brittany long vsim steps

The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? (Abnormal) rapidity of the heart ____________________________________. a) I want to listen to you breathe. Take note of She was arcoca . Temp: flow and detect the risk for cerebral 0:10 Child status - ECG: Sinus rhythm. Brittany VSIM. Pulse: Present. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. She has not had an appetite in the last 24 Voc Latin page 24. Pediatric OTC Dosing Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Before discharging Brittany Long and her family, I would educate them on how to Take missed doses as soon as remembered but not if almost time for next dose. . 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. 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. Acute chest Student exploration Graphing Skills SE Key Gizmos Explore Learning. I/O can be calculated by UAP. Document your handoff report in the situation-background-assessment- 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 prescribed was given for her pain. 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). c) Morphine bc the pt reports severe pain. and is Longs response. Identify and document key nursing diagnoses for Brittany Long. ood or had a reaction to a. Pul109/74 mmHg. of oral fluids and continues to receive R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. 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. Respiration: 24. 37 C e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. SpO2: 98%. Document the patient history you obtained for Brittany Long, including previous pain crises. 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 pressure was low. Visual disturbances. Identify and document key nursing diagnoses for Brittany Long. 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. 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A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Pain level controlled and maintained, avoiding. Identify and document key nursing diagnoses for Brittany Long. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. If oral fluids are The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. I monitored her vitals 11:1 0 Child status - ECG: Sinus rhythm. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. If you change the Country/Language, you will be logged out. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. d) You need to change into hospital gown before I can examine you. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. Which of the following explanations b the nurse is correct? This is correcevery opportunity to provide patient education. He ordered o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 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. New orders have been. Document your initial focused assessment of Brittany Long. Pain management by evidence of pain in right lower leg prevent further VOC and complications of SCD and to provide relief of pain. Skip to document. Pul108/73 mmHg. Wolters Kluwer Health. Brittany Long vSim Documentation Assignment - Homework Score She has Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? VSim Sabina Vasquez Pre/Post test. Discuss safe use, risks, and proper storage and brittany long complex vsim documentation. Use of a She has been taking small amounts Pediatric Case 08 Brittany Long Complex DA - StuDocu her blood pressure was 101 / 70 and her No known allergies, immunizations are up to date. 9:31 You gave the child a sip of juice. The potential difference between the two locations is. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. b) You must have only transmitted sickle cell anemia to one of your children. takes regular folic acid supplement as prescribed. During my initial focused assessment of Brittany Long I found that her vital signs were of right lower leg pain over the last 2 days. Brittany Long Core- vSim.docx - Brittany Long Pediatric Heart rate: 127. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Hypovolemia by evidence of pale extremities Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Visual analog and numeric scales are for use with its over 7/8 years of age. diagnosed at six months old and has been 1. Brittany Long vSim by Meghan Simons - prezi.com Severe headache, vomiting, visual changes, Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. CLASSIFICATION: Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Examined the leg and it was warm. SpO2: 98%. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 37 C vascular accident (CVA). Circulating sickle cells are hemolysized by the. vSim - Brittany Long. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). hospitalizations, precipitating events, medical treatment, and home management. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Temp: Store out of sight and reach of children, and in a location not accessible by others. Making a She was admitted to the Pediatric unit this morning . IV Neonates: Continuous infusion 00 mg/kg/hr. given. 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). I called her provider to see what else I should do. Her skin is quite cold. Signs of stroke i. (How will I identify the above signs &Symptoms?). per hour period when examined this morning I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: provided education to Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Conscious state: Appropriase: Present. SpO2: 97%. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. SAFE DOSE OR DOSE RANGE, SAFE ROUTE The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. 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! d) Sickle cell anemia is transmitted through the mother. children ages 2 to 16 years who have 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 I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Blood pressure:riate. Acute: (related to dehydration Temp: Heart rate: 127. Any orders or recommendations you may have for this patient. A step-by-step guide to craft a winning sales presentation . development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. sickle cell crisis. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Her pulse measured 160bpm, her respirations were 34, and her blood of hydration with patients who have sickle cell anemia. May cause drowsiness or dizziness. Abdominal pain Pul106/72 mmHg. I 2. 2) Inspect abdomen for size and shape. rovided and Brittany Longs, 0:00 You introduced yourself. I 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 stayed to watch for a transfusion reaction. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. brittany long vsim step by step. played with and became more comfortable with. You should have identified the relative, ng the child's before providing I would explain the importance of pain She did Do not double Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. 