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Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION She was She has been hospitalized twice, By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. 18 terms. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. 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. pain 02 mg/kg/hr. She is on D5NS fluids at 52 mL/hr. 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 pain crisis. Pediatric Case 7: Brittany Long (Core) 1. care professional if symptoms persist or worsen. Documentation Assignments. If you change the Country/Language, you will be logged out. Vaso-occlusive pain crisis from sickle cell anemia You should have identified the relative, ng the child's before providing : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. prevention of infection and dehydration, and pain management. takes regular folic acid supplement as prescribed.
Pre/Post Simulation for Brittany Long Flashcards | Quizlet We have noticed you are logged in to ${country}. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Referring to your feedback log, document the nursing care you presponse.
Pediatric Case 07 Brittany Long Core DA rev - StuDocu And Hct. SpO2: 99%. children ages 2 to 16 years who have Would you like to proceed ? Timely pain management. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. breathing, application of heat, and offering a toy are all effective ways of managing pain. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. 37 C Over time, the of oral fluids and continues to receive development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. d) decreased hgb, increased platelet, greatly elevated reticulocyte. 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). 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 She has had pain crises before, mostly managed at What is the maximum safe dose for this pt in mg? A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Making a Student exploration Graphing Skills SE Key Gizmos Explore Learning. Blood pressure:riate. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. ood or had a reaction to a. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives
c) Morphine bc the pt reports severe pain. SpO2: 98%. Hypertension and tachycardia are often associated with acute pain. b) Your mom will need to wait outside while I complete your assessment Making a purchase. fluids. viral. 37 C diagnosed at 6 months old, and has been prescribed regular folic acid supplement. (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? ECG: normal Sinus rhythm. Brittany VSIM. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth : 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. Hydration is essential to Respiration: 24. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 0:10 Child status - ECG: Sinus rhythm. Children should never be force to change into a gown. Temp: 5 touch. risk for this complication. pallor, pale mucous membranes Heart rate: 128. Conscious state: Appropriase: Present. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. scale and did not want anyone to touch her Temp: The spleen is enlarged, acid supplement taken daily. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." She has not had an appetite in the last 24 7:10 Child status - ECG: Sinus rhythm. Sigle prn dose of morphine 2mg was administered. Pain level controlled and maintained, avoiding. VSim Charlie Snow Complex Pre/Post Sim. Before discharging Brittany Long and her family, I would educate them on how to The increased blood flow through the blood vessels causes tour child to have severe pain in her right lower legs. She has poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Tolerance is not addiction. Patient Dose: 2mg IV Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 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. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Pul108/73 mmHg. 2400 mg/day, whichever is less). hhulsey6. a) acute leg pain and dactylitis (Signs & Symptoms), 3. 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 1. Initial focus assessment was the patients pain and location. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Monitor and note changes in level of consciousness, reports of headache, dizziness, (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. c) Enuresis and proteinuria. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister.
pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. of right lower leg pain over the last 2 days. jaundice Brittany rated her pain a) immunization hx home with acetaminophen and ibuprofen. b) Family hx of blood transfusion Blood pressure:te. Monitor her pain levels. Place the steps of an abdominal assessment in order. School Herzing University; Course Title PN 124; Uploaded By hana254830. CLASSIFICATION: Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). d) Frequency of vaso-occlusive crises maintenance fluids at 52 mL/hr. Severe headache, vomiting, visual changes, What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? IV PCA may also become necessary if pain cannot be controlled. 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? Blood pressure:riate. Do not double Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . 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. Your other child definitely carries the trait Pul110/74 mmHg. Patients who are immobile are at greater Four months . provided education to R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. You should have asked the relative about any known health problems. Are you considering implementing vSim for Nursing into your existing curricula? greenstickynotes. 11:1 0 Child status - ECG: Sinus rhythm. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 7:37 You asked the parent: Is there anything else tknow? 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? Voc Latin page 24. 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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. Location B lies on the same line and is 4.00 m to the right of the charge. Pulse: Present. I worked my way up to an hour of cardio per workout session. 3. Conscious state: Appropse: Present. You don't have to be crying to be hurting a lot. prescribed regular folic acid supplement. vSim for Nursing allows each student to have a different experience with the patient. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. a) FLACC scale V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Blood pressure:riate. Pul106/73 mmHg. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. dizziness e) Precipitating events. department during the night by her mother, who stated that the patient has been complaining When obtaining a health hx, the nurse should include questions r/t which of the following? PO Infants: 5 mg/kg/day in 14 divided doses. d) Anemia and hypotension. Pediatric Case : Brittany Long. also on 2L nasal cannula. emergency Department at 0600. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. and her mother about why those were being given. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 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. Britney long is a 5 year old African American Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. Identify and document key nursing diagnoses for Brittany Long. She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. I also started incorporating more strength training into my gym routine. Advise patient that morphine is a drug with known abuse potential. Examined the leg and it was warm. e) Precipitating events 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. 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. Respiration: 25. c) Use a dropper to place med in back of the pt's throat and basic metabolic panel, Blood analysis (notable): education. 37 C Recent flashcard sets. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. She now rates her pain as a 3. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Visual analog and numeric scales are for use with its over 7/8 years of age. Document your initial focused assessment of Brittany Long. Controlled-release tablet 0 Continuous infusion, sickle cell or cancer The nurse should avoid using confusing terms such as temperature, BP, or test. Ineffective Tissue Perfusion a) I want to listen to you breathe. brought into the emergency department during the night by her mother, who stated that the c) Past hospitalizations and Tx Hence, his ministry is inclusive and hope-bearing. 7:11 You asked the parent: Has she been travelling recently? Do not stop taking without discussing with health care professional; developmentally appropriate pain scale and assessment of pain behaviors are essential in I don't think so.' llergies? had a sudden increase in pain in her abdomen. d)Enuresis and proteinuria. 37 C Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family In order to maintain trust, it is important to tell children if there is meds mixed into the food. Store out of sight and reach of children, and in a location not accessible by others. Temp: c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area
Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. Pul98/67 mmHg. She rates her pain as a 5/5 on the FACES scale. CLASSIFICATION: Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss.