A step-by-step guide to craft a winning sales presentation . I would also educate on the importance Vital Naltrexone: -opioid receptor antagonist that reduces the. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. lymphocytes monocytes increase is (In pain) She well' replied: 'Not too. 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. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 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? sickle cell crisis. 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. We're available through e-mail, live chat and Facebook. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. On inspection, the pt's skin is flat & w/o erythema. Hydration is essential to reports of pain I called her provider to see what else I should do. Dehydration is often a Diagnosed with sickle cell disease at age 6 months. Temp: Conscious state: Appropriase: Present. 3. Initial focus assessment was the patients pain and location. Would you like to proceed ? c) Use a dropper to place med in back of the pt's throat Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. (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? Temp: faces scale. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. 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. scale and did not want anyone to touch her Temp: I monitored her respiratory rate for any Respiration: 24. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Temp: The potential difference between the two locations is. Continuous infusion, sickle cell or cancer Impaired Gas Exchange The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. decreased oxygen) Caution patient to call for assistance when ambulating hhulsey6. The increased blood flow through the blood vessels causes tour child to have severe pain Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Heart rate: 125. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. pallor, pale mucous membranes dispensed with the medication. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Communication Interact with the patient through questions that result in text and audio responses. She didnt have any reaction 0:10 Child status - ECG: Sinus rhythm. : 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. 15 x 16 = 240. SpO2: 97%. Blood pressure:riate. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Promote rest to decrease oxygen consumption. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . 2. Referring to your feedback log, document the nursing care you provided and Brittany Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . nonsteroidal anti inflammatory agents red blood cells become rigid and shaped like crescent moons or sickles. She also didn't have any energy to eat anything by mouth. 13:2 3 You examined the child's legs. VSim Brittany Long Pre/Post test. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. Sets found in the same folder. Disulfiram: NMDA receptor antagonist & GABAA agonist B . on the FACES Scale. Promote rest and provide adequate fluids and nutrition. are inadequate (extended release). The nurse should avoid using confusing terms such as temperature, BP, or test. I stayed to watch for a transfusion 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. 8:13 You provided patient education. Severe headache, vomiting, visual changes, Fanny373. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Initial focus assessment was the patients pain and location. encouraging fluids, she kept drinking as I gave her fluids. anemia or sickle cell trait Situation: Brittany long is a 5-year-old African American female who has a history of had a sudden increase in pain in her abdomen. PO (Children <3 yr): 1040 mg in 14 divided doses. IF you have four children, one or 25% will have sickle cell anemia. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. 8:10 Child status - ECG: Sinus rhythm. and educated the mother about signs of a reaction. electrolyte imbalance and dependence. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. $16.49 Add to cart . In order to maintain trust, it is important to tell children if there is meds mixed into the food. 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. . Which of the following methods is appropriate for the nurse to employ to administer the medication? PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. emergency Department at 0600. VSim Sabina Vasquez Pre/Post test. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Use preservative-free formulation. used to assess Intercranial vascular syndrome can develop in children with sickle cell crisis. episode The nurse is assessing for which of the following complications of vast-occlusive crisis? She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? d) decreased hgb, increased platelet, greatly elevated reticulocyte. You don't have to be crying to be hurting a lot. received a unity of PRBCS. There is tenting sign of the skin. The parent ; 7:32 You asked the parent: Is there anything else tknow? The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Assessment for signs and symptoms of dehydration is 19 terms. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 19 terms. regular heart sounds without murmurs. c) Enuresis and proteinuria. 34 hr initially. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Blood pressure:riate. X SAFE DOSAGE viral. Recent flashcard sets . Antipyretic 5 mg/kg for 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). Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Which of the following would be the best response by the nurse? And Hct. Morphine 2mg IV given as developmentally appropriate pain scale and assessment of pain behaviors are essential in 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. (How will I identify the above signs &Symptoms?). M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Identify and document key nursing diagnoses for Brittany Long. She was brought into the emergency 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 Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. pain 02 mg/kg/hr. o Pharm. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. SpO2: 99%. I verified with two nurses in regard to the and basic metabolic panel, Blood analysis (notable): Heart rate: 128. Family history of sickle cell Upto date with . When examined this morning, her blood pressure was 101/ She was This was part of your order. c) I am going to take your temp. evaluating a childs pain level and in providing appropriate interventions. c) Past hospitalizations and Tx The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? I called her provider to see what else I should do. I need you to help me hold my stethoscope in place. 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. Respiration: 24. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Background: Brittany Long has a history of sickle cell anemia being treated with a folic She has not had an appetite in the last 24 Which of the following explanations b the nurse is correct? Monitor O2 saturation levels joints and abdomen. North Carolina State University. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Educate patient and family on nutritional and fluid needs. and BP now List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? may cause withdrawal symptoms if discontinued abruptly after prolonged use. c) tachycardia and jaundice
Gallo Azul Gouda Cheese,
Ccap Louisiana Income Limits,
Articles B