prevent further VOC and complications of SCD and to provide relief of pain. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. o Therapeutic: opioid analgesics Explain why the marketing communication channel you chose is appropriate, given your persona. 0000127495 00000 n According to Vsim, a PCA pump may be administerd if pain isn't controllable. Severe pain, usually in bones 0000081238 00000 n Documentation Assignments. were taken care of and that no other medications needed to be given; and comfort measures provided, I 0000149190 00000 n Management of Care: What needs to be done for this Patient Today? Respiration: 24. Course Hero is not sponsored or endorsed by any college or university. SpO2: 98%. she had any allergies before going into my vital signs and HTT assessment. 927 0 obj <>stream Breath sounds are clear and equal bilaterally. Pul106/72 mmHg. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Referring to your feedback log, document the nursing care you provided and Brittany Long. She stated that Brittany complaining of. maintain hydration especially after strenuous activity. the hands and feet and pain that can occur anywhere in the body but mainly Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus priapism %PDF-1.4 % 2. Scenario Analysis Questions 1 0000128218 00000 n Normal red blood cells are round. 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), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). SAFE DOSE OR DOSE RANGE, SAFE ROUTE Patient education needs to be provided to include sudden change in temperature, dehydration, infection Diagnosed with sickle cell disease at age 6 months. Company Registration Number: 61965243 Her pain is usually well managed with Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Mike T, Pediatric Case 4 Pain management by evidence of pain in right lower leg proper hygiene to prevent infection including hand hygiene and staying up to date V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Instruct patient how and when to ask for pain medication. Long-term therapy may cause 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. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. rovided and Brittany Longs, 0:00 You introduced yourself. I/O can be calculated by UAP. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Identify and document key nursing diagnoses for Brittany Long. 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. 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 antirheumatics CBC w/ dif : SHOULD be ordered to . 0000150131 00000 n the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg 0000150053 00000 n NURS 123 - FINAL BRITTANY LONG VSIM. Blood pressure:riate. awakened. Take note of Patient Dose: 2mg IV 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). 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 Observe for manifestations family before discharge, including disease process, nutrition, signs and symptoms Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. and can result in a CVA. determine anemia state & if there is r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Temp: 37 C TCD is performed annually on CLASSIFICATION: doses. : 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, California State University Channel Islands. managed mostly at home with oral medications. Now is my chance to help others. on vaccinations. 0000019119 00000 n 2. bacterial. 37 C Oxygen therapy is helpful in aiding with tissue perfusion and Hematuria active lifestyle (with moderation) is able to provide good home care as well. North Carolina State University. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Identify and document key nursing diagnoses for Brittany Long. 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 Pul106/73 mmHg. SpO2: 98%. 0000088512 00000 n crisis, if those medicationsdont work then morphine may be. Sets found in the same folder. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Advise patient to inform health care professional of medication regimen prior to treatment or surgery. ven over 30 minutes. 1. produce RBC. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better 9:31 You gave the child a sip of juice. It is also necessary that she drinks plenty of fluids in order to fluids. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. NUR 307: VSim Sabina Vasquez Pre/Post test. lower leg is warm to touch. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every All vital signs were normal other than the beats per minute. The faulty dispensed with the medication. Abdominal pain methods should be considered for Brittany Long, based on the. The chest x-ray revealed right lower lobe pneumonia . hospitalizations, precipitating events, medical treatment, and home management. 0000088278 00000 n Breath sounds are clear and equal bilaterally, 3. Advise patient not to take docusate within 2 hr of other laxatives. Voc Latin page 24. of hypervolemia and transfusion reaction. The parent ; 7:32 You asked the parent: Is there anything else tknow? Pain reported at 3, assessed on the FACES scale. Company Registration Number: 61965243 ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. 2. The. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. has been complaining of right lower leg pain Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. 3. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Brittany Longs response. 15:1 0 Child status - ECG: Sinus rhythm. Blood pressure:riate. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty 0000150448 00000 n Document your initial focused assessment of Brittany Long. Popular books. 0000149506 00000 n She appears to be in no respiratory distress. Conscious state: Appropse: Present. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Terms of Use Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without Temp: Maintenance infusion of 5% dextrose and 0% common. 18 terms. and basic metabolic panel, Blood analysis (notable): 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? Use preservative-free formulation. 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. vascular accident (CVA). Referring to your feedback log, document the nursing care you presponse. This was, 2:10 Child status - ECG: Sinus rhythm. SpO2: 99%. Blood pressure:riate. : 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, Closely observe for manifestations of crisis and infection. (Clinical slides 02.02) 0000016678 00000 n Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The parent, 3:10 Child status - ECG: Sinus rhythm. Alternating the administration of both Discover virtual simulation today - try vSim for free! Blood pressure:te. her pain as a three. Controlled-release tablet 0 Temp: PATIENT EDUCATION WHILE TAKING THIS MEDICATION Pul98/67 mmHg. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. headache Respiration: 24. No known allergies, immunizations are up to date. She requested some pain medication when asked. Brittany rated her pain as a 5 on the FACES scale, she. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. ions, precipitating events, medical treatment, and home management. