point that the tissues become deprived of oxygen. 0000143162 00000 n She appears to be in no respiratory distress. joints and abdomen. over the last 2 days. Britney rated her pain as a 5 on the faces Referring to your feedback log, document the nursing care you provided and Brittany Long's response. (In pain) She well&apos; replied: &apos;Not too. 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. reports of pain Acute: (related to dehydration 4. Temp: 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) her blood pressure was 101 / 70 and her nonsteroidal anti inflammatory agents assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. episode 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. She rates her pain 6/10 and, states that it is made worse with movement. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. provide care for the patient. How did the simulated experience of Brittany Long's case make you feel? Monitor O2 saturation levels emergency Department at 0600. SpO2: 98%. &apos;A few days.&apos; (In pain) She replied: 6:32 You asked the child how she felt. The. The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? managed to get a 97% without having to retake it! There are certain triggers for Making a purchase. brought into the ED during the night by her mother. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. ECG: normal Sinus rhythm. electrolyte imbalance and dependence. level using the FACES scale, as well as questions in regards to her pain. Brittany rated her pain as a 5 on the FACES scale, she. medications will provide for maximal pain relief. Jackson Weber VSim Post-Sim Q's. 10 terms. Her pain is usually well managed with Identify and document Quick and easy check-out . Pain level controlled and maintained, avoiding. Conscious state: Appropse: Present. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Swollen joints, hands and feet 7:37 You asked the parent: Is there anything else tknow? By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. 4. Mucous membranes are slightly pale. Document your initial focused assessment of Brittany Long. Blood pressure:riate. Brittany Long was diagnosed with sickle cell disease at 6 months old. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? o Pharm. (Signs & Symptoms), 3. regular heart sounds without murmurs. once at age 4 years for vaso-occlusive crisis A healthy diet and Skin is cool and appears ashen with normal elasticity. She stated the pain was in her PO (Children 36 yr): 2060 mg in 14 divided doses. Management of sickle cell crisis is aimed at managing pain and promoting circulation. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 13 terms. education. active lifestyle (with moderation) is able to provide good home care as well. Blood pressure:riate. Respiration: 24. 0000039740 00000 n what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . hA 04F\GcC~` ^ ven over 30 minutes. 0000081662 00000 n fluids. slurred speech, What Assessments will focus on for this patient? previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). Documentation Assignments. Reduction of fever. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. She was. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 0000128218 00000 n fruits, vegetables and lean meats. upper airway infection for the past few days. (Signs & Symptoms), awakened. H\@>E-M@&3`&*,ShqLwf~fwv PO (Children 23 yr/2435 lb): 100 mg every 68 hr. SAFE DOSE OR DOSE RANGE, SAFE ROUTE I asked the patient her pain Promote rest to decrease oxygen consumption. Brittany Long vSim Documentation Assignment. produce RBC. Heart rate: 107. 37 C Lone-Parent Families. 37 C She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining 10:1 0 Child status - ECG: Sinus rhythm. common. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Upto date with . The sickled red blood cells are less pliable and more viscous- making vaso-occlusion Pediatric OTC Dosing ood or had a reaction to a. alleviate pain until the medication begins working. She was brought into the ED during the night Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. 0000003155 00000 n S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. were taken care of and that no other medications needed to be given; and comfort measures provided, I Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. I think the entire scenario went well. 0000127495 00000 n Documentation Assignments. 0000019119 00000 n Pul106/73 mmHg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. CLASSIFICATION: 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 takes regular folic acid supplement as prescribed. Conscious state: Appropse: Present. 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. prevention of infection and dehydration, and pain management. Conscious state: Appropriase: Present. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. priapism pain crises, hospitalizations, precipitating events, medical treatment, and home anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Pul108/73 mmHg. 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. Identify and document key nursing diagnoses for Brittany Long. 37 C You should have asked the relative about any known health problems. Scenario Analysis Questions 1 Caution patient to call for assistance when ambulating Document the patient history you obtained for Brittany Long, including previous 0000147353 00000 n Controlled-release tablet 0 0000022380 00000 n Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Advise patient not to take docusate within 2 hr of other laxatives. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! 37 C 34 hr initially. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. 0000003910 00000 n Identify and document key nursing diagnoses for Brittany Long. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! on vaccinations. used to assess Intercranial vascular M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Pul109/74 mmHg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Heart rate: 127. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Continuous infusion, sickle cell or cancer ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. I need to take a Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Britney was given oral pain medication in the What are you on alert for with this patient? comfort measures to the young girl. