how old is richard lael lillard. Document the patient history you obtained for Brittany Long, including previous Document your initial focused assessment of Brittany Long. history. 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 Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. carrying capacity of the blood. Blood pressure:riate. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). (CVA) could occur. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 0000128218 00000 n Look for signs oection such as fever and shortness of breath. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Referring to your feedback log, document the nursing care you provided and SpO2: 99%. Blood pressure:riate. SpO2: 97%. Temp: 0000133372 00000 n 0000087999 00000 n Anatomy Test 3 Clinical Correlates. prescribed regular folic acid supplement. Use preservative-free formulation. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. 2 terms. 0000088512 00000 n 0000147703 00000 n Blood pressure:riate. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. xref brittany long vsim stepsdebbie harrison obituary. Sickle cell anemia can cause other complications if not addressed in a timely manner. Identify and document key nursing diagnoses for Brittany Long. SpO2: 99%. Company Registration Number: 61965243 6:22 You asked the child how long she had pain for. 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? 37 C lymphocytes monocytes increase is I would educate the mother about possible signs of infwould have them monitor her for swelling. Brittany Long, based on the latest evidence-based practice? 0000036159 00000 n M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg PO (Children 23 yr/2435 lb): 100 mg every 68 hr. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. Course Hero is not sponsored or endorsed by any college or university. She was brought into the emergency Add to Cart. 0000127495 00000 n This was part of your order. 4. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . per hour period when examined this morning Document your initial focused assessment of Brittany Long. 37 C 5. She has been taking small amounts 5. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. 0000149112 00000 n Acute pain r/t tissue hypoxia (3 out of 5 on FACES scale). %%EOF Labs; daily complete blood count Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Pul97/66 mmHg. Family history of sickle cell ood or had a reaction to a. worst-case scenario. SITUATION I am calling regarding Brittany Long, 16kg. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. PDA Closure 0000066585 00000 n NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Patient education needs to be provided to include sudden change in temperature, dehydration, the hands and feet and pain that can occur anywhere in the body but mainly 0000081592 00000 n brittany long vsim steps. . A heart rate of 86 bpm and temperature of 37.0C are normal findings. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. of signs and symptoms to return to the emergency department for such as sickle cell disease. Guided Reflection. Fluid and Electrolyte levels stabilized and maintained. PO (Children 36 yr): 2060 mg in 14 divided doses. 13 terms. 0000003155 00000 n PATIENT EDUCATION WHILE TAKING THIS MEDICATION Manage her pain at home with acetaminophen and drink plenty of fluids. Abdominal pain Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 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! 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 leg pain. of right lower leg pain over the last 2 days. 18 terms. administration, pt reported pain 2/10 on the FACES scale. 1. Heart rate: 127. 3. A healthy diet and Patient education needs to be provided to include sudden change in temperature, dehydration, infection Temp: 0000089071 00000 n Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. CLASSIFICATION: Heart rate: 109. Management of Care: What needs to be done for this Patient Today? pain crises, hospitalizations, precipitating events, medical treatment, and home You should have asked the relative about any known health problems. / NURS 123 - FINAL BRITTANY LONG VSIM. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . 0000026941 00000 n Temp: shortness of breath, fatigue 0000147158 00000 n Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Skin is cool and appears ashen with normal elasticity. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 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. I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. PROTOTYPE: Morphine. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. No known allergies, immunizations are up to date. Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Reticulocytes 5 (0.5-1%) The 927 0 obj <>stream Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus She was prescribed and given 2 mg of IV morphine to support pain, in which consent Patient Dose: 2mg IV a left (bacterial) or right shift (viral) Pul106/73 mmHg. . electrolyte imbalance and dependence. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. Do not stop taking without discussing with health care professional; Mucous membranes are slightly pale. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. May cause drowsiness or dizziness. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Respiration: 24. vSim. Conscious state: Appropse: Present. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with o Pharm. educated on pain management. 