nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. 18 terms. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Document your initial focused assessment of Brittany Long. Hence, his ministry is inclusive and hope-bearing. 37 C Conscious state: Appropriase: Present. 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. She now rates her pain as a 3. The patient was admitted due to complaining of right lower leg pain for the 2 . nonsteroidal anti inflammatory agents SpO2: 99%. brought into the emergency department during the night by her mother, who stated that the A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. takes regular folic acid supplement as prescribed. Vaso-occlusive pain crisis from sickle cell anemia Document the patient history you obtained for Brittany Long, including previous pain crises. The right lowertouch. and basic metabolic panel, Blood analysis (notable): Location A is 3.00 m to the right of a point charge q. Her skin is quite cold. vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing. signs Q2 hours. a) I want to listen to you breathe. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. 37 C c) Past hospitalizations and Tx Temp: 3. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Student exploration Graphing Skills SE Key Gizmos Explore Learning. priapism 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. SpO2: 98%. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. not meeting the childs fluid requirements, IV fluids are necessary. 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. Blood pressure:te. joints and abdomen. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, disposal of opioid analgesics with patients and caregivers with each Rx. prescribed was given for her pain. B: She came in with right lower leg pain, and that has since been stabilized, but she has referral to the pain team may also be helpful in SCD crises management. Advise patient not to take docusate within 2 hr of other laxatives. 9:31 You gave the child a sip of juice. on the FACES Scale. The pt is lying quietly in bed watching TV. 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. Pul106/73 mmHg. Identify and document key nursing diagnoses for Brittany Long. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, VSim Brittany Long Pre/Post test. I Background: Brittany Long has a history of sickle cell anemia being treated with a folic spleen, leading to anemia. New orders have been Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. Respiration: 24. 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! Place the steps of an abdominal assessment in order. (Signs & Symptoms), 3. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Educate patient and family on nutritional and fluid needs. b) Visual analog scale We have noticed you are logged in to ${country}. Transcranial Doppler : Could be episode SpO2: 97%. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Her pulse measured 160bpm, her respirations were 34, and her blood by her mother, who stated that the patient brittany long vsim step by step. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Conscious state: Appropse: Present. The nursing care for Brittany Long began with obtaining a set of vitals. vSim for Nursing allows each student to have a different experience with the patient. Temp: pallor, pale mucous membranes pain crises before, mostly managed at home with acetaminophen and ibuprofen. education. Pain level controlled and maintained, avoiding. scale and did not want anyone to touch her 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? encouraged PO fluids and she drank some. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. 2. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Upto date with . She was She was, patient has been complaining of right lower leg pain over the last 2 days. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. She evaluating a childs pain level and in providing appropriate interventions. Hct: 29 (40-45%) Heart rate: 126. e) Precipitating events Respiration: 15. Ninon_sassy. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . NURS 3440 (NURS3440) Institution. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 1. Document the patient history you obtained for Brittany Long. a) Sickle cell anemia is transmitted through he father. a) Sickle cells cause increased blood flow throughout the body. Disulfiram: NMDA receptor antagonist & GABAA agonist B . When examined this morning, her blood pressure was 101/ Reticulocytes 5 (0.5-1%) Brittany Long was diagnosed with sickle cell disease at 6 months old. 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). Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Temp: Which of the following explanations b the nurse is correct? shortness of breath, fatigue Respiration: 24. Company Registration Number: 61965243 c) Morphine bc the pt reports severe pain. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. NSAIDs. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. a) Choose the face that looks like how you feel inside. Pain management by evidence of pain in right lower leg Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Observe for manifestations Identify and document key nursing diagnoses for Brittany Long. Respiration: 25. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. home with acetaminophen and ibuprofen. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. She has had pain crises before, mostly managed at CLASSIFICATION: You must be logged in to submit this form. Britney rated her pain as a 5 on the faces closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 episode and once at age 3 years for a fever. flow and detect the risk for cerebral afety it is important that, You should have identified the relatives as one of yoassure patient safety. Heart rate: 127. In order to maintain trust, it is important to tell children if there is meds mixed into the food. a) acute leg pain and dactylitis 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! You should have asked the relative about any known health problems. The child looked slightly Nonpharmacologic antipyretics 19 terms. What is the magnitude and sign of the charge? 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 Pul109/74 mmHg. : 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. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. e) Precipitating events. atelectasis. played with and became more comfortable with. Obstructive jaundice 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. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. a) Administer the prescribed analgesic as ordered The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. Which of the following responses by the nurse is correct? SpO2: 99%. 240 North Carolina State University. This is reasonable. She didnt have any reaction Initial focus assessment was the patients pain and location. She has been taking small amounts c) Enuresis and proteinuria. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. diagnosed at six months old and has been Document your initial focused assessment of Brittany Long. PO (Children 36 yr): 2060 mg in 14 divided doses. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC.