brittany long vsim steps
She was admitted to the Pediatric unit this morning . 37 C Pul110/74 mmHg. Blood pressure:riate. c) Past hospitalizations and Tx SpO2: 99%. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. hhulsey6. Pain management by evidence of pain in right lower leg evaluating a childs pain level and in providing appropriate interventions. Conscious state: Appropse: Present. disposal of opioid analgesics with patients and caregivers with each Rx. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily consulting health care professional. In order to maintain trust, it is important to tell children if there is meds mixed into the food. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Keep a) immunization hx critical, particularly in young children, whose fluid stores are rapidly depleted. her pain as a three. ECG: normal Sinus rhythm. d) Numeric pain intensity scale (0-10). Which of the following explanations b the nurse is correct? North Carolina State University. Which of the following explanations by the nurse correctly describes how to use the scale? Brittany rated her pain Respiration: 24. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 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. Making a purchase. Respiration: 24. c) FACES scale Location B lies on the same line and is 4.00 m to the right of the charge. Communication Interact with the patient through questions that result in text and audio responses. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Which of the following would be the best response by the nurse? Jackson Weber VSim Post-Sim Q's. 10 terms. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Blood pressure:te. The safe dosage range for children is 10 to 15 mg/kg/dose. arcoca. She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. Her pulse measured 160bpm, her respirations were 34, and her blood Protect it from theft, and never give to anyone other than the care professional if symptoms persist or worsen. Temp: 18 terms. Abdominal pain 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 Britney rated her pain as a 5 on the faces I a) Place med in an oral syringe and allow the pt to squirt into his or her mouth To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: a left (bacterial) or right shift (viral) Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Conscious state: Appropriase: Present. ibuprofen. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. Heart rate: 127. SpO2: 98%. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered recommendation (SBAR) format to communicate what further care Brittany Long needs. 37 C therapies are essential for children and offer them comfort and security. 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. o Recommended dosage is 2060 mg in 14 divided doses b) Family hx of blood transfusion Which of the following responses by the nurse is correct? TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Heart rate: 127. c) tachycardia and jaundice Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. 240 anemia or sickle cell trait Her pain was a 3/5 on FACES scale (Signs & Symptoms), awakened. She is a 5-year-old female with a history of sickle cell anemia. DramaQueen66. Recommendation: Educate the patient and family about the importance of hydration Class. Respiration: 24. PDA Closure 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Respiration: 24. B: She came in with right lower leg pain, and that has since been stabilized, but she has I would educate the mother about possible signs of infwould have them monitor her for swelling. d)Enuresis and proteinuria. Neutrophils and bans are bacterial. 9:03 You took a blood sample. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Patients who are immobile are at greater Pul97/66 mmHg. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. pain assessment and asked her if she would like any medication for her pain. abdomen is generally tender. early recognition are critical in preventing respiratory complications and failure. I need you to help me hold my stethoscope in place. The nurse is reviewing lab data on a pt with sickle cell anemia. Pul110/74 mmHg. Naltrexone: -opioid receptor antagonist that reduces the. The child looked slightly electrolyte imbalance and dependence. Respiration: 24. There is tenting sign of the skin. 9:10 Child status - ECG: Sinus rhythm. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . hepatomegaly determine anemia state & if there is (Select all that apply), a) Assess pain frequently and administer meds routinely. Respiration: 24. b) Reassess the pt in 15mins to see whether the pain rating has changed Pediatric OTC Dosing 9:31 You gave the child a sip of juice. Pul98/67 mmHg. This is correcevery opportunity to provide patient education. Do not double School Herzing University; Course Title PN 124; Uploaded By hana254830. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." PO (Children 11 yr/7295 lb): 300 mg every 68 hr. She is asleep but is responsive when awakened. spleen, leading to anemia. Hypertension and tachycardia are often associated with acute pain. 7:37 You asked the parent: Is there anything else tknow? Hct: 29 (40-45%) He ordered Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Respiration: 16. of right lower leg pain over the last 2 days. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. faces scale. Pul110/74 mmHg. Obstructive jaundice Advise patient that morphine is a drug with known abuse potential. emergency Department at 0600. rovided and Brittany Longs, 0:00 You introduced yourself. hours but has taken small amounts of oral Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. risk for this complication. 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). The parent replied: 'No. 13:2 3 You examined the child's legs. Recent flashcard sets . in her right lower legs. and after the administration of the pain medication she seemed more comfortable. Document your . You should have identified the relative, ng the child's before providing What would be the most appropriate med for the nurse to administer? 2. 2. 19 terms. 2:49 You identified the child. Verify your answer in a medical dictionary. Brittany VSIM. Patient Dose: 2mg IV Initial focus assessment was the patients pain and location. Student exploration Graphing Skills SE Key Gizmos Explore Learning. The nursing care for Brittany Long began with obtaining a set of vitals. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Swollen joints, hands and feet These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . 19 terms. 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 VSim Charlie Snow Complex Pre/Post Sim. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Creatinine: 0 (0.8-1). Heart rate: 126. Signs of stroke i. nonsteroidal anti inflammatory agents Pennsylvania College of Technology. If you change the Country/Language, you will be logged out. Her skin is quite cold. o Pharmacologic: opioid agonists (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). o Ther. Location A is 3.00 m to the right of a point charge q. