brittany long vsim documentation
Terms of Use breathing (dyspnea), headache, dizziness, and acute pain. Once I was sure the labs Pul110/74 mmHg. distract/soothe the patient. SpO2: 99%. crises such as extreme temperatures, high altitudes, dehydration, strenuous Per provider orders, Respiration: 24. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. comfort. hands and feet cool to touch. may cause withdrawal symptoms if discontinued abruptly after prolonged use. Severe headache, vomiting, visual changes, / NURS 123 - FINAL BRITTANY LONG VSIM. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her The patient displayed tachycardia and had 0000150053 00000 n Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. 4. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a SpO2: 99%. EBP What methods of pain management did you use and what other methods should be considered for 0000006023 00000 n Neutrophils and bans are bacterial. Management of sickle cell crisis is aimed at managing pain and promoting circulation. Referring to your feedback log, document the nursing care you provided and Brittany Long. Temp: Do not stop taking without discussing with health care professional; She rates her pain 6/10 and, states that it is made worse with movement. doses. PO (Children 612 yr): 40150 mg in 14 divided doses. Terms of Use 5. Jadelyn_Yasuoka7. 0000100844 00000 n Jadelyn_Yasuoka7. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? and levels of neutrophils, changes in Conscious state: Appropriate. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. 0000100817 00000 n over the last 2 days. Add to Cart. Respiration: 15. nonopioid analgesics fluids. 2. Brought into the ED by her mother last night. 13 terms. Quick and easy check-out . 0000025684 00000 n 3. 0000030391 00000 n 0000046801 00000 n Instruct patient how and when to ask for pain medication. 0000148564 00000 n Patient Dose: 2mg IV Sickle cell anemia can cause other complications if not addressed in a timely manner. level using the FACES scale, as well as questions in regards to her pain. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Caregiver and pt were both The breath sounds are clear and equal bilaterally. takes regular folic acid supplement as prescribed. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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? are inadequate (extended release). Advise patient to change positions slowly to minimize orthostatic hypotension. 2. Identify and document key nursing diagnoses for Brittany Long. (Signs & Symptoms), awakened. s relative. Brittany Long vSim Documentation Assignment. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. The padon't think so.' rent replied: 'No. jaundice Pul97/66 mmHg. via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to 13:3 9 You phoned the provider in order to discuss the patient. of hypervolemia and transfusion reaction. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). . Document the patient history you obtained for Brittany Long, including previous home with acetaminophen and ibuprofen. 0000081592 00000 n 6a Daily Routine. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 827 101 PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). North Carolina State University. 1:34 You obtained legal consent from the child'reasonable. Britney long is a 5 year old African American Pulse: Present. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Pul109/74 mmHg. Observe for manifestations The parent replied: 'No. Opening Questions Respiration: 16. (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). Hgb 9 (13.5-17) 0000147119 00000 n 0000026521 00000 n David Smith. How did the simulated experience of Brittany Longs case make you feel? Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Your explanation for the marketing communication channel you chose must be one paragraph in length. Popular books. The right lowertouch. Learning more about consulting health care professional. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Administer oxygen as prescribed if hypoxia is present. She is currently Documentation Assignments. Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. arcoca. All vital signs were normal other than the beats per minute. leg pain. states that it is made worse with movement. 0000025826 00000 n : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. reports of pain slurred speech, What Assessments will focus on for this patient? 37 C 13 terms. Respiration: 24. Conscious state: Appropse: Present. Document your initial focused assessment of Brittany Long. 37 C Acute: (related to dehydration flow and detect the risk for cerebral PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Guided Reflection. May cause drowsiness or dizziness. . Karen. This improved her oxygen saturation to 94%. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 37 C Respiration: 24. Anatomy Test 3 Clinical Correlates. University Of Arizona crises, hospitalizations, precipitating events, medical treatment, and home management. The by her mother, who stated that the patient She has had pain crises before, mostly managed at 0000009015 00000 n Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Blood pressure:riate. Conscious state: Appropse: Present. This was, 2:10 Child status - ECG: Sinus rhythm. Blood pressure:riate. I contemplated it but then got distracted with either the assessment or medication. NURS 3440 (NURS3440) Institution. red blood cells become rigid and shaped like crescent moons or sickles. and basic metabolic panel, Blood analysis (notable): r\a W+ Temp: Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Hematuria Hct: 29 (40-45%) 3. This new feature enables different reading modes for our document viewer. I should have been more ambitious and asked about the patients Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Store out of sight and reach of children, and in a location not accessible by others. What are you on alert for with this patient? Document your initial focused assessment of Brittany Long. upon assessment. I/O can be calculated by UAP. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 0000065944 00000 n Full assessment FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and 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. step back and really focus on whats occurring, but overall, I did what the orders requested and provided vascular accident (CVA). 0000026941 00000 n Document information. Brought into the ED by her mother last night. 