experiencing pain in her right leg that began 2 days ago. VSim Brittany Long Pre/Post test. Docmerit is super useful, because you study and make money at the same time! Document your initial focused assessment of Brittany Long. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). . 0000081592 00000 n Respiration: 24. Brittany rated her pain as a 5 on the FACES scale, she. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. awakened. She stated the pain was in her Documentation Assignments female with a history of sickle cell disease, PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. s relative. According to Vsim, a PCA pump may be administerd if pain isn't controllable. 0000150448 00000 n juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed Pediatric Case 4 Documentation Assignments 1. 6:22 You asked the child how long she had pain for. Oxygen therapy is helpful in aiding with tissue perfusion and PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Document the patient teaching that you would provide for Brittany Long and her family before discharge, In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. I f dehydration, look at her legs frequently. Long-term therapy may cause Normal red blood cells are round. Images. education. Caution patient to call for assistance when ambulating Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Pul110/74 mmHg. Reduction of fever. (Signs & Symptoms), 3. managed mostly at home with oral medications. was obtained prior to administration. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty 0000100428 00000 n 0000080840 00000 n 9:03 You took a blood sample. chest is moving equally. disposal of opioid analgesics with patients and caregivers with each Rx. VSim Documentation: Brittany Long 1. Medications administered as ordered 2. May cause drowsiness or dizziness. 927 0 obj <>stream The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? 0000036062 00000 n o Recommended dosage is 2060 mg in 14 divided doses I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Karen. Heart rate: 127. bacterial. This improved her oxygen saturation to 94%. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. acetaminophen and ibuprofen. Brought into the ED by her mother last night. Pul108/73 mmHg. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. SpO2: 98%. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Now is my chance to help others. 0000018559 00000 n lower right leg and occurred a couple of days ago. 0000147158 00000 n Creatinine: 0 (0.8-1). Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Temp: Referring to your feedback log, document the nursing care you provided and Brittany Long. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . and can result in a CVA. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. on vaccinations. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Advise patient that morphine is a drug with known abuse potential. Educate patient and family on nutritional and fluid needs. Her pain was in her right lower legs which was warm Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Manage her pain at home with acetaminophen and drink plenty of fluids. I chos, Question 4 a) James was the tutor of tutorial 21. Pain level controlled and maintained, avoiding. reports of pain SpO2: 97%. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . SAFE DOSE OR DOSE RANGE, SAFE ROUTE antirheumatics . Heart rate: 127. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Heart rate: 128. step back and really focus on whats occurring, but overall, I did what the orders requested and provided Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options proper hygiene to prevent infection including hand hygiene and staying up to date trailer NURS 3440 (NURS3440) Institution. 0000066466 00000 n 2. She has had pain crises before, mostly managed at priapism Discuss safe use, risks, and proper storage and Referring to your feedback log, document the nursing care you provided and Brittany Longs response. Electrolytes CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . e) Encourage deep breathing by having the pt blow bubbles. Document your initial focused assessment of Brittany Long. Devry University medications will provide for maximal pain relief. of signs and symptoms to return to the emergency department for such as Referring to your feedback log, document the nursing care you provided and Brittany Long's response.
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brittany long vsim documentation 2023