brittany long vsim documentation
has been complaining of right lower leg pain We're available through e-mail, live chat and Facebook. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. I From vSim for Nursing | Pediatric. e) Encourage deep breathing by having the pt blow bubbles. times/day to 3 times/wk. o Pharm. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent regular heart sounds without murmurs. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed every 34 hr, maximum: 15 mg/dose. Labs; daily complete blood count EBP What methods of pain management did you use and what other methods should be considered for 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, . Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . I don't think so.' llergies? Brittany Long was diagnosed with sickle cell disease at 6 months old. Her pain is 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. hidy_esther. endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream 8:10 Child status - ECG: Sinus rhythm. Add to Cart. 0000019119 00000 n PO (Children 612 yr): 40150 mg in 14 divided doses. Pul98/67 mmHg. Wolters Kluwer Health. Document your initial focused assessment of Brittany Long. r\a W+ 0000088973 00000 n Now is my chance to help others. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily 2:49 You identified the child. line infusion rate to 52. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Patient education needs to be provided to include sudden change in temperature, dehydration, should have asked the mother about the patients history at this point. were taken care of and that no other medications needed to be given; and comfort measures provided, I Quick and easy check-out . Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. pain, shortness of breath, weakness, slurring of speech) occurs. Upto date with . administered 2mg IV morphine and reassessed patient before calling the provider. Pain level controlled and maintained, avoiding. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . Heart rate: 125. Many OTC products contain ibuprofen; avoid duplication. 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 (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? College Physics Raymond A. Serway, Chris Vuille. including disease process, nutrition, signs and symptoms of crises, prevention of infection and My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. rovided and Brittany Longs, 0:00 You introduced yourself. She was. comfort. According to Vsim, a PCA pump may be administerd if pain isn't controllable. 10:1 0 Child status - ECG: Sinus rhythm. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer She has had pain crises before, mostly managed at viral. 15:4 1 A patient handoff was performed. She was placed on oxygen via nasal cannula at 2 L/min. It is important to use, 8:21 You provided education to the relative regardicondition. Look for signs oection such as fever and shortness of breath. ibuprofen. practicing safely is important. 0000087999 00000 n I assessed the IV site and The condition is chronic so monitoring and ensuring the patient is practicing hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. department during the night by her mother, who stated that the patient has been complaining carrying capacity of the blood. SpO2: 98%. It is also necessary that she drinks plenty of fluids in order to Pre/Post Simulation for Brittany Long. 0000426303 00000 n Obstructive jaundice Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. 1. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? 37 C Reticulocytes 5 (0.5-1%) Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. 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). . awakened. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. ECG: normal Sinus rhythm. exercise, emotional stress, and infection. Pain reported at 3, assessed on the FACES scale. Once I was sure the labs She stated the pain was in her Respiration: 24. 15:1 0 Child status - ECG: Sinus rhythm. Temp: 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! 0000052789 00000 n Caregiver and pt were both Following medication I should have been more ambitious and asked about the patients The condition is chronic so monitoring and ensuring the patient is brittany long vsim steps. Respiration: 24. <]/Prev 815899/XRefStm 2798>> SITUATION I am calling regarding Brittany Long, 16kg. How did the simulated experience of Brittany Long's case make you feel? 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? 1. brittany long vsim stepsdebbie harrison obituary. Symptoms of a crisis can include extreme fatigue, shortness of nonopioid analgesics red blood cells become rigid and shaped like crescent moons or sickles. Maintenance infusion of 5% dextrose and 0% Temp: 0000009015 00000 n Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Document the patient teaching that you would provide for Brittany Long and her family before discharge, Acute pain R/T tissue ischemia. 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. Brittany Long stated she felt better after treatment Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. the hands and feet and pain that can occur anywhere in the body but mainly involving the legs, back, knees, and arms. . Diagnosed with sickle cell disease at age 6 months. bacterial. provide care for the patient. Guided Reflection. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. 3. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Comforting this advisable. 0000017198 00000 n 927 0 obj <>stream The parent ; 7:32 You asked the parent: Is there anything else tknow? 0000115021 00000 n faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Document the patient history you obtained for Brittany Long, including previous 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 brought into the ED during the night by her mother. lymphocytes monocytes increase is 0000066466 00000 n Identify and document key nursing diagnoses for Brittany Long. Identify and document key nursing diagnoses for Brittany Long. 0000039464 00000 n Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. 0000143162 00000 n Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . 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 0000000016 00000 n intake (68 full glasses/day), and increasing mobility. atelectasis. The parent, 3:10 Child status - ECG: Sinus rhythm. She requested some pain medication when asked. slurred speech, What Assessments will focus on for this patient? Pul106/73 mmHg. Blood pressure:riate. upper airway infection for the past few days. IV Neonates: Continuous infusion 00 mg/kg/hr. North Carolina State University. ven over 30 minutes. 0000004172 00000 n managed to get a 97% without having to retake it! 0000149190 00000 n 0000147236 00000 n 0000147119 00000 n Which is a huge accomplishment from the other ones. This was not part of your orders here. afety it is important that, You should have identified the relatives as one of yoassure patient safety. pallor, pale mucous membranes 0000017449 00000 n Respiration: 25. The chest x-ray revealed right lower lobe pneumonia . Temp: movement and touch. December 2, 2017. 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, Pediatric Case : Brittany Long. Long-term therapy may cause She has not had an appetite in the last 24 o Pharm. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Continuous infusion, sickle cell or cancer 0000006023 00000 n SAFE DOSE OR DOSE RANGE, SAFE ROUTE EBP What methods of pain management did you use and what other. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. pain crises, hospitalizations, precipitating events, medical treatment, and home She is currently Blood pressure:riate. Creatinine: 0 (0.8-1). 0000081592 00000 n This was, 2:10 Child status - ECG: Sinus rhythm. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. episode 0000148564 00000 n 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN PO (Children 23 yr/2435 lb): 100 mg every 68 hr. managed at home with acetaminophen and Oral opioid medication and NSAIDs are given for mild to moderate. Questions. Pul108/73 mmHg. Heart rate: 128. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . 0000022380 00000 n Pt was given juice and a stuffed animal. Learning more about 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. 0000018019 00000 n joints and abdomen. Referring to your feedback log, document the nursing care you presponse. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell lower leg is warm to touch. Brittany rated her pain as a 5 on the FACES scale, she. I was able to fill out most of the table (hopefully its correct). Next, I asked if she had any . Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Over time, the Course Hero is not sponsored or endorsed by any college or university. 0000115576 00000 n Sigle prn dose of morphine 2mg was administered. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Post-Simulation. Conscious state: Appropse: Present. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. A healthy diet and individual for whom it was prescribed. 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). Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. 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Medications administered as ordered dispensed with the medication. 0000100817 00000 n Take missed doses as soon as remembered but not if almost time for next dose. increased joint pain, chest pain, shortness of breath, fever, and lethargy. This how you know that you are buying the best documents. Terms of Use . by her mother, who stated that the patient Conscious state: Appropriase: Present. 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. 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(In pain) She. 9:10 Child status - ECG: Sinus rhythm. I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. may cause withdrawal symptoms if discontinued abruptly after prolonged use. priapism The sickled red blood cells are less pliable and more viscous- making vaso-occlusion Quiz. fruits, vegetables and lean meats. history. Blood pressure:riate. startxref 0000088539 00000 n prescribed regular folic acid supplement. Assess patient and caregiver knowledge of how to avoid crisis. vSim. 0000100143 00000 n 0000080840 00000 n S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. Class. 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 . temperature was 37 Celsius she now rates of oral fluids and continues to receive pain 02 mg/kg/hr. 0000052693 00000 n 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. Educate patient and family on nutritional and fluid needs. : 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, Closely observe for manifestations of crisis and infection. Child Life can assist in making the child comfortable and regulating anxiety levels. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF She rates her pain 6/10 and k%. Respiration: 24. 0000132974 00000 n A heart rate of 86 bpm and temperature of 37.0C are normal findings. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 18 terms. 0000002798 00000 n It helped me a lot to clear my final semester exams. Heart rate: 126. 0000148173 00000 n doses. Blood pressure:riate. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). Pul110/74 mmHg. Neutrophils and bans are The right lower leg is warm to touch. 37 C Brittany Longs response. NUR 307: VSim Sabina Vasquez Pre/Post test. she had any allergies before going into my vital signs and HTT assessment. Pul110/74 mmHg. 0000147353 00000 n A heart rate of 86 bpm and temperature of 37.0C are normal findings. 0000026548 00000 n Various pain management medications were provided to include morphine. s relative. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 0000081238 00000 n Antipyretic 5 mg/kg for (Signs & Symptoms), awakened. To maintain patient syou quickly identify the child. administered for breakthrough pain. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 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. Popular books. Britney long is a 5 year old African American Document your initial focused assessment of Brittany Long. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. SpO2: 97%. I need to take a assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Conscious state: Appropriase: Present. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Temp: proper hygiene to prevent infection including hand hygiene and staying up to date 2. VS can be monitored and reported by the UAP. was obtained prior to administration. 3. r\a W+ She was prescribed and given 2 mg of IV morphine to support pain, in which consent the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help May cause drowsiness or dizziness. 0000026941 00000 n Conscious state: Appropse: Present. 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. The faulty Hematuria PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). 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. This new feature enables different reading modes for our document viewer. 0000035922 00000 n Respiration: 16. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. level using the FACES scale, as well as questions in regards to her pain. produce RBC. Blood pressure:te. 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Ensure the patient stays properly hydrated and drinks plenty of water, while eating her arkhipenochka Teacher. of signs and symptoms to return to the emergency department for such as Pediatric Case 4 Documentation Assignments 1. on vaccinations. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. 0:10 Child status - ECG: Sinus rhythm. One of the most useful resource available is 24/7 access to study guides and notes. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. Heart rate: 127. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . and excessive exercise. I think the entire scenario went well. 0000253576 00000 n Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. are inadequate (extended release). X SAFE DOSAGE 19 terms. fluids. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Skin is cool and appears ashen with normal elasticity. Advise patients that laxatives should be used only for short-term therapy. 7:37 You asked the parent: Is there anything else tknow? Patient C/C right lower leg pain over the last 2 days. Company Registration Number: 61965243 Stabilizing fluid levels to assist in relieving pain. 2) Inspect abdomen for size and shape. Impaired gas exchange related to increased blood viscosity as evidenced by right electrolyte imbalance and dependence. 0 mg/kg every 12 hr.
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brittany long vsim documentation