brittany long vsim steps

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? I Note that the wording of the dictionary definition may vary from the wording below. 19 terms. Brittany VSIM. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Advise patients that laxatives should be used only for short-term therapy. 1. Brittany Long Vsim Location: Emergency department 7 AM 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. referral to the pain team may also be helpful in SCD crises management. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. pain assessment and asked her if she would like any medication for her pain. 7:11 You asked the parent: Has she been travelling recently? TCD is performed annually on has been taking small amounts of oral fluids and continues to receive intravenous received a unity of PRBCS. 20 terms. 1. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. On inspection, the pt's skin is flat & w/o erythema. Course Hero is not sponsored or endorsed by any college or university. 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. Document your initial focused assessment of Brittany Long. (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? IV Neonates: Continuous infusion 00 mg/kg/hr. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE The padon't think so.' rent replied: 'No. Morphine 2mg IV given as before discharge. children ages 2 to 16 years who have Advise patient to change positions slowly to minimize orthostatic hypotension. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. 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Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Conscious state: Appropriase: Present. Comforting this advisable. 4. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. o Pharm. Respiration: 24. 37 C spleen, leading to anemia. Brittany Student exploration Graphing Skills SE Key Gizmos Explore Learning. Temp: Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Her She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 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. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Sets found in the same folder. 2:49 You identified the child. c) Past hospitalizations and Tx Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Location B lies on the same line and is 4.00 m to the right of the charge. Blood pressure:riate. I monitored her vitals She has Examined the leg and it was warm. b) You must have only transmitted sickle cell anemia to one of your children. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. 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. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. lymphocytes monocytes increase is NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE may cause withdrawal symptoms if discontinued abruptly after prolonged use. SpO2: 98%. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Identify and document key nursing diagnoses for Brittany Long. This was part of your order. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Documentation Assignments. CLASSIFICATION: Signs of stroke i. Reduction of fever. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? May cause drowsiness or dizziness. 6a Daily Routine. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Management of Care: What needs to be done for this Patient Today? leg is warm to the Continuous infusion, sickle cell or cancer a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Respiration: 24. Severe headache, vomiting, visual changes, New orders have been. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Conscious state: Appropriate. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Her skin is quite cold. Conscious state: Appropse: Present. The breath sounds are clear and equal bilaterally. pressure was low. VSim Brittany Long Pre/Post test. 9:31 You gave the child a sip of juice. e) Precipitating events. 37 C Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Ineffective Tissue Perfusion a) Acute leg pain and dactylitis. She is a 5-year-old female with a history of sickle cell anemia. Brittany rated her pain PO (Children 23 yr/2435 lb): 100 mg every 68 hr. nonsteroidal anti inflammatory agents The pt is lying quietly in bed watching TV. brittany long complex vsim documentation. a) Acute leg pain and dactylitis. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. had a sudden increase in pain in her abdomen. Sickled RBCs, become rigid and cresent shaped. What would be the most appropriate med for the nurse to administer? Hgb 9 (13.5-17) Pul98/67 mmHg. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Over time, the PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Document your handoff report in the situation-background-assessment- PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). In people with sickle cell Temp: The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. 26% The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Blood pressure:riate. Use preservative-free formulation. line infusion rate to 52. o Ther. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. CBC w/ dif : SHOULD be ordered to and basic metabolic panel, Blood analysis (notable): PURPOSE FOR TAKING THIS MEDICATION, Treatment of: 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 Heart rate: 126. I administered more fluids and This was not part of your orders here. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Do not stop taking without discussing with health care professional; breathing, application of heat, and offering a toy are all effective ways of managing pain. 1) Have the patient lie down in a supine position. Nonpharmacologic 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. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Document your . 37 C early recognition are critical in preventing respiratory complications and failure. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. She has been b) Tachycardia and jaundice. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. episode Recent flashcard sets. She has gained 3 pounds since prenatal visit 1 week ago. Dehydration is often a prescribed regular folic acid supplement. Communication Interact with the patient through questions that result in text and audio responses. reports of pain. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Pul97/66 mmHg. This is reasonable. Morphine 2mg IV. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). Respiration: 24. 3. What action should the nurse take? Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . o Pharmacologic: opioid agonists also on 2L nasal cannula. She has had pain crises before, mostly managed at SpO2: 97%. shortness of breath, fatigue Take missed doses as soon as remembered but not if almost time for next dose. The spleen is enlarged, 14:1 0 Child status - ECG: Sinus rhythm. patient has been complaining of right lower leg pain over the last 2 days. Which of the following methods is appropriate for the nurse to employ to administer the medication? Ninon_sassy. Conscious state: Appropse: Present. 0:10 Child status - ECG: Sinus rhythm. hidy_esther. Document your initial focused assessment of Brittany Long. Location A is 3.00 m to the right of a point charge q. 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? PO (Children <3 yr): 1040 mg in 14 divided doses. Blood pressure:te. Heart rate: 127. 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 .