brittany long vsim steps
dispensed with the medication. 2) Inspect abdomen for size and shape. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Temp: 2. pallor, pale mucous membranes I monitored her respiratory rate for any, respiratory depression. Respiration: 25. Keep acid supplement taken daily. Acute Pain Document your initial focused assessment of Brittany Long. Initial focus assessment was the patients pain and location. Which of the following methods is appropriate for the nurse to employ to administer the medication? Blood pressure:riate. (Signs & Symptoms), awakened. of right lower leg pain over the last 2 days. Antipyretic 5 mg/kg for Temp: This was part of your order. The increased blood flow through the blood vessels causes tour child to have severe pain Jackson Weber Complex Pre/Post Quiz. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. anemia or sickle cell trait Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. pain 02 mg/kg/hr. Document your initial focused assessment of Brittany Long. Recent flashcard sets . I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. risk for this complication. 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? Would you like to proceed ? (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? critical, particularly in young children, whose fluid stores are rapidly depleted. Blood pressure:riate. arcoca . b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness 8:10 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. d) Frequency of vaso-occlusive crises 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 need you to help me hold my stethoscope in place. This is correcevery opportunity to provide patient education. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Which of the following responses by the nurse is correct? Pediatric Case : Brittany Long. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. children ages 2 to 16 years who have c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area of oral fluids and continues to receive 15 x 16 = 240. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? Brittany 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? by her mother, who stated that the patient I monitored her vitals She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Assess patient and caregiver knowledge of how to avoid crisis. also on 2L nasal cannula. of infection and dehydration, and pain management. To maintain patient syou quickly identify the child. PO (Children <3 yr): 1040 mg in 14 divided doses. Decreased pain and inflammation. If oral fluids are for a fever. b) Tachycardia and jaundice. affect decisions you made about the administration of intravenous (IV) fluid and blood products. Conscious state: Appropriase: Present. 19 terms. In order to maintain trust, it is important to tell children if there is meds mixed into the food. Pain management by evidence of pain in right lower leg priapism Course Hero is not sponsored or endorsed by any college or university. sickle cell disease. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. SpO2: 98%. IV fluids with electrolyte replacement (caution with potassium replacement) Britney long is a 5 year old African American Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Store out of sight and reach of children, and in a location not accessible by others. Temp: for a vaso-occlusive crisis episode and once at age 3 years for a fever. She has had pain crises before, mostly managed at and educated the mother about signs of a reaction. hidy_esther. 10:1 0 Child status - ECG: Sinus rhythm. Impaired Gas Exchange The patient was admitted due to complaining of right lower leg pain for the 2 . 37 C Course Hero is not sponsored or endorsed by any college or university. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. c) Ask the parent whether the pt is hurting May cause drowsiness or dizziness. New orders have been Pediatric OTC Dosing Protect it from theft, and never give to anyone other than the Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. The. If you change the Country/Language, you will be logged out. VS can be monitored and reported by the UAP. 1. Class. 3. He ordered I need you to help me hold my stethoscope in place. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Initial focus assessment was the patients pain and location. precipitating factor in sickle cell crises. Brittany VSIM. Naltrexone: -opioid receptor antagonist that reduces the. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Advise patient that morphine is a drug with known abuse potential. If that is not sufficient to manage their pain, they may require morphine for a) acute leg pain and dactylitis Location A is 3.00 m to the right of a point charge q. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. X SAFE DOSAGE Conscious state: Appropriase: Present. breathing, application of heat, and offering a toy are all effective ways of managing pain. The child looked slightly 37 C kuuleinani1102. Hydration is essential to Her c) FACES scale has been complaining of right lower leg pain She also didn't have any energy to eat anything by mouth. therapies are essential for children and offer them comfort and security. Identify and document key nursing diagnoses for Brittany Long. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. signs Q2 hours. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. Neutrophils and bans are bacterial. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . provided education to She rates her pain as a 5/5 on the FACES scale. Sickle Cell Anemia: is a blood disease that affects red blood cells. Find all solutions of the following equation. Describe the actions you felt went well in this scenario. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. c) Use a dropper to place med in back of the pt's throat Hypovolemia by evidence of pale extremities Heart rate: 126. Which of the following explanations b the nurse is correct? 7:10 Child status - ECG: Sinus rhythm. abdomen is generally tender. She has had pain crises before, mostly CLASSIFICATION: 19 terms. d) Anemia and hypotension. 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. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without disposal of opioid analgesics with patients and caregivers with each Rx. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? a) FLACC scale Timely pain management. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. 