Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 1. 0000147353 00000 n 4. Which is a huge accomplishment from the other ones. 37 C Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen This was, 2:10 Child status - ECG: Sinus rhythm. Many OTC products contain ibuprofen; avoid duplication. 0000052789 00000 n leg during assessment. Your explanation for the marketing communication channel you chose must be one paragraph in length. brittany long vsim steps Signs of stroke i. Conscious state: Appropriase: Present. Brittany Long v Sim - Pediatric Case 4: Brittany Long Documentation 0000008903 00000 n Vaso-occlusive pain crisis from sickle cell anemia Pediatric Case 08 Brittany Long Complex DA Heart rate: 107. VSim Documentation: Brittany Long 1. TCD is performed annually on 8:10 Child status - ECG: Sinus rhythm. breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. This is reasonable. IV Neonates: Continuous infusion 00 mg/kg/hr. Identify and document key nursing diagnoses for Brittany Long. 0000040025 00000 n emergency Department at 0600. 0000016678 00000 n Brittany Long VSIM DA.docx - Pediatric Case 4: Brittany sickle cell and the symptoms can help me provide better actual patient care in a similar situation. 0000081172 00000 n 0000012690 00000 n Pul106/72 mmHg. Pain level controlled and maintained, avoiding. PO (Children <3 yr): 1040 mg in 14 divided doses. hepatomegaly headache I f dehydration, look at her legs frequently. including disease process, nutrition, signs and symptoms of crises, prevention of infection and 0000006023 00000 n The sickled red blood cells are less pliable and more viscous- making vaso-occlusion 1) Have the patient lie down in a supine position. May cause drowsiness or dizziness. A healthy diet and FINAL BRITTANY LONG VSIM. - NURS 123 - Stuvia 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 via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? Case - Brittany long vsim/ broward . 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, . <]/Prev 815899/XRefStm 2798>> Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . breathing (dyspnea), headache, dizziness, and acute pain. Pain management by evidence of pain in right lower leg Anna Maria. Respiration: 25. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? brittany long vsim steps Document the patient history you obtained for Brittany Long, including previous pain. What discharge teaching should be provided to assist Brittany Long's mother with her home care? December 2, 2017. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Heart rate: 127. 0000003155 00000 n 0000148251 00000 n Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. care professional if symptoms persist or worsen. 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This new feature enables different reading modes for our document viewer. lower right leg and occurred a couple of days ago. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Oral opioid medication and NSAIDs are given for mild to moderate. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Identify and document key nursing diagnoses for Brittany Long. Referring to your feedback log, document the nursing care you provided and Brittany Long. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. vSim for Nursing | Pediatric Brittany Long (Core) Documentation (Signs & Symptoms), 3. I think the entire scenario went well. 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. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Document the patient history you obtained for Brittany Long, including previous patient and did handoff. Document your initial focused assessment of Brittany Long. This is correcevery opportunity to provide patient education. flow and detect the risk for cerebral I don't think so.' llergies? children ages 2 to 16 years who have 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. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better leg pain. 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. The parent replied: 'No. dehydration, and pain management. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? Various pain management medications were provided to include morphine. 7:10 Child status - ECG: Sinus rhythm. 0000066466 00000 n I Neutrophils and bans are bacterial. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING Heart rate: 125. Pediatric OTC Dosing Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Blood pressure:riate. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 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. Conscious state: Appropse: Present. Identify and document key nursing diagnoses for Brittany Long. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. produce RBC. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a She stated that Brittany complaining of. 0000036062 00000 n 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 cell 15:4 1 A patient handoff was performed. 0000017449 00000 n Use preservative-free formulation. trailer exercise, emotional stress, and infection. 0000115021 00000 n 0000426303 00000 n Hct: 29 (40-45%) 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? pallor, pale mucous membranes 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. 2. Family history of sickle cell She has had pain crises before, mostly managed at priapism development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 0000030391 00000 n nonopioid analgesics Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. I assessed the IV site and assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Promote rest and provide adequate fluids and nutrition. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? 6:22 You asked the child how long she had pain for. 827 101 After washing my hands and introducing myself, I identified the patient and her mother. Symptoms of a crisis can include extreme fatigue, shortness of 0:10 Child status - ECG: Sinus rhythm. managed to get a 97% without having to retake it! AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. ood or had a reaction to a. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: PO Infants: 5 mg/kg/day in 14 divided doses. worst-case scenario. 3. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Heart rate: 109. Assess patient and caregiver knowledge of how to avoid crisis. CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. Opening Questions Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. brought into the ED during the night by her mother. acetaminophen and ibuprofen. Next, I asked if she had any . Skin is cool and appears ashen with normal elasticity. Pul108/73 mmHg. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . The. 13:2 3 You examined the child's legs. Breath sounds are clear and equal bilaterally, 3. Respiration: 24. Respiration: 24. I/O can be calculated by UAP. and levels of neutrophils, changes in 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. