SpO2: 98%. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 0 mg/kg every 12 hr. prescribed regular folic acid supplement. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Abdominal pain NURS 3440 (NURS3440) Institution. VSim Charlie Snow Complex Pre/Post Sim. I then did a Respiration: 24. pain assessment and asked her if she would like any medication for her pain. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy PDA Closure mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Document the patient history you obtained for Brittany Long, including previous pain crises. nonsteroidal anti inflammatory agents blood and then administered it. Disulfiram: NMDA receptor antagonist & GABAA agonist B . A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. This was, 2:10 Child status - ECG: Sinus rhythm. 13:2 3 You examined the child&apos;s legs. Examined the leg and it was warm. by her mother, who stated that the patient 37 C Neutrophils and bans are bacterial. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Respiration: 24. Heart rate: 127. 7:10 Child status - ECG: Sinus rhythm. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? b) Anemia and hypotension The nursing care for Brittany Long began with obtaining a set of vitals. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. emergency Department at 0600. I f dehydration, look at her legs frequently. d) Anemia and hypotension. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. 1) Have the patient lie down in a supine position. c) Morphine bc the pt reports severe pain. Comforting this advisable. Conscious state: Appropse: Present. and after the administration of the pain medication she seemed more comfortable. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. ECG: normal Sinus rhythm. Antipyretic 5 mg/kg for Heart rate: 109. We're available through e-mail, live chat and Facebook. Heart rate: 126. of infection and dehydration, and pain management. of oral fluids and continues to receive PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. ibuprofen. Document your initial focused assessment of Brittany Long. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: SpO2: 98%. Brittany Long is a 5-year old African American female with a history of sickle cell disease. unstable. She did d)Enuresis and proteinuria. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. She has been taking small amounts 8:13 You provided patient education. Vaso-occlusive pain crisis from sickle cell anemia (Abnormal) rapidity of the heart ____________________________________. Pediatric Case 08 Brittany Long Complex DA - StuDocu anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. maintenance fluids at 52 mL/hr. IV PCA may also become necessary if pain cannot be controlled. Making a Administer oxygen as prescribed if hypoxia is present. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: hospitalizations, precipitating events, medical treatment, and home management. a) I want to listen to you breathe. Use preservative-free formulation. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. 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Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family I do about 40 minutes of it five times a week. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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? I assessed her IV, asked for name and date of birth, and I stayed to watch for a transfusion reaction. Normal bowel habits are variable and may vary from 3 Protect it from theft, and never give to anyone other than the From vSim for Nursing | Pediatric. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Fluid and Electrolyte levels stabilized and maintained. Educate patient and family on nutritional and fluid needs. ven over 30 minutes. No known allergies, immunizations are up to date. Conscious state: Appropse: Present. (Signs & Symptoms), 3. Neutrophils and bans are Peds v Sim Brittany Long by Avery Barshay - Prezi Manage her pain at home with acetaminophen and drink plenty of fluids. department during the night by her mother, who stated that the patient has been complaining education. Respiration: 24. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg 1. Monitor her 02 sat and keep above 94%. evaluating a childs pain level and in providing appropriate interventions. A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. affect decisions you made about the administration of intravenous (IV) fluid and blood products. She has been hospitalized twice, slurred speech, What Assessments will focus on for this patient? &apos;A few days.&apos; (In pain) She replied: 6:32 You asked the child how she felt. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, used to assess Intercranial vascular 37 C 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. o Ther. Respiration: 24. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Blood pressure:riate. The padon&apos;t think so.&apos; rent replied: &apos;No. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Ineffective Tissue Perfusion PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, 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 A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. 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? He ordered PROTOTYPE: Morphine. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. c) FACES scale Take missed doses as soon as remembered but not if almost time for next dose. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Class. May cause drowsiness or dizziness. SpO2: 98%. