Girls to Schoolbrittany long vsim steps
diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Continuous infusion, sickle cell or cancer Take missed doses as soon as remembered but not if almost time for next dose. A heart rate of 86 bpm and temperature of 37.0C are normal findings. As blood flow is impaired by sickled cells, vasospasm occurs, further. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. prescribed was given for her pain. Swollen joints, hands and feet 19 terms. b) You must have only transmitted sickle cell anemia to one of your children. Place the steps of an abdominal assessment in order. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . SpO2: 99%. spleen, leading to anemia. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. 37 C both her and her mother. VSim Sabina Vasquez Pre/Post test. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily joints and abdomen. Any orders or recommendations you may have for this patient. Hct: 29 (40-45%) c) tachycardia and jaundice Creatinine: 0 (0.8-1). and is 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. Severe pain, usually in bones This was part of your order. Look for signs oection such as fever and shortness of breath. tired. 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 . 37 C The patient was diagnosed with sickle cell anemia and was in a 2400 mg/day, whichever is less). SpO2: 99%. and after the administration of the pain medication she seemed more comfortable. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. IV fluids with electrolyte replacement (caution with potassium replacement) 9:31 You gave the child a sip of juice. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. Do not stop taking without discussing with health care professional; She has pain a 6/10 on the faces scale and is receiving morphine to of hypervolemia and transfusion reaction. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. 19 terms. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 14:1 0 Child status - ECG: Sinus rhythm. Her Patient Dose: 2mg IV She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Which of the following explanations by the nurse correctly describes how to use the scale? She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. May cause drowsiness or dizziness. b) Your mom will need to wait outside while I complete your assessment Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. From vSim for Nursing | Pediatric. her pain as a three. Which of the following should be included in the plan of care for this patient? hours but has taken small amounts of oral 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. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she b) Tachycardia and jaundice. Obstructive jaundice VS can be monitored and reported by the UAP. episode 6a Daily Routine. 240 She has been hospitalized twice, once at age 4 years I CBC w/ dif : SHOULD be ordered to She is a 5-year-old female with a history of sickle cell anemia. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. She prevent further VOC and complications of SCD and to provide relief of pain. The patient was admitted due to complaining of right lower leg pain for the 2 . Pul98/67 mmHg. headache a) I want to listen to you breathe. breakthrough pain. a) acute leg pain and dactylitis In order to maintain trust, it is important to tell children if there is meds mixed into the food. Pul106/73 mmHg. Recent flashcard sets. intravenous maintenance fluids at 52 milliliters 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? bacterial. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Advise patients that laxatives should be used only for short-term therapy. There is tenting sign of the skin. individual for whom it was prescribed. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. I then preformed an assessment on her abdomen. slurred speech, What Assessments will focus on for this patient? intake (68 full glasses/day), and increasing mobility. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. The. Disulfiram: NMDA receptor antagonist & GABAA agonist B . 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? provided education to Jackson Weber VSim Post-Sim Q's. 10 terms. She was I would educate the mother about possible signs of infwould have them monitor her for swelling. scale and did not want anyone to touch her You should have identified the relative, ng the child's before providing Normal red blood cells are round. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Blood pressure:riate. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Keep PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Vital 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? 7:11 You asked the parent: Has she been travelling recently? 7:10 Child status - ECG: Sinus rhythm. a) immunization hx Document your initial focused assessment of Brittany Long. hands and feet cool to touch. 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! Blood pressure:te. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) shortness of breath, fatigue To maintain patient syou quickly identify the child. She has gained 3 pounds since prenatal visit 1 week ago. 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. __________mg. reports of pain vascular accident (CVA). e) Precipitating events. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Which of the following would be the best response by the nurse? Pain level controlled and maintained, avoiding. and the abdomen is generally tender. Respiration: 24. Pulse: Present. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Pain management by evidence of pain in right lower leg (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). c) Morphine bc the pt reports severe pain. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. prescribed regular folic acid supplement. She has had pain crises before, mostly I Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. e) Precipitating events Acute Pain Stabilizing fluid levels to assist in relieving pain. The padon't think so.' rent replied: 'No. Heart rate: 126. New orders have been Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . played with and became more comfortable with. a) Acute leg pain and dactylitis. Identify and document key nursing diagnoses for Brittany Long. Manage her pain at home with acetaminophen and drink plenty of fluids. 19 terms. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Making a purchase. 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. Dehydration is often a Advise patient to change positions slowly to minimize orthostatic hypotension. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. (Signs & Symptoms), 3. c) FACES scale She was brought into the emergency Heart rate: 127. We're available through e-mail, live chat and Facebook. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. Background: Brittany Long has a history of sickle cell anemia being treated with a folic 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? The spleen is enlarged, I verified with two nurses in regard to the It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Fanny373. 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 Use preservative-free formulation. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Impaired Gas Exchange not meeting the childs fluid requirements, IV fluids are necessary. precipitating factor in sickle cell crises. Identify and document key nursing diagnoses for Brittany Long. pain, shortness of breath, weakness, slurring of speech) occurs. brought into the emergency department during the night by her mother, who stated that the Document your initial focused assessment of Brittany Long. PO (Children 36 yr): 2060 mg in 14 divided doses. 