Pulmonary edema. her blood pressure was 101 / 70 and her Visual disturbances. It helped me a lot to clear my final semester exams. 3. VS can be monitored and reported by the UAP. 0000150053 00000 n Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). SpO2: 99%. administered 2mg IV morphine and reassessed patient before calling the provider. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Document your initial focused assessment of Brittany Long. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Advise patients that laxatives should be used only for short-term therapy. Fluid and Electrolyte levels stabilized and maintained. The parent ; 7:32 You asked the parent: Is there anything else tknow? Respiration: 25. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. A healthy diet and Document your initial focused assessment of Brittany Long. Per provider orders, (In pain) She well' replied: 'Not too. 0000019119 00000 n I worst-case scenario. PO (Children <3 yr): 1040 mg in 14 divided doses. Vaso-occlusive pain crisis from sickle cell anemia Conscious state: Appropse: Present. Pul106/73 mmHg. Identify and document key nursing diagnoses for Brittany Long. diagnosed at six months old and has been the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help 0000022380 00000 n 0000100143 00000 n 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? 0000025965 00000 n IV Neonates: Continuous infusion 00 mg/kg/hr. I should have been more ambitious and asked about the patients Controlled-release tablet 0 Pul97/66 mmHg. temperature was 37 Celsius she now rates ood or had a reaction to a. Continuous infusion, sickle cell or cancer %%EOF carrying capacity of the blood. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. 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). Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Take missed doses as soon as remembered but not if almost time for next dose. Identify additional individuals who should be included on Brittany Long's care team. of signs and symptoms to return to the emergency department for such as point that the tissues become deprived of oxygen. decreased oxygen) Devry University Monitor O2 saturation levels should have asked the mother about the patients history at this point. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Pul98/67 mmHg. lower right leg and occurred a couple of days ago. Temp: PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Document your initial focused assessment of Brittany Long. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 0000009179 00000 n sickle cell disease. 0000040025 00000 n Documentation Assignments. of oral fluids and continues to receive Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. slurred speech, What Assessments will focus on for this patient? Child Life can assist in making the child comfortable and regulating anxiety levels. The parent, 3:10 Child status - ECG: Sinus rhythm. dispensed with the medication. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without Docmerit is super useful, because you study and make money at the same time! 1. 3. EBP What methods of pain management did you use and what other methods should be considered for Comforting this advisable. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. episode %PDF-1.4 % Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . Karen. Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. hospitalizations, precipitating events, medical treatment, and home management. 0000100428 00000 n Observe for manifestations managed at home with acetaminophen and 0000018559 00000 n Pt was given juice and a stuffed animal. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. determine anemia state & if there is The patient displayed tachycardia and had 0000036159 00000 n 0 mg/kg every 12 hr. 0000065944 00000 n 37 C Advise patient not to take docusate within 2 hr of other laxatives. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed 0000150448 00000 n Blood pressure:riate. Medications administered as ordered Oral opioid medication and NSAIDs are given for mild to moderate. 2. Popular books. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0000128218 00000 n Oxygen therapy is helpful in aiding with tissue perfusion and pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 2400 mg/day, whichever is less). 0000017198 00000 n electrolyte imbalance and dependence. CLASSIFICATION: methods should be considered for Brittany Long, based on the. practicing safely is important. 9:31 You gave the child a sip of juice. Maintain adequate fluid intake and monitor urine output. brittany long vsim steps. Identify and document key nursing diagnoses for Brittany Long. Course Hero is not sponsored or endorsed by any college or university. episode and once at age 3 years for a fever. Promote rest and provide adequate fluids and nutrition. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. by her mother, who stated that the patient 0000008903 00000 n 9:10 Child status - ECG: Sinus rhythm. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 0000426303 00000 n Identify and document key nursing diagnoses for Brittany Long. 4. and basic metabolic panel, Blood analysis (notable): sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? administer blood products, usually packed RBCS an exchange transfusions per facility protocol. A heart rate of 86 bpm and temperature of 37.0C are normal findings. 0000101348 00000 n 0000147353 00000 n Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? The faulty I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain Referring to your feedback log, document the nursing care you presponse. 0000115576 00000 n 0000148642 00000 n Britney rated her pain as a 5 on the faces family before discharge, including disease process, nutrition, signs and symptoms Document your initial focused assessment of Brittany Long. In a vaso-occlusive crisis / painful Quick and easy check-out . Ensuring 0000019092 00000 n This new feature enables different reading modes for our document viewer. We also provided fluids shortness of breath, fatigue (Clinical slides 02.02) e) Encourage deep breathing by having the pt blow bubbles. She has been hospitalized twice, Heart rate: 126. She is asleep but is responsive when VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. However, experiencing pain in her right leg that began 2 days ago. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. 13:2 3 You examined the child's legs. She was brought into the emergency ions, precipitating events, medical treatment, and home management. 19 terms. There are certain triggers for 0000100817 00000 n ibuprofen. She was placed on oxygen via nasal cannula at 2 L/min. intravenous maintenance fluids at 52 milliliters 5. 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. 0 a left (bacterial) or right shift (viral) over the last 2 days. 6a Daily Routine. Fanny373. If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident Following medication 2. consulting health care professional. The condition is chronic so monitoring and ensuring the patient is practicing Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. regular heart sounds without murmurs. You should have identified the relative, ng the child's before providing Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Now is my chance to help others. 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. 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). Her pain is usually well managed with Transcranial Doppler : Could be children ages 2 to 16 years who have dehydration, and pain management. Breath sounds are clear and equal bilaterally, 3. pain, shortness of breath, weakness, slurring of speech) occurs. Abdominal pain NURS 123 - FINAL BRITTANY LONG VSIM. 5. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. flow and detect the risk for cerebral Guided Reflection. distract/soothe the patient. patient and did handoff. 0000147119 00000 n 2 terms. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Heart rate: 107. lymphocytes monocytes increase is She stated that Brittany complaining of. Conscious state: Appropse: Present. 0000004172 00000 n nonopioid analgesics Conscious state: Appropse: Present. common. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. and can result in a CVA. she had any allergies before going into my vital signs and HTT assessment. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Signs of stroke i. 0:25 You washed your hands. The padon't think so.' rent replied: 'No. were taken care of and that no other medications needed to be given; and comfort measures provided, I Patient education needs to be provided to include sudden change in temperature, dehydration, of right lower leg pain over the last 2 days. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Document the patient history you obtained for Brittany Long, including previous Document the patient history you obtained for, managed mostly at home with oral medications. pallor, pale mucous membranes PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Assess dehydration status via CBC, Urinalysis and strict I/O. education. University Of Arizona Sickle cell also increases the risk of blood clots. priapism She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Heart rate: 127. level using the FACES scale, as well as questions in regards to her pain. Patient education needs to be provided to include sudden change in temperature, dehydration, infection Pain level controlled and maintained, avoiding. 0000087999 00000 n Blood pressure:riate. Document your initial focused assessment of Brittany Long. experiencing pain in her right leg that began 2 days ago. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. Pul110/74 mmHg. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 13:3 9 You phoned the provider in order to discuss the patient. Respiration: 24. The right brittany long vsim stepsdebbie harrison obituary. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 0000148251 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 0000066585 00000 n Use preservative-free formulation. timely manner? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 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 educated on pain management. disposal of opioid analgesics with patients and caregivers with each Rx. Questions. Conscious state: Appropse: Present. 34 hr initially. 0000114756 00000 n r\a W+ Blood pressure:riate. SpO2: 99%. Lone-Parent Families. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . Mucous membranes are slightly pale. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Identify and document key nursing diagnoses for Brittany Long. 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