brittany long vsim documentation

She has been hospitalized twice, once at age 4 years IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). proper hygiene to prevent infection including hand hygiene and staying up to date 0. brittany long vsim steps . Maintain adequate fluid intake and monitor urine output. X SAFE DOSAGE 0000019092 00000 n and basic metabolic panel, Blood analysis (notable): Pediatric Case 4 Documentation Assignments 1. Discover virtual simulation today - try vSim for free! Store out of sight and reach of children, and in a location not accessible by others. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. VSim Brittany Long Pre/Post test. The parent ; 7:32 You asked the parent: Is there anything else tknow? 0000081238 00000 n : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 0000003910 00000 n of right lower leg pain over the last 2 days. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. %PDF-1.4 % 0000030391 00000 n Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Heart rate: 127. was obtained prior to administration. 9:10 Child status - ECG: Sinus rhythm. 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 . . Jadelyn_Yasuoka7. Child Life can assist in making the child comfortable and regulating anxiety levels. anemia or sickle cell trait Your explanation for the marketing communication channel you chose must be one paragraph in length. Conscious state: Appropse: Present. 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 what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . over the last 2 days. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Heart rate: 125. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help SpO2: 98%. After giving the Creatinine: 0 (0.8-1). should have asked the mother about the patients history at this point. Case - Brittany long vsim/ broward . 0000008903 00000 n Britney rated her pain as a 5 on the faces hA 04F\GcC~` ^ managed to get a 97% without having to retake it! Advise patient to change positions slowly to minimize orthostatic hypotension. . 37 C Summary - Ms2 nursing clinical, week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . The FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Identify and document key nursing diagnoses for Brittany Long. 0000046801 00000 n 927 0 obj <>stream She stated the pain was in her What discharge teaching should be provided to assist Brittany Long's mother with her home care? 0000006023 00000 n To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 0000002798 00000 n Pain management by evidence of pain in right lower leg S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. pain 02 mg/kg/hr. Document your initial focused assessment of Brittany Long. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. NURS 3440 (NURS3440) Institution. 0000066466 00000 n 0000150131 00000 n All vital signs were normal other than the beats per minute. Devry University The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). We're available through e-mail, live chat and Facebook. Temp: 0000066585 00000 n Continuous infusion, sickle cell or cancer individual for whom it was prescribed. She has been hospitalized twice, 37 C Heart rate: 128. Summary - Ms2 nursing clinical, week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Pul98/67 mmHg. are inadequate (extended release). of signs and symptoms to return to the emergency department for such as 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. and can result in a CVA. Document your initial focused assessment of Brittany Long. Patient education needs to be provided to include sudden change in temperature, dehydration, infection arcoca. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. 1. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. 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! 0000100817 00000 n viral. jaundice closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 Sickle Cell Anemia: is a blood disease that affects red blood cells. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. lower leg is warm to touch. 0000080840 00000 n Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Do not stop taking without discussing with health care professional; were taken care of and that no other medications needed to be given; and comfort measures provided, I startxref The right 0000002363 00000 n The right lower leg is warm to touch. Conscious state: Appropriate. 6. 11:1 0 Child status - ECG: Sinus rhythm. I should have been more ambitious and asked about the patients SpO2: 99%. Controlled-release tablet 0 Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. EBP What methods of pain management did you use and what other. decreased oxygen) Brittany Long, based on the latest evidence-based practice? (Clinical slides 02.02) 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. <]/Prev 815899/XRefStm 2798>> PO (Children 36 yr): 2060 mg in 14 divided doses. Document the patient teaching that you would provide for Brittany Long and her family before discharge, 0000081662 00000 n 4. Take note of Temp: IV Neonates: Continuous infusion 00 mg/kg/hr. How did the simulated experience of Brittany Long's case make you feel? 0000115021 00000 n Company Registration Number: 61965243 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 You even benefit from summaries made a couple of years ago. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. She was placed on oxygen via nasal cannula at 2 L/min. I asked the patient her pain times/day to 3 times/wk. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. comfort. 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! Class: macrolide Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Document your initial focused assessment of Brittany Long. Many OTC products contain ibuprofen; avoid duplication. Identify and document key nursing diagnoses for Brittany Long. Document your initial focused assessment of Brittany Long. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options (How will I identify the above signs &Symptoms?). 0000040025 00000 n breathing (dyspnea), headache, dizziness, and acute pain. 0000081354 00000 n Fluid and Electrolyte levels stabilized and maintained. 0000004172 00000 n I chos, Question 4 a) James was the tutor of tutorial 21. "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. North Carolina State University. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Brittany Long vSim Documentation Assignment. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. o Pharm. I/O can be calculated by UAP. 3. 0000081592 00000 n We're available through e-mail, live chat and Facebook. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Heart rate: 127. Monitor and note changes in level of consciousness, reports of headache, dizziness, k%. SpO2: 98%. management. 37 C Popular books. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Respiration: 24. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed I assessed the IV site and Document your initial focused assessment of Brittany Long. 1. 0000004772 00000 n 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. 0000066698 00000 n 0000039740 00000 n Docmerit is super useful, because you study and make money at the same time! the hands and feet and pain that can occur anywhere in the body but mainly hidy_esther. 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. Brittany rated her pain as a 5 on the FACES scale, she. 18 terms. and excessive exercise. SpO2: 99%. Respiration: 24. episode VSIM_Brittany_Long_1.