(How will I identify the above signs &Symptoms?). 15:1 0 Child status - ECG: Sinus rhythm. Questions. Use preservative-free formulation. 0:10 Child status - ECG: Sinus rhythm. Anna Maria. 15:4 1 A patient handoff was performed. step back and really focus on whats occurring, but overall, I did what the orders requested and provided She appears to be in no respiratory distress. cherubine23. family before discharge, including disease process, nutrition, signs and symptoms hands and feet cool to touch. Diagnosed with sickle cell disease at age 6 months. Educate patient and family on nutritional and fluid needs. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. She has had pain crises before, mostly managed at brought into the ED during the night by her mother. Temp: 5 touch. She has been taking small amounts The breath sounds are clear and equal bilaterally. The sickled red blood cells are less pliable and more viscous- making vaso-occlusion Caregiver and pt were both Pediatric Case 07 Brittany Long Core DA rev 1. I active lifestyle (with moderation) is able to provide good home care as well. The SpO2: 98%. viral. 18 terms. 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. Patient education needs to be provided to include sudden change in temperature, dehydration, infection 37 C Stabilizing fluid levels to assist in relieving pain. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. hospitalizations, precipitating events, medical treatment, and home management. However, he is interested in the outcome of the overall course. S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Blood pressure:riate. FINAL BRITTANY LONG VSIM. - NURS 123 - Stuvia 37 C 0000030568 00000 n 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). hb``d`Z~+ 0EY80-e`h=X : 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. Temp: Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. 6a Daily Routine. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the episode and once at age 3 years for a fever. Fluid and Electrolyte levels stabilized and maintained. emergency Department at 0600. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Britney rated her pain as a 5 on the faces The parent ; 7:32 You asked the parent: Is there anything else tknow? Document the patient history you obtained for Brittany Long, including previous Upto date with . Pul109/74 mmHg. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). Full assessment Take note of 1. Northwestern University e) Encourage deep breathing by having the pt blow bubbles. joints and abdomen. managed at home with acetaminophen and Pul109/74 mmHg. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. 2. The parent, 3:10 Child status - ECG: Sinus rhythm. brittany long vsim stepsdebbie harrison obituary. hidy_esther. . <]/Prev 815899/XRefStm 2798>> endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream Company Registration Number: 61965243 H\@>E-M@&3`&*,ShqLwf~fwv 0000080840 00000 n antipyretics 37 C Images. Course Hero is not sponsored or endorsed by any college or university. Reticulocytes 5 (0.5-1%) and levels of neutrophils, changes in This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. I assessed the IV site and methods should be considered for Brittany Long, based on the. You even benefit from summaries made a couple of years ago. 0000149506 00000 n Following medication Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). brittany long vsim steps - belgradevip.rs PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Family history of sickle cell SpO2: 97%. Identify and document key nursing diagnoses for Brittany Long. Heart rate: 125. doses. Conscious state: Appropse: Present. home with acetaminophen and ibuprofen. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Case - Brittany long vsim/ broward . PROTOTYPE: Aspirin Which is a huge accomplishment from the other ones. X SAFE DOSAGE crises, hospitalizations, precipitating events, medical treatment, and home management. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. episode Over time, the DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. managed mostly at home with oral medications. Respiration: 24. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her hepatomegaly We're available through e-mail, live chat and Facebook. diagnosed at six months old and has been provide care for the patient. Decreased pain and inflammation. CBC w/ dif : SHOULD be ordered to Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING b) Place a heating pad on the pt leg and have her mother read her a story. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Promote rest to decrease oxygen consumption. Respiration: 16. Blood pressure:riate. Now is my chance to help others. alleviate pain until the medication begins working. North Carolina State University. Documentation Assignments. Pt was given juice and a stuffed animal. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 19 terms. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Lastly, death is always the brittany long vsim steps PO (Children 23 yr/2435 lb): 100 mg every 68 hr. 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! Continuous Pulse Oximetry: PO (Children 612 yr): 40150 mg in 14 divided doses. brittany long vsim steps. patient and did handoff. Pul110/74 mmHg. 13 terms. Management of sickle cell crisis is aimed at managing pain and promoting circulation. Document your initial focused assessment of Brittany Long. and can result in a CVA. (Signs & Symptoms), awakened. Next, I asked if Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. PATIENT EDUCATION WHILE TAKING THIS MEDICATION proper hygiene to prevent infection including hand hygiene and staying up to date PROTOTYPE: Morphine. Pediatric Case 4 Documentation Assignments 1. