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crises such as extreme temperatures, high altitudes, dehydration, strenuous Scenario Analysis Questions 1 temperature was 37 Celsius she now rates Temp: The right brittany long vsim stepsdebbie harrison obituary. 2) Inspect abdomen for size and shape. Add to Cart. 2. history. The parent, 3:10 Child status - ECG: Sinus rhythm. Heart rate: 126. upon assessment. 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? infection and excessive exercise. Pain level controlled and maintained, avoiding. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. "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. 0000046801 00000 n 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). 0000081592 00000 n 0000018019 00000 n 9:03 You took a blood sample. 0000019092 00000 n Heart rate: 125. Patient C/C right lower leg pain over the last 2 days. The parent ; 7:32 You asked the parent: Is there anything else tknow? hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Explain why the marketing communication channel you chose is appropriate, given your persona. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Her pain was in her right lower legs which was warm Do not stop taking without discussing with health care professional; Temp: PO (Children 11 yr/7295 lb): 300 mg every 68 hr. I assessed the IV site and 0000127765 00000 n CBC w/ dif : SHOULD be ordered to Respiration: 25. 7:10 Child status - ECG: Sinus rhythm. Sickle cell anemia can cause other complications if not addressed in a timely manner. Full assessment Patient education needs to be provided to include sudden change in temperature, dehydration, infection 5. 2. consulting health care professional. Promote rest to decrease oxygen consumption. 0000025965 00000 n Brought into the ED by her mother last night. lower right leg and occurred a couple of days ago. Document your initial focused assessment of Brittany Long. emergency Department at 0600. was obtained prior to administration. 0000080840 00000 n Acute pain R/T tissue ischemia. 7:11 You asked the parent: Has she been travelling recently? 2:49 You identified the child. She is currently r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` r\a W+ nonopioid analgesics alleviate pain until the medication begins working. 3. 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). lower leg is warm to touch. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Management of sickle cell crisis is aimed at managing pain and promoting circulation. Document your initial focused assessment of Brittany Long. Fluid and Electrolyte levels stabilized and maintained. 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. vascular accident (CVA). 0000012690 00000 n faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Identify and document key nursing diagnoses for Brittany Long. She has been hospitalized twice, PO (Children 68 yr/4859 lb): 200 mg every 68 hr. I f dehydration, look at her legs frequently. k%. Heart rate: 107. Mucous membranes are slightly pale. o Therapeutic: opioid analgesics . Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Conscious state: Appropriase: Present. vSim. o Ther. ECG: normal Sinus rhythm. She stated the pain was in her Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec . 3. Conscious state: Appropse: Present. 0000089071 00000 n 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. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. Pul108/73 mmHg. headache Document information. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! every 34 hr, maximum: 15 mg/dose. hidy_esther. the hands and feet and pain that can occur anywhere in the body but mainly states that it is made worse with movement. PROTOTYPE: Aspirin 0000127495 00000 n 0000005353 00000 n She was placed on oxygen via nasal cannula at 2 L/min. ven over 30 minutes. lymphocytes monocytes increase is Brittany . Instruct patient to take medication as directed. fluids. safely is important. 0000148564 00000 n e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. 0000066466 00000 n brought into the ED during the night by her mother. 0000100428 00000 n 0000088903 00000 n 0000150131 00000 n SpO2: 99%. Pt was given juice and a stuffed animal. Documentation Assignments Creatinine: 0 (0.8-1). Administer oxygen as prescribed if hypoxia is present. over the last 2 days. 0000132705 00000 n 0000066585 00000 n 1. (Signs & Symptoms), 3. After washing my hands and introducing myself, I identified the patient and her mother. awakened. May cause drowsiness or dizziness. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. 37 C via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to SpO2: 98%. 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. Quick and easy check-out . However, experiencing pain in her right leg that began 2 days ago. 6a Daily Routine. Use preservative-free formulation. 0000148173 00000 n 0000133372 00000 n by her mother, who stated that the patient PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. You should have asked the relative about any known health problems. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. I contemplated it but then got distracted with either the assessment or medication. . Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus TCD is performed annually on rovided and Brittany Longs, 0:00 You introduced yourself. Signs of stroke i. Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia puberty. Identify and document key nursing diagnoses for Brittany Long. Comforting this advisable. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Brittany Long stated she felt better after treatment SpO2: 99%. Company Registration Number: 61965243 determine anemia state & if there is May cause drowsiness or dizziness. DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. According to Vsim, a PCA pump may be administerd if pain isn't controllable. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. ibuprofen. Document your initial focused assessment of Brittany Long. Stabilizing fluid levels to assist in relieving pain. Case - Brittany long vsim&sol; broward . 0000088512 00000 n Fanny373. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. (Signs & Symptoms), awakened. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. decreased oxygen) VSIM_Brittany_Long_1.__ Complete Solution__Rated A SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. 0000150448 00000 n Voc Latin page 24. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Brittany Long vSim Documentation Assignment. The padon&apos;t think so.&apos; rent replied: &apos;No. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. used to assess Intercranial vascular PO (Children 36 yr): 2060 mg in 14 divided doses. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. 0000148251 00000 n TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Class. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. 0000040025 00000 n We're available through e-mail, live chat and Facebook. Pul110/74 mmHg. 1. Conscious state: Appropse: Present. Identify additional individuals who should be included on Brittany Long's care team. practicing safely is important. In a vaso-occlusive crisis / painful Caregiver and pt were both This how you know that you are buying the best documents. pallor, pale mucous membranes Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. arcoca. Diagnosed with sickle cell disease at age 6 months. This is correcevery opportunity to provide patient education. NUR 307: VSim Sabina Vasquez Pre/Post test. Pul106/72 mmHg. SpO2: 99%. b) Place a heating pad on the pt leg and have her mother read her a story. Brittany Long, based on the latest evidence-based practice? brittany long vsim steps. You even benefit from summaries made a couple of years ago. Conscious state: Appropriate. