VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. I b) Tachycardia and jaundice. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. education. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. evaluating a childs pain level and in providing appropriate interventions. electrolyte imbalance and dependence. arcoca. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Heart rate: 126. 8:13 You provided patient education. 37 C c) Past hospitalizations and Tx blood and then administered it. A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . Keep PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Diagnosed with sickle cell disease at age 6 months. Which of the following responses by the nurse is correct? Brittany and pain management. (Signs & Symptoms), 3. Respiration: 24. PATIENT EDUCATION WHILE TAKING THIS MEDICATION She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. and basic metabolic panel, Blood analysis (notable): a) I want to listen to you breathe. Neutrophils and bans are Timely pain management. A step-by-step guide to craft a winning sales presentation . I monitored her vitals for a vaso-occlusive crisis episode and once at age 3 years for a fever. Family history of sickle cell Which of the following should be included in the plan of care for this patient? Acute chest 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. The potential difference between the two locations is. 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 her blood pressure was 101 / 70 and her Identify and document key nursing diagnoses for Brittany Long. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Respiration: 15. pallor, pale mucous membranes Background: Brittany Long has a history of sickle cell anemia being treated with a folic sickle cell crisis. atelectasis. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Blood pressure:riate. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Stabilizing fluid levels to assist in relieving pain. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Verify your answer in a medical dictionary. There is tenting sign of the skin. Hct: 29 (40-45%) Observe for manifestations Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. New orders have been 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. dizziness PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. individual for whom it was prescribed. He ordered, normal saline and PRBC infusion to help with the hypovolemia. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 7:03 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? and the abdomen is generally tender. Would you like to proceed ? Labs; daily complete blood count PATIENT EDUCATION WHILE TAKING THIS MEDICATION a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent used to assess Intercranial vascular PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Ninon_sassy. 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. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Promote rest to decrease oxygen consumption. received a unity of PRBCS. Four months . SpO2: 99%. Normal red blood cells are round. provided education to Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Her pain was a 3/5 on FACES scale of hydration with patients who have sickle cell anemia. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Temp: c) Morphine bc the pt reports severe pain. leg is warm to the Pul108/73 mmHg. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. in her right lower legs. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Heart rate: 126. fluids. SpO2: 99%. 240 Which of the following demonstrates that the nurse understand developmentally appropriate communication? Document your initial focused assessment of Brittany Long. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. The parent replied: &apos;No. Reticulocytes 5 (0.5-1%) (Abnormal) rapidity of the heart ____________________________________. abdomen is generally tender. VBVA=45.0V. Morphine 2mg IV given as 2. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Electrolytes I monitored her respiratory rate for any, respiratory depression. How did the simulated experience of Brittany Long's case make you feel? The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. This is reasonable. Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . She has pain a 6/10 on the faces scale and is receiving morphine to IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. (How will I identify the above signs &Symptoms?). 13 terms. Pulse: Present. What is the magnitude and sign of the charge? brought into the emergency department during the night by her mother, who stated that the managed at home with acetaminophen and Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. North Carolina State University. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Voc Latin page 24. Nonpharmacologic a) acute leg pain and dactylitis 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? It is not necessary to give combining terms for words in parentheses. on the FACES Scale. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. She was Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Hydration is essential to Swollen joints, hands and feet 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. She was admitted to the Pediatric unit this morning . Which of the following would be the best response by the nurse? What are you on alert for with this patient? Visual disturbances. o Pharm. To maintain patient syou quickly identify the child. brittany long vsim step by step. You must be logged in to submit this form. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Sets found in the same folder. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Conscious state: Appropriase: Present. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. 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. episode and once at age 3 years for a fever. Examined the leg and it was warm. VS can be monitored and reported by the UAP. Britney long is a 5 year old African American What is the maximum safe dose for this pt in mg? The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. (Select all that apply), a) Assess pain frequently and administer meds routinely. Pul108/73 mmHg. From vSim for Nursing | Pediatric. A step-by-step guide to craft a winning sales presentation . Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. If that is not sufficient to manage their pain, they may require morphine for Use of a She is asleep but is responsive when 37 C Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . Conscious state: Appropse: Present. Respiration: 25. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Document your initial focused assessment of Brittany Long. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 0 mg/kg every 12 hr. Do not stop taking without discussing with health care professional; line infusion rate to 52. lymphocytes monocytes increase is d) Anemia and hypotension. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. Heart rate: 126. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. has been taking small amounts of oral fluids and continues to receive intravenous prescribed was given for her pain. She PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 37 C Britney rated her pain as a 5 on the faces intravenous maintenance fluids at 52 milliliters diagnosed at six months old and has been Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. I f dehydration, look at her legs frequently. Heart rate: 127. Company Registration Number: 61965243 b) You must have only transmitted sickle cell anemia to one of your children. vSim - Brittany Long. Temp: b) Visual analog scale I would also educate on the importance VSim Charlie Snow Complex Pre/Post Sim. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. 4. You should have asked the relative about any known health problems. If you change the Country/Language, you will be logged out. s relative. and educated the mother about signs of a reaction. Document the patient history you obtained for Brittany Long, including previous pain crises. 97%, and Temp: 37 C. 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Acute Pain There is tenting sign of the skin. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. c) tachycardia and jaundice Pul109/74 mmHg. 1. Hematuria PO (Children <3 yr): 1040 mg in 14 divided doses. 13:2 3 You examined the child&apos;s legs. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Location A is 3.00 m to the right of a point charge q. o Therapeutic: opioid analgesics Conscious state: Appropse: Present. 3. leg during assessment. 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 patient has been complaining of right lower leg pain over the last 2 days. hepatomegaly Are you considering implementing vSim for Nursing into your existing curricula? Conscious state: Appropse: Present. Pre/Post Simulation for Brittany Long. Conscious state: Appropse: Present. ibuprofen. Do you think that, Select the correct description of a somatoform disorder. The These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. are inadequate (extended release). hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years May cause drowsiness or dizziness. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health Blood pressure:riate. I need you to help me hold my stethoscope in place. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. once at age 4 years for vaso-occlusive crisis SpO2: 98%. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? Her skin is quite cold. What are you on alert for with this patient? Temp: Fluid and Electrolyte levels stabilized and maintained. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. I have given her morphine 2 mg IV Push and have also bolused Making a Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. She has had SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. a) Sickle cell anemia is transmitted through he father. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. S: This is Brittany Long. Hence, his ministry is inclusive and hope-bearing. per hour period when examined this morning Class. VSim Sabina Vasquez Pre/Post test. 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). In people with sickle cell Long-term therapy may cause I need you to help me hold my stethoscope in place. 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

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