Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 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. Brittany 37 C shortness of breath, fatigue Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Over time, the Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. acetaminophen and ibuprofen. Oral opioid medication and NSAIDs are given for mild to moderate. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. o Therapeutic: opioid analgesics After washing my hands and introducing myself, I identified the patient and her mother. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Heart rate: 107. Caution patient to call for assistance when ambulating Breath sounds are clear and equal bilaterally. 37 C FINAL BRITTANY LONG VSIM. - NURS 123 - Stuvia Maintain adequate fluid intake and monitor urine output. The parent replied: 'No. Scenario Analysis Questions 1 M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. 0000036062 00000 n
department during the night by her mother, who stated that the patient has been complaining SAFE DOSE OR DOSE RANGE, SAFE ROUTE PATIENT EDUCATION WHILE TAKING THIS MEDICATION 0000253576 00000 n
Wolters Kluwer Health. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. : 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. Document your initial focused assessment of Brittany Long. The padon't think so.' rent replied: 'No. CLASSIFICATION: 0000019119 00000 n
development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. 0000026548 00000 n
Document your initial focused assessment of Brittany Long. Respiration: 24. Acute pain related to sickle cell anemia as evidenced by pain in the right leg. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Sickle Cell Anemia: is a blood disease that affects red blood cells. 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 TCD is performed annually on The condition is chronic so monitoring and ensuring the patient is Images. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest 13 terms. Anna Maria. Child Life can assist in making the child comfortable and regulating anxiety levels. Post-Simulation. The right managed mostly at home with oral medications. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. dehydration, and pain management. arcoca. The education. VSim Documentation: Brittany Long 1. Visual disturbances. Britney rated her pain as a 5 on the faces Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Blood pressure:riate. managed at home with acetaminophen and 0000033664 00000 n
Brittany Long stated she felt better after treatment
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8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF Document the patient history you obtained for Brittany Long, including previous / NURS 123 - FINAL BRITTANY LONG VSIM. 0000115576 00000 n
37 C Document the patient teaching that you would provide for Brittany Long and her family before discharge, Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. consulting health care professional. A healthy diet and children ages 2 to 16 years who have Pediatric Case 4 Documentation Assignments 1. and excessive exercise. Explain why the marketing communication channel you chose is appropriate, given your persona. Comforting this advisable. managed to get a 97% without having to retake it! Normal bowel habits are variable and may vary from 3 Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Use preservative-free formulation. 0000066466 00000 n
administered 2mg IV morphine and reassessed patient before calling the provider. were taken care of and that no other medications needed to be given; and comfort measures provided, I Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 3. CBC w/ dif : SHOULD be ordered to electrolyte imbalance and dependence. 3. Mucous membranes are slightly pale. of crises, prevention of infection and dehydration, and pain management. Blood pressure:riate. SpO2: 98%. b) Place a heating pad on the pt leg and have her mother read her a story. how old is richard lael lillard. 13:2 3 You examined the child's legs. PO (Children <3 yr): 1040 mg in 14 divided doses. Management of Care: What needs to be done for this Patient Today? care professional if symptoms persist or worsen. SpO2: 99%. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. 0000100817 00000 n
Document the patient history you obtained for Brittany Long, inc luding previous pain crises, splenomegaly 0000389005 00000 n
Brittany Long vSim SICKLE CELLS Flashcards | Quizlet I 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. 7:10 Child status - ECG: Sinus rhythm. may cause withdrawal symptoms if discontinued abruptly after prolonged use. Docmerit is super useful, because you study and make money at the same time! joints and abdomen. Pulse: Present. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE reports of pain. Brittany Long | PDF | Pain Management | Caregiver - Scribd CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . 0000006023 00000 n
She rates her pain 6/10 and maintain hydration especially after strenuous activity. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. 4. 0000016678 00000 n
Heart rate: 127. pain, shortness of breath, weakness, slurring of speech) occurs. antirheumatics step back and really focus on whats occurring, but overall, I did what the orders requested and provided Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. sickle cell disease. Her pain is 0000128218 00000 n
This was not part of your orders here. leg is warm to the puberty. Transcranial Doppler : Could be scale and did not want anyone to touch her . No known allergies, immunizations are up to date. 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! ions, precipitating events, medical treatment, and home management. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. (CVA) could occur. Creatinine: 0 (0.8-1). This improved her oxygen saturation to 94%. Conscious state: Appropse: Present. 0000040025 00000 n
VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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). 0000026110 00000 n
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Identify and document key nursing diagnoses for Brittany Long. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Now is my chance to help others. (How will I identify the above signs &Symptoms?). May cause drowsiness or dizziness. 0000004772 00000 n
PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. produce RBC. should have asked the mother about the patients history at this point. administered for breakthrough pain. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Conscious state: Appropriase: Present. 0000100143 00000 n
VS can be monitored and reported by the UAP. In people with sickle cell You even benefit from summaries made a couple of years ago. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. administration, pt reported pain 2/10 on the FACES scale. Terms of Use Heart rate: 127. There are certain triggers for right lower leg pain over the last 2 days. If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident o Recommended dosage is 2060 mg in 14 divided doses Sets found in the same folder. North Carolina State University. 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).
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