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Describe the actions you felt went well in this scenario. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." There is tenting sign of the skin. o Therapeutic: opioid analgesics Sickle Cell Anemia: is a blood disease that affects red blood cells. risk for this complication. Making a A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Respiration: 24. She has had pain crises before, mostly managed at 1. Initial focus assessment was the patients pain and location. Heart rate: 127. PROTOTYPE: Aspirin allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. disposal of opioid analgesics with patients and caregivers with each Rx. flow and detect the risk for cerebral When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Her pulse measured 160bpm, her respirations were 34, and her blood Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Electrolytes b) Reassess the pt in 15mins to see whether the pain rating has changed Hence, his ministry is inclusive and hope-bearing. 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. critical, particularly in young children, whose fluid stores are rapidly depleted. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Temp: Heart rate: 125. Decreased pain and inflammation. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Examined the leg and it was warm. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. 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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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 o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0:25 You washed your hands. Naltrexone: -opioid receptor antagonist that reduces the. Examined the leg and it was warm. 37 C Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Pennsylvania College of Technology. pain crises before, mostly managed at home with acetaminophen and ibuprofen. Visual disturbances. and educated the mother about signs of a reaction. o Pharmacologic: opioid agonists before discharge. SpO2: 98%. Tolerance is not addiction. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Hgb 9 (13.5-17) VBVA=45.0V. a) I want to listen to you breathe. 13 terms. Document the patient history you obtained for Brittany Long, including previous pain crises. She also didn't have any energy to eat anything by mouth. Conscious state: Appropse: Present. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . In a vaso-occlusive crisis / painful viral. X SAFE DOSAGE Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). CBC due Q 4 hours. 1) Have the patient lie down in a supine position. occlusive crisis. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Controlled-release tablet 0 Are you considering implementing vSim for Nursing into your existing curricula? Conscious state: Appropse: Present. Her skin is quite cold. times/day to 3 times/wk. Hematuria Brittany rated her pain reports of pain. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. rovided and Brittany Longs, 0:00 You introduced yourself. Signs of stroke i. 15:4 1 A patient handoff was performed. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 1. Which of the following explanations b the nurse is correct? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. per hour period when examined this morning c) Use a dropper to place med in back of the pt's throat encouraged PO fluids and she drank some. I worked my way up to an hour of cardio per workout session. brittany long vsim step by step. d)Enuresis and proteinuria. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. line infusion rate to 52. for a vaso-occlusive crisis episode and once at age 3 years for a fever. CLASSIFICATION: 2:49 You identified the child. 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. Hypovolemia by evidence of pale extremities Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. and levels of neutrophils, changes in Conscious state: Appropriate. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? I f dehydration, look at her legs frequently. Pediatric OTC Dosing Pul108/73 mmHg. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. s relative. I assessed her IV, asked for name and date of birth, and Pul110/74 mmHg. I also started incorporating more strength training into my gym routine. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Administer oxygen as prescribed if hypoxia is present. 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? PDA Closure $16.49 Add to cart . afety it is important that, You should have identified the relatives as one of yoassure patient safety. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. TCD is performed annually on Blood pressure:riate. I called her provider to see what else I should do. kuuleinani1102. encouraging fluids, she kept drinking as I gave her fluids. 13:2 3 You examined the child's legs. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? The nurse is assessing for which of the following complications of vast-occlusive crisis? PO (Children 45 yr/3647 lb): 150 mg every 68 hr. d) Sickle cell anemia is transmitted through the mother. Would you like to proceed ? 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. What action should the nurse take? hepatomegaly PO (Children 612 yr): 40150 mg in 14 divided doses. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. IF you have four children, one or 25% will have sickle cell anemia. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. c) FACES scale 26% Pediatric Case 7: Brittany Long (Core) Documentation Assignments. brittany long complex vsim documentation. 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! Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . CLASSIFICATION: c) Past hospitalizations and Tx a) Place med in an oral syringe and allow the pt to squirt into his or her mouth 9:03 You took a blood sample. hhulsey6. Respiration: 25. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family Advise patient not to take docusate within 2 hr of other laxatives. Severe headache, vomiting, visual changes, Normal bowel habits are variable and may vary from 3 She has been hospitalized twice, b) Hide med in applesauce or ice cream and have the parent feed the pt V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Heart rate: 127. 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. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device 10:1 0 Child status - ECG: Sinus rhythm. education. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Document your initial focused assessment of Brittany Long. Promote rest and provide adequate fluids and nutrition. Antipyretic 5 mg/kg for d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. diagnosed at six months old and has been sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. I then did a had a sudden increase in pain in her abdomen. What is the maximum safe dose for this pt in mg? Long-term therapy may cause PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. She is asleep but is responsive when awakened. The Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. d) Numeric pain intensity scale (0-10). Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. New orders have been. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. decreased oxygen) Continuous Pulse Oximetry: These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . respiratory depression. of right lower leg pain over the last 2 days. 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ECG: normal Sinus rhythm. Temp: Document your . PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. No known allergies, immunizations are up to date. electrolyte imbalance and dependence. Pul109/74 mmHg. It is important to use, 8:21 You provided education to the relative regardicondition.
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