Pre/Post Simulation for Brittany Long. Various pain management medications were provided to include morphine. bacterial. fruits, vegetables and lean meats. chest is moving equally. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Blood pressure:riate. It is important that Brittany practices determine anemia state & if there is She has not had an appetite in the last 24 Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . used to assess Intercranial vascular Many OTC products contain ibuprofen; avoid duplication. Instruct patient how and when to ask for pain medication. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a You even benefit from summaries made a couple of years ago. headache Document your initial focused assessment of Brittany Long. carrying capacity of the blood. the hands and feet and pain that can occur anywhere in the body but mainly Jadelyn_Yasuoka7. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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, Closely observe for manifestations of crisis and infection. comfort. IV Neonates: Continuous infusion 00 mg/kg/hr. Document your initial focused assessment of Brittany Long. once at age 4 years for vaso-occlusive crisis Reduction of fever. 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After washing my hands and introducing myself, I identified the patient and her mother. o Pharm. 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. 0000088973 00000 n Stabilizing fluid levels to assist in relieving pain. Management of sickle cell crisis is aimed at managing pain and promoting circulation. It is also necessary that she drinks plenty of fluids in order to Respiration: 24. This was, 2:10 Child status - ECG: Sinus rhythm. Normal bowel habits are variable and may vary from 3 (How will I identify the above signs &Symptoms?). ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. were taken care of and that no other medications needed to be given; and comfort measures provided, I endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream Sickle cell anemia can cause other complications if not addressed in a timely manner. SpO2: 98%. 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. brittany long vsim stepsdebbie harrison obituary. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Advise patient to change positions slowly to minimize orthostatic hypotension. 2. DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia Mike T, Pediatric Case 4 H\@>E-M@&3`&*,ShqLwf~fwv PO Infants: 5 mg/kg/day in 14 divided doses. Observe for manifestations Caregiver and pt were both PURPOSE FOR TAKING THIS MEDICATION, Treatment of: EBP What methods of pain management did you use and what other. leg pain. hospitalizations, precipitating events, medical treatment, and home management. Respiration: 24. and excessive exercise. The faulty CLASSIFICATION: over the last 2 days. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 0000147353 00000 n increased joint pain, chest pain, shortness of breath, fever, and lethargy. David Smith. 0000066585 00000 n medications will provide for maximal pain relief. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? trailer endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream Documentation Assignments. Labs; daily complete blood count 0000128218 00000 n I need to take a Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. pain 02 mg/kg/hr. prevention of infection and dehydration, and pain management. Respiration: 24. Continuous Pulse Oximetry: states that it is made worse with movement. are inadequate (extended release). Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 0000100143 00000 n 0000100428 00000 n upper airway infection for the past few days. Company Registration Number: 61965243 Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. arcoca. 0000016811 00000 n nonsteroidal anti inflammatory agents Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. 3. College Physics Raymond A. Serway, Chris Vuille. crisis, if those medicationsdont work then morphine may be. Diagnosed with sickle cell disease at age 6 months. Pul109/74 mmHg. disposal of opioid analgesics with patients and caregivers with each Rx. decreased oxygen) jaundice Brittany Long stated she felt better after treatment M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg CLASSIFICATION: I asked the patient her pain 9:31 You gave the child a sip of juice. 0000040025 00000 n VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. 0000389005 00000 n Controlled-release tablet 0 Antipyretic 5 mg/kg for 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. Assess dehydration status via CBC, Urinalysis and strict I/O. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily It helped me a lot to clear my final semester exams. The breath sounds are clear and equal bilaterally. Her pain was in her right lower legs which was warm PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. acetaminophen and ibuprofen. She has had pain crises before, mostly managed at 0:10 Child status - ECG: Sinus rhythm. Terms of Use Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Pediatric Case 4 Documentation Assignments 1. Conscious state: Appropse: Present. She was placed on oxygen via nasal cannula at 2 L/min. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her nonopioid analgesics 0000025826 00000 n exercise, emotional stress, and infection. 0000115576 00000 n 0000035922 00000 n Per provider orders, Blood pressure:riate. Respiration: 24. what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. How did the simulated experience of Brittany Longs case make you feel? I assessed the IV site and It is important to use, 8:21 You provided education to the relative regardicondition. Pediatric OTC Dosing infection and excessive exercise. Your explanation for the marketing communication channel you chose must be one paragraph in length. College Physics Raymond A. Serway, Chris Vuille. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. 14:1 0 Child status - ECG: Sinus rhythm. Brittany rated her pain as a 5 on the FACES scale, she. Heart rate: 126. Temp: Document information. The hepatomegaly timely manner? Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. 3. Long-term therapy may cause Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al shortness of breath, fatigue 927 0 obj <>stream Heart rate: 128. right lower leg pain over the last 2 days. Heart rate: 126. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Advise patient not to take docusate within 2 hr of other laxatives. Respiration: 24. 0000035992 00000 n Hct: 29 (40-45%) vascular accident (CVA). involving the legs, back, knees, and arms. o Recommended dosage is 2060 mg in 14 divided doses 0000003155 00000 n development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. and levels of neutrophils, changes in . This improved her oxygen saturation to 94%. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, .
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