She appears to be in no respiratory distress. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. 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. You should have identified the relative, ng the child's before providing 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. 0000100428 00000 n 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 (In pain) She well' replied: 'Not too. slurred speech, What Assessments will focus on for this patient? Pul97/66 mmHg. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. The patient displayed tachycardia and had o Therapeutic Class: agents for atypical mycobacterium, anti-infectives and excessive exercise. were taken care of and that no other medications needed to be given; and comfort measures provided, I CLASSIFICATION: Severe headache, vomiting, visual changes, Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING 37 C arkhipenochka Teacher. 13:3 9 You phoned the provider in order to discuss the patient. 0000081238 00000 n Patient education needs to be provided to include sudden change in temperature, dehydration, o Pharm. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 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! Controlled-release tablet 0 Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. NUR 307: VSim Sabina Vasquez Pre/Post test. 0:10 Child status - ECG: Sinus rhythm. Referring to your feedback log, document the nursing care you provided and . 9:31 You gave the child a sip of juice. step back and really focus on whats occurring, but overall, I did what the orders requested and provided 0000389005 00000 n SpO2: 98%. She has been hospitalized twice, once at age 4 years hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 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! Normal bowel habits are variable and may vary from 3 Labs; daily complete blood count 7:10 Child status - ECG: Sinus rhythm. Brittany Long Guided Reflection and Documentation The condition is chronic so monitoring and ensuring the patient is practicing 0000149190 00000 n Heart rate: 107. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Your explanation for the marketing communication channel you chose must be one paragraph in length. 0000081592 00000 n of signs and symptoms to return to the emergency department for such as (Clinical slides 02.02) provide care for the patient. once at age 4 years for vaso-occlusive crisis states that it is made worse with movement. SpO2: 99%. . Opening Questions ood or had a reaction to a. 2) Inspect abdomen for size and shape. Solved Patient Introduction Brittany Long is a 5-year-old - Chegg 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! Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Place the steps of an abdominal assessment in order. Making a purchase. Pain reported at 3, assessed on the FACES scale. Jackson Weber VSim Post-Sim Q's. 10 terms. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Pt was given juice and a stuffed animal. Acute: (related to dehydration 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. Conscious state: Appropse: Present. Neutrophils and bans are bacterial. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. 0000016811 00000 n 0000147158 00000 n However, a debate soon developed about the status of photography: Was this new medium art or industry? "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. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Observe for manifestations 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). 0000003910 00000 n Anatomy Test 3 Clinical Correlates. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. o Pharmacologic: opioid agonists Explain why the marketing communication channel you chose is appropriate, given your persona. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Sets found in the same folder. level using the FACES scale, as well as questions in regards to her pain. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. How did the simulated experience of Brittany Long's case make you feel? VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . 0000026521 00000 n did a patient handoff. brittany long vsim steps infection and excessive exercise. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. 37 C 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 2. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Medications administered as ordered 2. 0000143162 00000 n Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Advise patient that morphine is a drug with known abuse potential. To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Quick and easy check-out . . methods should be considered for Brittany Long, based on the. 827 101 0000004172 00000 n Mucous membranes are slightly pale. She has had pain crises before, mostly managed at acetaminophen and ibuprofen. breathing (dyspnea), headache, dizziness, and acute pain. startxref This was part of your order. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Document your initial focused assessment of Brittany Long. doses. 0000030391 00000 n She stated the pain was in her Karen. vSim for Nursing | Pediatric Brittany Long (Core) Documentation Management of sickle cell crisis is aimed at managing pain and promoting circulation. It is important that Brittany practices PO Infants: 5 mg/kg/day in 14 divided doses. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Class. ECG: normal Sinus rhythm. Pul106/73 mmHg. 18 terms. 15:1 0 Child status - ECG: Sinus rhythm. red blood cells become rigid and shaped like crescent moons or sickles. (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? : 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. She was. 0000039464 00000 n 0000150053 00000 n SAFE DOSE OR DOSE RANGE, SAFE ROUTE 11:1 0 Child status - ECG: Sinus rhythm. Sickle Cell Anemia: is a blood disease that affects red blood cells. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Temp: 7:37 You asked the parent: Is there anything else tknow? PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. movement and touch. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. times/day to 3 times/wk. (How will I identify the above signs &Symptoms?). Vaso-occlusive pain crisis from sickle cell anemia 2. Promote rest and provide adequate fluids and nutrition.
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