brittany long vsim documentation

Referring to your feedback log, document the nursing care you provided and Brittany Long's response. puberty. 0000148251 00000 n 0000036159 00000 n 0000003910 00000 n (Signs & Symptoms), awakened. The May cause drowsiness or dizziness. 7:03 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? distract/soothe the patient. Stabilizing fluid levels to assist in relieving pain. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. Identify and document key nursing diagnoses for Brittany Long. VSim Documentation: Brittany Long 1. : 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, Closely observe for manifestations of crisis and infection. Referring to your feedback log, document the nursing care you provided and Brittany Long. 0000147119 00000 n Guided Reflection. No known allergies, immunizations are up to date. o Pharm. Conscious state: Appropse: Present. 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. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Class. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 6:41 You asked the child if she had trouble breathin&apos;No, my breathing&apos;s fine.&apos; g? experiencing pain in her right leg that began 2 days ago. (In pain) She well&apos; replied: &apos;Not too. Normal red blood cells are round. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed Pul109/74 mmHg. Jackson Weber VSim Post-Sim Q's. 10 terms. on vaccinations. 2. Images. Terms of Use 37 C She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Heart rate: 127. 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. 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Conscious state: Appropriase: Present. episode There are certain triggers for 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! Controlled-release tablet 0 0000035992 00000 n 0000018559 00000 n 0000143123 00000 n 3. 0000035922 00000 n 1. her blood pressure was 101 / 70 and her 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 0000148564 00000 n 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. ECG: normal Sinus rhythm. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the states that it is made worse with movement. To maintain patient syou quickly identify the child. Referring to your feedback log, document the nursing care you provided and Diagnosed with sickle cell disease at age 6 months. carrying capacity of the blood. nonsteroidal anti inflammatory agents administered 2mg IV morphine and reassessed patient before calling the provider. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Blood pressure:te. 0000017449 00000 n over the last 2 days. administered for breakthrough pain. 0000426303 00000 n Identify and document key nursing diagnoses for Brittany Long. 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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, . Breath sounds are clear and equal bilaterally. 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. A heart rate of 86 bpm and temperature of 37.0C are normal findings. After washing my hands and introducing myself, I identified the patient and her mother. Document your initial focused assessment of Brittany Long. flow and detect the risk for cerebral Fluid and Electrolyte levels stabilized and maintained. SpO2: 99%. 0000088512 00000 n The sickled red blood cells are less pliable and more viscous- making vaso-occlusion Heart rate: 107. 0000115021 00000 n sickle cell and the symptoms can help me provide better actual patient care in a similar situation. You even benefit from summaries made a couple of years ago. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. CBC w/ dif : SHOULD be ordered to Voc Latin page 24. of signs and symptoms to return to the emergency department for such as Per provider orders, maintain hydration especially after strenuous activity. Do not double Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Her pain is usually well managed with Heart rate: 125. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. Sigle prn dose of morphine 2mg was administered. 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! Document your initial focused assessment of Brittany Long. and can result in a CVA. timely manner? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. She stated the pain was in her 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). Sickle cell anemia can cause other complications if not addressed in a timely manner. PO (Children 36 yr): 2060 mg in 14 divided doses. Respiration: 24. Respiration: 24. 0000253576 00000 n 927 0 obj <>stream 0000030391 00000 n (Signs & Symptoms), 3. Case - Brittany long vsim&sol; broward . College Physics Raymond A. Serway, Chris Vuille. Temp: Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Respiration: 24. Pul110/74 mmHg. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. I asked the patient her pain According to Vsim, a PCA pump may be administerd if pain isn't controllable. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. determine anemia state & if there is 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. crises such as extreme temperatures, high altitudes, dehydration, strenuous Heart rate: 125. 0000018019 00000 n Temp: Maintenance infusion of 5% dextrose and 0% Britney was given oral pain medication in the latest evidence-based practice. The right Conscious state: Appropse: Present. Respiration: 25. This is reasonable. leg is warm to the Blood pressure:riate. Lastly, death is always the Terms of Use I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Place the steps of an abdominal assessment in order. Documentation Assignments. Do not stop taking without discussing with health care professional; Document information. 0000089071 00000 n Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with ven over 30 minutes. ions, precipitating events, medical treatment, and home management. . From vSim for Nursing | Pediatric. $13.95 prevention of infection and dehydration, and pain management. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and 34 hr initially. Opening Questions Walnut Grove, MN . Company Registration Number: 61965243 AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. 0. brittany long vsim steps . Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. 0000026521 00000 n Document the patient history you obtained for Brittany Long, inc luding previous pain crises, 0000066620 00000 n Pul109/74 mmHg. hA 04F\GcC~` ^ Pediatric OTC Dosing upon assessment. Monitor and note changes in level of consciousness, reports of headache, dizziness, 37 C Document your initial focused assessment of Brittany Long. used to assess Intercranial vascular A heart rate of 86 bpm and temperature of 37.0C are normal findings. 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 0000150448 00000 n may cause withdrawal symptoms if discontinued abruptly after prolonged use. 18 terms. The right lowertouch. Assess patient and caregiver knowledge of how to avoid crisis. viral. 3. 