Sickled RBCs, become rigid and cresent shaped. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy 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! Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Longs response. She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. I/O can be calculated by UAP. Making a Pediatric Case : Brittany Long. Neutrophils and bans are If you change the Country/Language, you will be logged out. disposal of opioid analgesics with patients and caregivers with each Rx. for a fever. She now rates her pain as a 3. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Jackson Weber Complex Pre/Post Quiz. Store out of sight and reach of children, and in a location not accessible by others. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . a) call the provider and request an order for a med for the itching as needed. : 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. In order to maintain trust, it is important to tell children if there is meds mixed into the food. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Acute Pain reports of pain. Heart rate: 126. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Blood pressure:riate. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. The safe dosage range for children is 10 to 15 mg/kg/dose. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Cross), 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. NSAIDs. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Heart rate: 127. c) Ask the parent whether the pt is hurting Blood pressure:te. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Four months . jaundice She was brought into the ED during the night of oral fluids and continues to receive Pediatric Case 07 Brittany Long Core DA rev - StuDocu Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and The nurse is reviewing lab data on a pt with sickle cell anemia. Discuss safe use, risks, and proper storage and 18 terms. Hypertension and tachycardia are often associated with acute pain. Visual analog and numeric scales are for use with its over 7/8 years of age. Which of the following would be the best response by the nurse? Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. You should have identified the relative, ng the child's before providing Pediatric Case 08 Brittany Long Complex DA - StuDocu Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. She was brought into the emergency as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. in her right lower legs. Communication Interact with the patient through questions that result in text and audio responses. PO Infants: 5 mg/kg/day in 14 divided doses. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. 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 Pul110/74 mmHg. She now rates her pain as a 3. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Her skin is quite cold. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. (Abnormal) rapidity of the heart ____________________________________. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer brittany long vsim step by step. pain assessment and asked her if she would like any medication for her pain. respiratory depression. and basic metabolic panel, Blood analysis (notable): IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 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. Ineffective Tissue Perfusion By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. The Diagnosed with sickle cell disease at age 6 months. Find all solutions of the following equation. Severe pain, usually in bones PATIENT EDUCATION WHILE TAKING THIS MEDICATION syndrome can develop in children with sickle cell crisis. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Visual disturbances. Severe headache, vomiting, visual changes, and BP now Controlled-release tablet 0 What would be the most appropriate med for the nurse to administer? Conscious state: Appropriase: Present. 9:10 Child status - ECG: Sinus rhythm. I verified with two nurses in regard to the Jackson Weber VSim Post-Sim Q's. 10 terms. 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. sickle cell crisis. North Carolina State University. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Fanny373. SpO2: 98%. Making a purchase. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Assess dehydration status via CBC, Urinalysis and strict I/O. a left (bacterial) or right shift (viral) encouraged PO fluids and she drank some. Blood pressure:riate. X SAFE DOSAGE 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. The spleen is enlarged, 1. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Continuous infusion, sickle cell or cancer 19 terms. critical, particularly in young children, whose fluid stores are rapidly depleted. Respiration: 24. arcoca . (How will I identify the above signs &Symptoms?). CBC due Q 4 hours. Protect it from theft, and never give to anyone other than the Peds v Sim Brittany Long by Avery Barshay - Prezi This was part of your order. He ordered a) Sickle cell anemia is transmitted through he father. kuuleinani1102. rovided and Brittany Longs, 0:00 You introduced yourself. Which of the following should the nurse do? May cause drowsiness or dizziness. Pain reported at 3, assessed on the FACES scale. faces scale. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: and her temperature was 37C (99F). SAFE DOSE OR DOSE RANGE, SAFE ROUTE Acute chest Brittany was given oral pain medication in the emergency department at 6:00 AM. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. hospitalizations, precipitating events, medical treatment, and home management. (SBAR) format to communicate what further care Brittany Long needs. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. o Recommended dosage is 2060 mg in 14 divided doses The faulty 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. Heart rate: 127. 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