0000081592 00000 n Heart rate: 109. Post-Simulation. times/day to 3 times/wk. Look for signs oection such as fever and shortness of breath. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Heart rate: 127. 0000025826 00000 n The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Recent flashcard sets. 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. David Smith. Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. Any orders or recommendations you may have for this patient. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Conscious state: Appropriate. Explain why the marketing communication channel you chose is appropriate, given your persona. The right lower leg is warm to touch. Temp: Advise patient that morphine is a drug with known abuse potential. Liberty University 37 C 827 0 obj <> endobj NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE She stated the pain was in her 6:22 You asked the child how long she had pain for. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? She rates her pain 6/10 and, states that it is made worse with movement. Assess dehydration status via CBC, Urinalysis and strict I/O. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. However, experiencing pain in her right leg that began 2 days ago. right lower leg pain over the last 2 days. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, 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! Next, I asked if she had any . Heart rate: 128. Identify and document key nursing diagnoses for Brittany Long. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Once I was sure the labs 0000004172 00000 n proper hygiene to prevent infection including hand hygiene and staying up to date 0000018559 00000 n Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al 10:1 0 Child status - ECG: Sinus rhythm. 0000002996 00000 n Images. has been complaining of right lower leg pain I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Document your initial focused assessment of Brittany Long. What are you on alert for with this patient? 0000005353 00000 n Stabilizing fluid levels to assist in relieving pain. 0000080840 00000 n Symptoms of a crisis can include extreme fatigue, shortness of Breath sounds are clear and equal bilaterally, 3. 1. 0:10 Child status - ECG: Sinus rhythm. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . alleviate pain until the medication begins working. Jadelyn_Yasuoka7. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. Continuous infusion, sickle cell or cancer Document your initial focused assessment of Brittany Long. Heart rate: 126. 13 terms. 11:1 0 Child status - ECG: Sinus rhythm. of 0% NaCl to correct dehydration. Scenario Analysis Questions 1 Pain management by evidence of pain in right lower leg Brittany Long vSim Documentation Assignment. were taken care of and that no other medications needed to be given; and comfort measures provided, I 2. 0000040025 00000 n pain/warmth on her lower right leg. family before discharge, including disease process, nutrition, signs and symptoms administer blood products, usually packed RBCS an exchange transfusions per facility protocol. slurred speech, What Assessments will focus on for this patient? 0000005909 00000 n The condition is chronic so monitoring and ensuring the patient is fruits, vegetables and lean meats. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. antirheumatics vSim. 8:13 You provided patient education. Identify and document key nursing diagnoses for Brittany Long. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. and levels of neutrophils, changes in Respiration: 25. In a vaso-occlusive crisis / painful If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident Acute pain related to sickle cell anemia as evidenced by pain in the right leg. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Class: macrolide Heart rate: 127. She has had pain crises before, mostly Ninon_sassy. Voc Latin page 24. Brought into the ED by her mother last night. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Conscious state: Appropriase: Present. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. her blood pressure was 101 / 70 and her care professional if symptoms persist or worsen. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. 0000150131 00000 n 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! headache 0000026548 00000 n You should have identified the relative, ng the child's before providing However, he is interested in the outcome of the overall course. May cause drowsiness or dizziness. 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. One of the most useful resource available is 24/7 access to study guides and notes. 19 terms. 0000149584 00000 n Class. her pain as a three. 0000147236 00000 n Observe for manifestations You even benefit from summaries made a couple of years ago. red blood cells become rigid and shaped like crescent moons or sickles. Blood pressure:riate. Conscious state: Appropse: Present. Identify and document key nursing diagnoses for Brittany Long. leg is warm to the Lastly, death is always the Instruct patient how and when to ask for pain medication. VS can be monitored and reported by the UAP. She has had pain crises before, mostly managed at 0000149190 00000 n 2. NURS 3440 (NURS3440) Institution. 2. medications will provide for maximal pain relief. Popular books. 0000100817 00000 n ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. cherubine23. Respiration: 24. 