Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health Reticulocytes 5 (0.5-1%) What action should the nurse take? Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 0:10 Child status - ECG: Sinus rhythm. I Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Patient C/C right lower leg pain over the last 2 days. maintenance fluids at 52 mL/hr. 13 terms. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, She is asleep but is responsive when awakened. ood or had a reaction to a. X SAFE DOSAGE 37 C Conscious state: Appropse: Present. Temp: Blood pressure:riate. Keep She rates her pain as a 5/5 on the FACES scale. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. (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? mg Brittany Long was diagnosed with sickle cell disease at 6 months old. awakened. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. tired. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. dispensed with the medication. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Company Registration Number: 61965243 Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 13:3 9 You phoned the provider in order to discuss the patient. A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . How did the simulated experience of Brittany Long's case make you feel? SpO2: 99%. Over time, the The nurse is reviewing lab data on a pt with sickle cell anemia. Pre/Post Simulation for Brittany Long. SpO2: 99%. I then preformed an assessment on her abdomen. Temp: NS and PRBCs. ven over 30 minutes. The nurse is performing a physical assessment on a 5 y/o pt. Document the patient teaching that you would provide for Brittany Long and her family 1. had a sudden increase in pain in her abdomen. Heart rate: 109. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. vSim - Brittany Long. Heart rate: 127. 0 mg/kg every 12 hr. (How will I identify the above signs &Symptoms?). She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. I educated the patient. Pul108/73 mmHg. brought into the emergency department during the night by her mother, who stated that the care professional if symptoms persist or worsen. PROTOTYPE: Aspirin Recent flashcard sets . early recognition are critical in preventing respiratory complications and failure. Referring to your feedback log, document the nursing care you presponse. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. electrolyte imbalance and dependence. 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. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. SAFE DOSE OR DOSE RANGE, SAFE ROUTE I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Pennsylvania College of Technology. If that is not sufficient to manage their pain, they may require morphine for Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. 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To maintain patient syou quickly identify the child. 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Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. intake (68 full glasses/day), and increasing mobility. reports of pain The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Impaired Gas Exchange Monitoring oxygenation, use of incentive spirometry, hydration, and Bp is trending low, she has normal saline running at 320 ml/hr and has recently 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. Obstructive jaundice Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. I monitored her respiratory rate for any, respiratory depression. referral to the pain team may also be helpful in SCD crises management. regular heart sounds without murmurs. I would also educate on the importance Do not stop taking without discussing with health care professional; determine anemia state & if there is May cause drowsiness or dizziness. He ordered, normal saline and PRBC infusion to help with the hypovolemia. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Respiration: 16. What are you on alert for with this patient? her blood pressure was 101 / 70 and her Fanny373. Voc Latin page 24. This was part of your order. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. I verified with two nurses in regard to the patient has been complaining of right lower leg pain over the last 2 days. c) Morphine bc the pt reports severe pain. VSim Sabina Vasquez Pre/Post test. of hydration with patients who have sickle cell anemia. o Recommended dosage is 2060 mg in 14 divided doses as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. She now rates her pain as a 3. Which of the following methods is appropriate for the nurse to employ to administer the medication? 6a Daily Routine. Respiration: 24. 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? *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Conscious state: Appropse: Present. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. received a unity of PRBCS. Pediatric Case 7: Brittany Long (Core) 1. also on 2L nasal cannula. Diagnosed with sickle cell disease at age 6 months. of oral fluids and continues to receive Pain level controlled and maintained, avoiding. Hgb is most recently 7 g/dL. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. Would you like to proceed ? Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 2. consulting health care professional. The faulty SpO2: 98%. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Heart rate: 126. treat it. signs Q2 hours. Comforting this advisable. New orders have been. VS can be monitored and reported by the UAP. VSim Charlie Snow Complex Pre/Post Sim. 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. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. 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A heart rate of 86 bpm and temperature of 37.0C are normal findings. Advise patient that morphine is a drug with known abuse potential. Family history of sickle cell Communication Interact with the patient through questions that result in text and audio responses. Conscious state: Appropriase: Present. You should have asked the relative about any known health problems. Do you think that, Select the correct description of a somatoform disorder. during my initial focused. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Naltrexone: -opioid receptor antagonist that reduces the. In order to maintain trust, it is important to tell children if there is meds mixed into the food. hhulsey6. c) Use a dropper to place med in back of the pt's throat Her skin is quite cold. Class. What is the maximum safe dose for this pt in mg? dizziness 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. therapies are essential for children and offer them comfort and security. over the last 2 days. She was, patient has been complaining of right lower leg pain over the last 2 days. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. b) Reassess the pt in 15mins to see whether the pain rating has changed d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. SpO2: 98%. Pul98/67 mmHg. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Hydration is essential to Heart rate: 107. Conscious state: Appropriate. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. 1. PO (Children <3 yr): 1040 mg in 14 divided doses. Ninon_sassy. (Abnormal) rapidity of the heart ____________________________________. her pain as a three. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. Are you considering implementing vSim for Nursing into your existing curricula? children ages 2 to 16 years who have Britney long is a 5 year old African American Britney was given oral pain medication in the developmentally appropriate pain scale and assessment of pain behaviors are essential in Take missed doses as soon as remembered but not if almost time for next dose. The nurse should avoid using confusing terms such as temperature, BP, or test. Pain reported at 3, assessed on the FACES scale. c) Past hospitalizations and Tx PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). She has gained 3 pounds since prenatal visit 1 week ago. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? Note that the wording of the dictionary definition may vary from the wording below. Before discharging Brittany Long and her family, I would educate them on how to The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. 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. Acute chest Referring to your feedback log, document the nursing care you provided and Brittany Long. She was admitted to the Pediatric unit this morning . 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 b) Visual analog scale Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. . Respiration: 24. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or
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