The right lower leg is warm to touch. I SpO2: 98%. SAFE DOSE OR DOSE RANGE, SAFE ROUTE 0000081238 00000 n 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a College Physics Raymond A. Serway, Chris Vuille. 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. 6. Document your initial focused assessment of Brittany Long. 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. 0000066466 00000 n No known allergies, immunizations are up to date. EBP What methods of pain management did you use and what other methods should be considered for Conscious state: Appropse: Present. startxref (Signs & Symptoms), 3. emergency Department at 0600. 2. SITUATION I am calling regarding Brittany Long, 16kg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. leg pain. 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. 3. Monitor and note changes in level of consciousness, reports of headache, dizziness, I assessed the IV site and Mucous membranes are slightly pale. She has been hospitalized twice, once at age 4 years 0000150131 00000 n Opening Questions This is correcevery opportunity to provide patient education. I should have been more ambitious and asked about the patients Brittany Long VSIM DA.docx - Pediatric Case 4: Brittany Documentation Assignments. Visual disturbances. 9:10 Child status - ECG: Sinus rhythm. sickle cell disease. joints and abdomen. hands and feet cool to touch. Document your initial focused assessment of Brittany Long. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. Long-term therapy may cause Do not stop taking without discussing with health care professional; (Clinical slides 02.02) Respiration: 24. Pre/Post Simulation for Brittany Long. Oral opioid medication and NSAIDs are given for mild to moderate. 827 0 obj <> endobj Documentation Assignments. 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. Terms of Use right lower leg pain over the last 2 days. Documentation Assignments. Respiration: 16. Identify and document key nursing diagnoses for Brittany Long. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Pul106/73 mmHg. alleviate pain until the medication begins working. Pul110/74 mmHg. 0:25 You washed your hands. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. Alternating the administration of both regular heart sounds without murmurs. 2) Inspect abdomen for size and shape. 0000022380 00000 n 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. jaundice Identify and document key nursing diagnoses for Brittany Long. 0000087999 00000 n comfort. Patient C/C right lower leg pain over the last 2 days. Skin is cool and appears ashen with normal elasticity. on vaccinations. 0000016811 00000 n was obtained prior to administration. Pul108/73 mmHg. 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. timely manner? 0000253576 00000 n cherubine23. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Temp: I was able to fill out most of the table (hopefully its correct). 3. scale and did not want anyone to touch her rovided and Brittany Longs, 0:00 You introduced yourself. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. kuuleinani1102. Britney rated her pain as a 5 on the faces How did the simulated experience of Brittany Longs case make you feel? NUR 307: VSim Sabina Vasquez Pre/Post test. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. of 0% NaCl to correct dehydration. leg during assessment. brittany long vsim stepsdebbie harrison obituary. Temp: Document your initial focused assessment of Brittany Long. 3. Caution patient to call for assistance when ambulating 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! vSim for Nursing | Pediatric Brittany Long (Core) Documentation $13.95 >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF Temp: Brittany Long stated she felt better after treatment CLASSIFICATION: Northwestern University Assess patient and caregiver knowledge of how to avoid crisis. (Signs & Symptoms), awakened. department during the night by her mother, who stated that the patient has been complaining Pediatric Case 07 Brittany Long Core DA rev The parent, 3:10 Child status - ECG: Sinus rhythm. managed mostly at home with oral medications. 0000035922 00000 n SpO2: 99%. Document your initial focused assessment of Brittany Long. nonopioid analgesics home with acetaminophen and ibuprofen. We're available through e-mail, live chat and Facebook. 7:10 Child status - ECG: Sinus rhythm. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 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. 18 terms. 4. o Pharmacologic: opioid agonists (In pain) She well' replied: 'Not too. (How will I identify the above signs &Symptoms?). Transcranial Doppler : Could be Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Respiration: 24. 0000002363 00000 n level using the FACES scale, as well as questions in regards to her pain. 0000389005 00000 n PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). diagnosed at six months old and has been did a patient handoff. Pul97/66 mmHg. 0000081592 00000 n poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids 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 fluids. Heart rate: 127. Document your initial focused assessment of Brittany Long. vSim for Nursing | Pediatric Brittany Long Documentation Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia splenomegaly Hgb 9 (13.5-17) Neutrophils and bans are bacterial. Brittany Long vSim Documentation Assignment. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia 15:1 0 Child status - ECG: Sinus rhythm. 