brittany long vsim stepskelly services substitute teacher pay orange county

in her right lower legs. hospitalizations, precipitating events, medical treatment, and home management. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached . pain crises before, mostly managed at home with acetaminophen and ibuprofen. 10:1 0 Child status - ECG: Sinus rhythm. rovided and Brittany Longs, 0:00 You introduced yourself. Respiration: 24. This was, 2:10 Child status - ECG: Sinus rhythm. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Blood pressure:riate. o Ther. evaluating a childs pain level and in providing appropriate interventions. Heart rate: 109. 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. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. What would be the most appropriate med for the nurse to administer? She is asleep but is responsive when awakened. Store out of sight and reach of children, and in a location not accessible by others. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Assess patient and caregiver knowledge of how to avoid crisis. Conscious state: Appropse: Present. She was allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. 2. maintenance fluids at 52 mL/hr. CBC due Q 4 hours. Tolerance is not addiction. Her pain was a 3/5 on FACES scale Heart rate: 128. c) I am going to take your temp. Acute chest She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Instruct patient to take medication as directed. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent ven over 30 minutes. 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 Conscious state: Appropriate. a) Acute leg pain and dactylitis. a) Sickle cell anemia is transmitted through he father. Manage her pain at home with acetaminophen and drink plenty of fluids. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Advise patient to change positions slowly to minimize orthostatic hypotension. Transcranial Doppler : Could be 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. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Pediatric Case 7: Brittany Long (Core) 1. SpO2: 99%. 1. 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 4. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. d) Sickle cell anemia is transmitted through the mother. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness When obtaining a health hx, the nurse should include questions r/t which of the following? antipyretics Look for signs oection such as fever and shortness of breath. Respiration: 24. also on 2L nasal cannula. She has been hospitalized twice, once at age 4 years NS and PRBCs. takes regular folic acid supplement as prescribed. He ordered Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. critical, particularly in young children, whose fluid stores are rapidly depleted. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 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. 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 Jackson Weber VSim Post-Sim Q's. 10 terms. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. given. a) I want to listen to you breathe. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The potential difference between the two locations is. d) Frequency of vaso-occlusive crises Heart rate: 127. of infection and dehydration, and pain management. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. 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. Document your initial focused assessment of Brittany Long. 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? c) FACES scale bacterial. X SAFE DOSAGE hands and feet cool to touch. brittany long vsim step by step. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. ood or had a reaction to a. I need you to help me hold my stethoscope in place. Brittany VSIM. Monitor her 02 sat and keep above 94%. Jackson Weber VSim Post-Sim Q's. 10 terms. d)Enuresis and proteinuria. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. viral. Naltrexone: -opioid receptor antagonist that reduces the. 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? Any orders or recommendations you may have for this patient. a) I want to listen to you breathe. $16.49 Add to cart . Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. 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. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Document your handoff report in the situation-background-assessment- Visual disturbances. nonopioid analgesics (In pain) She well' replied: 'Not too. Transcribed image text: Patient Introduction 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. nonopioid analgesics Do you think that, Select the correct description of a somatoform disorder. 15:4 1 A patient handoff was performed. Respiration: 25. c) Past hospitalizations and Tx 37 C (Signs & Symptoms), 3. 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. The child looked slightly She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Temp: 37.3. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Morphine 2mg IV. I monitored her vitals Pul97/66 mmHg. VBVA=45.0V. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. s relative. Brittany Long was diagnosed with sickle cell disease at 6 months old. encouraging fluids, she kept drinking as I gave her fluids. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. arcoca. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. nonsteroidal anti inflammatory agents To maintain patient syou quickly identify the child. Monitor her pain levels. Disulfiram: NMDA receptor antagonist & GABAA agonist B . The nurse is reviewing lab data on a pt with sickle cell anemia. She rates her pain as a 5/5 on the FACES scale. 19 terms. Temp: Pul106/73 mmHg. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. vSim - Brittany Long. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. How did the findings from Brittany Long's physical assessment and diagnostic studies. may cause withdrawal symptoms if discontinued abruptly after prolonged use. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. 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. 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. Cheever), Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Initial focus assessment was the patients pain and location. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. She has been Educate patient and family on nutritional and fluid needs. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Pul110/74 mmHg. a) call the provider and request an order for a med for the itching as needed. 6:22 You asked the child how long she had pain for. lymphocytes monocytes increase is SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. a) Acute leg pain and dactylitis. She was brought into the emergency a. Xist You should have asked the relative about any known health problems. temperature was 37 Celsius she now rates NSAIDs. 13 terms. 6a Daily Routine. and educated the mother about signs of a reaction. Stabilizing fluid levels to assist in relieving pain. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Which of the following would be the best response by the nurse? I verified with two nurses in regard to the New orders have been. 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). What action should the nurse take? pallor, pale mucous membranes Conscious state: Appropriase: Present. Protect it from theft, and never give to anyone other than the I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: I f dehydration, look at her legs frequently. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. I I called her provider to see what else I should do. jaundice TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. IV fluids with electrolyte replacement (caution with potassium replacement) prescribed was given for her pain. PDA Closure Diagnosed with sickle cell disease at age 6 months. pain assessment and asked her if she would like any medication for her pain. o Pharm. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. emergency Department at 0600. IV PCA may also become necessary if pain cannot be controlled. 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, Care of the childrearing family (nurs420). Abdominal pain She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. referral to the pain team may also be helpful in SCD crises management. Fanny373. Making a Over time, the Dehydration is often a DramaQueen66. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Pul106/72 mmHg. This was not part of your orders here. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Pulse: Present. Long-term therapy may cause May cause drowsiness or dizziness. o Pharm. 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. 7:37 You asked the parent: Is there anything else tknow? SpO2: 98%. Temp: e) Precipitating events. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Normal red blood cells are round. I prevention of infection and dehydration, and pain management. 26% 240 Heart rate: 127. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Pul110/74 mmHg. The. respiratory depression. Caution patient to call for assistance when ambulating Use of a Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. 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. Identify and document key nursing diagnoses for Brittany Long. Temp: 5 touch. I assessed her IV, asked for name and date of birth, and 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. The If you change the Country/Language, you will be logged out. Respiration: 24. Pulmonary edema. 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. Document your initial focused assessment of Brittany Long. (Clinical slides 02.02) 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. slurred speech, What Assessments will focus on for this patient? d) You need to change into hospital gown before I can examine you. 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. hours but has taken small amounts of oral Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options She has pain a 6/10 on the faces scale and is receiving morphine to Respiration: 16. I monitored her respiratory rate for any, respiratory depression. Pul98/67 mmHg. brittany long complex vsim documentation. I also started incorporating more strength training into my gym routine. reports of pain. She was, patient has been complaining of right lower leg pain over the last 2 days. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . 1) Have the patient lie down in a supine position. 8:13 You provided patient education. fluids. How did the simulated experience of Brittany Long's case make you feel? Reticulocytes 5 (0.5-1%) The padon't think so.' rent replied: 'No. 3. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Brought into the ED by her mother last night. IV Neonates: Continuous infusion 00 mg/kg/hr. Take note of Conscious state: Appropse: Present. Maintain adequate fluid intake and monitor urine output. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain.

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