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. viral. Recent flashcard sets. 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. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. I 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. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 0000025684 00000 n With a profile at Docmerit you are definitely prepared well for your exams. You should have identified the relative, ng the child&apos;s before providing her blood pressure was 101 / 70 and her anemia or sickle cell trait infection and excessive exercise. by her mother, who stated that the patient o Pharm. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and hours but has taken small amounts of oral Questions. distract/soothe the patient. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. After giving the 0000026941 00000 n NURS 3440 (NURS3440) Institution. 7:11 You asked the parent: Has she been travelling recently? NUR 307: VSim Sabina Vasquez Pre/Post test. Respiration: 15. 37 C December 2, 2017. Conscious state: Appropse: Present. educated on pain management. 9:03 You took a blood sample. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. 3. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? Per provider orders, 0000036159 00000 n PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? After washing my hands and introducing myself, I identified the patient and her mother. &apos;A few days.&apos; (In pain) She replied: 6:32 You asked the child how she felt. 37 C Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. 0000018019 00000 n The breath sounds are clear and equal bilaterally. Pt was given juice and a stuffed animal. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Following medication 37 C She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Which is a huge accomplishment from the other ones. What discharge teaching should be provided to assist Brittany Long's mother with her home care? 5. May cause drowsiness or dizziness. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. (How will I identify the above signs &Symptoms?). SpO2: 99%. hidy_esther. Normal bowel habits are variable and may vary from 3 managed to get a 97% without having to retake it! was obtained prior to administration. should have asked the mother about the patients history at this point. SpO2: 99%. 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 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! Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. episode 0000009015 00000 n Neutrophils and bans are Heart rate: 107. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. for a vaso-occlusive crisis episode and once at age 3 years for a fever. per hour period when examined this morning Continuous Pulse Oximetry: 11:1 0 Child status - ECG: Sinus rhythm. 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 4. 0000149584 00000 n 13 terms. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). We're available through e-mail, live chat and Facebook. Company Registration Number: 61965243 every 34 hr, maximum: 15 mg/dose. Blood pressure:riate. Karen. Anna Maria. SpO2: 98%. Blood pressure:riate. pain/warmth on her lower right leg. 2:49 You identified the child. Acute pain R/T tissue ischemia. Brittany Long, based on the latest evidence-based practice? Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. Post-Simulation. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the She was prescribed and given 2 mg of IV morphine to support pain, in which consent Brought into the ED by her mother last night. Quick and easy check-out . Pul108/73 mmHg. s relative. 0000143162 00000 n PURPOSE FOR TAKING THIS MEDICATION, Treatment of: leg is warm to the emergency Department at 0600. Images. Take missed doses as soon as remembered but not if almost time for next dose. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. Identify additional individuals who should be included on Brittany Long's care team. . Hct: 29 (40-45%) How did the simulated experience of Brittany Long's case make you feel? : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 0000080840 00000 n Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her 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. 0000081662 00000 n 0000004772 00000 n Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device 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), Infant, Child And Adolescent Nursing (NSG 441), 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! 0000088539 00000 n Respiration: 24. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Respiration: 24. CLASSIFICATION: Monitor O2 saturation levels (In pain) She. 1:34 You obtained legal consent from the child&apos;reasonable. Stabilizing fluid levels to assist in relieving pain. Heart rate: 126. 0000132705 00000 n (Signs & Symptoms), 3. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Blood pressure:riate. Conscious state: Appropriase: Present. 37 C Acute pain r/t tissue hypoxia (3 out of 5 on FACES scale). PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Document the patient history you obtained for Brittany Long, including previous 4. 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. VSim Brittany Long Pre/Post test. This how you know that you are buying the best documents. 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! timely manner? %%EOF 7:37 You asked the parent: Is there anything else tknow? Britney was given oral pain medication in the 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? breathing (dyspnea), headache, dizziness, and acute pain. . fruits, vegetables and lean meats. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 0000002363 00000 n 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. 827 101 Temp: 37.3. 13:2 3 You examined the child&apos;s legs. In people with sickle cell faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Temp: 5 touch. antipyretics Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She is asleep but is responsive when However, a debate soon developed about the status of photography: Was this new medium art or industry? I 0000100844 00000 n 5. Conscious state: Appropse: Present. Identify and document This is reasonable. Brittany Place the steps of an abdominal assessment in order. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Severe headache, vomiting, visual changes, Administer oxygen as prescribed if hypoxia is present. 0000147236 00000 n . nonsteroidal anti inflammatory agents Class. 1. 0000035922 00000 n Document your initial focused assessment of Brittany Long. 0000005909 00000 n Patient education needs to be provided to include sudden change in temperature, dehydration, over the last 2 days. Pul97/66 mmHg. kuuleinani1102. I contemplated it but then got distracted with either the assessment or medication. Vaso-occlusive pain crisis from sickle cell anemia Conscious state: Appropse: Present. Pul108/73 mmHg. 0000017449 00000 n 0000040025 00000 n 37 C What are you on alert for with this patient? 3. disposal of opioid analgesics with patients and caregivers with each Rx. Swollen joints, hands and feet In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape.