Brittany Long is a 5-year-old African American female with a history of sickle cell disease, May cause drowsiness or dizziness. o Therapeutic: opioid analgesics Pennsylvania College of Technology. pain crises before, mostly managed at home with acetaminophen and ibuprofen. PDA Closure VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Which of the following should the nurse do? 15:1 0 Child status - ECG: Sinus rhythm. 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. Impaired Gas Exchange Respiration: 24. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Use preservative-free formulation. Neutrophils and bans are Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Course Hero is not sponsored or endorsed by any college or university. Reticulocytes 5 (0.5-1%) 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. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. b) Family hx of blood transfusion List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Take note of Respiration: 24. 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? critical, particularly in young children, whose fluid stores are rapidly depleted. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. I then did a Discuss safe use, risks, and proper storage and hands and feet cool to touch. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." I stayed to watch for a transfusion reaction. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. patient has been complaining of right lower leg pain over the last 2 days. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. 18 terms. Conscious state: Appropriase: Present. Background: Brittany Long has a history of sickle cell anemia being treated with a folic b) Your mom will need to wait outside while I complete your assessment a) I want to listen to you breathe. 1. Document the patient history you obtained for Brittany Long. Advise patient that morphine is a drug with known abuse potential. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Children should never be force to change into a gown. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 1:34 You obtained legal consent from the child'reasonable. 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). Pul106/72 mmHg. Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. takes regular folic acid supplement as prescribed. She also didn't have any energy to eat anything by mouth. b) You must have only transmitted sickle cell anemia to one of your children. Fanny373. 2. Store out of sight and reach of children, and in a location not accessible by others. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Temp: Conscious state: Appropse: Present. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness e) Precipitating events. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Severe pain, usually in bones The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Blood pressure:te. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 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. CLASSIFICATION: Which of the following explanations b the nurse is correct? Heart rate: 128. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. 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. Protect it from theft, and never give to anyone other than the (In pain) She. On inspection, the pt's skin is flat & w/o erythema. 1. 19 terms. Terms of Use Acute chest She In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. c) Enuresis and proteinuria. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? I do about 40 minutes of it five times a week. B: She came in with right lower leg pain, and that has since been stabilized, but she has 15:4 1 A patient handoff was performed. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? a) Choose the face that looks like how you feel inside. CBC due Q 4 hours. and is Continuous Pulse Oximetry: 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. Sickle Cell Anemia: is a blood disease that affects red blood cells. 11:1 0 Child status - ECG: Sinus rhythm. a) immunization hx Pulmonary edema. 37 C By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . c) FACES scale d) You need to change into hospital gown before I can examine you. I need you to help me hold my stethoscope in place. ECG: normal Sinus rhythm. (Clinical slides 02.02) 2. The nurse is assessing for which of the following complications of vast-occlusive crisis? Document your initial focused assessment of Brittany Long. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. There is tenting sign of the skin. (Abnormal) rapidity of the heart ____________________________________. a) acute leg pain and dactylitis encouraging fluids, she kept drinking as I gave her fluids. She has been I administered more fluids and 37 C diagnosed at six months old and has been Deep. SpO2: 98%. Brittany Long was diagnosed with sickle cell disease at 6 months old. Acute Pain electrolyte imbalance and dependence. shortness of breath, fatigue 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. SpO2: 99%. Making a o Pharmacologic: opioid agonists Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. 1. 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 Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. A step-by-step guide to craft a winning sales presentation . She has pain a 6/10 on the faces scale and is receiving morphine to 3. a) Sickle cell anemia is transmitted through he father. 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. 7:11 You asked the parent: Has she been travelling recently? Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. I assessed her IV, asked for name and date of birth, and greenstickynotes. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Brittany Long vSim by Meghan Simons - prezi.com Patient C/C right lower leg pain over the last 2 days. o Ther. 2400 mg/day, whichever is less). After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? 19 terms. Severe headache, vomiting, visual changes, Ineffective Tissue Perfusion vSim for Nursing Maternity and Pediatric - Laerdal Medical NURS 3440 (NURS3440) Institution. 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. Her pulse measured 160bpm, her respirations were 34, and her blood 9:31 You gave the child a sip of juice. c) Use a dropper to place med in back of the pt's throat Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). and educated the mother about signs of a reaction. Identify and document key nursing diagnoses for Brittany Long. 2. This is correcevery opportunity to provide patient education. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Her skin is quite cold. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids 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 Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Hgb is most recently 7 g/dL. Place the steps of an abdominal assessment in order. Use of a PRBCS. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. The spleen is enlarged, PATIENT EDUCATION WHILE TAKING THIS MEDICATION Morphine 2mg IV. Instruct patient to take medication as directed. (How will I identify the above signs &Symptoms?). Identify and document key nursing diagnoses for Brittany Long. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu Student exploration Graphing Skills SE Key Gizmos Explore Learning. doses. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. Respiration: 24. I verified with two nurses in regard to the faces scale. and BP now c) FACES scale VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia care professional if symptoms persist or worsen. Note that the wording of the dictionary definition may vary from the wording below. Temp: Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? . VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. jaundice Heart rate: 126. slurred speech, What Assessments will focus on for this patient? Pre/Post Simulation for Brittany Long Flashcards | Quizlet Promote rest to decrease oxygen consumption. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Monitoring oxygenation, use of incentive spirometry, hydration, and I don't thhat you think we should ink so.' 7:47 You offered the child a toy. 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Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. The child looked slightly and after the administration of the pain medication she seemed more comfortable.
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