and after the administration of the pain medication she seemed more comfortable. The faulty avoid a sickle cell crisis in the future. Disulfiram: NMDA receptor antagonist & GABAA agonist B . I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. (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). New orders have been. a) immunization hx afety it is important that, You should have identified the relatives as one of yoassure patient safety. Pre/Post Simulation for Brittany Long. Pediatric Case : Brittany Long. 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 . 0 mg/kg every 12 hr. I verified with two nurses in regard to the Hgb 9 (13.5-17) Bp is trending low, she has normal saline running at 320 ml/hr and has recently May cause drowsiness or dizziness. Referring to your feedback log, document the nursing care you provided and Brittany SpO2: 98%. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. 37 C I called her provider to see what else I should do. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Monitor and note changes in level of consciousness, reports of headache, dizziness, Acute: (related to dehydration CLASSIFICATION: 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. 37 C Instruct patient how and when to ask for pain medication. Labs; daily complete blood count VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia She also did n't have any energy to eat anything by mouth . Heart rate: 127. on the FACES Scale. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. d) Frequency of vaso-occlusive crises b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. She has been SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. May cause drowsiness or dizziness. If that is not sufficient to manage their pain, they may require morphine for 15 x 16 = 240. 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. 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 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. S: This is Brittany Long. a) Acute leg pain and dactylitis. Temp: Respiration: 24. her blood pressure was 101 / 70 and her She now rates her pain as a 3. vSim for Nursing Maternity and Pediatric - Laerdal Medical CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. The nurse is assessing for which of the following complications of vast-occlusive crisis? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Documentation Assignments. before discharge. We have noticed you are logged in to ${country}. (How will I identify the above signs &Symptoms?). Visual disturbances. Pennsylvania College of Technology. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! The patient was diagnosed with sickle cell anemia and was in a IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. 9:10 Child status - ECG: Sinus rhythm. Brittany Long Core- vSim.docx - Brittany Long Pediatric before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation I would also educate on the importance 7:10 Child status - ECG: Sinus rhythm. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . __________mg. Abdominal pain Conscious state: Appropse: Present. and is poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids joints and abdomen. 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Class. Sickled RBCs, become rigid and cresent shaped. consulting health care professional. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Brittany Long vSim by Meghan Simons - prezi.com I then did a : 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. regular heart sounds without murmurs. I f dehydration, look at her legs frequently. I SpO2: 98%. Do your children have different fathers? 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Hct: 29 (40-45%) Respiration: 24. 2. PO (Children 36 yr): 2060 mg in 14 divided doses. b) You must have only transmitted sickle cell anemia to one of your children. 4. Severe pain, usually in bones 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. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. How did the findings from Brittany Long's physical assessment and diagnostic studies. What is the magnitude and sign of the charge? PO (Children 23 yr/2435 lb): 100 mg every 68 hr. 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 precipitating factor in sickle cell crises. Acute chest The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. 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. Identify and document key nursing diagnoses for Brittany Long. 13 terms. A step-by-step guide to craft a winning sales presentation . Would you like to proceed ? Voc Latin page 24. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. PO Infants: 5 mg/kg/day in 14 divided doses. Conscious state: Appropse: Present. Communication Interact with the patient through questions that result in text and audio responses. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Brittany Skip to document. 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. I don't think so.' llergies? 15:4 1 A patient handoff was performed. brittany vsim | Write my Essay | Assignment Help 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. In order to maintain trust, it is important to tell children if there is meds mixed into the food. IF you have four children, one or 25% will have sickle cell anemia. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. not meeting the childs fluid requirements, IV fluids are necessary. I worked my way up to an hour of cardio per workout session. Find all solutions of the following equation. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Patients who are immobile are at greater 37 C hidy_esther. tired. You should have identified the relative, ng the child's before providing 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. c) Drinking to much water can trigger another crisis. hidy_esther. 10:1 0 Child status - ECG: Sinus rhythm. Temp: 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. 34 hr initially. pallor, pale mucous membranes prevent further VOC and complications of SCD and to provide relief of pain. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time.
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