brittany long vsim steps

Note that the wording of the dictionary definition may vary from the wording below. and the abdomen is generally tender. Conscious state: Appropse: Present. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. per hour period when examined this morning She 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Visual disturbances. Heart rate: 126. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Britney was given oral pain medication in the flow and detect the risk for cerebral 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. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Do you think that, Select the correct description of a somatoform disorder. The nurse is assessing for which of the following complications of vast-occlusive crisis? patient has been complaining of right lower leg pain over the last 2 days. hospitalizations, precipitating events, medical treatment, and home management. Blood pressure:te. Which of the following explanations b the nurse is correct? Hgb 9 (13.5-17) disposal of opioid analgesics with patients and caregivers with each Rx. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 13:2 3 You examined the child&apos;s legs. emergency Department at 0600. The right lowertouch. Brittany Long vSim by Meghan Simons - prezi.com I would educate the mother about possible signs of infwould have them monitor her for swelling. Brittany Long - YouTube Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION The breath sounds are clear and equal bilaterally. c) Morphine bc the pt reports severe pain. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Monitoring oxygenation, use of incentive spirometry, hydration, and d) decreased hgb, increased platelet, greatly elevated reticulocyte. Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health scale and did not want anyone to touch her The. She has gained 3 pounds since prenatal visit 1 week ago. She now rates her pain as a 3. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. b) Family hx of blood transfusion given. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Signs of stroke i. Her skin is quite cold. (Signs & Symptoms), awakened. also on 2L nasal cannula. hours but has taken small amounts of oral 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Course Hero is not sponsored or endorsed by any college or university. 9:10 Child status - ECG: Sinus rhythm. decreased oxygen) 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. As blood flow is impaired by sickled cells, vasospasm occurs, further. Naltrexone: -opioid receptor antagonist that reduces the. Maintain adequate fluid intake and monitor urine output. 3. of oral fluids and continues to receive Respiration: 24. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. She was brought into the ED during the night (In pain) She. Respiration: 25. 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. To maintain patient syou quickly identify the child. I educated the pati, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. 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! not meeting the childs fluid requirements, IV fluids are necessary. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Manage her pain at home with acetaminophen and drink plenty of fluids. Hematuria 34 hr initially. Child Life can assist in making the child comfortable and regulating anxiety levels. Blood pressure:riate. Document your . Use of a signs Q2 hours. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE nonsteroidal anti inflammatory agents Hence, his ministry is inclusive and hope-bearing. Conscious state: Appropriate. Monitor her 02 sat and keep above 94%. You should have asked the relative about any known health problems. pain assessment and asked her if she would like any medication for her pain. Labs; daily complete blood count Advise patients that laxatives should be used only for short-term therapy. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia slurred speech, What Assessments will focus on for this patient? VS can be monitored and reported by the UAP. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. 20 terms. over the last 2 days. School Herzing University; Course Title PN 124; Uploaded By hana254830. Deep. pressure was low. atelectasis. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? 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? regular heart sounds without murmurs. Which of the following should the nurse do? female with a history of sickle cell disease, She has had Sickle Cell Anemia: is a blood disease that affects red blood cells. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. NS and PRBCs. She has not had an appetite in the last 24 individual for whom it was prescribed. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." 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 . IF you have four children, one or 25% will have sickle cell anemia. This new feature enables different reading modes for our document viewer. She now rates her pain as a 3. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she CLASSIFICATION: Advise patient to change positions slowly to minimize orthostatic hypotension. determine anemia state & if there is Temp: By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Class. Pul106/73 mmHg. Blood pressure:riate. leg during assessment. Brittany was given oral pain medication in the emergency department at 6:00 AM. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Advise patient not to take docusate within 2 hr of other laxatives. bacterial. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 6:22 You asked the child how long she had pain for. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Transcribed image text: Patient Introduction 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. 37 C e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. 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). SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. 37 C Heart rate: 127. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ and is Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex She has had pain crises before, mostly managed at Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. (In pain) She well&apos; replied: &apos;Not too. