of oral fluids and continues to receive o Ther. Jackson Weber VSim Post-Sim Q's. 10 terms. vSim for Nursing allows each student to have a different experience with the patient. Continuous Pulse Oximetry:
Brittany Long vSim by Meghan Simons - prezi.com $16.49 Add to cart . A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. As blood flow is impaired by sickled cells, vasospasm occurs, further. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. 3. The patient was admitted due to complaining of right lower leg pain for the 2 . VBVA=45.0V. female with a history of sickle cell disease, Controlled-release tablet 0 (Select all that apply), a) Assess pain frequently and administer meds routinely. Pul110/74 mmHg. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication.
splenomegaly vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. 8:13 You provided patient education. Heart rate: 127. c) Ask the parent whether the pt is hurting Advise patient to change positions slowly to minimize orthostatic hypotension. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Document your initial focused assessment of Brittany Long. 6:22 You asked the child how long she had pain for. The parent replied: 'No. 37 C
Brittany Long Core- vSim.docx - Brittany Long Pediatric Over time, the slurred speech, What Assessments will focus on for this patient? syndrome can develop in children with sickle cell crisis. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Transcranial Doppler : Could be therapies are essential for children and offer them comfort and security. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Situation: Brittany long is a 5-year-old African American female who has a history of Location A is 3.00 m to the right of a point charge q. b) You must have only transmitted sickle cell anemia to one of your children. Her pain was a 3/5 on FACES scale a) immunization hx a) Sickle cell anemia is transmitted through he father. Monitor her pain levels. 1:34 You obtained legal consent from the child'reasonable. 8:10 Child status - ECG: Sinus rhythm. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. 26% 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. School Herzing University; Course Title PN 124; Uploaded By hana254830. For the latest news, offers and ideas, sign up to our newsletter. Store out of sight and reach of children, and in a location not accessible by others. 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 called her provider to see what else I should do. a) FLACC scale antirheumatics IF you have four children, one or 25% will have sickle cell anemia. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE and after the administration of the pain medication she seemed more comfortable. Take missed doses as soon as remembered but not if almost time for next dose. Terms of Use Comforting this advisable. and BP now 19 terms. received a unity of PRBCS. Conscious state: Appropse: Present. 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. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Conscious state: Appropriase: Present. 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). Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). I don't think so.' llergies? 2. Brittany 14:1 0 Child status - ECG: Sinus rhythm. Normal bowel habits are variable and may vary from 3 6a Daily Routine. antipyretics a left (bacterial) or right shift (viral) takes regular folic acid supplement as prescribed. Note that the wording of the dictionary definition may vary from the wording below. prevent further VOC and complications of SCD and to provide relief of pain. and her temperature was 37C (99F). 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! 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. IV fluids with electrolyte replacement (caution with potassium replacement) a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Pain management by evidence of pain in right lower leg Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, electrolyte imbalance and dependence. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 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. pallor, pale mucous membranes Heart rate: 127. I need you to help me hold my stethoscope in place. Creatinine: 0 (0.8-1). Promote rest and provide adequate fluids and nutrition. education. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. CBC w/ dif : SHOULD be ordered to flow and detect the risk for cerebral 7:37 You asked the parent: Is there anything else tknow? Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. 0:25 You washed your hands. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. I have given her morphine 2 mg IV Push and have also bolused
b) Hide med in applesauce or ice cream and have the parent feed the pt The increased blood flow through the blood vessels causes tour child to have severe pain IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). PATIENT EDUCATION WHILE TAKING THIS MEDICATION sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Hypertension and tachycardia are often associated with acute pain. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Dehydration is often a a) Sickle cells cause increased blood flow throughout the body. I need you to help me hold my stethoscope in place. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached You should have asked the relative about any known health problems. intake (68 full glasses/day), and increasing mobility. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. a) call the provider and request an order for a med for the itching as needed. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr.
Brittany Long vSim Documentation Assignment - Homework Score 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. 2) Inspect abdomen for size and shape. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Do your children have different fathers? Vital Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I monitored her respiratory rate for any, respiratory depression. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Monitor and note changes in level of consciousness, reports of headache, dizziness, Examined the leg and it was warm. NSAIDs. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management.
Pre/Post Simulation for Brittany Long Flashcards | Quizlet vSim - Brittany Long. Stabilizing fluid levels to assist in relieving pain. sickle cell disease. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Hypovolemia by evidence of pale extremities (In pain) She. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness 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. and pain management.
Conscious state: Appropse: Present. What would be the most appropriate med for the nurse to administer? Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or
vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT c) Drinking to much water can trigger another crisis. Pediatric Case : Brittany Long. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. Background: Brittany Long has a history of sickle cell anemia being treated with a folic evaluating a childs pain level and in providing appropriate interventions. Pul98/67 mmHg. c) FACES scale also on 2L nasal cannula. brittany long vsim step by step. Conscious state: Appropse: Present. SpO2: 98%. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Conscious state: Appropse: Present. Temp: Verify your answer in a medical dictionary. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Britney was given oral pain medication in the Respiration: 15. Abdominal pain temperature was 37 Celsius she now rates She is a 5-year-old female with a history of sickle cell anemia. I monitored her vitals In order to maintain trust, it is important to tell children if there is meds mixed into the food. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. VS can be monitored and reported by the UAP. emergency Department at 0600. played with and became more comfortable with.