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Document information. Fluid and Electrolyte levels stabilized and maintained. management. 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, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. crisis, if those medicationsdont work then morphine may be. Document your initial focused assessment of Brittany Long. kuuleinani1102. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Brittany Long vSim SICKLE CELLS Flashcards | Quizlet for a vaso-occlusive crisis episode and once at age 3 years for a fever. pain/warmth on her lower right leg. rovided and Brittany Longs, 0:00 You introduced yourself. infection and excessive exercise. Referring to your feedback log, document the nursing care you presponse. Conscious state: Appropriate. I need to take a maintain hydration especially after strenuous activity. Advise patient to change positions slowly to minimize orthostatic hypotension. Pul110/74 mmHg. 3. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. 0000088903 00000 n %PDF-1.4 % Normal bowel habits are variable and may vary from 3 37 C nonopioid analgesics Impaired gas exchange related to increased blood viscosity as evidenced by right 0000088539 00000 n ECG: normal Sinus rhythm. slurred speech, What Assessments will focus on for this patient? 19 terms. How did the simulated experience of Brittany Longs case make you feel? of 0% NaCl to correct dehydration. 0000022380 00000 n Visual disturbances. decreased oxygen) 0:25 You washed your hands. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help 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:. 0000150448 00000 n Pediatric Case 4 Documentation Assignments 1. 0000114756 00000 n (every 4-6 hours) as needed for pain. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF administered for breakthrough pain. Promote rest to decrease oxygen consumption. 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). 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. (How will I identify the above signs &Symptoms?). Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. arcoca. We're available through e-mail, live chat and Facebook. SpO2: 99%. Assess dehydration status via CBC, Urinalysis and strict I/O. College Physics Raymond A. Serway, Chris Vuille. Signs and symptoms include swelling of Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. 0000081757 00000 n 0000025965 00000 n (Signs & Symptoms), awakened. What are you on alert for with this patient? SpO2: 98%. Post-Simulation. 0000009015 00000 n Caregiver and pt were both Heart rate: 126. leg is warm to the . SpO2: 98%. 0000101348 00000 n Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Administer oxygen as prescribed if hypoxia is present. administered 2mg IV morphine and reassessed patient before calling the provider. 0000066201 00000 n Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber methods should be considered for Brittany Long, based on the. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! NURS 3440 (NURS3440) Institution. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. She rates her pain 6/10 and upon assessment. bacterial. She was placed on oxygen via nasal cannula at 2 L/min. Temp: Manage her pain at home with acetaminophen and drink plenty of fluids. Popular books. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 0000143123 00000 n Pt/family teaching Once I was sure the labs Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. and excessive exercise. Creatinine: 0 (0.8-1). Blood pressure:riate. No known allergies, immunizations are up to date. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Respiration: 24. Do not stop taking without discussing with health care professional; PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 0000150131 00000 n School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. of right lower leg pain over the last 2 days. 0000149506 00000 n Antipyretic 5 mg/kg for Educate patient and family on nutritional and fluid needs. Images. ven over 30 minutes. episode ibuprofen. 0. brittany long vsim steps . Following medication vSim for Nursing | Pediatric Brittany Long Documentation Continuous infusion, sickle cell or cancer Devry University Management of sickle cell crisis is aimed at managing pain and promoting circulation. Questions. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Respiration: 25. 18 terms. dispensed with the medication. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 0000081238 00000 n Heart rate: 127. Advise patient not to take docusate within 2 hr of other laxatives. 0000147119 00000 n (In pain) She. Britney rated her pain as a 5 on the faces Describe the actions you felt went well in this scenario. 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. brittany long vsim steps. NUR 307: VSim Sabina Vasquez Pre/Post test. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives nonsteroidal anti inflammatory agents Temp: David Smith. 0000019092 00000 n After giving the From vSim for Nursing | Pediatric. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Pre/Post Simulation for Brittany Long Flashcards | Quizlet Respiration: 16. Identify and document key nursing diagnoses for Brittany Long. Advise patient that morphine is a drug with known abuse potential. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 0000046801 00000 n Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. used to assess Intercranial vascular Advise patient to inform health care professional of medication regimen prior to treatment or surgery. her blood pressure was 101 / 70 and her *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: o Ther. 0000127495 00000 n jaundice We also provided fluids Controlled-release tablet 0 Pediatric Case 07 Brittany Long Core DA rev Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 0000087999 00000 n Pul110/74 mmHg. How did the simulated experience of Brittany Long's case make you feel? over the last 2 days. 4. 37 C o Recommended dosage is 2060 mg in 14 divided doses Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. 0000002996 00000 n HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ Class: macrolide I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). EBP What methods of pain management did you use and what other methods should be considered for 0000016811 00000 n 0000081354 00000 n Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . A heart rate of 86 bpm and temperature of 37.0C are normal findings. Hematuria arkhipenochka Teacher. every 34 hr, maximum: 15 mg/dose. CLASSIFICATION: Karen. Document the patient teaching that you would provide for Brittany Long and her . 0000133372 00000 n RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, 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! Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. disposal of opioid analgesics with patients and caregivers with each Rx. 10:1 0 Child status - ECG: Sinus rhythm. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet
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