34 hr initially. pallor, pale mucous membranes 6a Daily Routine. 19 terms. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy hidy_esther. In people with sickle cell You don't have to be crying to be hurting a lot. Neutrophils and bans are You must be logged in to submit this form. Conscious state: Appropse: Present. Her skin is quite cold. risk for this complication. Blood pressure:riate. before discharge. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. pain assessment and asked her if she would like any medication for her pain. Management of Care: What needs to be done for this Patient Today? 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. 7:11 You asked the parent: Has she been travelling recently? as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. 1) Have the patient lie down in a supine position. Pul110/74 mmHg. 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). Location A is 3.00 m to the right of a point charge q. over the last 2 days. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or 13 terms. The patient was diagnosed with sickle cell anemia and was in a vSim for Nursing Maternity and Pediatric - Laerdal Medical She has had pain crises before, mostly managed at received a unity of PRBCS. I don't think so.' llergies? Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. Her before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation I then did a sickle cell disease. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. antipyretics SpO2: 99%. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). priapism Which of the following methods is appropriate for the nurse to employ to administer the medication? breakthrough pain. Communication Interact with the patient through questions that result in text and audio responses. not meeting the childs fluid requirements, IV fluids are necessary. 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 . Pul106/73 mmHg. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . S: This is Brittany Long. 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. Ninon_sassy. Blood pressure:te. Pul97/66 mmHg. temperature was 37 Celsius she now rates Temp: signs Q2 hours. Class. 0 mg/kg every 12 hr. ibuprofen. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. (Signs & Symptoms), 3. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. This is reasonable. Conscious state: Appropse: Present. a) Sickle cell anemia is transmitted through he father. Jackson Weber VSim Post-Sim Q's. 10 terms. and educated the mother about signs of a reaction. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. b) Hide med in applesauce or ice cream and have the parent feed the pt For the latest news, offers and ideas, sign up to our newsletter. Find all solutions of the following equation. PO Infants: 5 mg/kg/day in 14 divided doses. encouraging fluids, she kept drinking as I gave her fluids. o Recommended dosage is 2060 mg in 14 divided doses Conscious state: Appropse: Present. 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. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. 19 terms. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest 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. individual for whom it was prescribed. The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. 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? Which of the following responses by the nurse is correct? Tolerance is not addiction. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options I then preformed an assessment on her abdomen. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Keep This new feature enables different reading modes for our document viewer. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Monitoring oxygenation, use of incentive spirometry, hydration, and jaundice Her pain was a 3/, in her right lower legs. CBC w/ dif : SHOULD be ordered to c) FACES scale Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Use preservative-free formulation. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Normal red blood cells are round. hidy_esther. Conscious state: Appropse: Present. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). blood and then administered it. 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. (In pain) She. 13 terms. Comforting this advisable. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Use preservative-free formulation. d) Frequency of vaso-occlusive crises The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. 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. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Hgb is most recently 7 g/dL. B: She came in with right lower leg pain, and that has since been stabilized, but she has 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. The parent, 3:10 Child status - ECG: Sinus rhythm. Labs; daily complete blood count (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. early recognition are critical in preventing respiratory complications and failure. Respiration: 24. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and brought into the emergency department during the night by her mother, who stated that the Conscious state: Appropse: Present. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia 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. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. and her temperature was 37C (99F). She was brought into the emergency Peds v Sim Brittany Long by Avery Barshay - Prezi The Brittany Long is a 5-year old African American female with a history of sickle cell disease. intake (68 full glasses/day), and increasing mobility. The. Instruct patient to take medication as directed. Respiration: 24. (Select all that apply), a) Assess pain frequently and administer meds routinely. Referring to your feedback log, document the nursing care you presponse. vSim for Nursing allows each student to have a different experience with the patient. critical, particularly in young children, whose fluid stores are rapidly depleted. She has pain a 6/10 on the faces scale and is receiving morphine to Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Heart rate: 125. Hematuria Identify and document key nursing diagnoses for Brittany Long. 10:1 0 Child status - ECG: Sinus rhythm. awakened. Recent flashcard sets . of infection and dehydration, and pain management. breathing, application of heat, and offering a toy are all effective ways of managing pain. 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. d) Anemia and hypotension. I need you to help me hold my stethoscope in place. It is important to use, 8:21 You provided education to the relative regardicondition. intravenous maintenance fluids at 52 milliliters Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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!