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). IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. a) Sickle cell anemia is transmitted through he father. Situation: Brittany long is a 5-year-old African American female who has a history of School Herzing University; Course Title PN 124; Uploaded By hana254830. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 2. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. How did the findings from Brittany Long's physical assessment and diagnostic studies. CLASSIFICATION: A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Stabilizing fluid levels to assist in relieving pain. given. The nurse is assessing for which of the following complications of vast-occlusive crisis? a) Place med in an oral syringe and allow the pt to squirt into his or her mouth temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. SpO2: 97%. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. 7:37 You asked the parent: Is there anything else tknow? managed at home with acetaminophen and poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Pul108/73 mmHg. Normal red blood cells are round. What is the magnitude and sign of the charge? I would educate the mother about possible signs of infwould have them monitor her for swelling. Fanny373. 4. Pul97/66 mmHg. 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. 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. $16.49 Add to cart . SpO2: 98%. I administered more fluids and Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Respiration: 24. She is asleep but is responsive when The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Pul109/74 mmHg. 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. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. For the latest news, offers and ideas, sign up to our newsletter. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Pain reported at 3, assessed on the FACES scale. 37 C emergency Department at 0600. 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 o Recommended dosage is 2060 mg in 14 divided doses greenstickynotes. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. In a vaso-occlusive crisis / painful Monitor her pain levels. She now rates her pain as a 3. I assessed her IV, asked for name and date of birth, and Advise patient to change positions slowly to minimize orthostatic hypotension. The faulty department during the night by her mother, who stated that the patient has been complaining She was brought into the ED during the night 34 hr initially. Obstructive jaundice 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). 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 pain crisis. Strict I and pain assessment and asked her if she would like any medication for her pain. Company Registration Number: 61965243 The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. Temp: TCD is performed annually on Educate patient and family on nutritional and fluid needs. A step-by-step guide to craft a winning sales presentation . Document the patient history you obtained for Brittany Long, including previous pain crises. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has been splenomegaly had a sudden increase in pain in her abdomen. Manage her pain at home with acetaminophen and drink plenty of fluids. encouraged PO fluids and she drank some. What is the maximum safe dose for this pt in mg? It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. 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? Assess dehydration status via CBC, Urinalysis and strict I/O. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth and pain management. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. Temp: Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. times/day to 3 times/wk. Take note of PURPOSE FOR TAKING THIS MEDICATION, Treatment of: c) Past hospitalizations and Tx once at age 4 years for vaso-occlusive crisis As blood flow is impaired by sickled cells, vasospasm occurs, further. brittany long complex vsim documentation. She has pain a 6/10 on the faces scale and is receiving morphine to (In pain) She well' replied: 'Not too. I would explain the importance of pain 19 terms. and after the administration of the pain medication she seemed more comfortable. lymphocytes monocytes increase is Use of a I do about 40 minutes of it five times a week. education. Jackson Weber VSim Post-Sim Q's. 10 terms. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? SpO2: 98%. rovided and Brittany Longs, 0:00 You introduced yourself. SpO2: 99%. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Her skin is quite cold. episode and once at age 3 years for a fever. CBC due Q 4 hours. SpO2: 98%. Blood pressure:te. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." a) immunization hx development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Over time, the VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. 9:03 You took a blood sample. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. nonsteroidal anti inflammatory agents 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. Labs; daily complete blood count as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. 9:10 Child status - ECG: Sinus rhythm. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Advise patient not to take docusate within 2 hr of other laxatives. What are you on alert for with this patient? d) Sickle cell anemia is transmitted through the mother. Promote rest to decrease oxygen consumption. pain, shortness of breath, weakness, slurring of speech) occurs. The parent, 3:10 Child status - ECG: Sinus rhythm. Which of the following should be included in the plan of care for this patient? And Hct. c) Past hospitalizations and Tx decreased oxygen) episode e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Documentation Assignments. She is on D5NS fluids at 52 mL/hr. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. Pul106/72 mmHg. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Fluid and Electrolyte levels stabilized and maintained. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 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. (Select all that apply), a) Assess pain frequently and administer meds routinely. leg during assessment. I worked my way up to an hour of cardio per workout session. 1. She was admitted to the Pediatric unit this morning . Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. Instruct patient to take medication as directed. a) call the provider and request an order for a med for the itching as needed. management so it does not turn into a crisis. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. 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.
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