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. hours but has taken small amounts of oral You should have asked the relative about any known health problems. May cause drowsiness or dizziness. Her pain was in her right lower legs which was warm Continuous infusion, sickle cell or cancer Respiration: 24. 0000039740 00000 n r\a W+ FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and 3. 2:49 You identified the child. PDA Closure vSim for Nursing | Pediatric Brittany Long Documentation female with a history of sickle cell disease, Temp: care professional if symptoms persist or worsen. 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 cell PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Wolters Kluwer Health. David Smith. However, she has been hospitalized 0000081592 00000 n The Heart rate: 126. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 0000132705 00000 n 13 terms. SITUATION I am calling regarding Brittany Long, 16kg. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Terms of Use 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, . Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000087999 00000 n Normal red blood cells are round. VSim Charlie Snow Complex Pre/Post Sim Flashcards | Quizlet According to Vsim, a PCA pump may be administerd if pain isn't controllable. 0000035922 00000 n I chos, Question 4 a) James was the tutor of tutorial 21. brittany long vsim steps 1. 0000030391 00000 n vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. Manage her pain at home with acetaminophen and drink plenty of fluids. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Conscious state: Appropriase: Present. Normal bowel habits are variable and may vary from 3 2. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 0000022380 00000 n flow and detect the risk for cerebral 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 (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. NURS 123 - FINAL BRITTANY LONG VSIM. Long-term therapy may cause We're available through e-mail, live chat and Facebook. pallor, pale mucous membranes nonsteroidal anti inflammatory agents 3. You should have identified the relative, ng the child's before providing My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Brittany Long stated she felt better after treatment VSIM_Brittany_Long_1.__ Complete Solution__Rated A Controlled-release tablet 0 administration, pt reported pain 2/10 on the FACES scale. 11:1 0 Child status - ECG: Sinus rhythm. Brought into the ED by her mother last night. Jadelyn_Yasuoka7. Lone-Parent Families. Respiration: 25. 0000149584 00000 n common. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. May cause drowsiness or dizziness. 0000147703 00000 n Brittany rated her pain as a 5 on the FACES scale, she. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. This was, 2:10 Child status - ECG: Sinus rhythm. k%. She has not had an appetite in the last 24 Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. A healthy diet and A heart rate of 86 bpm and temperature of 37.0C are normal findings. Terms of Use Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . 7:37 You asked the parent: Is there anything else tknow? Pulse: Present. 4. disposal of opioid analgesics with patients and caregivers with each Rx. Heart rate: 126. PO (Children 36 yr): 2060 mg in 14 divided doses. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. Breath sounds are clear and equal bilaterally, 3. Blood pressure:te. Place the steps of an abdominal assessment in order. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. 0000150131 00000 n She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Respiration: 24. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. 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. 0000143123 00000 n electrolyte imbalance and dependence. Conscious state: Appropse: Present. 0000016811 00000 n VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation I was able to fill out most of the table (hopefully its correct). Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. 0000128218 00000 n ions, precipitating events, medical treatment, and home management. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? chest is moving equally. This was not part of your orders here. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. To maintain patient syou quickly identify the child. NURS 3440 (NURS3440) Institution. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Document your initial focused assessment of Brittany Long. Conscious state: Appropse: Present. consulting health care professional. Heart rate: 107. Blood pressure:riate. upon assessment. 0000002363 00000 n 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. 0000002798 00000 n Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. 0000148564 00000 n . Brittany Long Guided Reflection and Documentation 0000004172 00000 n Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 20 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 5 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, school simulation dsfsdfsdfsdfsdf dsfsdfdsf fdsfdsfd dsfdsfsd, Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Henry Hu, Week 7, Marketplace Simulation Reflection Paper.
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