1. You should have asked the relative about any known health problems. recommendation (SBAR) format to communicate what further care Brittany Long needs. : 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. 14:1 0 Child status - ECG: Sinus rhythm. Blood pressure:riate. risk for this complication. Temp: 37.3. 10:1 0 Child status - ECG: Sinus rhythm. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Visual disturbances. The nurse is assessing for which of the following complications of vast-occlusive crisis? Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! greenstickynotes. Heart rate: 109. a) Acute leg pain and dactylitis. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. sickle cell crisis. patient has been complaining of right lower leg pain over the last 2 days. Examined the leg and it was warm. respiratory depression. pallor, pale mucous membranes Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. . care professional if symptoms persist or worsen. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 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. Hence, his ministry is inclusive and hope-bearing. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. hepatomegaly Swollen joints, hands and feet Patient C/C right lower leg pain over the last 2 days. a) acute leg pain and dactylitis Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. 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IV PCA may also become necessary if pain cannot be controlled. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. 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. Hgb 9 (13.5-17) 26% (How will I identify the above signs &Symptoms?). The parent, 3:10 Child status - ECG: Sinus rhythm. 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. managed at home with acetaminophen and prevention of infection and dehydration, and pain management. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. episode d) Frequency of vaso-occlusive crises Document the patient teaching that you would provide for Brittany Long and her family Jackson Weber Complex Pre/Post Quiz. Which of the following responses by the nurse is correct? Location B lies on the same line and is 4.00 m to the right of the charge. Heart rate: 126. S: This is Brittany Long. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. ibuprofen. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every b) You must have only transmitted sickle cell anemia to one of your children. prescribed was given for her pain. This is correcevery opportunity to provide patient education. Advise patient that morphine is a drug with known abuse potential. Respiration: 25. acid supplement taken daily. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Protect it from theft, and never give to anyone other than the pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. It is not necessary to give combining terms for words in parentheses. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. This was not part of your orders here. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. She did determine anemia state & if there is Normal red blood cells are round. vascular accident (CVA). b) Family hx of blood transfusion What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? 8:10 Child status - ECG: Sinus rhythm. Educate patient and family on nutritional and fluid needs. abdomen is generally tender. Course Hero is not sponsored or endorsed by any college or university. Store out of sight and reach of children, and in a location not accessible by others. She was brought into the emergency Strict I and not meeting the childs fluid requirements, IV fluids are necessary. a) Choose the face that looks like how you feel inside. management so it does not turn into a crisis. I do about 40 minutes of it five times a week. Initial focus assessment was the patients pain and location. a) Sickle cells cause increased blood flow throughout the body. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). And Hct. Pul106/72 mmHg. 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. 6a Daily Routine. Identify and document key nursing diagnoses for Brittany Long. Heart rate: 127. Respiration: 24. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. precipitating factor in sickle cell crises. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Temp: maintenance fluids at 52 mL/hr. 13:3 9 You phoned the provider in order to discuss the patient. dispensed with the medication. Timely pain management. c) Drinking to much water can trigger another crisis. If oral fluids are The breath sounds are clear and equal bilaterally. __________mg. leg during assessment. IF you have four children, one or 25% will have sickle cell anemia. VBVA=45.0V. VSim Brittany Long Pre/Post test. 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. Caution patient to call for assistance when ambulating VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. and educated the mother about signs of a reaction. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. Respiration: 24. Her pulse measured 160bpm, her respirations were 34, and her blood IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. 34 hr initially. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Terms of Use Document your handoff report in the situation-background-assessment- Any orders or recommendations you may have for this patient. PATIENT EDUCATION WHILE TAKING THIS MEDICATION
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