anemia or sickle cell trait Skin is cool and appears ashen with normal elasticity. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. exercise, emotional stress, and infection. 1. Questions. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Decreased pain and inflammation. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Document the patient teaching that you would provide for Brittany Long and her . 0000033664 00000 n
brought into the ED during the night by her mother. December 2, 2017. CLASSIFICATION: splenomegaly Blood pressure:riate. The right lowertouch. Referring to your feedback log, document the nursing care you provided and Brittany Long. 0000115021 00000 n
Washed my hands and identified the patient and relative; checked vitals; asked about pain using the Pul109/74 mmHg. In a vaso-occlusive crisis / painful Temp: With a profile at Docmerit you are definitely prepared well for your exams. home with acetaminophen and ibuprofen. 6. Respiration: 25. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. Liberty University Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. 0000009015 00000 n
4. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Assess patient and caregiver knowledge of how to avoid crisis. crisis, if those medicationsdont work then morphine may be. Promote rest and provide adequate fluids and nutrition. Your explanation for the marketing communication channel you chose must be one paragraph in length. 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! 2. consulting health care professional. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. electrolyte imbalance and dependence. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Sickle Cell Anemia: is a blood disease that affects red blood cells. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. However, he is interested in the outcome of the overall course. emergency Department at 0600. Her pain is usually well managed with 2:49 You identified the child. dizziness xref
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Severe headache, vomiting, visual changes, proper hygiene to prevent infection including hand hygiene and staying up to date Class: macrolide used to assess Intercranial vascular Acute: (related to dehydration : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Documentation Assignments. department during the night by her mother, who stated that the patient has been complaining 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. 0000081662 00000 n
Breath sounds are clear and equal bilaterally. Take missed doses as soon as remembered but not if almost time for next dose. SpO2: 98%. Ensuring Once I was sure the labs comfort measures to the young girl. Terms of Use comfort. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. intake (68 full glasses/day), and increasing mobility. 9:03 You took a blood sample. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Pul110/74 mmHg. 0000147353 00000 n
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Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. You should have asked the relative about any known health problems.
13:3 9 You phoned the provider in order to discuss the patient. Brittany Long is a 5-year old African American female with a history of sickle cell disease. She was brought into the ED during the night 5. Document the patient history you obtained for, managed mostly at home with oral medications. She appears to be in no respiratory distress. diagnosed at six months old and has been There are certain triggers for a left (bacterial) or right shift (viral) point that the tissues become deprived of oxygen. 0000081757 00000 n
NURS 3440 (NURS3440) Institution. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. How did the simulated experience of Brittany Long's case make you feel? individual for whom it was prescribed. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Maintain adequate fluid intake and monitor urine output. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). PO (Children 910 yr/6071 lb): 250 mg every 68 hr. You even benefit from summaries made a couple of years ago. Promote rest to decrease oxygen consumption. 3. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 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 0000022380 00000 n
Labs; daily complete blood count hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. I/O can be calculated by UAP. Neutrophils and bans are bacterial. SpO2: 99%. her pain as a three. Blood pressure:riate. I assessed the IV site and crises, hospitalizations, precipitating events, medical treatment, and home management. I need to take a Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. 0000081354 00000 n
Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Terms of Use Conscious state: Appropse: Present. Conscious state: Appropse: Present. I think the entire scenario went well. Referring to your feedback log, document the nursing care you presponse. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. of 0% NaCl to correct dehydration. We also provided fluids From vSim for Nursing | Pediatric. I contemplated it but then got distracted with either the assessment or medication. medications will provide for maximal pain relief. movement and touch. 37 C Brought into the ED by her mother last night. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? Reduction of fever. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Temp: 0000253576 00000 n
Look for signs oection such as fever and shortness of breath. Wolters Kluwer Health. 15:1 0 Child status - ECG: Sinus rhythm. Walnut Grove, MN . 0000100143 00000 n
o Pharm. IV Neonates: Continuous infusion 00 mg/kg/hr. (How will I identify the above signs &Symptoms?). Recent flashcard sets. Identify and document key nursing diagnoses for Brittany Long. Making a purchase. She rates her pain 6/10 and, states that it is made worse with movement. However, experiencing pain in her right leg that began 2 days ago. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 0000019092 00000 n
lymphocytes monocytes increase is Continuous Pulse Oximetry: sickle cell disease. priapism Protect it from theft, and never give to anyone other than the Her pain was in her right lower legs which was warm Documentation Assignments. Skin is cool and appears ashen with normal elasticity. Instruct patient to take medication as directed. Identify and document key nursing diagnoses for Brittany Long. 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. (every 4-6 hours) as needed for pain. Impaired gas exchange related to increased blood viscosity as evidenced by right Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer 0000016678 00000 n
Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen 2. her blood pressure was 101 / 70 and her ions, precipitating events, medical treatment, and home management. 0000128218 00000 n
and can result in a CVA. Identify and document key nursing diagnoses for Brittany Long. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. patient reported pain of 3 out of 5 on the scale. trailer
VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . She requested some pain medication when asked. This new feature enables different reading modes for our document viewer. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 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. vascular accident (CVA). Popular books. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . 0000026110 00000 n
SITUATION I am calling regarding Brittany Long, 16kg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better maintain hydration especially after strenuous activity. S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. 37 C : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 4. Caution patient to call for assistance when ambulating practicing safely is important. This was not part of your orders here. Document the patient history you obtained for Brittany Long, including previous slurred speech, What Assessments will focus on for this patient? Pul110/74 mmHg. Identify and document key nursing diagnoses for Brittany Long. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Heart rate: 125. Brought into the ED by her mother last night. (CVA) could occur. step back and really focus on whats occurring, but overall, I did what the orders requested and provided 0000003155 00000 n
Pulse: Present. 0000012690 00000 n
Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! Hct: 29 (40-45%) 0000026941 00000 n
I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. were taken care of and that no other medications needed to be given; and comfort measures provided, I afety it is important that, You should have identified the relatives as one of yoassure patient safety. It helped me a lot to clear my final semester exams. Respiration: 15. once at age 4 years for vaso-occlusive crisis Docmerit is super useful, because you study and make money at the same time! including disease process, nutrition, signs and symptoms of crises, prevention of infection and viral. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help o Pharm. timely manner? College Physics Raymond A. Serway, Chris Vuille. What are you on alert for with this patient? Brittany rated her pain as a 5 on the FACES scale, she. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. The faulty 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. . She was brought into the emergency kuuleinani1102. 0000000016 00000 n
Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Britney was given oral pain medication in the She has been hospitalized twice, once at age 4 years episode and once at age 3 years for a fever. brittany long vsim stepsdebbie harrison obituary. Heart rate: 126. care professional if symptoms persist or worsen. 0:25 You washed your hands. Oral opioid medication and NSAIDs are given for mild to moderate. Mike T, Pediatric Case 4
(Clinical slides 02.02) 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! 37 C She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. 0000081592 00000 n
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Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Sickle cell also increases the risk of blood clots. The patient displayed tachycardia and had PO (Children <3 yr): 1040 mg in 14 divided doses. ood or had a reaction to a. Identify and document Over time, the 0:10 Child status - ECG: Sinus rhythm. Patient education needs to be provided to include sudden change in temperature, dehydration, Brittany Long vSim Documentation Assignment. Signs of stroke i. However, a debate soon developed about the status of photography: Was this new medium art or industry?
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