brittany long vsim steps
Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Sickled RBCs, become rigid and cresent shaped. And Hct. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. I PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. b) Family hx of blood transfusion This was, 2:10 Child status - ECG: Sinus rhythm. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Pul109/74 mmHg. 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. Pulmonary edema. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 1:34 You obtained legal consent from the child'reasonable. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. The faulty Which of the following explanations by the nurse correctly describes how to use the scale? Continuous Pulse Oximetry: signs Q2 hours. (Clinical slides 02.02) She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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Bp is trending low, she has normal saline running at 320 ml/hr and has recently 2. 2. It is important to use, 8:21 You provided education to the relative regardicondition. 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? Four months . 7:11 You asked the parent: Has she been travelling recently? Normal red blood cells are round. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. In a vaso-occlusive crisis / painful TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. She was brought into the ED during the night on the FACES Scale. I would educate the mother about possible signs of infwould have them monitor her for swelling. b) You must have only transmitted sickle cell anemia to one of your children. (SBAR) format to communicate what further care Brittany Long needs. She has had pain crises before, mostly pain 02 mg/kg/hr. used to assess Intercranial vascular Tolerance is not addiction. Pul110/74 mmHg. of right lower leg pain over the last 2 days. What would be the most appropriate med for the nurse to administer? respiratory depression. 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. I She has pain a 6/10 on the faces scale and is receiving morphine to Brittany was given oral pain medication in the emergency department at 6:00 AM. Promote rest and provide adequate fluids and nutrition. S: This is Brittany Long. Pediatric Case : Brittany Long. leg during assessment. b) Anemia and hypotension Respiration: 24. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. 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. __________mg. SpO2: 99%. individual for whom it was prescribed. Jackson Weber VSim Post-Sim Q's. 10 terms. Her skin is quite cold. Monitoring oxygenation, use of incentive spirometry, hydration, and Pul108/73 mmHg. $16.49 Add to cart . Her pain was a 3/, in her right lower legs. Blood pressure:riate. I f dehydration, look at her legs frequently. for a fever. emergency Department at 0600. (Signs & Symptoms), awakened. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. ECG: normal Sinus rhythm. Instruct patient to take medication as directed. b) Tachycardia and jaundice. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). c) Ask the parent whether the pt is hurting Observe for manifestations before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation Heart rate: 125. Obstructive jaundice I educated the patient. IV PCA may also become necessary if pain cannot be controlled. She is on D5NS fluids at 52 mL/hr. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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The parent replied: 6:54 You asked the parent: Has she had fever? A heart rate of 86 bpm and temperature of 37.0C are normal findings. Would you like to proceed ? 1) Have the patient lie down in a supine position. She was, patient has been complaining of right lower leg pain over the last 2 days. Brittany rated her pain We're available through e-mail, live chat and Facebook. brought into the emergency department during the night by her mother, who stated that the Temp: Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, She rates her pain as a 5/5 on the FACES scale. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). Background: Brittany Long has a history of sickle cell anemia being treated with a folic She has had pain crises before, mostly managed at Use of a Examined the leg and it was warm. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? lymphocytes monocytes increase is 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 Pul109/74 mmHg. Pain management by evidence of pain in right lower leg a) Administer the prescribed analgesic as ordered c) Drinking to much water can trigger another crisis. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). ibuprofen. Respiration: 24. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Heart rate: 107. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. 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. She has gained 3 pounds since prenatal visit 1 week ago. Which of the following responses by the nurse is correct? You should have asked the relative about any known health problems. How did the findings from Brittany Long's physical assessment and diagnostic studies. 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. 4. a) I want to listen to you breathe. priapism Her pulse measured 160bpm, her respirations were 34, and her blood It is not necessary to give combining terms for words in parentheses. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. There is tenting sign of the skin. d) You need to change into hospital gown before I can examine you. bacterial. breakthrough pain. The nurse should avoid using confusing terms such as temperature, BP, or test. 10:1 0 Child status - ECG: Sinus rhythm. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Vital nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. You must be logged in to submit this form. referral to the pain team may also be helpful in SCD crises management. c) FACES scale Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She has been hospitalized twice, once at age 4 years A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. 18 terms. He ordered Blood pressure:riate. 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