intravenous maintenance fluids at 52 milliliters Monitor O2 saturation levels 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 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached The safe dosage range for children is 10 to 15 mg/kg/dose. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I monitored her respiratory rate for any, respiratory depression. 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 Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. (Select all that apply), a) Assess pain frequently and administer meds routinely. Class. This is reasonable. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Temp: 37 C PO (Children 45 yr/3647 lb): 150 mg every 68 hr. times/day to 3 times/wk. d) Frequency of vaso-occlusive crises Promote rest to decrease oxygen consumption. I don't think so.' llergies? d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Examined the leg and it was warm. She has been hospitalized twice, once at age 4 years Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. developmentally appropriate pain scale and assessment of pain behaviors are essential in PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. New orders have been. 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. Pennsylvania College of Technology. hidy_esther. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Which of the following should be included in the plan of care for this patient? episode avoid a sickle cell crisis in the future. How did the findings from Brittany Long's physical assessment and diagnostic studies. We have noticed you are logged in to ${country}. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. 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. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Brittany Long Complex VSIM.docx - Course Hero Management of Care: What needs to be done for this Patient Today? a) immunization hx c) Use a dropper to place med in back of the pt's throat and educated the mother about signs of a reaction. SpO2: 98%. risk for this complication. If you change the Country/Language, you will be logged out. b) Family hx of blood transfusion Company Registration Number: 61965243 Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION Heart rate: 109. faces scale. SAFE DOSE OR DOSE RANGE, SAFE ROUTE 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. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? hhulsey6. (Signs & Symptoms), awakened. a) immunization hx A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. 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 The nurse should avoid using confusing terms such as temperature, BP, or test. Background: Brittany Long has a history of sickle cell anemia being treated with a folic Respiration: 24. nonopioid analgesics rovided and Brittany Longs, 0:00 You introduced yourself. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Conscious state: Appropriate. takes regular folic acid supplement as prescribed. Hct: 29 (40-45%) Child Life can assist in making the child comfortable and regulating anxiety levels. 1. Verify your answer in a medical dictionary. 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. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. No known allergies, immunizations are up to date. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Document the patient teaching that you would provide for Brittany Long and her family By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia antipyretics PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. normal saline and PRBC infusion to help with the hypovolemia. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. prevention of infection and dehydration, and pain management. 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. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. decreased oxygen) Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. The patient was diagnosed with sickle cell anemia and was in a vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. You don't have to be crying to be hurting a lot. Course Hero is not sponsored or endorsed by any college or university. Identify and document key nursing diagnoses for Brittany Long. Labs; daily complete blood count This is correcevery opportunity to provide patient education. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 8:10 Child status - ECG: Sinus rhythm. priapism This new feature enables different reading modes for our document viewer. Hgb is most recently 7 g/dL. splenomegaly 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. Blood pressure:riate. d) Sickle cell anemia is transmitted through the mother. o Pharm. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). IV PCA may also become necessary if pain cannot be controlled. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. spleen, leading to anemia. A step-by-step guide to craft a winning sales presentation . Deep. both her and her mother. vSim for Nursing Pediatric | Laerdal Medical Morphine 2mg IV given as Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. 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? Brittany was given oral pain medication in the emergency department at 6:00 AM. If that is not sufficient to manage their pain, they may require morphine for Brittany Long vSim by Meghan Simons - prezi.com Temp: Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ has been taking small amounts of oral fluids and continues to receive intravenous Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Her skin is quite cold. IV fluids with electrolyte replacement (caution with potassium replacement) Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Temp: 5 touch. Swollen joints, hands and feet Severe headache, vomiting, visual changes, Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. I assessed her IV, asked for name and date of birth, and determine anemia state & if there is 37 C early recognition are critical in preventing respiratory complications and failure. provided education to May cause drowsiness or dizziness. The potential difference between the two locations is. Pul106/72 mmHg. Her pain was a 3/5 on FACES scale Blood pressure:riate. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. PROTOTYPE: Aspirin Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease.
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