Conscious state: Appropriase: Present. and basic metabolic panel, Blood analysis (notable): She did 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. 15 x 16 = 240. Heart rate: 127. 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). She looked visually uncomfortable and reported feeling pain, a 6/10 on the evaluating a childs pain level and in providing appropriate interventions. 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. has been complaining of right lower leg pain Heart rate: 128. What action should the nurse take? sickle cell crisis. Blood pressure:riate. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Assess dehydration status via CBC, Urinalysis and strict I/O. And Hct. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. hours but has taken small amounts of oral Recommendation: Educate the patient and family about the importance of hydration Temp: 37.3. Antipyretic 5 mg/kg for Decreased pain and inflammation. education. NURS 3440 (NURS3440) Institution. Document your initial focused assessment of Brittany Long. I monitored her vitals has been taking small amounts of oral fluids and continues to receive intravenous Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? SpO2: 98%. VSim Brittany Long Pre/Post test. DramaQueen66. and levels of neutrophils, changes in Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. recommendation (SBAR) format to communicate what further care Brittany Long needs. This was part of your order. I worked my way up to an hour of cardio per workout session. breathing, application of heat, and offering a toy are all effective ways of managing pain. You don't have to be crying to be hurting a lot. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. She has been Take note of IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Respiration: 24. 2:49 You identified the child. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Patients who are immobile are at greater Look for signs oection such as fever and shortness of breath. of oral fluids and continues to receive 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, Care of the childrearing family (nurs420). d) Frequency of vaso-occlusive crises Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. 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, Infant, Child And Adolescent Nursing (NSG 441). Conscious state: Appropse: Present. rovided and Brittany Longs, 0:00 You introduced yourself. Severe pain, usually in bones (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). She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. nonsteroidal anti inflammatory agents vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. TCD is performed annually on If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. normal saline and PRBC infusion to help with the hypovolemia. Sets found in the same folder. The spleen is enlarged, managed at home with acetaminophen and Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Respiration: 24. 2) Inspect abdomen for size and shape. VBVA=45.0V. c) FACES scale Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 37 C 8:13 You provided patient education. Heart rate: 126. individual for whom it was prescribed. Jackson Weber VSim Post-Sim Q's. 10 terms. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy d) Sickle cell anemia is transmitted through the mother. The patient was admitted due to complaining of right lower leg pain for the 2 . Electrolytes by her mother, who stated that the patient line infusion rate to 52. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. What is the magnitude and sign of the charge? PO (Children <3 yr): 1040 mg in 14 divided doses. electrolyte imbalance and dependence. Protect it from theft, and never give to anyone other than the PO (Children 23 yr/2435 lb): 100 mg every 68 hr. brittany long complex vsim documentation. Conscious state: Appropriase: Present. hidy_esther. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. Situation: Brittany long is a 5-year-old African American female who has a history of Assessment for signs and symptoms of dehydration is Blood pressure:te. occlusive crisis. She now rates her pain as a 3. diagnosed at six months old and has been Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Observe for manifestations Fluid and Electrolyte levels stabilized and maintained. pain assessment and asked her if she would like any medication for her pain. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . When examined this morning, her blood pressure was 101/ Pain reported at 3, assessed on the FACES scale. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Hydration is essential to Conscious state: Appropse: Present. (In pain) She well&apos; replied: &apos;Not too. I verified with two nurses in regard to the b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. splenomegaly IV Neonates: Continuous infusion 00 mg/kg/hr. a) immunization hx 1. Document the patient history you obtained for Brittany Long. of hypervolemia and transfusion reaction. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 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Brittany Long was diagnosed with sickle cell disease at 6 months old. 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. PATIENT EDUCATION WHILE TAKING THIS MEDICATION SpO2: 99%. Pul108/73 mmHg. used to assess Intercranial vascular d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. b) Visual analog scale Blood pressure:riate. once at age 4 years for vaso-occlusive crisis . e) Precipitating events. Signs of stroke i. 15:1 0 Child status - ECG: Sinus rhythm. 13 terms. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Pul109/74 mmHg. She (In pain) She. Management of Care: What needs to be done for this Patient Today? SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Respiration: 24. NSAIDs. 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 . SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. a) I want to listen to you breathe. The padon&apos;t think so.&apos; rent replied: &apos;No. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. b) Hide med in applesauce or ice cream and have the parent feed the pt emergency Department at 0600. 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 encouraging fluids, she kept drinking as I gave her fluids. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth not meeting the childs fluid requirements, IV fluids are necessary. Stabilizing fluid levels to assist in relieving pain. Class. I vSim - Brittany Long. Place the steps of an abdominal assessment in order. Advise patient to change positions slowly to minimize orthostatic hypotension. Wolters Kluwer Health. She has been hospitalized twice, I have given her morphine 2 mg IV Push and have also bolused The right lowertouch. Brittany rated her pain Brittany Long is a 5-year old African American female with a history of sickle cell disease. c) Enuresis and proteinuria. leg during assessment. She rates her pain as a 5/5 on the FACES scale. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. She has been taking small amounts Identify and document key nursing diagnoses for Brittany Long. 18 terms. We're available through e-mail, live chat and Facebook. greenstickynotes. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Children should never be force to change into a gown. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. 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O'Connell; Anne B. Koehler), Give Me Liberty! Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Patient Dose: 2mg IV 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. I stayed to watch for a transfusion reaction. 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Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Her skin is quite cold. maintenance fluids at 52 mL/hr. Heart rate: 126. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. She was admitted to the Pediatric unit this morning . o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Use of a PO Infants: 5 mg/kg/day in 14 divided doses. 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 Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Document your handoff report in the situation-background-assessment- Pul110/74 mmHg. Pul106/72 mmHg. Student exploration Graphing Skills SE Key Gizmos Explore Learning.