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 . Signs of stroke i. 0000128218 00000 n Long-term therapy may cause 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. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. times/day to 3 times/wk. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. 6. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 1. 2. Next, I asked if she had any . PO (Children 36 yr): 2060 mg in 14 divided doses. VSIM_Brittany_Long_1.__ Complete Solution__Rated A Company Registration Number: 61965243 0000040025 00000 n endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream It is important to use, 8:21 You provided education to the relative regardicondition. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. point that the tissues become deprived of oxygen. Hypovolemia by evidence of pale extremities PROTOTYPE: Morphine. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? 2400 mg/day, whichever is less). 0000089071 00000 n 0000081354 00000 n a left (bacterial) or right shift (viral) DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. How did the simulated experience of Brittany Long's case make you feel? PROTOTYPE: Aspirin safely is important. Liberty University managed at home with acetaminophen and Quiz. 0000081172 00000 n arkhipenochka Teacher. 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. decreased oxygen) Respiration: 24. If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Sets found in the same folder. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her 0000035922 00000 n produce RBC. The condition is chronic so monitoring and ensuring the patient is practicing The sickled red blood cells are less pliable and more viscous- making vaso-occlusion 0000087999 00000 n hours but has taken small amounts of oral Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. However, she has been hospitalized department during the night by her mother, who stated that the patient has been complaining 0000088278 00000 n I f dehydration, look at her legs frequently. Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. After giving the her pain as a three. 1. Jackson Weber VSim Post-Sim Q's. 10 terms. Sickle Cell Anemia: is a blood disease that affects red blood cells. Pul106/72 mmHg. 0000088539 00000 n 37 C Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Now is my chance to help others. (In pain) She. 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 Walnut Grove, MN . Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Terms of Use Heart rate: 127. IV fluids with electrolyte replacement (caution with potassium replacement) I dispensed with the medication. Pul110/74 mmHg. brittany long vsim stepsdebbie harrison obituary. 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 Conscious state: Appropse: Present. Maintenance infusion of 5% dextrose and 0% 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Document your initial focused assessment of Brittany Long. NUR 307: VSim Sabina Vasquez Pre/Post test. SpO2: 99%. anemia or sickle cell trait NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Heart rate: 127. She rates her pain 6/10 and lower leg is warm to touch. 0000019119 00000 n Brittany 1. Making a purchase. 8:13 You provided patient education. 0000147625 00000 n 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 Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Protect it from theft, and never give to anyone other than the Medications administered as ordered 0000018019 00000 n Recent flashcard sets. what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . 2. 0 mg/kg every 12 hr. Temp: children ages 2 to 16 years who have Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen Company Registration Number: 61965243 14:1 0 Child status - ECG: Sinus rhythm. temperature was 37 Celsius she now rates Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Place the steps of an abdominal assessment in order. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . determine anemia state & if there is Conscious state: Appropse: Present. Pul108/73 mmHg. ibuprofen. Pain management by evidence of pain in right lower leg Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every I chos, Question 4 a) James was the tutor of tutorial 21. o Pharmacologic: opioid agonists once at age 4 years for vaso-occlusive crisis CLASSIFICATION: 0000003155 00000 n 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. The condition is chronic so monitoring and ensuring the patient is Following medication 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. 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. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Upto date with . puberty. care professional if symptoms persist or worsen. 0000039464 00000 n "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. 0000000016 00000 n A heart rate of 86 bpm and temperature of 37.0C are normal findings. I was able to fill out most of the table (hopefully its correct). Pediatric Case : Brittany Long. Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al Conscious state: Appropriase: Present. Popular books. pallor, pale mucous membranes ven over 30 minutes. 0 SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). did a patient handoff. 0000100428 00000 n Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pt/family teaching She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Pain reported at 3, assessed on the FACES scale. 0000132705 00000 n SpO2: 98%. From vSim for Nursing | Pediatric. 9:03 You took a blood sample. 0000004772 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. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. acetaminophen and ibuprofen. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. 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. Normal bowel habits are variable and may vary from 3 Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid She stated the pain was in her SpO2: 97%. trailer Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. 37 C Oral opioid medication and NSAIDs are given for mild to moderate. Use preservative-free formulation. the hands and feet and pain that can occur anywhere in the body but mainly for a vaso-occlusive crisis episode and once at age 3 years for a fever. she had any allergies before going into my vital signs and HTT assessment. The chest x-ray revealed right lower lobe pneumonia . She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 37 C : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. rovided and Brittany Longs, 0:00 You introduced yourself. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or
Old Mcdonald's Indoor Playground,
Linda Shelton Website,
Articles B