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 11:1 0 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. 7:11 You asked the parent: Has she been travelling recently? involving the legs, back, knees, and arms. I PROTOTYPE: Morphine. X SAFE DOSAGE We're available through e-mail, live chat and Facebook. Acute pain r/t tissue hypoxia (3 out of 5 on FACES scale). Medications administered as ordered k%. Images. 0000066698 00000 n Temp: I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. Company Registration Number: 61965243 Abdominal pain acetaminophen and ibuprofen. Heart rate: 109. Patient Dose: 2mg IV Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 0000018019 00000 n Instruct patient to take medication as directed. Use preservative-free formulation. The right lowertouch. Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h consulting health care professional. From vSim for Nursing | Pediatric. 0000025826 00000 n Respiration: 24. 2. This was not part of your orders here. home with acetaminophen and ibuprofen. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Terms of Use Referring to your feedback log, document the nursing care you provided and Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Company Registration Number: 61965243 Devry University According to Vsim, a PCA pump may be administerd if pain isn't controllable. Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Course Hero is not sponsored or endorsed by any college or university. antipyretics 0000148173 00000 n Sigle prn dose of morphine 2mg was administered. . Liberty University Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus Comforting this advisable. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). by her mother, who stated that the patient Conscious state: Appropriate. jaundice If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident 9:10 Child status - ECG: Sinus rhythm. Obstructive jaundice 0000036159 00000 n b) Place a heating pad on the pt leg and have her mother read her a story. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Signs and symptoms include swelling of 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? She is currently Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). antirheumatics and excessive exercise. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. ions, precipitating events, medical treatment, and home management. We also provided fluids 0000150448 00000 n I/O can be calculated by UAP. 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? scale and did not want anyone to touch her PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Normal red blood cells are round. and levels of neutrophils, changes in Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. 13:3 9 You phoned the provider in order to discuss the patient. Normal red blood cells are round. pallor, pale mucous membranes I should have been more ambitious and asked about the patients VSim Brittany Long Pre/Post test. family before discharge, including disease process, nutrition, signs and symptoms PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Caregiver and pt were both realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Pul109/74 mmHg. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Labs; daily complete blood count leg during assessment. Sets found in the same folder. 4. increased joint pain, chest pain, shortness of breath, fever, and lethargy. breathing (dyspnea), headache, dizziness, and acute pain. Take note of Do not stop taking without discussing with health care professional; TCD is performed annually on Voc Latin page 24. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? . pain/warmth on her lower right leg. headache 0000127765 00000 n 0000426303 00000 n pain, shortness of breath, weakness, slurring of speech) occurs. This is correcevery opportunity to provide patient education. 0000100143 00000 n Documentation Assignments Pediatric Case : Brittany Long. Lastly, death is always the 0000046801 00000 n Class. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . : 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. Guided Reflection. 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 assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Child Life can assist in making the child comfortable and regulating anxiety levels. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Blood pressure:riate. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Case - Brittany long vsim&sol; broward . Identify and document key nursing diagnoses for Brittany Long. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer She was placed on oxygen via nasal cannula at 2 L/min. 6. In a vaso-occlusive crisis / painful David Smith. Document your initial focused assessment of Brittany Long. Her pain is 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. She was prescribed and given 2 mg of IV morphine to support pain, in which consent PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. 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NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. VSIM_Brittany_Long_1.__ Complete Solution__Rated A Document your initial focused assessment of Brittany Long. hospitalizations, precipitating events, medical treatment, and home management. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec . She has been hospitalized twice, V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. episode and once at age 3 years for a fever. Quiz. 3. Temp: PO (Children 910 yr/6071 lb): 250 mg every 68 hr. SpO2: 99%. Management of Care: What needs to be done for this Patient Today? Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). 0000016678 00000 n 0000088278 00000 n line infusion rate to 52. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. The right lower leg is warm to touch. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? Respiration: 25. All vital signs were normal other than the beats per minute. 0000009179 00000 n CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. I was able to fill out most of the table (hopefully its correct).