37 C 2. consulting health care professional. line infusion rate to 52. managed to get a 97% without having to retake it! Antipyretic 5 mg/kg for Referring to your feedback log, document the nursing care you provided and Brittany Longs response. University Of Arizona The parent replied: 'No. HW]+|}9
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Solved Patient Introduction Brittany Long is a 5-year-old - Chegg A heart rate of 86 bpm and temperature of 37.0C are normal findings. Breath sounds are clear and equal bilaterally, 3. Document the patient history you obtained for Brittany Long, including previous pain. 0000025826 00000 n
Document your initial focused assessment of Brittany Long. Vaso-occlusive pain crisis from sickle cell anemia Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. Lastly, death is always the
brittany long vsim steps patient and did handoff. Popular books. Family history of sickle cell Pediatric Case 4 Documentation Assignments 1. alleviate pain until the medication begins working.
Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Use preservative-free formulation. 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. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with Swollen joints, hands and feet The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 0000030568 00000 n
It is important to use, 8:21 You provided education to the relative regardicondition. 0000002798 00000 n
Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Mucous membranes are slightly pale. SpO2: 98%. She has been taking small amounts X SAFE DOSAGE diagnosed at six months old and has been pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Educate patient and family on nutritional and fluid needs. The padon't think so.' rent replied: 'No. Document your initial focused assessment of Brittany Long. 0000026110 00000 n
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(How will I identify the above signs &Symptoms?). experiencing pain in her right leg that began 2 days ago. Respiration: 24. Following medication Document your initial focused assessment of Brittany Long. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Identify and document key nursing diagnoses for Brittany Long. hidy_esther. Questions. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. 18 terms. Temp: Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Advise patient not to take docusate within 2 hr of other laxatives. Identify and document key nursing diagnoses for Brittany Long. Voc Latin page 24. step back and really focus on whats occurring, but overall, I did what the orders requested and provided Devry University Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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. Her pain is usually well managed with Blood pressure:riate. She appears to be in no respiratory distress. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Monitor O2 saturation levels Respiration: 24. 927 0 obj
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EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a SpO2: 99%. 1. increased joint pain, chest pain, shortness of breath, fever, and lethargy. Ensuring endstream
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Brittany Long Guided Reflection and Documentation PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Advise patient that morphine is a drug with known abuse potential. CLASSIFICATION: 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! 9:03 You took a blood sample. What are you on alert for with this patient? It is important to remain aware I chos, Question 4 a) James was the tutor of tutorial 21. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. 37 C what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . 0000000016 00000 n
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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? Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. VS can be monitored and reported by the UAP. 13:3 9 You phoned the provider in order to discuss the patient. 0000066698 00000 n
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headache (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 0000101348 00000 n
reports of pain Respiration: 15. 0000128218 00000 n
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Fluid and Electrolyte levels stabilized and maintained. I was able to fill out most of the table (hopefully its correct). distract/soothe the patient.
Brittany Long vSim Documentation Assignment PO Infants: 5 mg/kg/day in 14 divided doses. 0000036159 00000 n
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2. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every endstream
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Pul97/66 mmHg. Decreased pain and inflammation. 0000017198 00000 n
red blood cells become rigid and shaped like crescent moons or sickles. However, experiencing pain in her right leg that began 2 days ago.
Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. her blood pressure was 101 / 70 and her intake (68 full glasses/day), and increasing mobility. She has been hospitalized twice, once at age 4 years Impaired gas exchange related to increased blood viscosity as evidenced by right Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Observe for manifestations Heart rate: 107. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She was brought into the emergency The faulty she had any allergies before going into my vital signs and HTT assessment. regular heart sounds without murmurs.
Document your initial focused assessment of Brittany Long. Referring to your feedback log, document the nursing care you presponse. did a patient handoff. Conscious state: Appropse: Present. Blood pressure:riate. / NURS 123 - FINAL BRITTANY LONG VSIM. 15:4 1 A patient handoff was performed. Sigle prn dose of morphine 2mg was administered. ECG: normal Sinus rhythm. Conscious state: Appropriate. Identify additional individuals who should be included on Brittany Long's care team. 0000009179 00000 n
NURS 3440 (NURS3440) Institution. Instruct patient to take medication as directed. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. provide care for the patient. cherubine23. You should have asked the relative about any known health problems. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. s relative. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. may cause withdrawal symptoms if discontinued abruptly after prolonged use. doses. VSim Documentation: Brittany Long 1. Transcranial Doppler : Could be S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. 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! Conscious state: Appropse: Present. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Blood pressure:te. Document the patient teaching that you would provide for Brittany Long and her . PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. Heart rate: 127. r\a W+
VSim Charlie Snow Complex Pre/Post Sim Flashcards | Quizlet Normal red blood cells are round. Management of Care: What needs to be done for this Patient Today? 6a Daily Routine. 0000003155 00000 n
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Brittany 0000147353 00000 n
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Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pain reported at 3, assessed on the FACES scale. SpO2: 99%. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. dizziness patient reported pain of 3 out of 5 on the scale. Full assessment
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MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) and levels of neutrophils, changes in Now is my chance to help others. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her PATIENT EDUCATION WHILE TAKING THIS MEDICATION Heart rate: 109. 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!