brittany long vsim steps

c) Past hospitalizations and Tx home with acetaminophen and ibuprofen. a) immunization hx and after the administration of the pain medication she seemed more comfortable. Protect it from theft, and never give to anyone other than the Respiration: 24. closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 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. Are you considering implementing vSim for Nursing into your existing curricula? Temp: PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. provided education to a) immunization hx respiratory depression. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. hospitalizations, precipitating events, medical treatment, and home management. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. prescribed was given for her pain. Place the steps of an abdominal assessment in order. Pulse: Present. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. 4. Document your initial focused assessment of Brittany Long. Child Life can assist in making the child comfortable and regulating anxiety levels. Identify and document key nursing diagnoses for Brittany Long. Pennsylvania College of Technology. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. NSAIDs. Peds v Sim Brittany Long by Avery Barshay - Prezi Her pulse measured 160bpm, her respirations were 34, and her blood She is asleep but is responsive when awakened. 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. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Conscious state: Appropse: Present. Pediatric Case 07 Brittany Long Core DA rev - StuDocu 2. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Wolters Kluwer Health. IV fluids with electrolyte replacement (caution with potassium replacement) VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . arcoca . children ages 2 to 16 years who have She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. takes regular folic acid supplement as prescribed. Hgb 9 (13.5-17) maintenance fluids at 52 mL/hr. once at age 4 years for vaso-occlusive crisis prevention of infection and dehydration, and pain management. o Pharmacologic: opioid agonists If you change the Country/Language, you will be logged out. IV Neonates: Continuous infusion 00 mg/kg/hr. Look for signs oection such as fever and shortness of breath. Brittany Long vSim by Meghan Simons - prezi.com From vSim for Nursing | Pediatric. a. Xist of hypervolemia and transfusion reaction. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? North Carolina State University. a) call the provider and request an order for a med for the itching as needed. 11:1 0 Child status - ECG: Sinus rhythm. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . 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 Complex VSIM.docx - Course Hero d) Frequency of vaso-occlusive crises Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . SpO2: 98%. 15 x 16 = 240. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Reduction of fever. CLASSIFICATION: Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. 37 C hhulsey6. It is not necessary to give combining terms for words in parentheses. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia intravenous maintenance fluids at 52 milliliters proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ 1:34 You obtained legal consent from the child'reasonable. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. avoid a sickle cell crisis in the future. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. Over time, the 37 C Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? splenomegaly 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. Brittany Long was diagnosed with sickle cell disease at 6 months old. Patient C/C right lower leg pain over the last 2 days. determine anemia state & if there is over the last 2 days. syndrome can develop in children with sickle cell crisis. Recent flashcard sets. 2) Inspect abdomen for size and shape. Do not stop taking without discussing with health care professional; Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? PATIENT EDUCATION WHILE TAKING THIS MEDICATION. The nurse is teaching Brittany how to use the FACES scale to rate pain. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 7:10 Child status - ECG: Sinus rhythm. CLASSIFICATION: New orders have been S: This is Brittany Long. Finish the reading attached below and complete the | Chegg.com consulting health care professional. Blood pressure:riate. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids She has had TCD is performed annually on Making a purchase. 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. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Monitor and note changes in level of consciousness, reports of headache, dizziness, Her skin is quite cold. Promote rest to decrease oxygen consumption. This is correcevery opportunity to provide patient education. Documentation Assignments. Management of Care: What needs to be done for this Patient Today? vSim - Brittany Long. c) Use a dropper to place med in back of the pt's throat d) Frequency of vaso-occlusive crises Which of the following should the nurse do? Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Acute: (related to dehydration Student exploration Graphing Skills SE Key Gizmos Explore Learning. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). I verified with two nurses in regard to the A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Her pain was a 3/5 on FACES scale IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). had a sudden increase in pain in her abdomen. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Pul108/73 mmHg. Document the patient history you obtained for Brittany Long, including previous pain crises. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Impaired Gas Exchange To maintain patient syou quickly identify the child. ven over 30 minutes. Monitor her 02 sat and keep above 94%. Continuous infusion, sickle cell or cancer 0 mg/kg every 12 hr. Conscious state: Appropse: Present. PROTOTYPE: Morphine. 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). 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 Pre/Post Simulation for Brittany Long. Which of the following would be the best scale to use w/ this pt? c) Ask the parent whether the pt is hurting Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Respiration: 15. Any orders or recommendations you may have for this patient. I do about 40 minutes of it five times a week. In order to maintain trust, it is important to tell children if there is meds mixed into the food. We have noticed you are logged in to ${country}. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Hct: 29 (40-45%) Initial focus assessment was the patients pain and location. You should have identified the relative, ng the child's before providing Advise patient not to take docusate within 2 hr of other laxatives. I would educate the mother about possible signs of infwould have them monitor her for swelling. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. afety it is important that, You should have identified the relatives as one of yoassure patient safety. diagnosed at six months old and has been b) Anemia and hypotension Document your initial focused assessment of Brittany Long. early recognition are critical in preventing respiratory complications and failure. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Company Registration Number: 61965243 nonopioid analgesics brittany vsim | Write my Essay | Assignment Help received a unity of PRBCS. management so it does not turn into a crisis. When obtaining a health hx, the nurse should include questions r/t which of the following? Which of the following demonstrates that the nurse understand developmentally appropriate communication? given. episode He ordered Blood pressure:riate. Respiration: 24. scale and did not want anyone to touch her You must be logged in to submit this form. Hematuria Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. She Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Hypertension and tachycardia are often associated with acute pain. Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, occlusive crisis. (Signs & Symptoms), 3. Brittany rated her pain Maintain adequate fluid intake and monitor urine output. 37 C patient has been complaining of right lower leg pain over the last 2 days. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Acute chest Heart rate: 109. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia Deep. PO Infants: 5 mg/kg/day in 14 divided doses. 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. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Recent flashcard sets . Conscious state: Appropriate. Sigle prn dose of morphine 2mg was administered.