3. 0000115576 00000 n SpO2: 98%. ood or had a reaction to a. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? 18 terms. One of the most useful resource available is 24/7 access to study guides and notes. Skin is cool and appears ashen with normal elasticity. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Pul110/74 mmHg. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Popular books. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber PO (Children 36 yr): 2060 mg in 14 divided doses. Karen. 0000039740 00000 n Creatinine: 0 (0.8-1). endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream safely is important. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 4. upon assessment. Medications administered as ordered Heart rate: 126. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` education. It is important that Brittany practices The parent ; 7:32 You asked the parent: Is there anything else tknow? Course Hero is not sponsored or endorsed by any college or university. Swollen joints, hands and feet faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? Impaired gas exchange related to increased blood viscosity as evidenced by right Document your initial focused assessment of Brittany Long. Brittany Long, based on the latest evidence-based practice? 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? University Of Arizona Discover virtual simulation today - try vSim for free! 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. Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. You should have identified the relative, ng the child's before providing development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 0000025826 00000 n EBP What methods of pain management did you use and what other methods should be considered for 0000149112 00000 n She has been hospitalized twice, maintain hydration especially after strenuous activity. and levels of neutrophils, changes in Abdominal pain 0000017198 00000 n / NURS 123 - FINAL BRITTANY LONG VSIM. Her pain was in her right lower legs which was warm Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 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, . Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Management of Care: What needs to be done for this Patient Today? regular heart sounds without murmurs. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. However, she has been hospitalized I need to take a Document the patient history you obtained for, managed mostly at home with oral medications. 0000100143 00000 n Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al H\@>E-M@&3`&*,ShqLwf~fwv patient reported pain of 3 out of 5 on the scale. 37 C carrying capacity of the blood. Use preservative-free formulation. EBP What methods of pain management did you use and what other. 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. Heart rate: 126. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 0000066698 00000 n pain, shortness of breath, weakness, slurring of speech) occurs. 0000003155 00000 n Temp: patient and did handoff. 0000052789 00000 n She stated that Brittany complaining of. she had any allergies before going into my vital signs and HTT assessment. brought into the ED during the night by her mother. 0000148251 00000 n Alternating the administration of both xref 0000066466 00000 n used to assess Intercranial vascular Vaso-occlusive pain crisis from sickle cell anemia Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Brittany rated her pain as a 5 on the FACES scale, she. Reduction of fever. Respiration: 24. 0 infection and excessive exercise. CBC w/ dif : SHOULD be ordered to No known allergies, immunizations are up to date. 2:49 You identified the child. The chest x-ray revealed right lower lobe pneumonia . brittany long vsim stepsdebbie harrison obituary. 0000088903 00000 n PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every She is asleep but is responsive when 0000019092 00000 n I would educate the mother about possible signs of infwould have them monitor her for swelling. 0000066201 00000 n Pulse: Present. The parent, 3:10 Child status - ECG: Sinus rhythm. 0000081238 00000 n Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen 0000022380 00000 n Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. %%EOF From vSim for Nursing | Pediatric. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 0000018019 00000 n 0000036062 00000 n Heart rate: 128. 1. (every 4-6 hours) as needed for pain. pain crises, hospitalizations, precipitating events, medical treatment, and home management. Any orders or recommendations you may have for this patient. 0000088973 00000 n SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. With a profile at Docmerit you are definitely prepared well for your exams. David Smith. Ninon_sassy. 4. 1) Have the patient lie down in a supine position. home with acetaminophen and ibuprofen. Breath sounds are clear and equal bilaterally, 3. : 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, California State University Channel Islands. Pul108/73 mmHg. 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 9:03 You took a blood sample. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . You even benefit from summaries made a couple of years ago. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. 2400 mg/day, whichever is less). VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . Educate patient and family on nutritional and fluid needs. It helped me a lot to clear my final semester exams. Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen 0000025684 00000 n Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. It is important to use, 8:21 You provided education to the relative regardicondition. and excessive exercise. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Child Life can assist in making the child comfortable and regulating anxiety levels. Devry University A healthy diet and Conscious state: Appropriase: Present. Sickle cell anemia can cause other complications if not addressed in a timely manner. I 0000026110 00000 n lower right leg and occurred a couple of days ago. active lifestyle (with moderation) is able to provide good home care as well. ibuprofen. NURS 3440 (NURS3440) Institution. splenomegaly Conscious state: Appropriate. 0000012690 00000 n Continuous infusion, sickle cell or cancer Documentation Assignments. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. chest is moving equally. was obtained prior to administration. Company Registration Number: 61965243 acetaminophen and ibuprofen. Brought into the ED by her mother last night. The right b) Place a heating pad on the pt leg and have her mother read her a story. anemia or sickle cell trait Identify and document key nursing diagnoses for Brittany Long. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. (In pain) She well' replied: 'Not too. Document your initial focused assessment of Brittany Long. Quick and easy check-out . Company Registration Number: 61965243 927 0 obj <>stream I I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Temp: 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. bacterial. 0000002363 00000 n 2. 0000143162 00000 n 0000087999 00000 n : 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, Closely observe for manifestations of crisis and infection. nonsteroidal anti inflammatory agents 18 terms. 2. 0000081172 00000 n IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 0. brittany long vsim steps . 0000149190 00000 n Oral opioid medication and NSAIDs are given for mild to moderate. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Pt was given juice and a stuffed animal. VSim Documentation: Brittany Long 1. timely manner? involving the legs, back, knees, and arms. Identify and document key nursing diagnoses for Brittany Long. Temp: Her pain is 0000026941 00000 n Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? 4. Place the steps of an abdominal assessment in order. We're available through e-mail, live chat and Facebook. Class. once at age 4 years for vaso-occlusive crisis Identify and document key nursing diagnoses for Brittany Long. 2. Class: macrolide I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Scenario Analysis Questions 1 Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Document your initial focused assessment of Brittany Long. including disease process, nutrition, signs and symptoms of crises, prevention of infection and 0000000016 00000 n Referring to your feedback log, document the nursing care you provided and Brittany Long. 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. This how you know that you are buying the best documents. Heart rate: 126. Pediatric Case : Brittany Long. leg is warm to the PROTOTYPE: Aspirin SAFE DOSE OR DOSE RANGE, SAFE ROUTE should have asked the mother about the patients history at this point. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF experiencing pain in her right leg that began 2 days ago. Obstructive jaundice Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell Pul106/73 mmHg. (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? antipyretics temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Guided Reflection. Pt/family teaching Conscious state: Appropse: Present. The 14:1 0 Child status - ECG: Sinus rhythm. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Making a purchase. NUR 307: VSim Sabina Vasquez Pre/Post test. Northwestern University How did the simulated experience of Brittany Long's case make you feel? crises such as extreme temperatures, high altitudes, dehydration, strenuous Identify additional individuals who should be included on Brittany Long's care team. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. a left (bacterial) or right shift (viral) The Temp: PO (Children <3 yr): 1040 mg in 14 divided doses. Hypovolemia by evidence of pale extremities She has been taking small amounts Sets found in the same folder. hepatomegaly The parent replied: 'No. 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). 7:10 Child status - ECG: Sinus rhythm. Brittany Long stated she felt better after treatment *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: atelectasis. 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. 1:34 You obtained legal consent from the child'reasonable. 0:10 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. <]/Prev 815899/XRefStm 2798>> of right lower leg pain over the last 2 days. I CLASSIFICATION: I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain Do not double her blood pressure was 101 / 70 and her Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus administered for breakthrough pain. The condition is chronic so monitoring and ensuring the patient is practicing line infusion rate to 52. Administer oxygen as prescribed if hypoxia is present. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. methods should be considered for Brittany Long, based on the.
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