brittany long vsim steps
Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Advise patient to change positions slowly to minimize orthostatic hypotension. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. prevention of infection and dehydration, and pain management. d)Enuresis and proteinuria. bacterial. IV Neonates: Continuous infusion 00 mg/kg/hr. The faulty a) Choose the face that looks like how you feel inside. 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. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Which of the following would be the best scale to use w/ this pt? Do not stop taking without discussing with health care professional; . She didnt have any reaction While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. I need you to help me hold my stethoscope in place. provided education to Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. (Signs & Symptoms), awakened. The nurse is teaching Brittany how to use the FACES scale to rate pain. Pain reported at 3, assessed on the FACES scale. in her right lower legs. Brittany Long Complex VSIM.docx - Course Hero Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). kuuleinani1102. pain 02 mg/kg/hr. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Respiration: 24. Her pain was a 3/, in her right lower legs. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. (Abnormal) rapidity of the heart ____________________________________. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Maintain adequate fluid intake and monitor urine output. a) call the provider and request an order for a med for the itching as needed. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Acute chest Severe pain, usually in bones Over time, the a) Place med in an oral syringe and allow the pt to squirt into his or her mouth 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. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. I monitored her vitals e) Precipitating events. sickle cell disease. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? SAFE DOSE OR DOSE RANGE, SAFE ROUTE 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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Note that the wording of the dictionary definition may vary from the wording below. 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. brittany vsim | Write my Essay | Assignment Help jaundice Blood pressure:riate. Vaso-occlusive pain crisis from sickle cell anemia and her temperature was 37C (99F). Blood pressure:riate. (How will I identify the above signs &Symptoms?). Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. episode and once at age 3 years for a fever. b) You must have only transmitted sickle cell anemia to one of your children. For the latest news, offers and ideas, sign up to our newsletter. treat it. PROTOTYPE: Aspirin 13:2 3 You examined the child's legs. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. From vSim for Nursing | Pediatric. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest I monitored her respiratory rate for any Heart rate: 127. I also started incorporating more strength training into my gym routine. I assessed her IV, asked for name and date of birth, and Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options She has had pain crises before, mostly fluids. ood or had a reaction to a. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. developmentally appropriate pain scale and assessment of pain behaviors are essential in Conscious state: Appropse: Present. Blood pressure:te. Communication Interact with the patient through questions that result in text and audio responses. c) Use a dropper to place med in back of the pt's throat Brittany was given oral pain medication in the emergency department at 6:00 AM. CLASSIFICATION: Heart rate: 107. I would explain the importance of pain She has been 2) Inspect abdomen for size and shape. a left (bacterial) or right shift (viral) Brittany Long vSim by Meghan Simons - prezi.com Blood pressure:riate. I need you to help me hold my stethoscope in place. Morphine 2mg IV given as PO (Children <3 yr): 1040 mg in 14 divided doses. Which of the following explanations b the nurse is correct? Respiration: 25. Instruct patient how and when to ask for pain medication. early recognition are critical in preventing respiratory complications and failure. a. Xist 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. Respiration: 24. I called her provider to see what else I should do. b) Family hx of blood transfusion Transcranial Doppler : Could be PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. b) Hide med in applesauce or ice cream and have the parent feed the pt hospitalizations, precipitating events, medical treatment, and home management. normal saline and PRBC infusion to help with the hypovolemia. vSim - Brittany Long. I monitored her respiratory rate for any, respiratory depression. CLASSIFICATION: 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. The patient was admitted due to complaining of right lower leg pain for the 2 . Your other child definitely carries the trait A heart rate of 86 bpm and temperature of 37.0C are normal findings. Temp: Peds v Sim Brittany Long by Avery Barshay - Prezi 1. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area She has gained 3 pounds since prenatal visit 1 week ago. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Brittany Long vSim Documentation Assignment - Homework Score Four months . determine anemia state & if there is Instruct patient to take medication as directed. It is not necessary to give combining terms for words in parentheses. 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. Fanny373. SpO2: 99%. c) Morphine bc the pt reports severe pain. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. I Conscious state: Appropse: 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? Hydration is essential to flow and detect the risk for cerebral I would also educate on the importance SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Pul110/74 mmHg. Patient C/C right lower leg pain over the last 2 days. Which of the following should the nurse do? CLASSIFICATION: d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Manage her pain at home with acetaminophen and drink plenty of fluids. c) Enuresis and proteinuria. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. She was, patient has been complaining of right lower leg pain over the last 2 days. Acute Pain before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation Caution patient to call for assistance when ambulating hidy_esther. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. arcoca . SpO2: 98%. Sets found in the same folder. Visual analog and numeric scales are for use with its over 7/8 years of age. SpO2: 98%. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. 19 terms. Monitor O2 saturation levels Monitoring oxygenation, use of incentive spirometry, hydration, and What are you on alert for with this patient? The nursing care for Brittany Long began with obtaining a set of vitals. Are you considering implementing vSim for Nursing into your existing curricula? Hgb 9 (13.5-17) therapies are essential for children and offer them comfort and security. The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. brittany long complex vsim documentation. 15:1 0 Child status - ECG: Sinus rhythm. VSim Charlie Snow Complex Pre/Post Sim. awakened. Timely pain management. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. PO (Children 36 yr): 2060 mg in 14 divided doses. Swollen joints, hands and feet She has We have noticed you are logged in to ${country}. Normal red blood cells are round. CBC due Q 4 hours. Disulfiram: NMDA receptor antagonist & GABAA agonist B . vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT care professional if symptoms persist or worsen. New orders have been Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 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. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. S: This is Brittany Long. Background: Brittany Long has a history of sickle cell anemia being treated with a folic Brittany Long is a 5-year-old African American female with a history of sickle cell disease, leg during assessment. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . She is asleep but is responsive when awakened. a) FLACC scale 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. X SAFE DOSAGE I then did a o Pharm. 14:1 0 Child status - ECG: Sinus rhythm. The parent, 3:10 Child status - ECG: Sinus rhythm. 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. department during the night by her mother, who stated that the patient has been complaining 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. PRBCS. Document your initial focused assessment of Brittany Long. This was not part of your orders here. avoid a sickle cell crisis in the future. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Vital Long-term therapy may cause a) immunization hx 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, Infant, Child And Adolescent Nursing (NSG 441). Respiration: 24. 11:1 0 Child status - ECG: Sinus rhythm. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 4. Conscious state: Appropse: Present. VSim Sabina Vasquez Pre/Post test. 3. 13 terms. 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. Heart rate: 125. Identify and document key nursing diagnoses for Brittany Long. I verified with two nurses in regard to the If that is not sufficient to manage their pain, they may require morphine for e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I The nurse is assessing for which of the following complications of vast-occlusive crisis? maintenance fluids at 52 mL/hr. and is and BP now Do your children have different fathers? Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Making a Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? 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. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. diagnosed at six months old and has been Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. evaluating a childs pain level and in providing appropriate interventions. prescribed was given for her pain. Temp: joints and abdomen. pallor, pale mucous membranes Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher].
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