Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. o Therapeutic: opioid analgesics 13:3 9 You phoned the provider in order to discuss the patient. You don't have to be crying to be hurting a lot. vSim for Nursing Maternity and Pediatric - Laerdal Medical vSim - Brittany Long. episode (Abnormal) rapidity of the heart ____________________________________. lymphocytes monocytes increase is Document your . c) I am going to take your temp. Class. She now rates her pain as a 3. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Brittany hhulsey6. dispensed with the medication. 18 terms. NSAIDs. PDA Closure Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Conscious state: Appropse: Present. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. a) Sickle cells cause increased blood flow throughout the body. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. a) acute leg pain and dactylitis Maintain adequate fluid intake and monitor urine output. IV fluids with electrolyte replacement (caution with potassium replacement) Children should never be force to change into a gown. Respiration: 15. 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? Do not double 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! The nurse is teaching Brittany how to use the FACES scale to rate pain. Heart rate: 125. Store out of sight and reach of children, and in a location not accessible by others. Comforting this advisable. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. I called her provider to see what else I should do. This is correcevery opportunity to provide patient education. She is asleep but is responsive when Find all solutions of the following equation. Heart rate: 126. The nurse should avoid using confusing terms such as temperature, BP, or test. takes regular folic acid supplement as prescribed. Location A is 3.00 m to the right of a point charge q. VS can be monitored and reported by the UAP. 4. How did the simulated experience of Brittany Long's case make you feel? 2400 mg/day, whichever is less). Heart rate: 128. 0:10 Child status - ECG: Sinus rhythm. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? (SBAR) format to communicate what further care Brittany Long needs. 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). If oral fluids are consulting health care professional. Hgb is most recently 7 g/dL. You must be logged in to submit this form. Promote rest and provide adequate fluids and nutrition. 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 What would be the most appropriate med for the nurse to administer? 6:41 You asked the child if she had trouble breathin&apos;No, my breathing&apos;s fine.&apos; g? PROTOTYPE: Aspirin Jackson Weber VSim Post-Sim Q's. 10 terms. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Pain management by evidence of pain in right lower leg I assessed her IV, asked for name and date of birth, and (Signs & Symptoms), awakened. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. c) Drinking to much water can trigger another crisis. viral. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. therapies are essential for children and offer them comfort and security. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family 18 terms. 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. Transcranial Doppler : Could be Blood pressure:te. The faulty The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing. and is vSim for Nursing Pediatric | Laerdal Medical Conscious state: Appropse: Present. provided education to Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . 37 C 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. 7:11 You asked the parent: Has she been travelling recently? 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. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Instruct patient to take medication as directed. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Sickle Cell Anemia: is a blood disease that affects red blood cells. 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. Stabilizing fluid levels to assist in relieving pain. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Normal red blood cells are round. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Controlled-release tablet 0 Her pulse measured 160bpm, her respirations were 34, and her blood 19 terms. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. a left (bacterial) or right shift (viral) A heart rate of 86 bpm and temperature of 37.0C are normal findings. 34 hr initially. Examined the leg and it was warm. hidy_esther. There is tenting sign of the skin. I have a weekly show-- Ease Into . I then preformed an assessment on her abdomen. Hgb 9 (13.5-17) a) Sickle cell anemia is transmitted through he father. Are you considering implementing vSim for Nursing into your existing curricula? Use of a SpO2: 99%. SpO2: 98%. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years School Herzing University; Course Title PN 124; Uploaded By hana254830. headache 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). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . 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. Document your initial focused assessment of Brittany Long. Examined the leg and it was warm. Brittany was given oral pain medication in the emergency department at 6:00 AM. Continuous infusion, sickle cell or cancer Pediatric Case 08 Brittany Long Complex DA - StuDocu 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. Respiration: 24. Document your initial focused assessment of Brittany Long. vascular accident (CVA). Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I intravenous maintenance fluids at 52 milliliters She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. Conscious state: Appropse: Present. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). joints and abdomen. Monitoring oxygenation, use of incentive spirometry, hydration, and VSim Brittany Long Pre/Post test. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. a) immunization hx CLASSIFICATION: b) Your mom will need to wait outside while I complete your assessment Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . leg during assessment. 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. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 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. Location B lies on the same line and is 4.00 m to the right of the charge. has been taking small amounts of oral fluids and continues to receive intravenous PATIENT EDUCATION WHILE TAKING THIS MEDICATION Over time, the Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. and her temperature was 37C (99F). VSim Brittany Long Pre/Post test Flashcards | Quizlet Pediatric Case 07 Brittany Long Core DA rev - StuDocu What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes?