brittany long vsim steps

On inspection, the pt's skin is flat & w/o erythema. IV PCA may also become necessary if pain cannot be controlled. arcoca . Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. received a unity of PRBCS. 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! Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. She is asleep but is responsive when awakened. A step-by-step guide to craft a winning sales presentation . and levels of neutrophils, changes in vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Course Hero is not sponsored or endorsed by any college or university. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Many OTC products contain ibuprofen; avoid duplication. a) acute leg pain and dactylitis Temp: 37.3. Blood pressure:riate. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent (In pain) She. DramaQueen66. Upto date with . I do about 40 minutes of it five times a week. Sets found in the same folder. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. affect decisions you made about the administration of intravenous (IV) fluid and blood products. There is tenting sign of the skin. Advise patients that laxatives should be used only for short-term therapy. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Visual disturbances. (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? 37 C has been complaining of right lower leg pain occlusive crisis. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? VSim Charlie Snow Complex Pre/Post Sim. Do not double Heart rate: 127. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Heart rate: 127. d) Anemia and hypotension. prevent further VOC and complications of SCD and to provide relief of pain. temperature was 37 Celsius she now rates Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. 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 Britney was given oral pain medication in the 37 C She has been provided education to Blood pressure:te. Jackson Weber VSim Post-Sim Q's. 10 terms. Pul97/66 mmHg. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. I need you to help me hold my stethoscope in place. Pain reported at 3, assessed on the FACES scale. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain Blood pressure:riate. hhulsey6. This was not part of your orders here. Antipyretic 5 mg/kg for Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Stabilizing fluid levels to assist in relieving pain. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 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I would explain the importance of pain over the last 2 days. a) Choose the face that looks like how you feel inside. Before discharging Brittany Long and her family, I would educate them on how to PATIENT EDUCATION WHILE TAKING THIS MEDICATION pallor, pale mucous membranes 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. PO (Children <3 yr): 1040 mg in 14 divided doses. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. I brittany long vsim step by step. Jackson Weber VSim Post-Sim Q's. 10 terms. Vital She has pain a 6/10 on the faces scale and is receiving morphine to Assessment for signs and symptoms of dehydration is Discuss safe use, risks, and proper storage and I monitored her respiratory rate for any, respiratory depression. SpO2: 98%. Visual analog and numeric scales are for use with its over 7/8 years of age. c) Past hospitalizations and Tx Pul110/74 mmHg. Patient C/C right lower leg pain over the last 2 days. Temp: What are you on alert for with this patient? Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Dehydration is often a Do you think that, Select the correct description of a somatoform disorder. SpO2: 99%. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Location A is 3.00 m to the right of a point charge q. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: Pul98/67 mmHg. her blood pressure was 101 / 70 and her Swollen joints, hands and feet care professional if symptoms persist or worsen. of right lower leg pain over the last 2 days. SpO2: 99%. During my initial focused assessment of Brittany Long I found that her vital signs were No known allergies, immunizations are up to date. nonsteroidal anti inflammatory agents a. Xist Pediatric Case 7: Brittany Long (Core) 1. 19 terms. The increased blood flow through the blood vessels causes tour child to have severe pain also on 2L nasal cannula. 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. 1. This was, 2:10 Child status - ECG: Sinus rhythm. Ineffective Tissue Perfusion blood and then administered it. d) decreased hgb, increased platelet, greatly elevated reticulocyte. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Heart rate: 125. maintenance fluids at 52 mL/hr. a) Acute leg pain and dactylitis. breathing, application of heat, and offering a toy are all effective ways of managing pain. You don't have to be crying to be hurting a lot. CBC due Q 4 hours. spleen, leading to anemia. 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Britney rated her pain as a 5 on the faces 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. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy The safe dosage range for children is 10 to 15 mg/kg/dose. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Nonpharmacologic In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Acute: (related to dehydration Circulating sickle cells are hemolysized by the. Which of the following responses by the nurse is correct? She now rates her pain as a 3. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and It is not necessary to give combining terms for words in parentheses. She has been hospitalized twice, once at age 4 years I would also educate on the importance There is tenting sign of the skin. The pt is lying quietly in bed watching TV. respiratory depression. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. She has been hospitalized twice, She was admitted to the Pediatric unit this morning . d) Sickle cell anemia is transmitted through the mother. Blood pressure:riate. 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. 10:1 0 Child status - ECG: Sinus rhythm. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. education. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer e) Precipitating events Diagnosed with sickle cell disease at age 6 months. breakthrough pain. 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). She is asleep but is responsive when development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 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. Document your . 4. Brittany rated her pain The nurse is reviewing lab data on a pt with sickle cell anemia. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. 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