Brittany rated her pain as a 5 on the FACES scale, she. Identify additional individuals who should be included on Brittany Long's care team. North Carolina State University. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, o Ther. 0. brittany long vsim steps . via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to antirheumatics Respiration: 25. Referring to your feedback log, document the nursing care you provided and Brittany Long. Decreased pain and inflammation. 0000127765 00000 n Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. o Pharm. Identify and document key nursing diagnoses for Brittany Long. 0000026548 00000 n / NURS 123 - FINAL BRITTANY LONG VSIM. Document the patient teaching that you would provide for Brittany Long and her family before discharge, 9:10 Child status - ECG: Sinus rhythm. 0000066466 00000 n 2. She was prescribed and given 2 mg of IV morphine to support pain, in which consent 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 temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Anna Maria. 2. consulting health care professional. Pulmonary edema. Respiration: 24. Images. Temp: Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. FINAL BRITTANY LONG VSIM. - NURS 123 - Stuvia shortness of breath, fatigue SpO2: 99%. 0000066585 00000 n 0000012690 00000 n distract/soothe the patient. 0000052693 00000 n Skin is cool and appears ashen with normal elasticity. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet %%EOF We're available through e-mail, live chat and Facebook. 0000100844 00000 n 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. (Signs & Symptoms), awakened. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. 0000039740 00000 n home with acetaminophen and ibuprofen. The. has been complaining of right lower leg pain Visual disturbances. brittany long vsim steps Heart rate: 126. family before discharge, including disease process, nutrition, signs and symptoms Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen Transcranial Doppler : Could be Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. safely is important. Breath sounds are clear and equal bilaterally, 3. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? 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. 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. VSim Documentation: Brittany Long 1. She is currently viral. 0000147703 00000 n PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 0000100143 00000 n Pul109/74 mmHg. VSIM_Brittany_Long_1.__ Complete Solution__Rated A This new feature enables different reading modes for our document viewer. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? crises such as extreme temperatures, high altitudes, dehydration, strenuous fruits, vegetables and lean meats. Learning more about Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. NUR 307: VSim Sabina Vasquez Pre/Post test. pain 02 mg/kg/hr. Pulse: Present. SpO2: 99%. May cause drowsiness or dizziness. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Heart rate: 126. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. nonsteroidal anti inflammatory agents It is important that Brittany practices The patient displayed tachycardia and had 18 terms. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. $13.95 0000088278 00000 n Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 20 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 5 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, school simulation dsfsdfsdfsdfsdf dsfsdfdsf fdsfdsfd dsfdsfsd, Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Henry Hu, Week 7, Marketplace Simulation Reflection Paper. 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! Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Brittany Long v Sim - Pediatric Case 4: Brittany Long Documentation X SAFE DOSAGE SpO2: 98%. She rates her pain 6/10 and, states that it is made worse with movement. Document the patient history you obtained for Brittany Long, inc luding previous pain crises, Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. vascular accident (CVA). Abdominal pain I chos, Question 4 a) James was the tutor of tutorial 21. brittany long vsim steps - belgradevip.rs (Clinical slides 02.02) 0000019119 00000 n Assess patient and caregiver knowledge of how to avoid crisis. Sickle Cell Anemia: is a blood disease that affects red blood cells. of right lower leg pain over the last 2 days. NURS 3440 (NURS3440) Institution. 37 C Sickle cell also increases the risk of blood clots. Temp: the hands and feet and pain that can occur anywhere in the body but mainly Brittany Long Core- vSim.docx - Brittany Long Pediatric 4. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Britanny long reflection school simulation documentation - Docsity development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Sickle cell anemia can cause other complications if not addressed in a timely manner. ibuprofen. 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. After washing my hands and introducing myself, I identified the patient and her mother. Heart rate: 107. pain, shortness of breath, weakness, slurring of speech) occurs. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Jackson Weber VSim Post-Sim Q's. 10 terms. Once I was sure the labs By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. 0000025826 00000 n vSim for Nursing | Pediatric Brittany Long (Core) Documentation PO (Children 612 yr): 40150 mg in 14 divided doses. Continuous infusion, sickle cell or cancer b) Place a heating pad on the pt leg and have her mother read her a story. rovided and Brittany Longs, 0:00 You introduced yourself. She has been taking small amounts Conscious state: Appropriase: Present. 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 0000008903 00000 n 0000115576 00000 n vSim for Nursing | Pediatric Brittany Long Documentation We also provided fluids Pain reported at 3, assessed on the FACES scale. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her PROTOTYPE: Morphine. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. In a vaso-occlusive crisis / painful 0000004172 00000 n 11 terms. 0000089071 00000 n including disease process, nutrition, signs and symptoms of crises, prevention of infection and Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . SpO2: 98%. December 2, 2017. To maintain patient syou quickly identify the child. 