She was brought into the emergency PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Respiration: 24. The. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. 19 terms. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. vSim - Brittany Long. Conscious state: Appropse: Present. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she c) FACES scale 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 . I f dehydration, look at her legs frequently. arcoca. Heart rate: 127. ibuprofen. 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 . Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Swollen joints, hands and feet Patients who are immobile are at greater Respiration: 24. 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? Company Registration Number: 61965243 Conscious state: Appropriase: Present. Would you like to proceed ? Heart rate: 127. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Controlled-release tablet 0 prevention of infection and dehydration, and pain management. Temp: o Pharm. B: She came in with right lower leg pain, and that has since been stabilized, but she has North Carolina State University. She has not had an appetite in the last 24 SpO2: 99%. Temp: a) Choose the face that looks like how you feel inside. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 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 She has her pain as a three. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. are inadequate (extended release). I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? PATIENT EDUCATION WHILE TAKING THIS MEDICATION *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: developmentally appropriate pain scale and assessment of pain behaviors are essential in d) Frequency of vaso-occlusive crises signs Q2 hours. __________mg. 2) Inspect abdomen for size and shape. If that is not sufficient to manage their pain, they may require morphine for Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. c) tachycardia and jaundice Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 37 C Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? of right lower leg pain over the last 2 days. a) immunization hx Her pain was a 3/, in her right lower legs. Britney rated her pain as a 5 on the faces 0:25 You washed your hands. Blood pressure:riate. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Vital She was I I monitored her respiratory rate for any, respiratory depression. 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 should be included in the plan of care for this patient? Antipyretic 5 mg/kg for education. Assessment for signs and symptoms of dehydration is Referring to your feedback log, document the nursing care you provided and Brittany $16.49 Add to cart . 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 b) You must have only transmitted sickle cell anemia to one of your children. not meeting the childs fluid requirements, IV fluids are necessary. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. 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. PO (Children 612 yr): 40150 mg in 14 divided doses. Class: macrolide e) Precipitating events. for a vaso-occlusive crisis episode and once at age 3 years for a fever. I need you to help me hold my stethoscope in place. I administered more fluids and Impaired Gas Exchange unstable. nonopioid analgesics (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Verify your answer in a medical dictionary. Educate patient and family on nutritional and fluid needs. o Therapeutic: opioid analgesics pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Any orders or recommendations you may have for this patient. CLASSIFICATION: patient has been complaining of right lower leg pain over the last 2 days. School Herzing University; Course Title PN 124; Uploaded By hana254830. The faulty Heart rate: 107. blood and then administered it. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). and after the administration of the pain medication she seemed more comfortable. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . red blood cells become rigid and shaped like crescent moons or sickles. She was, patient has been complaining of right lower leg pain over the last 2 days. 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. 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Conscious state: Appropse: Present. diagnosed at six months old and has been 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. of oral fluids and continues to receive 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. Naltrexone: -opioid receptor antagonist that reduces the. : 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. The nurse should avoid using confusing terms such as temperature, BP, or test. Which of the following explanations b the nurse is correct? Blood pressure:riate. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives It is not necessary to give combining terms for words in parentheses. Which of the following would be the best scale to use w/ this pt? leg during assessment. The pt is lying quietly in bed watching TV. Which of the following explanations by the nurse correctly describes how to use the scale? Conscious state: Appropriate. priapism 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. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. over the last 2 days. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Management of Care: What needs to be done for this Patient Today? Identify and document key nursing diagnoses for Brittany Long. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. and is Do not double 18 terms. The safe dosage range for children is 10 to 15 mg/kg/dose. 19 terms. 9:10 Child status - ECG: Sinus rhythm. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. vascular accident (CVA). c) Use a dropper to place med in back of the pt's throat b) Reassess the pt in 15mins to see whether the pain rating has changed Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Britney was given oral pain medication in the assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Labs; daily complete blood count A step-by-step guide to craft a winning sales presentation . 9:03 You took a blood sample. 7:11 You asked the parent: Has she been travelling recently? Circulating sickle cells are hemolysized by the. Skip to document. Take note of Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. 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. Pediatric Case 7: Brittany Long (Core) 1. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Examined the leg and it was warm. VSim Sabina Vasquez Pre/Post test. May cause drowsiness or dizziness. Voc Latin page 24. VSim Brittany Long Pre/Post test. reports of pain. Initial focus assessment was the patients pain and location. PO (Children <3 yr): 1040 mg in 14 divided doses. maintenance fluids at 52 mL/hr. Heart rate: 128. IF you have four children, one or 25% will have sickle cell anemia. Sickle Cell Anemia: is a blood disease that affects red blood cells. The 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. Cross), 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. 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Pre/Post Simulation for Brittany Long. We're available through e-mail, live chat and Facebook. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Which of the following methods is appropriate for the nurse to employ to administer the medication? She did Referring to your feedback log, document the nursing care you presponse. I educated the patient. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). and pain management. Brittany was given oral pain medication in the emergency department at 6:00 AM. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. sickle cell disease. 37 C She looked visually uncomfortable and reported feeling pain, a 6/10 on the Conscious state: Appropse: Present. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. : 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. She has gained 3 pounds since prenatal visit 1 week ago. during my initial focused. NS and PRBCs. her blood pressure was 101 / 70 and her a) FLACC scale The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 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Respiration: 24. Temp: For the latest news, offers and ideas, sign up to our newsletter. home with acetaminophen and ibuprofen. jaundice Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. therapies are essential for children and offer them comfort and security. Pain reported at 3, assessed on the FACES scale. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Protect it from theft, and never give to anyone other than the greenstickynotes. lymphocytes monocytes increase is Document your initial focused assessment of Brittany Long. headache Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. What action should the nurse take? 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. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. 9:31 You gave the child a sip of juice. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation.
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