Britney long is a 5 year old African American 0000088512 00000 n
Britney rated her pain as a 5 on the faces 3. Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Diagnosed with sickle cell disease at age 6 months. 7:37 You asked the parent: Is there anything else tknow? 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. 0000089071 00000 n
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PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Quick and easy check-out . 13 terms. It is also necessary that she drinks plenty of fluids in order to 0. brittany long vsim steps . acetaminophen and ibuprofen. Respiration: 16. Documentation Assignments
Continuous Pulse Oximetry: distract/soothe the patient. o Therapeutic: opioid analgesics Patient C/C right lower leg pain over the last 2 days. line infusion rate to 52. Heart rate: 125. NUR 307: VSim Sabina Vasquez Pre/Post test. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Lastly, death is always the 5. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Infant, Child And Adolescent Nursing (NSG 441), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! Devry University CBC w/ dif : SHOULD be ordered to patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Respiration: 24. PDA Closure 0000149506 00000 n
I f dehydration, look at her legs frequently. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Document your initial focused assessment of Brittany Long.
Pain Management Case Study - 1400 Words | Studymode Temp: 37.3. o Pharm. I think the entire scenario went well. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 7:10 Child status - ECG: Sinus rhythm. I/O can be calculated by UAP. joints and abdomen. 0000115021 00000 n
EBP What methods of pain management did you use and what other methods should be considered for Document your initial focused assessment of Brittany Long. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Conscious state: Appropriase: Present. Pul97/66 mmHg.
Peps c4 | Pharmacology homework help 13:2 3 You examined the child's legs. of oral fluids and continues to receive
: an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. latest evidence-based practice. 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 . carrying capacity of the blood. Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia HW]+|}9
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Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Following medication 37 C common. 0000080840 00000 n
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Severe pain, usually in bones
PDF The new face of clinical preparedness - CASN may cause withdrawal symptoms if discontinued abruptly after prolonged use. jaundice (In pain) She well' replied: 'Not too. The Identify and document key nursing diagnoses for Brittany Long. VSim Brittany Long Pre/Post test. 18 terms. viral. Store out of sight and reach of children, and in a location not accessible by others.
VSIM_Brittany_Long_1.__ Complete Solution__Rated A Temp: Temp: 5 touch. pain, shortness of breath, weakness, slurring of speech) occurs. Identify and document key nursing diagnoses for Brittany Long. experiencing pain in her right leg that began 2 days ago. Popular books. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed and levels of neutrophils, changes in She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . I contemplated it but then got distracted with either the assessment or medication. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily 37 C breathing (dyspnea), headache, dizziness, and acute pain. Brought into the ED by her mother last night. Document your initial focused assessment of Brittany Long. 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). e) Encourage deep breathing by having the pt blow bubbles. 0000114756 00000 n
37 C Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. 4. 4. CLASSIFICATION: Document your initial focused assessment of Brittany Long. 0000133372 00000 n
Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Blood pressure:riate.
Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Hypovolemia by evidence of pale extremities worst-case scenario. Explain why the marketing communication channel you chose is appropriate, given your persona. she had any allergies before going into my vital signs and HTT assessment. 0000066585 00000 n
Skin is cool and appears ashen with normal elasticity. o Pharm.
Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING PROTOTYPE: Morphine. She requested some pain medication when asked. With a profile at Docmerit you are definitely prepared well for your exams. Documentation Assignments. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! We're available through e-mail, live chat and Facebook. Conscious state: Appropse: Present. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 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. The condition is chronic so monitoring and ensuring the patient is Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 0000006023 00000 n
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prevention of infection and dehydration, and pain management. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . 0000019119 00000 n
SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. PO (Children 612 yr): 40150 mg in 14 divided doses. 0000026548 00000 n
I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. involving the legs, back, knees, and arms. 6a Daily Routine. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Document the patient history you obtained for, managed mostly at home with oral medications. 0000148564 00000 n
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. history. Fanny373. Document your initial focused assessment of Brittany Long. This was part of your order. and excessive exercise. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. slurred speech, What Assessments will focus on for this patient? Temp: Conscious state: Appropse: Present. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . Jadelyn_Yasuoka7. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? You should have identified the relative, ng the child's before providing However, she has been hospitalized Documentation Assignments. Blood pressure:riate.
Britanny long reflection school simulation documentation - Docsity Your explanation for the marketing communication channel you chose must be one paragraph in length. She has been hospitalized twice, (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. medications will provide for maximal pain relief. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. o Pharmacologic: opioid agonists the hands and feet and pain that can occur anywhere in the body but mainly The right lower leg is warm to touch. Temp: fluids. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). (CVA) could occur. Brittany Longs response. College Physics Raymond A. Serway, Chris Vuille. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. over the last 2 days. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Pul110/74 mmHg. Sets found in the same folder. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. SpO2: 99%. 0000149584 00000 n
Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. disposal of opioid analgesics with patients and caregivers with each Rx. One of the most useful resource available is 24/7 access to study guides and notes. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Add to Cart. 13 terms. Temp: leg is warm to the PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every SpO2: 98%. priapism Patient education needs to be provided to include sudden change in temperature, dehydration, Discover virtual simulation today - try vSim for free! Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. Popular books. 0000081592 00000 n
Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... .
Brittany Long Guided Reflection and Documentation lower right leg and occurred a couple of days ago. Pain management by evidence of pain in right lower leg Temp: This was, 2:10 Child status - ECG: Sinus rhythm. emergency Department at 0600. . 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 . Document your initial focused assessment of Brittany Long.
nonsteroidal anti inflammatory agents Which is a huge accomplishment from the other ones. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Respiration: 25. Recent flashcard sets. Sickle cell anemia can cause other complications if not addressed in a timely manner. The patient displayed tachycardia and had Instruct patient to take medication as directed. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Respiration: 24. Heart rate: 127. After washing my hands and introducing myself, I identified the patient and her mother. trailer
Creatinine: 0 (0.8-1).
Sickle Cell Anemia: is a blood disease that affects red blood cells. 2. 0000026521 00000 n
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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 She has been taking small amounts Document your initial focused assessment of Brittany Long. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. s relative. 0000253576 00000 n
her blood pressure was 101 / 70 and her Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. pain crises, hospitalizations, precipitating events, medical treatment, and home Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty!
VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 0000008903 00000 n
College Physics Raymond A. Serway, Chris Vuille. Pul110/74 mmHg. Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. Neutrophils and bans are bacterial. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Do not stop taking without discussing with health care professional; Impaired gas exchange related to increased blood viscosity as evidenced by right The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). temperature was 37 Celsius she now rates per hour period when examined this morning active lifestyle (with moderation) is able to provide good home care as well. No known allergies, immunizations are up to date. determine anemia state & if there is Voc Latin page 24. Heart rate: 127. 0000147119 00000 n
MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) 0000003155 00000 n
Do not double The parent, 3:10 Child status - ECG: Sinus rhythm. Blood pressure:riate. She is asleep but is responsive when Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without (Clinical slides 02.02) practicing safely is important. of hypervolemia and transfusion reaction. 0000052693 00000 n
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What are you on alert for with this patient? 9:03 You took a blood sample. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. She has had pain crises before, mostly managed at 0000087999 00000 n
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how old is richard lael lillard. cherubine23. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document the patient teaching that you would provide for Brittany Long and her family before discharge, Blood pressure:te. She was. 0:10 Child status - ECG: Sinus rhythm. Assess dehydration status via CBC, Urinalysis and strict I/O.
Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - 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.
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