__ Complete Solution__Rated A Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. e) Encourage deep breathing by having the pt blow bubbles. fruits, vegetables and lean meats. SpO2: 99%. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. PO (Children <3 yr): 1040 mg in 14 divided doses. I think the entire scenario went well. 0 mg/kg every 12 hr. 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), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. Blood pressure:riate. The parent replied: 'No. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty NURS 123 - FINAL BRITTANY LONG VSIM. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 0 0000088539 00000 n Continuous Pulse Oximetry: Acute: (related to dehydration Temp: Post-Simulation. To maintain patient syou quickly identify the child. 9:03 You took a blood sample. 0000089071 00000 n Referring to your feedback log, document the nursing care you presponse. David Smith. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. states that it is made worse with movement. Quiz. and levels of neutrophils, changes in Upto date with . I contemplated it but then got distracted with either the assessment or medication. Heart rate: 127. 0000149112 00000 n 1:34 You obtained legal consent from the child'reasonable. 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! prescribed regular folic acid supplement. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? Patient Dose: 2mg IV 3. hours but has taken small amounts of oral PATIENT EDUCATION WHILE TAKING THIS MEDICATION Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 4. she had any allergies before going into my vital signs and HTT assessment. 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. 2. scale and did not want anyone to touch her ibuprofen. 2. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. She is currently Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Identify and document key nursing diagnoses for Brittany Long. did a patient handoff. 0000100844 00000 n She rates her pain 6/10 and, states that it is made worse with movement. bacterial. Ensuring Respiration: 15. 3. flow and detect the risk for cerebral Document the patient teaching that you would provide for Brittany Long and her . She has not had an appetite in the last 24 . This is correcevery opportunity to provide patient education. Brittany Long stated she felt better after treatment 0000035922 00000 n Labs; daily complete blood count CLASSIFICATION: Symptoms of a crisis can include extreme fatigue, shortness of Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000018019 00000 n 19 terms. Heart rate: 109. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. active lifestyle (with moderation) is able to provide good home care as well. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. However, he is interested in the outcome of the overall course. 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. o Ther. Questions. 827 0 obj <> endobj May cause drowsiness or dizziness. Temp: Pul109/74 mmHg. o Recommended dosage is 2060 mg in 14 divided doses Temp: Blood pressure:riate. red blood cells become rigid and shaped like crescent moons or sickles. 0000148251 00000 n episode and once at age 3 years for a fever. of 0% NaCl to correct dehydration. The breath sounds are clear and equal bilaterally. 1. 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). history. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. EBP What methods of pain management did you use and what other methods should be considered for Pediatric OTC Dosing This was part of your order. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Heart rate: 107. Identify and document Identify additional individuals who should be included on Brittany Long's care team. Add to Cart. It is also necessary that she drinks plenty of fluids in order to I f dehydration, look at her legs frequently. Recent flashcard sets. exercise, emotional stress, and infection. Sickle cell anemia can cause other complications if not addressed in a timely manner. Advise patient that morphine is a drug with known abuse potential. 1. vSim. 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! Reticulocytes 5 (0.5-1%) reports of pain. After washing my hands and introducing myself, I identified the patient and her mother. 14:1 0 Child status - ECG: Sinus rhythm. Temp: 5 touch. The chest x-ray revealed right lower lobe pneumonia . every 34 hr, maximum: 15 mg/dose. Northwestern University PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every upon assessment. Educate patient and family on nutritional and fluid needs. priapism Her pain is usually well managed with Summary - Ms2 nursing clinical, week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec . $13.95 kuuleinani1102. crises such as extreme temperatures, high altitudes, dehydration, strenuous 8:10 Child status - ECG: Sinus rhythm. Conscious state: Appropse: Present. upper airway infection for the past few days. movement and touch. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Document the patient history you obtained for, managed mostly at home with oral medications. pallor, pale mucous membranes hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Explain why the marketing communication channel you chose is appropriate, given your persona. dehydration, and pain management. Blood pressure:te. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. The right lowertouch. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. Long-term therapy may cause PO (Children 45 yr/3647 lb): 150 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 assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? A healthy diet and Obstructive jaundice She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. latest evidence-based practice. (Signs & Symptoms), awakened. Family history of sickle cell hb``d`Z~+ 0EY80-e`h=X She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 0000026110 00000 n Pt was given juice and a stuffed animal. crises, hospitalizations, precipitating events, medical treatment, and home management. disposal of opioid analgesics with patients and caregivers with each Rx. A heart rate of 86 bpm and temperature of 37.0C are normal findings. reports of pain Visual disturbances. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. administration, pt reported pain 2/10 on the FACES scale. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Popular books. s relative. 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 Mike T, Pediatric Case 4 provide care for the patient. Document your initial focused assessment of Brittany Long. Britney long is a 5 year old African American This was not part of your orders here. distract/soothe the patient. . Administer oxygen as prescribed if hypoxia is present. Temp: Caution patient to call for assistance when ambulating Class. Company Registration Number: 61965243 Document the patient history you obtained for Brittany Long, including previous I don't thhat you think we should ink so.' 7:47 You offered the child a toy. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: carrying capacity of the blood. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). timely manner? PDA Closure 0000147158 00000 n 0000052693 00000 n 0000149584 00000 n brought into the ED during the night by her mother.
Classic Fleece Vs Sponge Fleece, Nearest Beach To Ballybofey, World Record Lunge Distance, Articles B