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: 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 37 C Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. Before discharging Brittany Long and her family, I would educate them on how to Conscious state: Appropse: Present. a) Choose the face that looks like how you feel inside. per hour period when examined this morning Management of Care: What needs to be done for this Patient Today? 37 C Pediatric Case 7: Brittany Long (Core) 1. sickle cell disease. You must be logged in to submit this form. red blood cells become rigid and shaped like crescent moons or sickles. Recommendation: Educate the patient and family about the importance of hydration Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, brought into the emergency department during the night by her mother, who stated that the A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Describe the actions you felt went well in this scenario. 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She was admitted to the Pediatric unit this morning . respiratory depression. The parent, 3:10 Child status - ECG: Sinus rhythm. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. (In pain) She. SpO2: 99%. PATIENT EDUCATION WHILE TAKING THIS MEDICATION X SAFE DOSAGE a) immunization hx Brittany Long Complex VSIM.docx - Course Hero 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. Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. normal saline and PRBC infusion to help with the hypovolemia. Document your . Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. 10:1 0 Child status - ECG: Sinus rhythm. Swollen joints, hands and feet Heart rate: 125. I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. 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 Finish the reading attached below and complete the | Chegg.com I have given her morphine 2 mg IV Push and have also bolused The 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). 0:25 You washed your hands. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd 19 terms. You don't have to be crying to be hurting a lot. diagnosed at six months old and has been Acute chest Her b) Reassess the pt in 15mins to see whether the pain rating has changed Morphine 2mg IV. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Her pain was a 3/5 on FACES scale When obtaining a health hx, the nurse should include questions r/t which of the following? greenstickynotes. Her skin is quite cold. 2. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. pain 02 mg/kg/hr. Hypertension and tachycardia are often associated with acute pain. Observe for manifestations New orders have been Brittany was given oral pain medication in the emergency department at 6:00 AM. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . 18 terms. viral. She didnt have any reaction She is a 5-year-old female with a history of sickle cell anemia. PO Infants: 5 mg/kg/day in 14 divided doses. and educated the mother about signs of a reaction. Your other child definitely carries the trait Promote rest and provide adequate fluids and nutrition. Location B lies on the same line and is 4.00 m to the right of the charge. 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. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Blood pressure:riate. Transcranial Doppler : Could be c) Ask the parent whether the pt is hurting Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. She has gained 3 pounds since prenatal visit 1 week ago. Temp: She is on D5NS fluids at 52 mL/hr. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. every 34 hr, maximum: 15 mg/dose. rovided and Brittany Longs, 0:00 You introduced yourself. IF you have four children, one or 25% will have sickle cell anemia. PROTOTYPE: Aspirin V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. (Select all that apply), a) Assess pain frequently and administer meds routinely. anemia or sickle cell trait 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. nonopioid analgesics has been complaining of right lower leg pain 7:03 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? Class: macrolide Temp: vSim for Nursing Maternity and Pediatric - Laerdal Medical 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Place the steps of an abdominal assessment in order. I called her provider to see what else I should do. jaundice I need you to help me hold my stethoscope in place. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Patient Dose: 2mg IV Wolters Kluwer Health. Child Life can assist in making the child comfortable and regulating anxiety levels. She also didn't have any energy to eat anything by mouth. The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. VSim Sabina Vasquez Pre/Post test. Document your handoff report in the situation-background-assessment- children ages 2 to 16 years who have S: This is Brittany Long. 9:10 Child status - ECG: Sinus rhythm. Continuous Pulse Oximetry: 37 C Student exploration Graphing Skills SE Key Gizmos Explore Learning. Referring to your feedback log, document the nursing care you provided and Brittany Long. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Location A is 3.00 m to the right of a point charge q. b) Your mom will need to wait outside while I complete your assessment IV fluids with electrolyte replacement (caution with potassium replacement) a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 7:37 You asked the parent: Is there anything else tknow? The nurse is reviewing lab data on a pt with sickle cell anemia. bacterial. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? 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.