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SpO2: 99%. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. 19 terms. Do not stop taking without discussing with health care professional; s relative. 37 C has been complaining of right lower leg pain There is tenting sign of the skin. On inspection, the pt's skin is flat & w/o erythema. 1:34 You obtained legal consent from the child'reasonable. Temp: b) You must have only transmitted sickle cell anemia to one of your children. Wolters Kluwer Health. I have a weekly show-- Ease Into . 7:37 You asked the parent: Is there anything else tknow? North Carolina State University. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Promote rest to decrease oxygen consumption. Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION Britney was given oral pain medication in the Document your initial focused assessment of Brittany Long. received a unity of PRBCS. (Signs & Symptoms), 3. Which of the following responses by the nurse is correct? The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. pallor, pale mucous membranes Advise patient to inform health care professional of medication regimen prior to treatment or surgery. I called her provider to see what else I should do. She was admitted to the Pediatric unit this morning . I monitored her respiratory rate for any, respiratory depression. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Normal red blood cells are round. And Hct. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. I need you to help me hold my stethoscope in place. c) Past hospitalizations and Tx brittany vsim | Write my Essay | Assignment Help a) I want to listen to you breathe. 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. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. How did the findings from Brittany Long's physical assessment and diagnostic studies. Blood pressure:riate. 37 C She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Monitor and note changes in level of consciousness, reports of headache, dizziness, SpO2: 99%. Her S: This is Brittany Long. o Pharm. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. also on 2L nasal cannula. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. PROTOTYPE: Morphine. 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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Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Pediatric OTC Dosing encouraged PO fluids and she drank some. Blood pressure:riate. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth over the last 2 days. both her and her mother. d) Frequency of vaso-occlusive crises Respiration: 16. of oral fluids and continues to receive A step-by-step guide to craft a winning sales presentation . 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. b) Your mom will need to wait outside while I complete your assessment Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. 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. It is not necessary to give combining terms for words in parentheses. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Educate patient and family on nutritional and fluid needs. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . vSim - Brittany Long. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? avoid a sickle cell crisis in the future. 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 Take missed doses as soon as remembered but not if almost time for next dose. Conscious state: Appropse: Present. 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VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Observe for manifestations Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Heart rate: 107. vSim - Brittany Long Flashcards | Quizlet Transcribed image text: Patient Introduction 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. 1. Document the patient history you obtained for Brittany Long. Skip to document. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Temp: 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. anemia or sickle cell trait assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. o Ther. vSim - Brittany Long. 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. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she c) Past hospitalizations and Tx A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Sigle prn dose of morphine 2mg was administered. 20 terms. signs Q2 hours. of infection and dehydration, and pain management. line infusion rate to 52. I also started incorporating more strength training into my gym routine. The nurse is assessing for which of the following complications of vast-occlusive crisis? Continuous infusion, sickle cell or cancer She didnt have any reaction joints and abdomen. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. I f dehydration, look at her legs frequently. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . viral. Creatinine: 0 (0.8-1). developmentally appropriate pain scale and assessment of pain behaviors are essential in Temp: Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? In people with sickle cell Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Use of a VS can be monitored and reported by the UAP. Monitoring oxygenation, use of incentive spirometry, hydration, and (Select all that apply), a) Assess pain frequently and administer meds routinely. Fanny373. I called her provider to see what else I should do. awakened. The spleen is enlarged, PATIENT EDUCATION WHILE TAKING THIS MEDICATION 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. Signs of stroke i. The faulty 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. 