ECG: normal Sinus rhythm. Document the patient history you obtained for Brittany Long, including previous In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. Normal red blood cells are round. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Impaired gas exchange related to increased blood viscosity as evidenced by right Management of Care: What needs to be done for this Patient Today? IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). should have asked the mother about the patients history at this point. Obstructive jaundice 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. VSIM_Brittany_Long_1.__ Complete Solution__Rated A determine anemia state & if there is List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? 0000081592 00000 n
SpO2: 97%. Signs of stroke i. The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? Brittany Longs response. managed to get a 97% without having to retake it! She rates her pain 6/10 and, states that it is made worse with movement. Explain why the marketing communication channel you chose is appropriate, given your persona. Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h hidy_esther.
Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. . Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus Blood pressure:riate. (every 4-6 hours) as needed for pain. dispensed with the medication. produce RBC. 0000016678 00000 n
: an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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, Closely observe for manifestations of crisis and infection. She requested some pain medication when asked. Britney rated her pain as a 5 on the faces Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. 0000389005 00000 n
Temp: In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. VS can be monitored and reported by the UAP. She appears to be in no respiratory distress. 0000003910 00000 n
David Smith. s relative. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. 0000115576 00000 n
The parent replied: 'No. 37 C 0000066201 00000 n
female with a history of sickle cell disease, What are you on alert for with this patient? 0000035922 00000 n
: an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. Document your initial focused assessment of Brittany Long. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. SpO2: 99%. closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 (CVA) could occur. Company Registration Number: 61965243 viral. o Pharmacologic: opioid agonists Take missed doses as soon as remembered but not if almost time for next dose. Anna Maria. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). >5pmWs$mi6L]qOvg'\C?m6
8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF 4. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. Symptoms of a crisis can include extreme fatigue, shortness of Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . 6:22 You asked the child how long she had pain for. This is reasonable. 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. 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! Advise patient not to take docusate within 2 hr of other laxatives. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a Document your initial focused assessment of Brittany Long. 0000008903 00000 n
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I chos, Question 4 a) James was the tutor of tutorial 21. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 4. Document your initial focused assessment of Brittany Long. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Heart rate: 127. 0000088278 00000 n
PROTOTYPE: Morphine. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. 0000149506 00000 n
Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Document your initial focused assessment of Brittany Long. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). slurred speech, What Assessments will focus on for this patient? PATIENT EDUCATION WHILE TAKING THIS MEDICATION (Signs & Symptoms), awakened. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Respiration: 24. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. o Recommended dosage is 2060 mg in 14 divided doses 37 C It is important to remain aware Conscious state: Appropse: Present. The condition is chronic so monitoring and ensuring the patient is practicing Assess dehydration status via CBC, Urinalysis and strict I/O. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Blood pressure:riate. 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), Infant, Child And Adolescent Nursing (NSG 441), 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! xref
rovided and Brittany Longs, 0:00 You introduced yourself. Heart rate: 125. (In pain) She well' replied: 'Not too. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). To maintain patient syou quickly identify the child. Swollen joints, hands and feet Quick and easy check-out . SpO2: 98%. With a profile at Docmerit you are definitely prepared well for your exams. May cause drowsiness or dizziness. trailer
Document your initial focused assessment of Brittany Long. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Sickle cell also increases the risk of blood clots. SAFE DOSE OR DOSE RANGE, SAFE ROUTE School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. Pulmonary edema. Company Registration Number: 61965243 scale and did not want anyone to touch her reports of pain leg during assessment. From vSim for Nursing | Pediatric. How did the simulated experience of Brittany Longs case make you feel? %PDF-1.4
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red blood cells become rigid and shaped like crescent moons or sickles. Now is my chance to help others. 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 Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Heart rate: 126. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. 37 C NURS 123 - FINAL BRITTANY LONG VSIM. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help I need to take a Conscious state: Appropriase: Present. Monitor and note changes in level of consciousness, reports of headache, dizziness, ibuprofen. The chest x-ray revealed right lower lobe pneumonia . "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. This improved her oxygen saturation to 94%. Sigle prn dose of morphine 2mg was administered. %%EOF
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Identify and document key nursing diagnoses for Brittany Long. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Recent flashcard sets. Educate patient and family on nutritional and fluid needs. including disease process, nutrition, signs and symptoms of crises, prevention of infection and of right lower leg pain over the last 2 days. 0000030391 00000 n
the hands and feet and pain that can occur anywhere in the body but mainly Temp: Documentation Assignments. Continuous infusion, sickle cell or cancer Medications administered as ordered
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via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to comfort. Blood pressure:riate. PATIENT EDUCATION WHILE TAKING THIS MEDICATION episode : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids 927 0 obj
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: an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Blood pressure:te. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... .
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