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PATIENT EDUCATION WHILE TAKING THIS MEDICATION hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Children should never be force to change into a gown. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). When examined this morning, her blood pressure was 101/ I educated the pati, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! She has had pain crises before, mostly The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. Examined the leg and it was warm. intravenous maintenance fluids at 52 milliliters e) Precipitating events. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. 6a Daily Routine. Course Hero is not sponsored or endorsed by any college or university. CBC w/ dif : SHOULD be ordered to May cause drowsiness or dizziness. 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). Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . 37 C Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Document your handoff report in the situation-background-assessment- A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Pain reported at 3, assessed on the FACES scale. precipitating factor in sickle cell crises. Normal red blood cells are round. a) FLACC scale respiratory depression. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Identify and document key nursing diagnoses for Brittany Long. Jackson Weber VSim Post-Sim Q's. 10 terms. Conscious state: Appropse: Present. I would also educate on the importance Conscious state: Appropse: Present. 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. red blood cells become rigid and shaped like crescent moons or sickles. 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, Heart rate: 107. Manage her pain at home with acetaminophen and drink plenty of fluids. Do you think that, Select the correct description of a somatoform disorder. managed at home with acetaminophen and 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 . Skip to document. Family history of sickle cell brittany long complex vsim documentation. Caution patient to call for assistance when ambulating For the latest news, offers and ideas, sign up to our newsletter. PROTOTYPE: Morphine. 10:1 0 Child status - ECG: Sinus rhythm. individual for whom it was prescribed. Pul109/74 mmHg. line infusion rate to 52. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? both her and her mother. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Document your initial focused assessment of Brittany Long. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). New orders have been What are you on alert for with this patient? d) decreased hgb, increased platelet, greatly elevated reticulocyte. Take missed doses as soon as remembered but not if almost time for next dose. Heart rate: 126. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. 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 hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). had a sudden increase in pain in her abdomen. Pre/Post Simulation for Brittany Long. PATIENT EDUCATION WHILE TAKING THIS MEDICATION From vSim for Nursing | Pediatric. c) Enuresis and proteinuria. (SBAR) format to communicate what further care Brittany Long needs. used to assess Intercranial vascular proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Document your initial focused assessment of Brittany Long. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. What is the magnitude and sign of the charge? Which of the following should the nurse do? (Clinical slides 02.02) doses. greenstickynotes. Hydration is essential to 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. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. On inspection, the pt's skin is flat & w/o erythema. 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. Place the steps of an abdominal assessment in order. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer a) immunization hx 7:10 Child status - ECG: Sinus rhythm. Conscious state: Appropriate. of oral fluids and continues to receive episode and once at age 3 years for a fever. Documentation Assignments. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . (How will I identify the above signs &Symptoms?). nonopioid analgesics Heart rate: 125. 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). In people with sickle cell Morphine 2mg IV. . diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Sickled RBCs, become rigid and cresent shaped. a) I want to listen to you breathe. decreased oxygen) Heart rate: 125. X SAFE DOSAGE Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 6:22 You asked the child how long she had pain for. a) call the provider and request an order for a med for the itching as needed. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 37 C Acute Pain Conscious state: Appropse: Present. Severe headache, vomiting, visual changes, Referring to your feedback log, document the nursing care you presponse. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. I don't think so.' llergies? . PO (Children 45 yr/3647 lb): 150 mg every 68 hr. 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. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. brought into the emergency department during the night by her mother, who stated that the You should have asked the relative about any known health problems. I do about 40 minutes of it five times a week. o Pharm. Blood pressure:riate. bacterial. Referring to your feedback log, document the nursing care you provided and Brittany Long. blood and then administered it. Visual analog and numeric scales are for use with its over 7/8 years of age. CBC due Q 4 hours. Advise patient to change positions slowly to minimize orthostatic hypotension. 15:1 0 Child status - ECG: Sinus rhythm. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Your other child definitely carries the trait She now rates her pain as a 3. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. A heart rate of 86 bpm and temperature of 37.0C are normal findings. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. reports of pain Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. Hence, his ministry is inclusive and hope-bearing. closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 NS and PRBCs. Pain level controlled and maintained, avoiding. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . d) Frequency of vaso-occlusive crises avoid a sickle cell crisis in the future. Instruct patient to take medication as directed. has been complaining of right lower leg pain S: This is Brittany Long. 0:10 Child status - ECG: Sinus rhythm. hidy_esther. 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. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Use preservative-free formulation. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). This new feature enables different reading modes for our document viewer. She has pain a 6/10 on the faces scale and is receiving morphine to by her mother, who stated that the patient Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Sigle prn dose of morphine 2mg was administered. (In pain) She well' replied: 'Not too. A step-by-step guide to craft a winning sales presentation .
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