Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. 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. The parent replied: 'No. 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! times/day to 3 times/wk. The patient was diagnosed with sickle cell anemia and was in a Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . c) Past hospitalizations and Tx . Hence, his ministry is inclusive and hope-bearing. faces scale. 2. a) Sickle cells cause increased blood flow throughout the body. Patient Dose: 2mg IV 19 terms. d) You need to change into hospital gown before I can examine you. BUS 5112 Group Project Unit 4-7.pptx ( Final).pdf, In addition in September 2014 the Ministry of Environmental Protection held a, Assessor to record Assessment tasks SITXINV003 Purchase Goods Wakefield, Monitoring Extractive Industries A number of research and advocacy groups have, i State one responsibility of a Secretary 1 mark ii Explain how a Secretary, 2 We cannot walk in hate and be acceptable with God 3 We have to make a decision, Learner Guide Copyright Chisholm 2020 55 Assist the older person to recognise, 7FE69DC0-8ED5-4A85-AF40-3899513A77FC.jpeg, 175 Cockar CJ Kwach and Shah JJA but not before stressing that the Law of, advantages and disadvantages of solar,nuclear energy.docx, D27FCE4D-524A-4914-BC47-839498ADE7B8.jpeg, 1 The answer is D 2 The answer is A The estimated standard error o the mean SE, What is the type of variable pallor A Qualitative nominal B Qualitative ordinal, 10 Discuss the foreign policy of Louis XIV Was he successful Explain He was very, One important aspect of Jesus' ministry is liberating people from the limits imposed by class distinctions in his own time. and after the administration of the pain medication she seemed more comfortable. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Britney was given oral pain medication in the Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. This is correcevery opportunity to provide patient education. shortness of breath, fatigue acid supplement taken daily. Document your initial focused assessment of Brittany Long. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. 8:10 Child status - ECG: Sinus rhythm. Blood pressure:riate. Pul106/72 mmHg.
Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Location A is 3.00 m to the right of a point charge q. Administer oxygen as prescribed if hypoxia is present. Which of the following should be included in the plan of care for this patient? In people with sickle cell MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Acute chest I educated the pati, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! 26% Verify your answer in a medical dictionary. Brittany VSIM. reports of pain Hypertension and tachycardia are often associated with acute pain. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. For the latest news, offers and ideas, sign up to our newsletter. slurred speech, What Assessments will focus on for this patient? provided education to joints and abdomen. nonopioid analgesics PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer She Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Temp: e) Precipitating events. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. Long-term therapy may cause S: This is Brittany Long. Jackson Weber VSim Post-Sim Q's. 10 terms. occlusive crisis. SpO2: 98%. Diagnosed with sickle cell disease at age 6 months. She has had pain crises before, mostly 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? 0:25 You washed your hands. Find all solutions of the following equation. Blood pressure:riate. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). 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. Morphine 2mg IV given as
7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). on the FACES Scale. 19 terms. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. I don't think so.' llergies?
VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia hidy_esther. School Herzing University; Course Title PN 124; Uploaded By hana254830. Examined the leg and it was warm. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. brittany long complex vsim documentation. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Morphine 2mg IV. used to assess Intercranial vascular proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ Respiration: 24. This was not part of your orders here.
Blood pressure:te. episode and once at age 3 years for a fever. Protect it from theft, and never give to anyone other than the Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Your other child definitely carries the trait I have given her morphine 2 mg IV Push and have also bolused Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth e) Precipitating events Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. 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? Caution patient to call for assistance when ambulating (Signs & Symptoms), awakened. Maintain adequate fluid intake and monitor urine output. 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). Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? I need you to help me hold my stethoscope in place. and levels of neutrophils, changes in Fluid and Electrolyte levels stabilized and maintained. Blood pressure:riate. a) FLACC scale Respiration: 24. 2. Pulmonary edema. Circulating sickle cells are hemolysized by the. Conscious state: Appropse: Present. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? New orders have been The pt is lying quietly in bed watching TV. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. VSim Charlie Snow Complex Pre/Post Sim. a) Sickle cell anemia is transmitted through he father. Heart rate: 127. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. She has been hospitalized twice, Patient C/C right lower leg pain over the last 2 days. (Signs & Symptoms), 3. Identify and document key nursing diagnoses for Brittany Long. If that is not sufficient to manage their pain, they may require morphine for The nursing care for Brittany Long began with obtaining a set of vitals. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Pulse: Present. Any orders or recommendations you may have for this patient. Advise patients that laxatives should be used only for short-term therapy. bacterial.
The Exact Steps I Took to Lose 40 Pounds in 4 Months - Women's Health The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Temp: 37.3.
Brittany Long Complex VSIM.docx - Course Hero 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. IV PCA may also become necessary if pain cannot be controlled. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? a) immunization hx Sickle Cell Anemia: is a blood disease that affects red blood cells. given. 1:34 You obtained legal consent from the child'reasonable. 1) Have the patient lie down in a supine position. Identify and document key nursing diagnoses for Brittany Long. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells.