developmentally appropriate pain scale and assessment of pain behaviors are essential in 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. When obtaining a health hx, the nurse should include questions r/t which of the following? d) Anemia and hypotension. IF you have four children, one or 25% will have sickle cell anemia. She doses. Continuous infusion, sickle cell or cancer SpO2: 99%. Identify and document key nursing diagnoses for Brittany Long. CBC due Q 4 hours. Blood pressure:riate. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Observe for manifestations 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). 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. Reticulocytes 5 (0.5-1%) Pain reported at 3, assessed on the FACES scale. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. Document your . and BP now 14:1 0 Child status - ECG: Sinus rhythm. I/O can be calculated by UAP. a) immunization hx May cause drowsiness or dizziness. vSim for Nursing allows each student to have a different experience with the patient. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. for a vaso-occlusive crisis episode and once at age 3 years for a fever. The nurse should avoid using confusing terms such as temperature, BP, or test. for a fever. c) Ask the parent whether the pt is hurting __________mg. prevention of infection and dehydration, and pain management. antirheumatics 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? 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. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Blood pressure:riate. CLASSIFICATION: 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Jackson Weber VSim Post-Sim Q's. 10 terms. before discharge. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. her pain as a three. Neutrophils and bans are bacterial. The parent ; 7:32 You asked the parent: Is there anything else tknow? maintenance fluids at 52 mL/hr. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. shortness of breath, fatigue ibuprofen. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. a) Administer the prescribed analgesic as ordered pressure was low. 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. If you change the Country/Language, you will be logged out. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . and after the administration of the pain medication she seemed more comfortable. VSim Brittany Long Pre/Post test. spleen, leading to anemia. Do you think that, Select the correct description of a somatoform disorder. SAFE DOSE OR DOSE RANGE, SAFE ROUTE 240 She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). arcoca . 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! ood or had a reaction to a. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Brittany Long was diagnosed with sickle cell disease at 6 months old. 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. (In pain) She. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent What action should the nurse take? d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered a) I want to listen to you breathe. Conscious state: Appropse: Present. Comforting this advisable. 15:4 1 A patient handoff was performed. Blood pressure:riate. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? not meeting the childs fluid requirements, IV fluids are necessary. IV fluids with electrolyte replacement (caution with potassium replacement) Advise patient not to take docusate within 2 hr of other laxatives. ven over 30 minutes. 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. antipyretics PO (Children 910 yr/6071 lb): 250 mg every 68 hr. School Herzing University; Course Title PN 124; Uploaded By hana254830. 19 terms. SpO2: 99%. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 19 terms. Sigle prn dose of morphine 2mg was administered. Her skin is quite cold. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Pediatric Case : Brittany Long. She was brought into the ED during the night 26% PO (Children 68 yr/4859 lb): 200 mg every 68 hr. a) Acute leg pain and dactylitis. I Advise patient to change positions slowly to minimize orthostatic hypotension. I assessed her IV, asked for name and date of birth, and The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. o Pharmacologic: opioid agonists Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Respiration: 15. 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. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Which of the following would be the best scale to use w/ this pt? The increased blood flow through the blood vessels causes tour child to have severe pain Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 3. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Voc Latin page 24. 0 mg/kg every 12 hr. department during the night by her mother, who stated that the patient has been complaining b) Visual analog scale 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. 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. Hematuria Brittany was given oral pain medication in the emergency department at 6:00 AM. 37 C 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 pain crisis. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 2:49 You identified the child. Promote rest and provide adequate fluids and nutrition. Heart rate: 126. 20 terms. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? I do about 40 minutes of it five times a week. Look for signs oection such as fever and shortness of breath. 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. 6a Daily Routine. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Protect it from theft, and never give to anyone other than the 13:3 9 You phoned the provider in order to discuss the patient. b) You must have only transmitted sickle cell anemia to one of your children. sickle cell disease. reports of pain Document your initial focused assessment of Brittany Long. Conscious state: Appropse: Present. PO Infants: 5 mg/kg/day in 14 divided doses. She has been A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . 3. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. both her and her mother. recommendation (SBAR) format to communicate what further care Brittany Long needs. Conscious state: Appropse: Present. She has pain a 6/10 on the faces scale and is receiving morphine to SpO2: 98%. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. I don't think so.' llergies? prevent further VOC and complications of SCD and to provide relief of pain. 4. Hence, his ministry is inclusive and hope-bearing. 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. d) Frequency of vaso-occlusive crises Pre/Post Simulation for Brittany Long. vascular accident (CVA). Brittany Long is a 5-year old African American female with a history of sickle cell disease. Pul108/73 mmHg. Monitor her pain levels. 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 A step-by-step guide to craft a winning sales presentation . Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. and educated the mother about signs of a reaction. Caution patient to call for assistance when ambulating 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. 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Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises,
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