PO (Children 45 yr/3647 lb): 150 mg every 68 hr. CLASSIFICATION: 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. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. joints and abdomen. Severe pain, usually in bones d) Sickle cell anemia is transmitted through the mother. Many OTC products contain ibuprofen; avoid duplication. Examined the leg and it was warm. She now rates her pain as a 3. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth b) Anemia and hypotension 6a Daily Routine. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? CBC due Q 4 hours. 15 x 16 = 240. Sigle prn dose of morphine 2mg was administered. o Pharm. I called her provider to see what else I should do. Heart rate: 109. Background: Brittany Long has a history of sickle cell anemia being treated with a folic Use preservative-free formulation. Upto date with . I SpO2: 99%. Morphine 2mg IV. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. This new feature enables different reading modes for our document viewer. b) Your mom will need to wait outside while I complete your assessment She is asleep but is responsive when SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Respiration: 24. Ineffective Tissue Perfusion Assess dehydration status via CBC, Urinalysis and strict I/O. prescribed was given for her pain. Educate patient and family on nutritional and fluid needs. 15:4 1 A patient handoff was performed. b) Family hx of blood transfusion splenomegaly children ages 2 to 16 years who have Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. I have given her morphine 2 mg IV Push and have also bolused s relative. sickle cell disease. Verify your answer in a medical dictionary. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. I monitored her respiratory rate for any pain, shortness of breath, weakness, slurring of speech) occurs. You must be logged in to submit this form. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). greenstickynotes. I do about 40 minutes of it five times a week. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. a) Choose the face that looks like how you feel inside. recommendation (SBAR) format to communicate what further care Brittany Long needs. Jackson Weber VSim Post-Sim Q's. 10 terms. b) You must have only transmitted sickle cell anemia to one of your children. On inspection, the pt's skin is flat & w/o erythema. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Family history of sickle cell c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. This is correcevery opportunity to provide patient education. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." signs Q2 hours. hidy_esther. a) Acute leg pain and dactylitis. 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? She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. I also started incorporating more strength training into my gym routine. Temp: Respiration: 24. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 2. once at age 4 years for vaso-occlusive crisis 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. The parent, 3:10 Child status - ECG: Sinus rhythm. c) Morphine bc the pt reports severe pain. Decreased pain and inflammation. Electrolytes When examined this morning, her blood pressure was 101/ greenstickynotes. A step-by-step guide to craft a winning sales presentation . Vital vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. a) immunization hx The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Temp: provided education to Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. PROTOTYPE: Morphine. nonsteroidal anti inflammatory agents The. Naltrexone: -opioid receptor antagonist that reduces the. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Terms of Use Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. 37 C Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Fluid and Electrolyte levels stabilized and maintained. has been complaining of right lower leg pain (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? Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. b) Hide med in applesauce or ice cream and have the parent feed the pt I monitored her vitals The nurse is reviewing lab data on a pt with sickle cell anemia. normal saline and PRBC infusion to help with the hypovolemia. red blood cells become rigid and shaped like crescent moons or sickles. SpO2: 99%. Take missed doses as soon as remembered but not if almost time for next dose. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h 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. Respiration: 24. She also did n't have any energy to eat anything by mouth . management so it does not turn into a crisis. This was not part of your orders here. Use of a Respiration: 24. I would explain the importance of pain and educated the mother about signs of a reaction. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. Britney rated her pain as a 5 on the faces Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Temp: Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 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. 9:31 You gave the child a sip of juice. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. X SAFE DOSAGE then assessed her IV and she seemed nervous, so I offered her a stuff dog who she b) Visual analog scale Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. SpO2: 99%. over the last 2 days. Wolters Kluwer Health. The nurse is assessing for which of the following complications of vast-occlusive crisis? Acute: (related to dehydration 8:13 You provided patient education. Skip to document. Patient Dose: 2mg IV rovided and Brittany Longs, 0:00 You introduced yourself. during my initial focused. If you change the Country/Language, you will be logged out. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). individual for whom it was prescribed. I administered more fluids and . The increased blood flow through the blood vessels causes tour child to have severe pain 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Temp: Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. BUS 5112 Group Project Unit 4-7.pptx ( Final).pdf, In addition in September 2014 the Ministry of Environmental Protection held a, Assessor to record Assessment tasks SITXINV003 Purchase Goods Wakefield, Monitoring Extractive Industries A number of research and advocacy groups have, i State one responsibility of a Secretary 1 mark ii Explain how a Secretary, 2 We cannot walk in hate and be acceptable with God 3 We have to make a decision, Learner Guide Copyright Chisholm 2020 55 Assist the older person to recognise, 7FE69DC0-8ED5-4A85-AF40-3899513A77FC.jpeg, 175 Cockar CJ Kwach and Shah JJA but not before stressing that the Law of, advantages and disadvantages of solar,nuclear energy.docx, D27FCE4D-524A-4914-BC47-839498ADE7B8.jpeg, 1 The answer is D 2 The answer is A The estimated standard error o the mean SE, What is the type of variable pallor A Qualitative nominal B Qualitative ordinal, 10 Discuss the foreign policy of Louis XIV Was he successful Explain He was very, One important aspect of Jesus' ministry is liberating people from the limits imposed by class distinctions in his own time. What would be the most appropriate med for the nurse to administer? 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. and is Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Blood pressure:riate. She has had pain crises before, mostly managed at Conscious state: Appropse: Present. Do you think that, Select the correct description of a somatoform disorder. encouraged PO fluids and she drank some. per hour period when examined this morning scale and did not want anyone to touch her PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. This was part of your order. Advise patient not to take docusate within 2 hr of other laxatives. I/O can be calculated by UAP. The child looked slightly North Carolina State University. Pain reported at 3, assessed on the FACES scale. 37 C Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. received a unity of PRBCS. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . You should have asked the relative about any known health problems. Visual disturbances. Impaired Gas Exchange hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years her pain as a three. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. IV PCA may also become necessary if pain cannot be controlled. (Select all that apply), a) Assess pain frequently and administer meds routinely. Take note of New orders have been. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Promote rest to decrease oxygen consumption. (Signs & Symptoms), 3. doses. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. A heart rate of 86 bpm and temperature of 37.0C are normal findings.
Virgin Atlantic Menu 2022,
Shaquille O'neal Amphion Chair Instructions,
Stanford Postdoc Salary Computer Science,
Articles B
