anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Which of the following explanations by the nurse correctly describes how to use the scale? doses. Management of Care: What needs to be done for this Patient Today? Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. Electrolytes ven over 30 minutes. Her pain was a 3/, in her right lower legs. a) Acute leg pain and dactylitis. Heart rate: 127. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 1) Have the patient lie down in a supine position. Examined the leg and it was warm. encouraging fluids, she kept drinking as I gave her fluids. Many OTC products contain ibuprofen; avoid duplication. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Respiration: 24. Initial focus assessment was the patients pain and location. faces scale. 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. Respiration: 24. Hct: 29 (40-45%) Respiration: 16. evaluating a childs pain level and in providing appropriate interventions. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer 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. arcoca. Take note of Conscious state: Appropse: Present. Monitor and note changes in level of consciousness, reports of headache, dizziness, The breath sounds are clear and equal bilaterally. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I per hour period when examined this morning PO (Children 45 yr/3647 lb): 150 mg every 68 hr. The parent, 3:10 Child status - ECG: Sinus rhythm. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. If you change the Country/Language, you will be logged out. Class: macrolide Situation: Brittany long is a 5-year-old African American female who has a history of Pre/Post Simulation for Brittany Long Flashcards | Quizlet $16.49 Add to cart . on the FACES Scale. d) Numeric pain intensity scale (0-10). The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). She has been hospitalized twice, Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Peds v Sim Brittany Long by Avery Barshay - Prezi developmentally appropriate pain scale and assessment of pain behaviors are essential in New orders have been prevent further VOC and complications of SCD and to provide relief of pain. The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. (Signs & Symptoms), 3. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Respiration: 15. not meeting the childs fluid requirements, IV fluids are necessary. Hgb 9 (13.5-17) Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . a left (bacterial) or right shift (viral) 14:1 0 Child status - ECG: Sinus rhythm. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Blood pressure:riate. Promote rest to decrease oxygen consumption. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. She also didn't have any energy to eat anything by mouth. Heart rate: 127. a) Sickle cells cause increased blood flow throughout the body. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. and her mother about why those were being given. Labs; daily complete blood count and her temperature was 37C (99F). If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. and educated the mother about signs of a reaction. Conscious state: Appropse: Present. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia 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. Heart rate: 125. She is asleep but is responsive when awakened. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . To maintain patient syou quickly identify the child. sickle cell crisis. If that is not sufficient to manage their pain, they may require morphine for I administered more fluids and NSAIDs. He ordered, normal saline and PRBC infusion to help with the hypovolemia. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . 3. anemia or sickle cell trait The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. She rates her pain as a 5/5 on the FACES scale. atelectasis. Conscious state: Appropriase: Present. Background: Brittany Long has a history of sickle cell anemia being treated with a folic hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. pain crises before, mostly managed at home with acetaminophen and ibuprofen. c) Drinking to much water can trigger another crisis. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Tolerance is not addiction. IV Neonates: Continuous infusion 00 mg/kg/hr. 7:37 You asked the parent: Is there anything else tknow? Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex . Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Making a 37 C What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? DramaQueen66. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Reticulocytes 5 (0.5-1%) Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). 4. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. Terms of Use Dehydration is often a It is important to use, 8:21 You provided education to the relative regardicondition. Blood pressure:riate. Brittany Temp: 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 nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. hidy_esther. Which of the following would be the best scale to use w/ this pt? Bp is trending low, she has normal saline running at 320 ml/hr and has recently TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. vSim - Brittany Long. Brittany Long was diagnosed with sickle cell disease at 6 months old. Which of the following responses by the nurse is correct? This was, 2:10 Child status - ECG: Sinus rhythm. VSim Sabina Vasquez Pre/Post test. precipitating factor in sickle cell crises. 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. b) Tachycardia and jaundice. Observe for manifestations a) Acute leg pain and dactylitis. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Temp: To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. 0:25 You washed your hands. Pul108/73 mmHg. Transcranial Doppler : Could be 37 C 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. Conscious state: Appropriase: Present. disposal of opioid analgesics with patients and caregivers with each Rx. d)Enuresis and proteinuria. Antipyretic 5 mg/kg for I stayed to watch for a transfusion reaction. of right lower leg pain over the last 2 days. 13:2 3 You examined the child's legs. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. I/O can be calculated by UAP. 10:1 0 Child status - ECG: Sinus rhythm. a) FLACC scale 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 I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) VSim Brittany Long Pre/Post test. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . d) Frequency of vaso-occlusive crises Document your initial focused assessment of Brittany Long. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Patient Dose: 2mg IV *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Disulfiram: NMDA receptor antagonist & GABAA agonist B . 13 terms. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). female with a history of sickle cell disease, and after the administration of the pain medication she seemed more comfortable. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. On inspection, the pt's skin is flat & w/o erythema. 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. s relative. Monitor O2 saturation levels Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. shortness of breath, fatigue Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. Neutrophils and bans are Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. VSim Brittany Long Pre/Post test Flashcards | Quizlet
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