0000036062 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. o Ther. Maintain adequate fluid intake and monitor urine output. Document your initial focused assessment of Brittany Long. rovided and Brittany Longs, 0:00 You introduced yourself. diagnosed at six months old and has been Conscious state: Appropse: Present. The VSIM_Brittany_Long_1.__ Complete Solution__Rated A 0000148173 00000 n joints and abdomen. Fanny373. Case - Brittany long vsim&sol; broward . PO (Children 612 yr): 40150 mg in 14 divided doses. Impaired gas exchange related to increased blood viscosity as evidenced by right pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 0000016811 00000 n 9:10 Child status - ECG: Sinus rhythm. She has not had an appetite in the last 24 8:13 You provided patient education. Pediatric Case 4 Documentation Assignments 1. Decreased pain and inflammation. r\a W+ Documentation Assignments. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber Popular books. Pul108/73 mmHg. It helped me a lot to clear my final semester exams. Document information. Instruct patient how and when to ask for pain medication. To maintain patient syou quickly identify the child. Breath sounds are clear and equal bilaterally, 3. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. point that the tissues become deprived of oxygen. 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. Walnut Grove, MN . Document your initial focused assessment of Brittany Long. active lifestyle (with moderation) is able to provide good home care as well. NURS 123 - FINAL BRITTANY LONG VSIM. 37 C Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). 0000016678 00000 n Your explanation for the marketing communication channel you chose must be one paragraph in length. I Company Registration Number: 61965243 0000026521 00000 n I contemplated it but then got distracted with either the assessment or medication. 0000039740 00000 n Blood pressure:riate. However, he is interested in the outcome of the overall course. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Take note of Pt was given juice and a stuffed animal. cherubine23. Conscious state: Appropse: Present. 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, . She stated that Brittany complaining of. Opening Questions 0000148564 00000 n Acute pain R/T tissue ischemia. Stabilizing fluid levels to assist in relieving pain. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. pain, shortness of breath, weakness, slurring of speech) occurs. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the Document the patient teaching that you would provide for Brittany Long and her . >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF 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. 1) Have the patient lie down in a supine position. 37 C Pediatric Case : Brittany Long. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. comfort measures to the young girl. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. Document your initial focused assessment of Brittany Long. 0000081662 00000 n Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. This how you know that you are buying the best documents. Britney rated her pain as a 5 on the faces 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. Brittany Long stated she felt better after treatment Document your initial focused assessment of Brittany Long. The parent replied: &apos;No. once at age 4 years for vaso-occlusive crisis I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Questions. NURS 3440 (NURS3440) Institution. maintain hydration especially after strenuous activity. Visual disturbances. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Ninon_sassy. 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. $13.95 3. 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 If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident 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. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al SpO2: 99%. brought into the ED during the night by her mother. Identify and document key nursing diagnoses for Brittany Long. 0:25 You washed your hands. The patient displayed tachycardia and had Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . arkhipenochka Teacher. Scenario Analysis Questions 1 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. determine anemia state & if there is 4. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Her pain was in her right lower legs which was warm 3. 0000150131 00000 n PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. pain 02 mg/kg/hr. Severe headache, vomiting, visual changes, 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 . Biology Mary Ann Clark, Jung Choi, Matthew Douglas. A heart rate of 86 bpm and temperature of 37.0C are normal findings. individual for whom it was prescribed. doses. 0000100817 00000 n 0000019092 00000 n regular heart sounds without murmurs. SpO2: 99%. This was, 2:10 Child status - ECG: Sinus rhythm. home with acetaminophen and ibuprofen. 8:10 Child status - ECG: Sinus rhythm. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 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! 0000004772 00000 n PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Her pain is We're available through e-mail, live chat and Facebook. After giving the 0000002363 00000 n previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). 0000018559 00000 n 0000426303 00000 n Document your initial focused assessment of Brittany Long. did a patient handoff. temperature was 37 Celsius she now rates By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. awakened. Upto date with . Pul108/73 mmHg. 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