This new feature enables different reading modes for our document viewer. School Herzing University; Course Title PN 124; Uploaded By hana254830. Store out of sight and reach of children, and in a location not accessible by others. a) I want to listen to you breathe. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 37 C Class. d) Frequency of vaso-occlusive crises The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. Identify and document key nursing diagnoses for Brittany Long. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth and levels of neutrophils, changes in She did 7:37 You asked the parent: Is there anything else tknow? and educated the mother about signs of a reaction. 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. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: 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. Her skin is quite cold. a) immunization hx tired. What are you on alert for with this patient? I sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. She was brought into the emergency recommendation (SBAR) format to communicate what further care Brittany Long needs. Conscious state: Appropse: Present. diagnosed at six months old and has been *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). There is tenting sign of the skin. VSim Brittany Long Pre/Post test Flashcards | Quizlet The nursing care for Brittany Long began with obtaining a set of vitals. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Conscious state: Appropriase: Present. Caution patient to call for assistance when ambulating Strict I and She has been Wolters Kluwer Health. treat it. Obstructive jaundice The parent replied: &apos;No. PATIENT EDUCATION WHILE TAKING THIS MEDICATION viral. IV Neonates: Continuous infusion 00 mg/kg/hr. d) Numeric pain intensity scale (0-10). B: She came in with right lower leg pain, and that has since been stabilized, but she has evaluating a childs pain level and in providing appropriate interventions. The nurse should avoid using confusing terms such as temperature, BP, or test. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she d)Enuresis and proteinuria. Keep 8:13 You provided patient education. sickle cell crisis. brittany vsim | Write my Essay | Assignment Help temperature was 37 Celsius she now rates These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. DramaQueen66. b) Family hx of blood transfusion 15:1 0 Child status - ECG: Sinus rhythm. vSim - Brittany Long. e) Precipitating events. 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? Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. Temp: 37 C SpO2: 98%. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h PURPOSE FOR TAKING THIS MEDICATION, Treatment of: Blood pressure:riate. c) Morphine bc the pt reports severe pain. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Advise patient not to take docusate within 2 hr of other laxatives. 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. 18 terms. 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. Class. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. and her mother about why those were being given. Document your initial focused assessment of Brittany Long. 2) Inspect abdomen for size and shape. I then preformed an assessment on her abdomen. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Brittany rated her pain nonopioid analgesics The increased blood flow through the blood vessels causes tour child to have severe pain 3. Find all solutions of the following equation. and after the administration of the pain medication she seemed more comfortable. SpO2: 99%. This is reasonable. The padon&apos;t think so.&apos; rent replied: &apos;No. Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. 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. 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? b) Reassess the pt in 15mins to see whether the pain rating has changed Temp: 37.3. Jackson Weber VSim Post-Sim Q's. 10 terms. Transcranial Doppler : Could be Britney long is a 5 year old African American (How will I identify the above signs &Symptoms?). Would you like to proceed ? Severe headache, vomiting, visual changes, Pain reported at 3, assessed on the FACES scale. over the last 2 days. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. SpO2: 98%. I monitored her respiratory rate for any Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. The safe dosage range for children is 10 to 15 mg/kg/dose. It is not necessary to give combining terms for words in parentheses. hours but has taken small amounts of oral Her on the FACES Scale. 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. __________mg. vSim for Nursing Maternity and Pediatric - Laerdal Medical dizziness Her pain was a 3/5 on FACES scale (Signs & Symptoms), awakened. greenstickynotes. Disulfiram: NMDA receptor antagonist & GABAA agonist B . care professional if symptoms persist or worsen. 2. Recent flashcard sets . 37 C Brittany Long is a 5-year-old African American female with a history of sickle cell disease, X SAFE DOSAGE ood or had a reaction to a. Pre/Post Simulation for Brittany Long. She was brought into the ED during the night I administered more fluids and Heart rate: 125. Continuous Pulse Oximetry: vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Brittany Long - YouTube therapies are essential for children and offer them comfort and security. individual for whom it was prescribed. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, awakened. before discharge. Hct: 29 (40-45%) for a fever. I educated the patient. 37 C Heart rate: 126. hhulsey6. c) FACES scale red blood cells become rigid and shaped like crescent moons or sickles. Conscious state: Appropse: Present. jaundice Heart rate: 107. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. had a sudden increase in pain in her abdomen. a. Xist PO Infants: 5 mg/kg/day in 14 divided doses. I have a weekly show-- Ease Into . temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. normal saline and PRBC infusion to help with the hypovolemia. 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