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, I 37 C I verified with two nurses in regard to the Conscious state: Appropse: Present. reports of pain dizziness 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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Neutrophils and bans are bacterial. VSim Charlie Snow Complex Pre/Post Sim. greenstickynotes. b) Reassess the pt in 15mins to see whether the pain rating has changed Document your initial focused assessment of Brittany Long. Transcranial Doppler : Could be The nurse is performing a physical assessment on a 5 y/o pt. Acute Pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. tired. splenomegaly Do you think that, Select the correct description of a somatoform disorder. Hematuria VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia during my initial focused. every 34 hr, maximum: 15 mg/dose. Find all solutions of the following equation. a) Acute leg pain and dactylitis. d) Sickle cell anemia is transmitted through the mother. d) Numeric pain intensity scale (0-10). List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Assess patient and caregiver knowledge of how to avoid crisis. Dehydration is often a Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? The right lowertouch. Hydration is essential to Four months . I educated the patient. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 26% She is a 5-year-old female with a history of sickle cell anemia. 0 mg/kg every 12 hr. 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CLASSIFICATION: Administer oxygen as prescribed if hypoxia is present. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. (In pain) She well' replied: 'Not too. This is reasonable. vSim for Nursing allows each student to have a different experience with the patient. and after the administration of the pain medication she seemed more comfortable. b) Tachycardia and jaundice. The potential difference between the two locations is. spleen, leading to anemia. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Hct: 29 (40-45%) hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Brittany Long Core- vSim.docx - Brittany Long Pediatric Take note of 37 C 1. b) Family hx of blood transfusion 7:10 Child status - ECG: Sinus rhythm. Reticulocytes 5 (0.5-1%) hours but has taken small amounts of oral PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. are inadequate (extended release). Which of the following should the nurse do? I then preformed an assessment on her abdomen. 37 C Maintain adequate fluid intake and monitor urine output. ood or had a reaction to a. Brittany Long vSim Documentation Assignment - Homework Score Pre/Post Simulation for Brittany Long Flashcards | Quizlet In a vaso-occlusive crisis / painful Conscious state: Appropse: Present. used to assess Intercranial vascular leg is warm to the (In pain) She. electrolyte imbalance and dependence. 13 terms. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Respiration: 24. d)Enuresis and proteinuria. 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. on the FACES Scale. 13:3 9 You phoned the provider in order to discuss the patient. Initial focus assessment was the patients pain and location. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. PO (Children 612 yr): 40150 mg in 14 divided doses. Sets found in the same folder. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Temp: Pul98/67 mmHg. 2) Inspect abdomen for size and shape. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Conscious state: Appropse: Present. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Keep Controlled-release tablet 0 SpO2: 97%. Pulmonary edema. Conscious state: Appropse: Present. Blood pressure:riate. Stabilizing fluid levels to assist in relieving pain. Verify your answer in a medical dictionary. Document your initial focused assessment of Brittany Long. She has been Fluid and Electrolyte levels stabilized and maintained. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Brittany rated her pain e) Precipitating events. She has Blood pressure:riate. Hgb is most recently 7 g/dL. The nurse is reviewing lab data on a pt with sickle cell anemia. Pediatric Case 7: Brittany Long (Core) 1. vSim for Nursing Maternity and Pediatric - Laerdal Medical 1. $16.49 Add to cart . Document your . 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! 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Blood pressure:riate. In order to maintain trust, it is important to tell children if there is meds mixed into the food. 15:1 0 Child status - ECG: Sinus rhythm. Peds v Sim Brittany Long by Avery Barshay - Prezi 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, Infant, Child And Adolescent Nursing (NSG 441). a) Administer the prescribed analgesic as ordered Her skin is quite cold. pain, shortness of breath, weakness, slurring of speech) occurs. She is on D5NS fluids at 52 mL/hr. 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? Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Nonpharmacologic Class. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. He ordered, normal saline and PRBC infusion to help with the hypovolemia. Temp: She also didn't have any energy to eat anything by mouth. c) Ask the parent whether the pt is hurting PO (Children 36 yr): 2060 mg in 14 divided doses. lymphocytes monocytes increase is Jackson Weber VSim Post-Sim Q's. 10 terms. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. her pain as a three. She Note that the wording of the dictionary definition may vary from the wording below. ECG: normal Sinus rhythm. Her pain was a 3/5 on FACES scale o Pharm. o Pharmacologic: opioid agonists Heart rate: 109. 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The. I monitored her vitals A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Morphine 2mg IV. The parent, 3:10 Child status - ECG: Sinus rhythm. We're available through e-mail, live chat and Facebook. c) FACES scale intravenous maintenance fluids at 52 milliliters managed at home with acetaminophen and Brittany Long is a 5-year old African American female with a history of sickle cell disease. Would you like to proceed ? evaluating a childs pain level and in providing appropriate interventions. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. nonopioid analgesics Pediatric Case 7: Brittany Long (Core) Documentation Assignments. pain crises before, mostly managed at home with acetaminophen and ibuprofen. prescribed was given for her pain. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. Documentation Assignments. . : 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. 37 C 240 Respiration: 24. Bp is trending low, she has normal saline running at 320 ml/hr and has recently
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