0000017198 00000 n Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer k%. This was part of your order. Hct: 29 (40-45%) Identify and document key nursing diagnoses for Brittany Long. ECG: normal Sinus rhythm. Britney was given oral pain medication in the 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. . Blood pressure:riate. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` hepatomegaly North Carolina State University. Brittany Long, based on the latest evidence-based practice? Sigle prn dose of morphine 2mg was administered. Blood pressure:riate. 11 terms. 9:10 Child status - ECG: Sinus rhythm. The parent ; 7:32 You asked the parent: Is there anything else tknow? patient reported pain of 3 out of 5 on the scale. This is reasonable. 0000003910 00000 n 3. Advise patient to change positions slowly to minimize orthostatic hypotension. dehydration, and pain management. Sickle Cell Anemia: is a blood disease that affects red blood cells. 0000100143 00000 n Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . vascular accident (CVA). and basic metabolic panel, Blood analysis (notable): rovided and Brittany Longs, 0:00 You introduced yourself. 0000115576 00000 n Pul109/74 mmHg. once at age 4 years for vaso-occlusive crisis Company Registration Number: 61965243 Pediatric Case 4 Documentation Assignments 1. 1. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 0000039464 00000 n (every 4-6 hours) as needed for pain. SpO2: 98%. 15:4 1 A patient handoff was performed. Referring to your feedback log, document the nursing care you provided and Continuous Pulse Oximetry: what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . She has not had an appetite in the last 24 IV fluids with electrolyte replacement (caution with potassium replacement) r\a W+ Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. TCD is performed annually on 0000066620 00000 n What discharge teaching should be provided to assist Brittany Long's mother with her home care? acetaminophen and ibuprofen. Identify additional individuals who should be included on Brittany Long's care team. Reticulocytes 5 (0.5-1%) Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Respiration: 24. Abdominal pain Decreased pain and inflammation. (Signs & Symptoms), awakened. 0000132705 00000 n Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen methods should be considered for Brittany Long, based on the. lymphocytes monocytes increase is Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or The sickled red blood cells are less pliable and more viscous- making vaso-occlusion 0000147703 00000 n SAFE DOSE OR DOSE RANGE, SAFE ROUTE Pul106/73 mmHg. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed Swollen joints, hands and feet Respiration: 24. SpO2: 99%. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) 8:10 Child status - ECG: Sinus rhythm. 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). The breath sounds are clear and equal bilaterally. 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. Heart rate: 125. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Mucous membranes are slightly pale. per hour period when examined this morning Labs; daily complete blood count Identify and document EBP What methods of pain management did you use and what other methods should be considered for 0000088539 00000 n I would educate the mother about possible signs of infwould have them monitor her for swelling. 37 C 3. Pul97/66 mmHg. breathing (dyspnea), headache, dizziness, and acute pain. 37 C The parent, 3:10 Child status - ECG: Sinus rhythm. The Docmerit is super useful, because you study and make money at the same time! endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream 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. 827 101 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 . Take missed doses as soon as remembered but not if almost time for next dose. 0000025684 00000 n Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. The right lowertouch. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. CLASSIFICATION: 0000008903 00000 n Opening Questions Sickle cell anemia can cause other complications if not addressed in a timely manner. 0000087999 00000 n She is currently Brought into the ED by her mother last night. b) Place a heating pad on the pt leg and have her mother read her a story. College Physics Raymond A. Serway, Chris Vuille. Breath sounds are clear and equal bilaterally. ven over 30 minutes. including disease process, nutrition, signs and symptoms of crises, prevention of infection and intake (68 full glasses/day), and increasing mobility. Temp: V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. upon assessment. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? 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. $13.95 latest evidence-based practice. She stated that Brittany complaining of. 0000253576 00000 n Promote rest to decrease oxygen consumption. Conscious state: Appropriase: Present. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. provide care for the patient. Temp: 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). 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), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. 0000088973 00000 n a left (bacterial) or right shift (viral) 0000147353 00000 n exercise, emotional stress, and infection. sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Quiz. 0000143162 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! IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day).
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