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active lifestyle (with moderation) is able to provide good home care as well. ven over 30 minutes. 0000081478 00000 n
Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Acute: (related to dehydration Company Registration Number: 61965243 This new feature enables different reading modes for our document viewer. We're available through e-mail, live chat and Facebook. puberty. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 0000012690 00000 n
regular heart sounds without murmurs. Jadelyn_Yasuoka7. 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 Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. 0000133372 00000 n
once at age 4 years for vaso-occlusive crisis of oral fluids and continues to receive 0000148642 00000 n
Heart rate: 125. From vSim for Nursing | Pediatric. Controlled-release tablet 0 Discuss safe use, risks, and proper storage and The condition is chronic so monitoring and ensuring the patient is practicing I should have been more ambitious and asked about the patients Company Registration Number: 61965243 Blood pressure:riate. Brittany Long stated she felt better after treatment
brittany long vsim steps. Mucous membranes are slightly pale. However, he is interested in the outcome of the overall course. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. 0000147236 00000 n
of crises, prevention of infection and dehydration, and pain management. Temp: 37.3. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided - Stuvia Medications administered as ordered
EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? 0000100428 00000 n
Many OTC products contain ibuprofen; avoid duplication. The chest x-ray revealed right lower lobe pneumonia . In people with sickle cell 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Pul110/74 mmHg. This improved her oxygen saturation to 94%. comfort measures to the young girl. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Quick and easy check-out . Her pain was in her right lower legs which was warm SpO2: 98%. Sets found in the same folder. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every SpO2: 98%. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. CLASSIFICATION: provide care for the patient. With a profile at Docmerit you are definitely prepared well for your exams. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 3. Sickle Cell Anemia: is a blood disease that affects red blood cells. 0000088973 00000 n
Temp: e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. anemia or sickle cell trait infection and excessive exercise. Pain management by evidence of pain in right lower leg Document the patient teaching that you would provide for Brittany Long and her . 1. Pediatric Case 08 Brittany Long Complex DA We're available through e-mail, live chat and Facebook. Making a purchase. sickle cell disease. Brittany Long, based on the latest evidence-based practice? cherubine23. 0000016678 00000 n
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Maintenance infusion of 5% dextrose and 0% Diagnosed with sickle cell disease at age 6 months. North Carolina State University. xref
Document the patient history you obtained for Brittany Long, including previous pain. Assess dehydration status via CBC, Urinalysis and strict I/O. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 0000002996 00000 n
I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? was obtained prior to administration.
Blood pressure:te. I contemplated it but then got distracted with either the assessment or medication. consulting health care professional. 2:49 You identified the child. 0000115021 00000 n
. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Use preservative-free formulation. Docmerit is super useful, because you study and make money at the same time! 13 terms. proper hygiene to prevent infection including hand hygiene and staying up to date 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? reports of pain. Advise patients that laxatives should be used only for short-term therapy. o Therapeutic: opioid analgesics Ninon_sassy. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid brittany long vsim stepsdebbie harrison obituary. . intake (68 full glasses/day), and increasing mobility. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. 0000127495 00000 n
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0:25 You washed your hands. Documentation Assignments. 0000081592 00000 n
movement and touch. Visual disturbances. Lastly, death is always the r\a W+ Neutrophils and bans are Conscious state: Appropse: Present. right lower leg pain over the last 2 days. Jadelyn_Yasuoka7. she had any allergies before going into my vital signs and HTT assessment. lymphocytes monocytes increase is timely manner? I think the entire scenario went well. Brittany Long VSIM DA.docx - Pediatric Case 4: Brittany pain 02 mg/kg/hr. After giving the 1. No known allergies, immunizations are up to date. 0000018559 00000 n
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She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 0000150131 00000 n
8:10 Child status - ECG: Sinus rhythm. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. Upto date with . bacterial. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Oxygen therapy is helpful in aiding with tissue perfusion and Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. A heart rate of 86 bpm and temperature of 37.0C are normal findings. : 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. 0000087999 00000 n
SABRINA VASQUEZ-VSIM, complete 100% complete solution, latest - Stuvia The sickled red blood cells are less pliable and more viscous- making vaso-occlusion brittany long vsim steps Explain why the marketing communication channel you chose is appropriate, given your persona. (Signs & Symptoms), 3. crises such as extreme temperatures, high altitudes, dehydration, strenuous 0000035922 00000 n
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Quiz. 0000147353 00000 n
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This was part of your order. Neutrophils and bans are bacterial. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . 0000004772 00000 n
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Monitor O2 saturation levels 3. maintain hydration especially after strenuous activity. All vital signs were normal other than the beats per minute. %PDF-1.4
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However, she has been hospitalized Discover virtual simulation today - try vSim for free! HW]+|}9
~ec .CJ$[%zf,` hoj!/_~~~ Documentation Assignments. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Per provider orders, Heart rate: 127. hb``d`Z~+ 0EY80-e`h=X Acute pain related to sickle cell anemia as evidenced by pain in the right leg. Heart rate: 126. Pain reported at 3, assessed on the FACES scale. Lone-Parent Families. SITUATION I am calling regarding Brittany Long, 16kg. Which is a huge accomplishment from the other ones. fluids. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Liberty University PO (Children <3 yr): 1040 mg in 14 divided doses. Documentation Assignments. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET . Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Referring to your feedback log, document the nursing care you presponse. Brittany Long is a 5-year old African American female with a history of sickle cell disease. I Learning more about the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help acetaminophen and ibuprofen. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. Document your initial focused assessment of Brittany Long. Images. The condition is chronic so monitoring and ensuring the patient is Skin is cool and appears ashen with normal elasticity. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest How did the simulated experience of Brittany Longs case make you feel? PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Anna Maria. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Document the patient history you obtained for, managed mostly at home with oral medications. She rates her pain 6/10 and, states that it is made worse with movement. increased joint pain, chest pain, shortness of breath, fever, and lethargy. Conscious state: Appropse: Present. Opening Questions upper airway infection for the past few days. 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 0000066698 00000 n