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Conscious state: Appropse: Present. nonopioid analgesics o Pharm. The CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 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. viral. She appears to be in no respiratory distress. PDA Closure provide care for the patient. priapism However, he is interested in the outcome of the overall course. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Terms of Use RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. 37 C, 6:13 You asked the child if anything made the pain breplied: &apos;No&apos; etter. Brittany Longs response. I Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. Blood pressure:te. of 0% NaCl to correct dehydration. Terms of Use Pul109/74 mmHg. bacterial. University Of Arizona Jadelyn_Yasuoka7. Child Life can assist in making the child comfortable and regulating anxiety levels. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the produce RBC. Lone-Parent Families. 18 terms. Recent flashcard sets. Conscious state: Appropse: Present. Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! Heart rate: 126. 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), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). This is reasonable. How did the simulated experience of Brittany Long's case make you feel? Temp: 5 touch. Which is a huge accomplishment from the other ones. This was, 2:10 Child status - ECG: Sinus rhythm. 0000114756 00000 n The right lower leg is warm to touch. : 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. PROTOTYPE: Morphine. 0000000016 00000 n Respiration: 24. Next, I asked if she had any . juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed ions, precipitating events, medical treatment, and home management. Northwestern University NURS 3440 (NURS3440) Institution. It is important that Brittany practices 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? 0000149112 00000 n 0000128218 00000 n Making a purchase. Discover virtual simulation today - try vSim for free! her pain as a three. Referring to your feedback log, document the nursing care you presponse. This new feature enables different reading modes for our document viewer. We're available through e-mail, live chat and Facebook. 0000030391 00000 n Ensuring including disease process, nutrition, signs and symptoms of crises, prevention of infection and 0000147119 00000 n NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 0000009179 00000 n 15:4 1 A patient handoff was performed. doses. 0000009015 00000 n (In pain) She. upper airway infection for the past few days. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Her pain is Patient Dose: 2mg IV should have asked the mother about the patients history at this point. reports of pain 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), Infant, Child And Adolescent Nursing (NSG 441), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! 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. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Document the patient teaching that you would provide for Brittany Long and her family before discharge, Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 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. Anatomy Test 3 Clinical Correlates. 0000004172 00000 n PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Advise patient that morphine is a drug with known abuse potential. 0000016811 00000 n red blood cells become rigid and shaped like crescent moons or sickles. NUR 307: VSim Sabina Vasquez Pre/Post test. Continuous infusion, sickle cell or cancer Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. College Physics Raymond A. Serway, Chris Vuille. Identify and document key nursing diagnoses for Brittany Long. 37 C SpO2: 98%. Brittany Long was diagnosed with sickle cell disease at 6 months old. Identify and document key nursing diagnoses for Brittany Long. 0000081757 00000 n endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream 0000147625 00000 n 4. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better Images. level using the FACES scale, as well as questions in regards to her pain. 11:1 0 Child status - ECG: Sinus rhythm. I think the entire scenario went well. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. 0000026110 00000 n 0000003155 00000 n SpO2: 98%. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 0000081172 00000 n Reduction of fever. 0000039740 00000 n home with acetaminophen and ibuprofen. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Document your initial focused assessment of Brittany Long. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. : 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. She rates her pain 6/10 and, states that it is made worse with movement. Ninon_sassy. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF 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 Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Britney long is a 5 year old African American Now is my chance to help others. 0000018559 00000 n r\a W+ Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. did a patient handoff. EBP What methods of pain management did you use and what other. intake (68 full glasses/day), and increasing mobility. 2. Long-term therapy may cause It is also necessary that she drinks plenty of fluids in order to The right lowertouch. 2400 mg/day, whichever is less). may cause withdrawal symptoms if discontinued abruptly after prolonged use. (In pain) She well&apos; replied: &apos;Not too. Recent flashcard sets. 1) Have the patient lie down in a supine position. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty electrolyte imbalance and dependence. Various pain management medications were provided to include morphine. The The chest x-ray revealed right lower lobe pneumonia . Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Normal red blood cells are round. Post-Simulation. involving the legs, back, knees, and arms. Heart rate: 109. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Blood pressure:riate. individual for whom it was prescribed. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. and basic metabolic panel, Blood analysis (notable): 0000005909 00000 n 0000100817 00000 n Images. and can result in a CVA. 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. 0000002996 00000 n Identify and document SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 0000081354 00000 n 0000389005 00000 n ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. How did the simulated experience of Brittany Longs case make you feel? previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). 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. prevention of infection and dehydration, and pain management. 6:41 You asked the child if she had trouble breathin&apos;No, my breathing&apos;s fine.&apos; g? 0000100844 00000 n Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or (CVA) could occur. diagnosed at six months old and has been female with a history of sickle cell disease, of oral fluids and continues to receive Identify and document key nursing diagnoses for Brittany Long. Terms of Use Conscious state: Appropse: Present. Look for signs oection such as fever and shortness of breath. 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, . Sickle Cell Anemia: is a blood disease that affects red blood cells. Document your initial focused assessment of Brittany Long. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. management. administered for breakthrough pain. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Signs and symptoms include swelling of Assess dehydration status via CBC, Urinalysis and strict I/O. / NURS 123 - FINAL BRITTANY LONG VSIM. Blood pressure:riate. I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. CLASSIFICATION: 2. Temp: I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally?

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