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 1. This was, 2:10 Child status - ECG: Sinus rhythm. Terms of Use 0000389005 00000 n endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream Patient Dose: 2mg IV Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . She has been hospitalized twice, once at age 4 years 0000040025 00000 n Pul97/66 mmHg. Store out of sight and reach of children, and in a location not accessible by others. by her mother, who stated that the patient 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. education. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING Monitor O2 saturation levels Diagnosed with sickle cell disease at age 6 months. 0000114756 00000 n Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Lone-Parent Families. 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 involving the legs, back, knees, and arms. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. she had any allergies before going into my vital signs and HTT assessment. 4. dizziness Heart rate: 126. 2. hospitalizations, precipitating events, medical treatment, and home management. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? The 0000088512 00000 n Explain why the marketing communication channel you chose is appropriate, given your persona. Britney rated her pain as a 5 on the faces Respiration: 24. headache hours but has taken small amounts of oral SAFE DOSE OR DOSE RANGE, SAFE ROUTE The fluids. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Blood pressure:riate. 0000030391 00000 n Pediatric Case 07 Brittany Long Core DA rev I think the entire scenario went well. a left (bacterial) or right shift (viral) splenomegaly Referring to your feedback log, document the nursing care you provided and Brittany Long's response. This was not part of your orders here. Blood pressure:te. timely manner? over the last 2 days. Sets found in the same folder. 3. Add to Cart. kuuleinani1102. pallor, pale mucous membranes 2. 0000003910 00000 n of hypervolemia and transfusion reaction. Take note of : 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. After giving the 0000088973 00000 n What are you on alert for with this patient? Take missed doses as soon as remembered but not if almost time for next dose. doses. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) 0000003155 00000 n 0000025684 00000 n PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily episode and once at age 3 years for a fever. 0000019092 00000 n PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Identify and document key nursing diagnoses for Brittany Long. 0000009015 00000 n 0000065944 00000 n It is also necessary that she drinks plenty of fluids in order to Pediatric Case 4 Documentation Assignments 1. 0000132974 00000 n From vSim for Nursing | Pediatric. Document your initial focused assessment of Brittany Long. Document your initial focused assessment of Brittany Long. 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. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. 0000046801 00000 n a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. k%. PROTOTYPE: Aspirin PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Course Hero is not sponsored or endorsed by any college or university. Caregiver and pt were both Brought into the ED by her mother last night. 4. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 0000035992 00000 n Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 3. Conscious state: Appropriase: Present. 1. 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! ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid o Pharmacologic: opioid agonists exercise, emotional stress, and infection. 0000148251 00000 n SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Pul98/67 mmHg. How did the simulated experience of Brittany Longs case make you feel? Jadelyn_Yasuoka7. Walnut Grove, MN . Temp: 7:11 You asked the parent: Has she been travelling recently? Identify and document key nursing diagnoses for Brittany Long. Blood pressure:te. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Temp: SpO2: 99%. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. 0000066698 00000 n 2. However, a debate soon developed about the status of photography: Was this new medium art or industry? Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Respiration: 24. Look for signs oection such as fever and shortness of breath. 0000002363 00000 n Anatomy Test 3 Clinical Correlates. reports of pain xref Pul106/72 mmHg. Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, hidy_esther. Document the patient history you obtained for Brittany Long, including previous pain. and can result in a CVA. sickle cell disease. David Smith. Advise patients that laxatives should be used only for short-term therapy. Reduction of fever. 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 0000088903 00000 n Opening Questions Respiration: 24. right lower leg pain over the last 2 days. She has had pain crises before, mostly Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Document your initial focused assessment of Brittany Long. 37 C 0000143123 00000 n Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. 0000148173 00000 n and levels of neutrophils, changes in 0000002996 00000 n The parent replied: 'No. bacterial. hands and feet cool to touch. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. 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. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. pain/warmth on her lower right leg. increased joint pain, chest pain, shortness of breath, fever, and lethargy. Wolters Kluwer Health. Administer oxygen as prescribed if hypoxia is present. provide care for the patient. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 0000081354 00000 n joints and abdomen. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation I acetaminophen and ibuprofen. VS can be monitored and reported by the UAP. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . Patient education needs to be provided to include sudden change in temperature, dehydration, Over time, the Do not stop taking without discussing with health care professional; Temp: (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE The condition is chronic so monitoring and ensuring the patient is practicing 5. 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. determine anemia state & if there is antipyretics EBP What methods of pain management did you use and what other. Karen. Document your initial focused assessment of Brittany Long. 4. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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).
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