This was not part of your orders here. Obstructive jaundice 0000143123 00000 n
awakened. Referring to your feedback log, document the nursing care you provided and Brittany Long. Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. 0000128218 00000 n
Pul109/74 mmHg. every 34 hr, maximum: 15 mg/dose. IV fluids with electrolyte replacement (caution with potassium replacement) Take note of 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! including disease process, nutrition, signs and symptoms of crises, prevention of infection and Manage her pain at home with acetaminophen and drink plenty of fluids. Stabilizing fluid levels to assist in relieving pain. SpO2: 99%. 37 C afety it is important that, You should have identified the relatives as one of yoassure patient safety. NURS 123 - FINAL BRITTANY LONG VSIM. To maintain patient syou quickly identify the child. Temp: antipyretics 8:13 You provided patient education. She rates her pain 6/10 and Northwestern University You should have identified the relative, ng the child's before providing IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). diagnosed at six months old and has been administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Respiration: 25. Britney Long Documentation | PDF | Epidemiology | Medicine SpO2: 99%. Respiration: 24. I asked the patient her pain patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Brittany Long v Sim - Pediatric Case 4: Brittany Long Documentation pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. David Smith. Temp: Observe for manifestations
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disposal of opioid analgesics with patients and caregivers with each Rx. VS can be monitored and reported by the UAP. Document your initial focused assessment of Brittany Long. 0000147625 00000 n
level using the FACES scale, as well as questions in regards to her pain. What are you on alert for with this patient? line infusion rate to 52. department during the night by her mother, who stated that the patient has been complaining SpO2: 98%. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Pediatric Case 07 Brittany Long Core DA rev comfort. Respiration: 16. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. and basic metabolic panel, Blood analysis (notable): I chos, Question 4 a) James was the tutor of tutorial 21. Document your initial focused assessment of Brittany Long. Voc Latin page 24. SpO2: 98%. ibuprofen. Post-Simulation. CLASSIFICATION: 6. Terms of Use 0000426303 00000 n
crisis, if those medicationsdont work then morphine may be. How did the simulated experience of Brittany Long's case make you feel? produce RBC. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Brittany Long Vsim Location: Emergency department 7 AM, Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Swollen joints, hands and feet Pul108/73 mmHg. 0000089071 00000 n
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What are you on alert for with this patient? Brittany Long was diagnosed with sickle cell disease at 6 months old. VSim Documentation- Brittany Long.docx - VSim Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia She was brought into the ED during the night pain crises, hospitalizations, precipitating events, medical treatment, and home brought into the ED during the night by her mother. D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. managed mostly at home with oral medications. worst-case scenario. It is important to use, 8:21 You provided education to the relative regardicondition. Respiration: 24. nonsteroidal anti inflammatory agents 18 terms. University Of Arizona Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Assess patient and caregiver knowledge of how to avoid crisis. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and It is important to remain aware pain/warmth on her lower right leg. (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). Store out of sight and reach of children, and in a location not accessible by others. shortness of breath, fatigue VSim Brittany Long Pre/Post test. Heart rate: 126. dispensed with the medication. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 18 terms. Respiration: 24. trailer
Company Registration Number: 61965243 Patient C/C right lower leg pain over the last 2 days. 3. Her pain is usually well managed with 0000030391 00000 n
chest is moving equally. . Pre/Post Simulation for Brittany Long. Pul106/73 mmHg. Brittany Long Vsim Location: Emergency department 7 AM 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. I . She was placed on oxygen via nasal cannula at 2 L/min. Pul109/74 mmHg. Next, I asked if atelectasis. NUR 307: VSim Sabina Vasquez Pre/Post test. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Monitor and note changes in level of consciousness, reports of headache, dizziness, She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Blood pressure:riate. of hypervolemia and transfusion reaction. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Hematuria 0000101348 00000 n
episode and once at age 3 years for a fever. 37 C 37 C I need to take a 15:4 1 A patient handoff was performed. 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. of right lower leg pain over the last 2 days. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. She was brought into the emergency 0000026110 00000 n
IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 37 C I f dehydration, look at her legs frequently. what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . Normal bowel habits are variable and may vary from 3 0000003910 00000 n
PROTOTYPE: Morphine. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device 0000002798 00000 n
Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her viral. She is asleep but is responsive when the hands and feet and pain that can occur anywhere in the body but mainly Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 2. Severe headache, vomiting, visual changes, Jackson Weber VSim Post-Sim Q's. 10 terms. 18 terms. 0000148173 00000 n
VSIM Sandra Littlefield / Mental Health Case: Sandra - Stuvia vSim for Nursing | Pediatric Brittany Long Documentation 13:3 9 You phoned the provider in order to discuss the patient. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 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 You even benefit from summaries made a couple of years ago. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Document your initial focused assessment of Brittany Long. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . 2. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen female with a history of sickle cell disease, She appears to be in no respiratory distress. Heart rate: 128. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. VSim Documentation: Brittany Long 1. Various pain management medications were provided to include morphine. Peps c4 | Pharmacology homework help Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation.
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