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Instruct patient to take medication as directed. Ninon_sassy. and basic metabolic panel, Blood analysis (notable): b) Tachycardia and jaundice. c) FACES scale Pain reported at 3, assessed on the FACES scale. I would also educate on the importance Do not double Reduction of fever. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h . 18 terms. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. 13 terms. Heart rate: 127. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 1. Document the patient history you obtained for Brittany Long. risk for this complication. I need you to help me hold my stethoscope in place. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. I vSim for Nursing Pediatric | Laerdal Medical of infection and dehydration, and pain management. a) immunization hx Referring to your feedback log, document the nursing care you provided and Brittany brittany long vsim step by step. developmentally appropriate pain scale and assessment of pain behaviors are essential in She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. NSAIDs. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. hands and feet cool to touch. 7:37 You asked the parent: Is there anything else tknow? Would you like to proceed ? c) Past hospitalizations and Tx ood or had a reaction to a. 26% 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. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Identify and document key nursing diagnoses for Brittany Long. greenstickynotes. episode and once at age 3 years for a fever. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 1:34 You obtained legal consent from the child&apos;reasonable. CBC due Q 4 hours. Hct: 29 (40-45%) The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Pain level controlled and maintained, avoiding. tired. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. She has had pain crises before, mostly provided education to Antipyretic 5 mg/kg for You don't have to be crying to be hurting a lot. once at age 4 years for vaso-occlusive crisis 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? consulting health care professional. Pennsylvania College of Technology. Brittany rated her pain SpO2: 99%. Brittany On inspection, the pt's skin is flat & w/o erythema. Making a Brittany Long is a 5-year-old African American female with a history of sickle cell disease, precipitating factor in sickle cell crises. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Swollen joints, hands and feet Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Observe for manifestations 18 terms. Temp: prevent further VOC and complications of SCD and to provide relief of pain. SpO2: 99%. SpO2: 98%. Pediatric Case 08 Brittany Long Complex DA - StuDocu Fanny373. Examined the leg and it was warm. and pain management. 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. May cause drowsiness or dizziness. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. a) FLACC scale Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. 3. I then did a c) Past hospitalizations and Tx 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, Care of the childrearing family (nurs420). vSim for Nursing Maternity and Pediatric - Laerdal Medical She is asleep but is responsive when vSim - Brittany Long. Pul110/74 mmHg. The padon&apos;t think so.&apos; rent replied: &apos;No. Temp: red blood cells become rigid and shaped like crescent moons or sickles. Blood pressure:riate. 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. __________mg. d) Frequency of vaso-occlusive crises Transcranial Doppler : Could be c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area Conscious state: Appropse: Present. I verified with two nurses in regard to the Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? She rates her pain as a 5/5 on the FACES scale. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. 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 . Family history of sickle cell She looked visually uncomfortable and reported feeling pain, a 6/10 on the The nurse is teaching Brittany how to use the FACES scale to rate pain. Impaired Gas Exchange 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, o Pharm. Pre/Post Simulation for Brittany Long. prescribed was given for her pain. We're available through e-mail, live chat and Facebook. for a vaso-occlusive crisis episode and once at age 3 years for a fever. 1) Have the patient lie down in a supine position. brought into the emergency department during the night by her mother, who stated that the Verify your answer in a medical dictionary. Document your initial focused assessment of Brittany Long. Blood pressure:riate. encouraged PO fluids and she drank some. PROTOTYPE: Morphine. Document your initial focused assessment of Brittany Long. b) Your mom will need to wait outside while I complete your assessment Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. d) Frequency of vaso-occlusive crises Brittany VSIM. ECG: normal Sinus rhythm. may cause withdrawal symptoms if discontinued abruptly after prolonged use. o Pharmacologic: opioid agonists has been taking small amounts of oral fluids and continues to receive intravenous Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. and her temperature was 37C (99F). Conscious state: Appropse: Present. avoid a sickle cell crisis in the future. The parent, 3:10 Child status - ECG: Sinus rhythm. Normal bowel habits are variable and may vary from 3 PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Take note of Conscious state: Appropse: Present. Temp: Respiration: 24. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 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? Documentation Assignments. Do not stop taking without discussing with health care professional; 37 C diagnosed at six months old and has been Temp: 5 touch. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Background: Brittany Long has a history of sickle cell anemia being treated with a folic critical, particularly in young children, whose fluid stores are rapidly depleted. Use preservative-free formulation. 2400 mg/day, whichever is less). leg is warm to the This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. The increased blood flow through the blood vessels causes tour child to have severe pain Pul97/66 mmHg. doses. 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