brittany long vsim documentation
0000025965 00000 n The parent, 3:10 Child status - ECG: Sinus rhythm. I assessed the IV site and Hgb 9 (13.5-17) o Pharm. PO (Children 612 yr): 40150 mg in 14 divided doses. Hypovolemia by evidence of pale extremities DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). 9:10 Child status - ECG: Sinus rhythm. Jackson Weber VSim Post-Sim Q's. 10 terms. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Skin is cool and appears ashen with normal elasticity. 0000081354 00000 n Terms of Use Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Post-Simulation. Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), 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), Chapter 5 - Summary Give Me Liberty! 0000003155 00000 n slurred speech, What Assessments will focus on for this patient? Normal red blood cells are round. a left (bacterial) or right shift (viral) Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 20 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 5 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, school simulation dsfsdfsdfsdfsdf dsfsdfdsf fdsfdsfd dsfdsfsd, Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Henry Hu, Week 7, Marketplace Simulation Reflection Paper. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. She has been hospitalized twice, once at age 4 years 3. This improved her oxygen saturation to 94%. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Pul110/74 mmHg. What are you on alert for with this patient? Her pain is usually well managed with The managed to get a 97% without having to retake it! (In pain) She well' replied: 'Not too. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and comfort measures to the young girl. Jadelyn_Yasuoka7. upon assessment. 0000114756 00000 n By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. . 0000025684 00000 n viral. by her mother, who stated that the patient Acute pain r/t tissue hypoxia (3 out of 5 on FACES scale). Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 0000088903 00000 n red blood cells become rigid and shaped like crescent moons or sickles. Popular books. . 1. 0000115576 00000 n 18 terms. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. 0000009015 00000 n poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Heart rate: 109. 0000030391 00000 n VS can be monitored and reported by the UAP. Discuss safe use, risks, and proper storage and The patient displayed tachycardia and had Pul97/66 mmHg. 0 mg/kg every 12 hr. 3. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. How did the simulated experience of Brittany Long's case make you feel? 0000147236 00000 n EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Pul108/73 mmHg. 19 terms. shortness of breath, fatigue 0000022380 00000 n crises such as extreme temperatures, high altitudes, dehydration, strenuous home with acetaminophen and ibuprofen. Antipyretic 5 mg/kg for Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . 0000035922 00000 n From vSim for Nursing | Pediatric. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her The chest x-ray revealed right lower lobe pneumonia . 13 terms. SpO2: 98%. With a profile at Docmerit you are definitely prepared well for your exams. Breath sounds are clear and equal bilaterally, 3. 34 hr initially. Pul109/74 mmHg. Signs and symptoms include swelling of dehydration, and pain management. To maintain patient syou quickly identify the child. Identify and document key nursing diagnoses for Brittany Long. Class. We're available through e-mail, live chat and Facebook. We're available through e-mail, live chat and Facebook. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. line infusion rate to 52. 7:37 You asked the parent: Is there anything else tknow? Walnut Grove, MN . Skin is cool and appears ashen with normal elasticity. After giving the S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. Case - Brittany long vsim/ broward . 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. I Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 37 C 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 Respiration: 24. I f dehydration, look at her legs frequently. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . 0000133372 00000 n arcoca. Use preservative-free formulation. 0000088539 00000 n should have asked the mother about the patients history at this point. 0000026548 00000 n awakened. r\a W+ Brittany Longs response. Neutrophils and bans are bacterial. 6a Daily Routine. Document the patient teaching that you would provide for Brittany Long and her In people with sickle cell This is correcevery opportunity to provide patient education. 0000017198 00000 n Educate patient and family on nutritional and fluid needs. atelectasis. How did the simulated experience of Brittany Longs case make you feel? 3. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. 0000066698 00000 n The faulty Lastly, death is always the Following medication 0000115021 00000 n takes regular folic acid supplement as prescribed. Store out of sight and reach of children, and in a location not accessible by others. history. She requested some pain medication when asked. She stated that Brittany complaining of. You even benefit from summaries made a couple of years ago. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Heart rate: 125. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. Heart rate: 128. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. VSIM_Brittany_Long_1.__ Complete Solution__Rated A Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. headache 0000132705 00000 n Heart rate: 127. 827 0 obj <> endobj Management of Care: What needs to be done for this Patient Today? are inadequate (extended release). pain 02 mg/kg/hr. Creatinine: 0 (0.8-1). Do not double PDA Closure Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. doses. produce RBC. 0000148251 00000 n pain crises, hospitalizations, precipitating events, medical treatment, and home 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Blood pressure:riate. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. 37 C Decreased pain and inflammation. 2. lower leg is warm to touch. Assess patient and caregiver knowledge of how to avoid crisis. 1. Identify and document key nursing diagnoses for Brittany Long. Continuous infusion, sickle cell or cancer 0000002798 00000 n IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. NURS 3440 (NURS3440) Institution. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. The breath sounds are clear and equal bilaterally. acetaminophen and ibuprofen. Sigle prn dose of morphine 2mg was administered. practicing safely is important. dizziness 2 terms. leg pain. 6:22 You asked the child how long she had pain for. 2. North Carolina State University. Britney rated her pain as a 5 on the faces 0000026521 00000 n splenomegaly Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 4. startxref 0000150448 00000 n : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. Brittany Long was diagnosed with sickle cell disease at 6 months old. pain/warmth on her lower right leg. Controlled-release tablet 0 Temp: It is important to use, 8:21 You provided education to the relative regardicondition. (every 4-6 hours) as needed for pain. I/O can be calculated by UAP. Observe for manifestations Assess dehydration status via CBC, Urinalysis and strict I/O. chest is moving equally. 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. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 37 C Blood pressure:te. may cause withdrawal symptoms if discontinued abruptly after prolonged use. crisis, if those medicationsdont work then morphine may be. Heart rate: 126. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. Patient Dose: 2mg IV involving the legs, back, knees, and arms. Heart rate: 125. It is important that Brittany practices Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. prevention of infection and dehydration, and pain management. SpO2: 98%. 14:1 0 Child status - ECG: Sinus rhythm. Identify and document key nursing diagnoses for Brittany Long. Which is a huge accomplishment from the other ones. 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 Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Instruct patient to take medication as directed. HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ Abdominal pain Identify and document key nursing diagnoses for Brittany Long. / NURS 123 - FINAL BRITTANY LONG VSIM. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Now is my chance to help others. 2) Inspect abdomen for size and shape. Respiration: 24. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. 4. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream Britney was given oral pain medication in the 0000087999 00000 n endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Quick and easy check-out . Respiration: 24. December 2, 2017. Conscious state: Appropriate. 0000147158 00000 n 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Respiration: 16. Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus 1. SpO2: 99%. Document your initial focused assessment of Brittany Long. Use preservative-free formulation. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Severe headache, vomiting, visual changes, X SAFE DOSAGE College Physics Raymond A. Serway, Chris Vuille. Identify and document maintain hydration especially after strenuous activity. 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 Mucous membranes are slightly pale. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, o Recommended dosage is 2060 mg in 14 divided doses Electrolytes Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. Administer oxygen as prescribed if hypoxia is present. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). 0000088278 00000 n Pul108/73 mmHg. for a vaso-occlusive crisis episode and once at age 3 years for a fever. fruits, vegetables and lean meats. sickle cell disease. (How will I identify the above signs &Symptoms?). PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Advise patients that laxatives should be used only for short-term therapy. 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? 827 101 ECG: normal Sinus rhythm. 8:10 Child status - ECG: Sinus rhythm. Sickle Cell Anemia: is a blood disease that affects red blood cells. safely is important. r\a W+ Next, I asked if she had any . children ages 2 to 16 years who have Blood pressure:riate. Family history of sickle cell 4. Pediatric OTC Dosing Company Registration Number: 61965243 o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). Respiration: 24. Temp: joints and abdomen. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). 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 assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. of crises, prevention of infection and dehydration, and pain management. IV Neonates: Continuous infusion 00 mg/kg/hr. Maintenance infusion of 5% dextrose and 0% 0000081662 00000 n $13.95 patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Any orders or recommendations you may have for this patient. Northwestern University 8:13 You provided patient education. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent . 18 terms. including disease process, nutrition, signs and symptoms of crises, prevention of infection and 0000081757 00000 n To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. 0000127765 00000 n administered for breakthrough pain. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Mike T, Pediatric Case 4 times/day to 3 times/wk. 0000149112 00000 n To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Publicado el 19 marzo, 2023 por mikie walding homes for rent in midland city, al Pulmonary edema.
