VSim Charlie Snow Complex Pre/Post Sim. Tolerance is not addiction. I called her provider to see what else I should do. You should have asked the relative about any known health problems. She is asleep but is responsive when awakened. takes regular folic acid supplement as prescribed. o Therapeutic: opioid analgesics 6a Daily Routine. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Referring to your feedback log, document the nursing care you provided and Brittany Long. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Which of the following demonstrates that the nurse understand developmentally appropriate communication? Heart rate: 125. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Temp: Neutrophils and bans are Caution patient to call for assistance when ambulating These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Heart rate: 126. I have a weekly show-- Ease Into . of oral fluids and continues to receive then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Brittany Long - YouTube This new feature enables different reading modes for our document viewer. 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). greenstickynotes. 2. in her right lower legs. Blood pressure:te. Assess dehydration status via CBC, Urinalysis and strict I/O. Blood pressure:riate. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. female with a history of sickle cell disease, c) Past hospitalizations and Tx 7:11 You asked the parent: Has she been travelling recently? 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 . NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 37 C Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Blood pressure:riate. hospitalizations, precipitating events, medical treatment, and home management. Pre/Post Simulation for Brittany Long. both her and her mother. Britney was given oral pain medication in the She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. North Carolina State University. Strict I and pain 02 mg/kg/hr. splenomegaly Monitor her 02 sat and keep above 94%. (How will I identify the above signs &Symptoms?). Hematuria brittany vsim | Write my Essay | Assignment Help Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Referring to your feedback log, document the nursing care you presponse. d)Enuresis and proteinuria. leg during assessment. Ninon_sassy. regular heart sounds without murmurs. School Herzing University; Course Title PN 124; Uploaded By hana254830. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. d) Frequency of vaso-occlusive crises referral to the pain team may also be helpful in SCD crises management. electrolyte imbalance and dependence. and her mother about why those were being given. Conscious state: Appropse: Present. b) Hide med in applesauce or ice cream and have the parent feed the pt He ordered assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. brought into the emergency department during the night by her mother, who stated that the VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 3. DramaQueen66. Use of a Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. 7:37 You asked the parent: Is there anything else tknow? 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. 9:03 You took a blood sample. has been complaining of right lower leg pain Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Respiration: 24. Keep ood or had a reaction to a. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 9:31 You gave the child a sip of juice. vSim for Nursing allows each student to have a different experience with the patient. (Abnormal) rapidity of the heart ____________________________________. 1. d) Anemia and hypotension. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Child Life can assist in making the child comfortable and regulating anxiety levels. priapism 19 terms. From vSim for Nursing | Pediatric. Protect it from theft, and never give to anyone other than the a) acute leg pain and dactylitis Course Hero is not sponsored or endorsed by any college or university. e) Precipitating events Hgb is most recently 7 g/dL. Brittany Long was diagnosed with sickle cell disease at 6 months old. 1. Document the patient history you obtained for Brittany Long. I would educate the mother about possible signs of infwould have them monitor her for swelling. Pre/Post Simulation for Brittany Long Flashcards | Quizlet and her temperature was 37C (99F). Finish the reading attached below and complete the | Chegg.com Bp is trending low, she has normal saline running at 320 ml/hr and has recently I then did a 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: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. 37 C PO (Children 612 yr): 40150 mg in 14 divided doses. 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 . 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 I educated the pati, 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! d) Numeric pain intensity scale (0-10). brittany long complex vsim documentation. Conscious state: Appropse: Present. (Signs & Symptoms), awakened. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. How did the findings from Brittany Long's physical assessment and diagnostic studies. precipitating factor in sickle cell crises. Longs response. Her c) Enuresis and proteinuria. IV PCA may also become necessary if pain cannot be controlled. Place the steps of an abdominal assessment in order. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent awakened. CLASSIFICATION: She looked visually uncomfortable and reported feeling pain, a 6/10 on the Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Long-term therapy may cause Observe for manifestations determine anemia state & if there is Advise patient that morphine is a drug with known abuse potential. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Respiration: 25. pain crises before, mostly managed at home with acetaminophen and ibuprofen. encouraged PO fluids and she drank some. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. atelectasis. 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). a left (bacterial) or right shift (viral) 18 terms. She was brought into the emergency Class. 2. 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? b) Visual analog scale Transcranial Doppler : Could be as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Which of the following responses by the nurse is correct? ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, Sigle prn dose of morphine 2mg was administered. b) Family hx of blood transfusion What is the magnitude and sign of the charge? Sickled RBCs, become rigid and cresent shaped. Administer oxygen as prescribed if hypoxia is present. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? B: She came in with right lower leg pain, and that has since been stabilized, but she has IV fluids with electrolyte replacement (caution with potassium replacement) SpO2: 98%. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." c) Drinking to much water can trigger another crisis. per hour period when examined this morning The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. Use preservative-free formulation. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 13:3 9 You phoned the provider in order to discuss the patient. Brittany Long vSim by Meghan Simons - prezi.com A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. PDA Closure Initial focus assessment was the patients pain and location. Maintain adequate fluid intake and monitor urine output. She has been Sickle Cell Anemia: is a blood disease that affects red blood cells. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Vital temperature was 37 Celsius she now rates She has had pain crises before, mostly managed at Her pulse measured 160bpm, her respirations were 34, and her blood Temp: Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Continuous Pulse Oximetry: 37 C I SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. diagnosed at six months old and has been for a vaso-occlusive crisis episode and once at age 3 years for a fever. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . __________mg. The potential difference between the two locations is. ibuprofen. The right lowertouch. Patient Dose: 2mg IV Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . Jackson Weber Complex Pre/Post Quiz. Verify your answer in a medical dictionary. 8:10 Child status - ECG: Sinus rhythm. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. on the FACES Scale. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. This is correcevery opportunity to provide patient education. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Temp: I need you to help me hold my stethoscope in place. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Skip to document. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. May cause drowsiness or dizziness. VBVA=45.0V. nonopioid analgesics Conscious state: Appropriase: Present. Class: macrolide She also did n't have any energy to eat anything by mouth . 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. 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. Reticulocytes 5 (0.5-1%) . 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. Britney long is a 5 year old African American a) Sickle cells cause increased blood flow throughout the body. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy A heart rate of 86 bpm and temperature of 37.0C are normal findings. 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.
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