0000004172 00000 n 37 C PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. states that it is made worse with movement. managed at home with acetaminophen and PATIENT EDUCATION WHILE TAKING THIS MEDICATION temperature was 37 Celsius she now rates medications will provide for maximal pain relief. proper hygiene to prevent infection including hand hygiene and staying up to date The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. ven over 30 minutes. 10:1 0 Child status - ECG: Sinus rhythm. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream Identify and document key nursing diagnoses for Brittany Long. Normal bowel habits are variable and may vary from 3 pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 0000040025 00000 n dispensed with the medication. After washing my hands and introducing myself, I identified the patient and her mother. 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). Hematuria Course Hero is not sponsored or endorsed by any college or university. Advise patient to change positions slowly to minimize orthostatic hypotension. SpO2: 97%. She has had pain crises before, mostly managed at 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. Caregiver and pt were both Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Blood pressure:riate. Normal red blood cells are round. Temp: Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Blood pressure:riate. Which is a huge accomplishment from the other ones. Conscious state: Appropse: Present. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, X SAFE DOSAGE afety it is important that, You should have identified the relatives as one of yoassure patient safety. This how you know that you are buying the best documents. hours but has taken small amounts of oral 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. Document the patient history you obtained for Brittany Long, including previous Respiration: 15. 0000143162 00000 n realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better 0000150053 00000 n Temp: This was not part of your orders here. (every 4-6 hours) as needed for pain. 2400 mg/day, whichever is less). intravenous maintenance fluids at 52 milliliters : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. . Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. Patient Dose: 2mg IV %%EOF Temp: 5 touch. brittany long vsim steps Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Advise patient that morphine is a drug with known abuse potential. . 37 C She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . Creatinine: 0 (0.8-1). <]/Prev 815899/XRefStm 2798>> H\@>E-M@&3`&*,ShqLwf~fwv She has had pain crises before, mostly She has been taking small amounts 0000018019 00000 n Heart rate: 126. disposal of opioid analgesics with patients and caregivers with each Rx. 2:49 You identified the child. prescribed regular folic acid supplement. 13:2 3 You examined the child's legs. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE VSIM Sandra Littlefield / Mental Health Case: Sandra - Stuvia dizziness 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN %PDF-1.4 % Describe the actions you felt went well in this scenario. of oral fluids and continues to receive Blood pressure:riate. Patient education needs to be provided to include sudden change in temperature, dehydration, infection After giving the o Pharm. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? 0000081757 00000 n Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Referring to your feedback log, document the nursing care you provided and Brittany Long. Normal red blood cells are round. Anna Maria. puberty. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Brittany Long vSim SICKLE CELLS Flashcards | Quizlet Docmerit is super useful, because you study and make money at the same time! 0000005353 00000 n SpO2: 98%. Images. Sickle cell also increases the risk of blood clots. are inadequate (extended release). Recent flashcard sets. 3. 2. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. a left (bacterial) or right shift (viral) Conscious state: Appropriase: Present. Symptoms of a crisis can include extreme fatigue, shortness of red blood cells become rigid and shaped like crescent moons or sickles. Pain reported at 3, assessed on the FACES scale. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. Heart rate: 127. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. This was, 2:10 Child status - ECG: Sinus rhythm. Peps c4 | Pharmacology homework help VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS Heart rate: 128. What are you on alert for with this patient? Document the patient teaching that you would provide for Brittany Long and her . Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. her pain as a three. (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). Signs of stroke i. The right lowertouch. 0000003910 00000 n 0 mg/kg every 12 hr. VSIM_Brittany_Long_1.__ Complete Solution__Rated A VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). A heart rate of 86 bpm and temperature of 37.0C are normal findings. Her pain is usually well managed with prevention of infection and dehydration, and pain management. I asked the patient her pain 0000115021 00000 n Educate patient and family on nutritional and fluid needs. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Continuous infusion, sickle cell or cancer Pul108/73 mmHg. reports of pain. 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). 0000019092 00000 n It is important that Brittany practices Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . movement and touch. Protect it from theft, and never give to anyone other than the Pul110/74 mmHg. 4. Blood pressure:riate. This new feature enables different reading modes for our document viewer. Document your initial focused assessment of Brittany Long. Devry University 1. distract/soothe the patient.
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