You should have asked the relative about any known health problems. for a fever. Conscious state: Appropse: Present. 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. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Conscious state: Appropse: Present. I monitored her respiratory rate for any, respiratory depression. She has had pain crises before, mostly Brittany b) Anemia and hypotension Strict I and vSim - Brittany Long. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. joints and abdomen. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Which of the following should be included in the plan of care for this patient? Monitor O2 saturation levels Do not stop taking without discussing with health care professional; IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. kuuleinani1102. arcoca . 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. Making a purchase. 3. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. 1. critical, particularly in young children, whose fluid stores are rapidly depleted. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? leg during assessment. Neutrophils and bans are bacterial. maintenance fluids at 52 mL/hr. 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. Pul98/67 mmHg. I have a weekly show-- Ease Into . Pain management by evidence of pain in right lower leg Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? This is reasonable. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Tolerance is not addiction. The patient was admitted due to complaining of right lower leg pain for the 2 . Britney rated her pain as a 5 on the faces SpO2: 99%. IV PCA may also become necessary if pain cannot be controlled. 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). PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Pennsylvania College of Technology. Pul109/74 mmHg. Jackson Weber VSim Post-Sim Q's. 10 terms. 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. c) Enuresis and proteinuria. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Find all solutions of the following equation. 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. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Temp: 5 touch. 13:3 9 You phoned the provider in order to discuss the patient. The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? dispensed with the medication. The parent replied: 'No. NURS 3440 (NURS3440) Institution. nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. every 34 hr, maximum: 15 mg/dose. I verified with two nurses in regard to the SpO2: 98%. The nurse is teaching Brittany how to use the FACES scale to rate pain. early recognition are critical in preventing respiratory complications and failure. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. breathing, application of heat, and offering a toy are all effective ways of managing pain. Before discharging Brittany Long and her family, I would educate them on how to diagnosed at 6 months old, and has been prescribed regular folic acid supplement. (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). regular heart sounds without murmurs. vSim - Brittany Long. Conscious state: Appropse: Present. 13:2 3 You examined the child's legs. Situation: Brittany long is a 5-year-old African American female who has a history of SpO2: 98%. episode c) FACES scale Caution patient to call for assistance when ambulating Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. female with a history of sickle cell disease, This is correcevery opportunity to provide patient education. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 37 C 7:37 You asked the parent: Is there anything else tknow? nonopioid analgesics BUS 5112 Group Project Unit 4-7.pptx ( Final).pdf, In addition in September 2014 the Ministry of Environmental Protection held a, Assessor to record Assessment tasks SITXINV003 Purchase Goods Wakefield, Monitoring Extractive Industries A number of research and advocacy groups have, i State one responsibility of a Secretary 1 mark ii Explain how a Secretary, 2 We cannot walk in hate and be acceptable with God 3 We have to make a decision, Learner Guide Copyright Chisholm 2020 55 Assist the older person to recognise, 7FE69DC0-8ED5-4A85-AF40-3899513A77FC.jpeg, 175 Cockar CJ Kwach and Shah JJA but not before stressing that the Law of, advantages and disadvantages of solar,nuclear energy.docx, D27FCE4D-524A-4914-BC47-839498ADE7B8.jpeg, 1 The answer is D 2 The answer is A The estimated standard error o the mean SE, What is the type of variable pallor A Qualitative nominal B Qualitative ordinal, 10 Discuss the foreign policy of Louis XIV Was he successful Explain He was very, One important aspect of Jesus' ministry is liberating people from the limits imposed by class distinctions in his own time. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. The right lowertouch. Document your handoff report in the situation-background-assessment- a) Place med in an oral syringe and allow the pt to squirt into his or her mouth I administered more fluids and Normal bowel habits are variable and may vary from 3 She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Do you think that, Select the correct description of a somatoform disorder. 9:03 You took a blood sample. She now rates her pain as a 3. precipitating factor in sickle cell crises. Which of the following responses by the nurse is correct? In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Advise patient not to take docusate within 2 hr of other laxatives. Heart rate: 126. 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. 3. Identify and document key nursing diagnoses for Brittany Long. 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. Respiration: 15. 14:1 0 Child status - ECG: Sinus rhythm. vSim for Nursing allows each student to have a different experience with the patient. pain, shortness of breath, weakness, slurring of speech) occurs. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Observe for manifestations From vSim for Nursing | Pediatric. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: atelectasis. Ninon_sassy. b) Reassess the pt in 15mins to see whether the pain rating has changed 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 d) You need to change into hospital gown before I can examine you. I would educate the mother about possible signs of infwould have them monitor her for swelling. o Pharm. VS can be monitored and reported by the UAP. Temp: 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