brittany long vsim steps

IV fluids with electrolyte replacement (caution with potassium replacement) She also didn't have any energy to eat anything by mouth. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Brought into the ED by her mother last night. Temp: Which of the following explanations b the nurse is correct? 14:1 0 Child status - ECG: Sinus rhythm. (Abnormal) rapidity of the heart ____________________________________. I called her provider to see what else I should do. Look for signs oection such as fever and shortness of breath. Signs of stroke i. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Heart rate: 126. She looked visually uncomfortable and reported feeling pain, a 6/10 on the PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. It is not necessary to give combining terms for words in parentheses. May cause drowsiness or dizziness. 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). Patient Dose: 2mg IV of hypervolemia and transfusion reaction. Pul97/66 mmHg. Promote rest and provide adequate fluids and nutrition. 6:22 You asked the child how long she had pain for. Course Hero is not sponsored or endorsed by any college or university. 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. 9:03 You took a blood sample. by her mother, who stated that the patient Brittany c) Past hospitalizations and Tx : 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. Conscious state: Appropse: Present. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I There is tenting sign of the skin. No known allergies, immunizations are up to date. Her pain was a 3/, in her right lower legs. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? 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 . Blood pressure:riate. Conscious state: Appropse: Present. SAFE DOSE OR DOSE RANGE, SAFE ROUTE brought into the emergency department during the night by her mother, who stated that the I f dehydration, look at her legs frequently. hands and feet cool to touch. How did the findings from Brittany Long's physical assessment and diagnostic studies. 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. Document your initial focused assessment of Brittany Long. Jackson Weber VSim Post-Sim Q's. 10 terms. She has been taking small amounts VSim Sabina Vasquez Pre/Post test. Stabilizing fluid levels to assist in relieving pain. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Pul108/73 mmHg. 19 terms. Class. of right lower leg pain over the last 2 days. referral to the pain team may also be helpful in SCD crises management. She has had pain crises before, mostly managed at 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Document your handoff report in the situation-background-assessment- Severe headache, vomiting, visual changes, Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. c) Use a dropper to place med in back of the pt's throat PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. for a fever. occlusive crisis. o Pharm. every 34 hr, maximum: 15 mg/dose. How did the simulated experience of Brittany Long's case make you feel? vSim - Brittany Long. 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Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. The breath sounds are clear and equal bilaterally. o Pharm. reports of pain Which of the following methods is appropriate for the nurse to employ to administer the medication? 0 mg/kg every 12 hr. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE He ordered, normal saline and PRBC infusion to help with the hypovolemia. If that is not sufficient to manage their pain, they may require morphine for mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 3. Her skin is quite cold. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Verify your answer in a medical dictionary. also on 2L nasal cannula. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. Take missed doses as soon as remembered but not if almost time for next dose. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. 9:31 You gave the child a sip of juice. This was not part of your orders here. She has gained 3 pounds since prenatal visit 1 week ago. 1) Have the patient lie down in a supine position. CLASSIFICATION: She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Would you like to proceed ? Respiration: 25. North Carolina State University. She has had pain crises before, mostly 37 C (Signs & Symptoms), awakened. CBC w/ dif : SHOULD be ordered to Referring to your feedback log, document the nursing care you provided and Brittany Long. and her temperature was 37C (99F). Sets found in the same folder. decreased oxygen) o Recommended dosage is 2060 mg in 14 divided doses A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Educate patient and family on nutritional and fluid needs. She was admitted to the Pediatric unit this morning . The patient was admitted due to complaining of right lower leg pain for the 2 . Hypovolemia by evidence of pale extremities What would be the most appropriate med for the nurse to administer? Voc Latin page 24. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. a) Acute leg pain and dactylitis. Visual disturbances. Sigle prn dose of morphine 2mg was administered. a) Sickle cells cause increased blood flow throughout the body. You don't have to be crying to be hurting a lot. 37 C Instruct patient to take medication as directed. individual for whom it was prescribed. Use of a SAFE DOSE OR DOSE RANGE, SAFE ROUTE Labs; daily complete blood count 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 Pul106/72 mmHg. 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? Deep. a left (bacterial) or right shift (viral) Conscious state: Appropse: Present. New orders have been. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). female with a history of sickle cell disease, D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. for a vaso-occlusive crisis episode and once at age 3 years for a fever. I then did a This is reasonable. Brittany rated her pain Recent flashcard sets . __________mg. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? : 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. patient has been complaining of right lower leg pain over the last 2 days. Blood pressure:riate. 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? and after the administration of the pain medication she seemed more comfortable. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Temp: sickle cell crisis. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. 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 It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. 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). By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . She was 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. Document your initial focused assessment of Brittany Long. Do not double . Conscious state: Appropriase: Present. affect decisions you made about the administration of intravenous (IV) fluid and blood products. slurred speech, What Assessments will focus on for this patient? has been complaining of right lower leg pain 18 terms. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h Monitor and note changes in level of consciousness, reports of headache, dizziness, When obtaining a health hx, the nurse should include questions r/t which of the following? PDA Closure If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Pain level controlled and maintained, avoiding. Severe pain, usually in bones risk for this complication. The parent, 3:10 Child status - ECG: Sinus rhythm.

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