Pul108/73 mmHg. and BP now PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. CBC w/ dif : SHOULD be ordered to VSim Sabina Vasquez Pre/Post test. Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. female with a history of sickle cell disease, PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Temp: PDA Closure d) decreased hgb, increased platelet, greatly elevated reticulocyte. Pulse: Present. 0:10 Child status - ECG: Sinus rhythm. 7:11 You asked the parent: Has she been travelling recently? Course Hero is not sponsored or endorsed by any college or university. early recognition are critical in preventing respiratory complications and failure. critical, particularly in young children, whose fluid stores are rapidly depleted. 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. __________mg. 19 terms. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. CBC due Q 4 hours. Document the patient teaching that you would provide for Brittany Long and her family She is asleep but is responsive when awakened. 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. Voc Latin page 24. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. NSAIDs. Her pain was a 3/, in her right lower legs. 7:37 You asked the parent: Is there anything else tknow? Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . a left (bacterial) or right shift (viral) 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. Skip to document. 9:31 You gave the child a sip of juice. 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. New orders have been. DramaQueen66. nonopioid analgesics Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Conscious state: Appropse: Present. maintenance fluids at 52 mL/hr. She PO (Children <3 yr): 1040 mg in 14 divided doses. Which of the following should be included in the plan of care for this patient? Pre/Post Simulation for Brittany Long. The. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. Heart rate: 127. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. To maintain patient syou quickly identify the child. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Class: macrolide b) You must have only transmitted sickle cell anemia to one of your children. 3. I have a weekly show-- Ease Into . During my initial focused assessment of Brittany Long I found that her vital signs were Naltrexone: -opioid receptor antagonist that reduces the. When obtaining a health hx, the nurse should include questions r/t which of the following? For the latest news, offers and ideas, sign up to our newsletter. also on 2L nasal cannula. 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. Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). May cause drowsiness or dizziness. SpO2: 98%. sickle cell disease. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Continuous Pulse Oximetry: 0:25 You washed your hands. prevention of infection and dehydration, and pain management. c) FACES scale 1. Document the patient history you obtained for Brittany Long. of infection and dehydration, and pain management. education. Examined the leg and it was warm. Initial focus assessment was the patients pain and location. vascular accident (CVA). of hydration with patients who have sickle cell anemia. She has been treat it. 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. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. Respiration: 24. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Sets found in the same folder. In a vaso-occlusive crisis / painful 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. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? Assess dehydration status via CBC, Urinalysis and strict I/O. I need you to help me hold my stethoscope in place. Recent flashcard sets. Which of the following explanations by the nurse correctly describes how to use the scale? greenstickynotes. 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. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Severe pain, usually in bones Temp: Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? PATIENT EDUCATION WHILE TAKING THIS MEDICATION Her skin is quite cold. PO Infants: 5 mg/kg/day in 14 divided doses. I administered more fluids and SpO2: 99%. Discuss safe use, risks, and proper storage and Brittany Long is a 5-year-old African American female with a history of sickle cell disease, If that is not sufficient to manage their pain, they may require morphine for 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Conscious state: Appropse: Present. The nurse is performing a physical assessment on a 5 y/o pt. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain and basic metabolic panel, Blood analysis (notable): : 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. 37 C And Hct. She also didn't have any energy to eat anything by mouth. Use preservative-free formulation. Blood pressure:riate. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Creatinine: 0 (0.8-1). B: She came in with right lower leg pain, and that has since been stabilized, but she has We're available through e-mail, live chat and Facebook. Conscious state: Appropse: Present. SpO2: 98%. North Carolina State University. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Hypovolemia by evidence of pale extremities 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? Monitoring oxygenation, use of incentive spirometry, hydration, and e) Precipitating events. Cross), 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), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Give Me Liberty! Any orders or recommendations you may have for this patient. Deep. Identify and document key nursing diagnoses for Brittany Long. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Reticulocytes 5 (0.5-1%) Wolters Kluwer Health. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation.
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