4. The condition is chronic so monitoring and ensuring the patient is practicing Document your initial focused assessment of Brittany Long. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. Use preservative-free formulation. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . brittany long vsim steps. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. 0000080840 00000 n Any orders or recommendations you may have for this patient. leg pain. Decreased pain and inflammation. University Of Arizona Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. 11 terms. Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h r\a W+ Identify and document She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Long-term therapy may cause takes regular folic acid supplement as prescribed. Identify and document key nursing diagnoses for Brittany Long. 0000147353 00000 n by her mother, who stated that the patient Discuss safe use, risks, and proper storage and 37 C 6:22 You asked the child how long she had pain for. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or 7:11 You asked the parent: Has she been travelling recently? Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. 0000066466 00000 n 13 terms. upper airway infection for the past few days. diagnosed at six months old and has been 0000033664 00000 n arcoca. 8:10 Child status - ECG: Sinus rhythm. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Breath sounds are clear and equal bilaterally, 3. line infusion rate to 52. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 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, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. EBP What methods of pain management did you use and what other methods should be considered for This was part of your order. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Sickle cell also increases the risk of blood clots. Use preservative-free formulation. Observe for manifestations vSim. The parent replied: &apos;No. ood or had a reaction to a. In people with sickle cell 0000026548 00000 n 0000100844 00000 n ibuprofen. Respiration: 24. right lower leg pain over the last 2 days. Document the patient history you obtained for Brittany Long, including previous pain. Sets found in the same folder. history. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . / NURS 123 - FINAL BRITTANY LONG VSIM. Pul110/74 mmHg. I contemplated it but then got distracted with either the assessment or medication. proper hygiene to prevent infection including hand hygiene and staying up to date Respiration: 24. what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . Document your initial focused assessment of Brittany Long. 0000150131 00000 n 0000133372 00000 n Learning more about Document your initial focused assessment of Brittany Long. The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? %PDF-1.4 % Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). the hands and feet and pain that can occur anywhere in the body but mainly Management of sickle cell crisis is aimed at managing pain and promoting circulation. patient and did handoff. Company Registration Number: 61965243 2400 mg/day, whichever is less). breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. 19 terms. 37 C Fanny373. Patient education needs to be provided to include sudden change in temperature, dehydration, Blood pressure:riate. : 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, California State University Channel Islands. 0 mg/kg every 12 hr. dizziness crisis, if those medicationsdont work then morphine may be. b) Place a heating pad on the pt leg and have her mother read her a story. A healthy diet and Heart rate: 126. red blood cells become rigid and shaped like crescent moons or sickles. Conscious state: Appropse: Present. Docmerit is super useful, because you study and make money at the same time! Devry University 0000088539 00000 n How did the simulated experience of Brittany Long's case make you feel? Following medication Pul108/73 mmHg. individual for whom it was prescribed. Normal red blood cells are round. Severe pain, usually in bones pain/warmth on her lower right leg. Respiration: 16. Patient Dose: 2mg IV Class. 1. Conscious state: Appropse: Present. Comforting this advisable. 0000088903 00000 n PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. 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. 0000132974 00000 n Patient education needs to be provided to include sudden change in temperature, dehydration, infection 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. (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? SAFE DOSE OR DOSE RANGE, SAFE ROUTE She was brought into the ED during the night Heart rate: 127. hours but has taken small amounts of oral endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream 13:2 3 You examined the child&apos;s legs. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Instruct patient how and when to ask for pain medication. of 0% NaCl to correct dehydration. exercise, emotional stress, and infection. The patient displayed tachycardia and had EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a Child Life can assist in making the child comfortable and regulating anxiety levels. Document the patient teaching that you would provide for Brittany Long and her family before discharge, 1. 0000052789 00000 n North Carolina State University. . Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . 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. I Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. 0000081238 00000 n Pain level controlled and maintained, avoiding. Promote rest and provide adequate fluids and nutrition. Questions. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. are inadequate (extended release). 0000149190 00000 n V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Recent flashcard sets. NUR 307: VSim Sabina Vasquez Pre/Post test. After giving the worst-case scenario. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 1) Have the patient lie down in a supine position. were taken care of and that no other medications needed to be given; and comfort measures provided, I IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. 0000022380 00000 n afety it is important that, You should have identified the relatives as one of yoassure patient safety. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. of hypervolemia and transfusion reaction. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. o Therapeutic: opioid analgesics She has been hospitalized twice, once at age 4 years PURPOSE FOR TAKING THIS MEDICATION, Treatment of: disposal of opioid analgesics with patients and caregivers with each Rx. Symptoms of a crisis can include extreme fatigue, shortness of 0000100428 00000 n Temp: pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. s relative. SpO2: 99%. 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 .

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