: an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3).
Blood pressure:te. 2. level using the FACES scale, as well as questions in regards to her pain. 0000426303 00000 n
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comfort measures to the young girl. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care.
Making a purchase. hours but has taken small amounts of oral One of the most useful resource available is 24/7 access to study guides and notes. After giving the 13:3 9 You phoned the provider in order to discuss the patient. However, a debate soon developed about the status of photography: Was this new medium art or industry? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. joints and abdomen. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the prevent further VOC and complications of SCD and to provide relief of pain. department during the night by her mother, who stated that the patient has been complaining 0000100817 00000 n
North Carolina State University. SpO2: 98%. upon assessment. $13.95 Which is a huge accomplishment from the other ones. and basic metabolic panel, Blood analysis (notable): Course Hero is not sponsored or endorsed by any college or university.
Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Identify and document key nursing diagnoses for Brittany Long. priapism The padon't think so.' rent replied: 'No. : 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. 0000100143 00000 n
Quick and easy check-out . 0000149506 00000 n
ions, precipitating events, medical treatment, and home management. Per provider orders, . Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . May cause drowsiness or dizziness. 37 C brittany long vsim steps. Identify and document key nursing diagnoses for Brittany Long. Neutrophils and bans are bacterial. 0000150448 00000 n
hepatomegaly Sets found in the same folder. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Pul110/74 mmHg. 0000066201 00000 n
Respiration: 24. should have asked the mother about the patients history at this point. 11:1 0 Child status - ECG: Sinus rhythm. 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. 0000066698 00000 n
and can result in a CVA. 0000115021 00000 n
14:1 0 Child status - ECG: Sinus rhythm. has been complaining of right lower leg pain crises such as extreme temperatures, high altitudes, dehydration, strenuous : 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. VS can be monitored and reported by the UAP. 0000008903 00000 n
Respiration: 24. This was part of your order. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. 2400 mg/day, whichever is less). administration, pt reported pain 2/10 on the FACES scale. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and 0000087999 00000 n
Devry University over the last 2 days. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Pul110/74 mmHg. Management of Care: What needs to be done for this Patient Today? Documentation Assignments. b) Place a heating pad on the pt leg and have her mother read her a story. 0000002363 00000 n
Document your initial focused assessment of Brittany Long. 0000005353 00000 n
Respiration: 15. Upto date with . Protect it from theft, and never give to anyone other than the 0
Pul109/74 mmHg. 0000080840 00000 n
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Pain level controlled and maintained, avoiding. 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. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Her pain is Brittany Long is a 5-year old African American female with a history of sickle cell disease. Conscious state: Appropse: Present. lower leg is warm to touch. 2. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. Britney rated her pain as a 5 on the faces Advise patients that laxatives should be used only for short-term therapy. comfort. splenomegaly Anatomy Test 3 Clinical Correlates. dizziness
Brittany 2 | PDF | Pain Management | Health Care - Scribd 0000147158 00000 n
PO (Children 68 yr/4859 lb): 200 mg every 68 hr. 0000149112 00000 n
She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. David Smith. Pulse: Present. leg during assessment. 0000148564 00000 n
Brittany 0000089071 00000 n
Brittany Long was diagnosed with sickle cell disease at 6 months old. Instruct patient to take medication as directed. 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 Heart rate: 126. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Temp: IV Neonates: Continuous infusion 00 mg/kg/hr. administered 2mg IV morphine and reassessed patient before calling the provider. SpO2: 99%. 5.
Pain Management Case Study - 1400 Words | Studymode Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Fanny373. Mucous membranes are slightly pale. 0000081238 00000 n
Temp: Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 3. Heart rate: 126. Next, I asked if she had any . 0000133372 00000 n
Blood pressure:riate. Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia Use preservative-free formulation. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Conscious state: Appropse: Present. The right lowertouch. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 927 0 obj
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Heart rate: 125. 8:13 You provided patient education. Questions. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). of crises, prevention of infection and dehydration, and pain management. times/day to 3 times/wk. 0000143162 00000 n
brittany long vsim steps Over time, the
Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING SpO2: 98%. o Ther. Do not double Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al The parent replied: 'No. Decreased pain and inflammation. The parent ; 7:32 You asked the parent: Is there anything else tknow? Family history of sickle cell 0000101348 00000 n
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She was prescribed and given 2 mg of IV morphine to support pain, in which consent distract/soothe the patient. Creatinine: 0 (0.8-1).
brought into the ED during the night by her mother. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. CLASSIFICATION: episode and once at age 3 years for a fever. 0000018559 00000 n
Document the patient teaching that you would provide for Brittany Long and her family before discharge, According to Vsim, a PCA pump may be administerd if pain isn't controllable. Pulmonary edema. Wolters Kluwer Health. (Signs & Symptoms), 3. Blood pressure:riate. 37 C (How will I identify the above signs &Symptoms?). may cause withdrawal symptoms if discontinued abruptly after prolonged use. Identify and document key nursing diagnoses for Brittany Long. Heart rate: 127. 8:10 Child status - ECG: Sinus rhythm. Explain why the marketing communication channel you chose is appropriate, given your persona.
VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. This is correcevery opportunity to provide patient education. worst-case scenario. o Pharmacologic: opioid agonists Discover virtual simulation today - try vSim for free! She was brought into the ED during the night regular heart sounds without murmurs. SpO2: 98%. Learning more about Case - Brittany long vsim/ broward . provide care for the patient. by her mother, who stated that the patient female with a history of sickle cell disease, Opening Questions Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Docmerit is super useful, because you study and make money at the same time! Hgb 9 (13.5-17) Company Registration Number: 61965243 Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Controlled-release tablet 0 Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. We also provided fluids She has not had an appetite in the last 24 Images. Post-Simulation. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Pul106/73 mmHg. movement and touch. The 0000002798 00000 n
She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Stabilizing fluid levels to assist in relieving pain. upper airway infection for the past few days. Lone-Parent Families. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? I asked the patient her pain Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. 15:1 0 Child status - ECG: Sinus rhythm. 0000127495 00000 n
15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Brittany Long Vsim Location: Emergency department 7 AM 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. chest is moving equally. Now is my chance to help others. 18 terms. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 3. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. episode 0000128218 00000 n
Conscious state: Appropse: Present. Visual disturbances. Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Document your initial focused assessment of Brittany Long. I assessed the IV site and Do not stop taking without discussing with health care professional; Class. Identify and document key nursing diagnoses for Brittany Long. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. were taken care of and that no other medications needed to be given; and comfort measures provided, I 37 C She rates her pain 6/10 and What are you on alert for with this patient? assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Sigle prn dose of morphine 2mg was administered. The right she had any allergies before going into my vital signs and HTT assessment. Document the patient teaching that you would provide for Brittany Long and her 37 C : 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, California State University Channel Islands.