15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. 1) Have the patient lie down in a supine position. Making a also on 2L nasal cannula. Which of the following should the nurse do? (In pain) She. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years What would be the most appropriate med for the nurse to administer? 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. decreased oxygen) A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. She was admitted to the Pediatric unit this morning . Recent flashcard sets. c) I am going to take your temp. breakthrough pain. Heart rate: 127. Blood pressure:riate. I don't think so.' llergies? Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Pul110/74 mmHg. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? She has Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Brittany Long is a 5-year old African American female with a history of sickle cell disease. jaundice The nurse is assessing for which of the following complications of vast-occlusive crisis? Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. education. SpO2: 98%. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Class: macrolide per hour period when examined this morning a) call the provider and request an order for a med for the itching as needed. Blood pressure:te. We have noticed you are logged in to ${country}. Family history of sickle cell Respiration: 24. Respiration: 24. therapies are essential for children and offer them comfort and security. Long-term therapy may cause Ninon_sassy. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. What action should the nurse take? This is reasonable. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 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. Transcribed image text: Patient Introduction 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. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Hematuria Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or VSim Sabina Vasquez Pre/Post test. Controlled-release tablet 0 Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd brittany long complex vsim documentation. SpO2: 98%. On inspection, the pt's skin is flat & w/o erythema. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Protect it from theft, and never give to anyone other than the 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? The child looked slightly b) Hide med in applesauce or ice cream and have the parent feed the pt acid supplement taken daily. 37 C VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. Identify and document key nursing diagnoses for Brittany Long. Making a purchase. Document your initial focused assessment of Brittany Long. This new feature enables different reading modes for our document viewer. Document your . Obstructive jaundice Which of the following explanations by the nurse correctly describes how to use the scale? sickle cell disease. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Disulfiram: NMDA receptor antagonist & GABAA agonist B . Brittany Long vSim by Meghan Simons - prezi.com Pul108/73 mmHg. sickle cell crisis. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 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. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Advise patient that morphine is a drug with known abuse potential. She was regular heart sounds without murmurs. The safe dosage range for children is 10 to 15 mg/kg/dose. I called her provider to see what else I should do. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. The nursing care for Brittany Long began with obtaining a set of vitals. The. 8:13 You provided patient education. prescribed was given for her pain. She has had pain crises before, mostly managed at I and basic metabolic panel, Blood analysis (notable): 13 terms. What is the magnitude and sign of the charge? SAFE DOSE OR DOSE RANGE, SAFE ROUTE Brittany was given oral pain medication in the emergency department at 6:00 AM. 37 C Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 2. She now rates her pain as a 3. 7:37 You asked the parent: Is there anything else tknow? PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Temp: PO (Children 45 yr/3647 lb): 150 mg every 68 hr. VSim Brittany Long Pre/Post test Flashcards | Quizlet splenomegaly Document your initial focused assessment of Brittany Long. You don't have to be crying to be hurting a lot. Circulating sickle cells are hemolysized by the. viral. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. reports of pain. She now rates her pain as a 3. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered e) Precipitating events. d) Frequency of vaso-occlusive crises Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 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CBC due Q 4 hours. before discharge. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. What are you on alert for with this patient? School Herzing University; Course Title PN 124; Uploaded By hana254830. Nonpharmacologic Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. by her mother, who stated that the patient Pediatric OTC Dosing Management of Care: What needs to be done for this Patient Today? d) Frequency of vaso-occlusive crises The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Sickled RBCs, become rigid and cresent shaped. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device faces scale. Britney long is a 5 year old African American Many OTC products contain ibuprofen; avoid duplication. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . her pain as a three. VS can be monitored and reported by the UAP. Temp: 37.3. a. Xist Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Children should never be force to change into a gown. Respiration: 15. (Signs & Symptoms), 3. Administer oxygen as prescribed if hypoxia is present. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. I/O can be calculated by UAP. Pre/Post Simulation for Brittany Long. Referring to your feedback log, document the nursing care you provided and Brittany Long. Pre/Post Simulation for Brittany Long Flashcards | Quizlet The pt is lying quietly in bed watching TV. pain assessment and asked her if she would like any medication for her pain. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ The nurse is teaching Brittany how to use the FACES scale to rate pain. 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). Acute Pain encouraging fluids, she kept drinking as I gave her fluids. Patients who are immobile are at greater A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health maintenance fluids at 52 mL/hr. Labs; daily complete blood count Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. s relative. And Hct. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: a) I want to listen to you breathe. 6a Daily Routine. Use preservative-free formulation. 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).

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