brittany long vsim steps

Respiration: 24. Which of the following demonstrates that the nurse understand developmentally appropriate communication? received a unity of PRBCS. given. rovided and Brittany Longs, 0:00 You introduced yourself. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. nonopioid analgesics o Pharmacologic: opioid agonists red blood cells become rigid and shaped like crescent moons or sickles. Acute chest If you change the Country/Language, you will be logged out. PRBCS. SpO2: 99%. She has had The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. and pain management. bacterial. Document your initial focused assessment of Brittany Long. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. takes regular folic acid supplement as prescribed. tired. 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. 37 C managed at home with acetaminophen and Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. hours but has taken small amounts of oral Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or CLASSIFICATION: c) FACES scale 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. department during the night by her mother, who stated that the patient has been complaining for a vaso-occlusive crisis episode and once at age 3 years for a fever. 3. c) I am going to take your temp. Location A is 3.00 m to the right of a point charge q. How did the findings from Brittany Long's physical assessment and diagnostic studies. reports of pain. The increased blood flow through the blood vessels causes tour child to have severe pain The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Which of the following responses by the nurse is correct? Discuss safe use, risks, and proper storage and Pulmonary edema. Blood pressure:riate. Sickled RBCs, become rigid and cresent shaped. care professional if symptoms persist or worsen. (Signs & Symptoms), awakened. 18 terms. No known allergies, immunizations are up to date. every 34 hr, maximum: 15 mg/dose. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. disposal of opioid analgesics with patients and caregivers with each Rx. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. NSAIDs. s relative. Patients who are immobile are at greater The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Brittany rated her pain Monitor her pain levels. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Sickle Cell Anemia: is a blood disease that affects red blood cells. SpO2: 97%. She also did n't have any energy to eat anything by mouth . Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, She also didn't have any energy to eat anything by mouth. pain, shortness of breath, weakness, slurring of speech) occurs. Upto date with . Identify and document key nursing diagnoses for Brittany Long. Strict I and The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Continuous Pulse Oximetry: Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Conscious state: Appropse: Present. This was not part of your orders here. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Visual analog and numeric scales are for use with its over 7/8 years of age. Management of Care: What needs to be done for this Patient Today? She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. The right lowertouch. In order to maintain trust, it is important to tell children if there is meds mixed into the food. 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). a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. The faulty 13 terms. We're available through e-mail, live chat and Facebook. Respiration: 25. (In pain) She well' replied: 'Not too. IF you have four children, one or 25% will have sickle cell anemia. Conscious state: Appropriase: Present. Pulse: Present. PATIENT EDUCATION WHILE TAKING THIS MEDICATION To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: (In pain) She. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Location B lies on the same line and is 4.00 m to the right of the charge. Class. The spleen is enlarged, A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. 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? precipitating factor in sickle cell crises. 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. leg during assessment. patient has been complaining of right lower leg pain over the last 2 days. IV PCA may also become necessary if pain cannot be controlled. antipyretics 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. Family history of sickle cell 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. Children should never be force to change into a gown. Monitor O2 saturation levels 1. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. electrolyte imbalance and dependence. Respiration: 25. also on 2L nasal cannula. 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, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. She has pain a 6/10 on the faces scale and is receiving morphine to Morphine 2mg IV given as 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 . and educated the mother about signs of a reaction. Normal red blood cells are round. The nurse is teaching Brittany how to use the FACES scale to rate pain. It is not necessary to give combining terms for words in parentheses. syndrome can develop in children with sickle cell crisis. ven over 30 minutes. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Voc Latin page 24. her pain as a three. temperature was 37 Celsius she now rates blood and then administered it. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Bp is trending low, she has normal saline running at 320 ml/hr and has recently education. slurred speech, What Assessments will focus on for this patient? PO (Children 36 yr): 2060 mg in 14 divided doses. b) Visual analog scale A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia.

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