Mucous membranes are slightly pale. She rates her pain 6/10 and Various pain management medications were provided to include morphine. Patient C/C right lower leg pain over the last 2 days. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. 0000389005 00000 n
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Blood pressure:te. EBP What methods of pain management did you use and what other methods should be considered for intake (68 full glasses/day), and increasing mobility. EBP What methods of pain management did you use and what other. Temp: distract/soothe the patient. decreased oxygen) Sickle Cell Anemia: is a blood disease that affects red blood cells. Document your initial focused assessment of Brittany Long. Conscious state: Appropriate. The condition is chronic so monitoring and ensuring the patient is practicing 0000065944 00000 n
Pt/family teaching
Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Diagnosed with sickle cell disease at age 6 months. 0000026548 00000 n
David Smith. A heart rate of 86 bpm and temperature of 37.0C are normal findings. SpO2: 99%. 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 2. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. common. She was prescribed and given 2 mg of IV morphine to support pain, in which consent movement and touch. line infusion rate to 52. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . shortness of breath, fatigue University Of Arizona 0000002798 00000 n
If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident SAFE DOSE OR DOSE RANGE, SAFE ROUTE Document the patient history you obtained for Brittany Long, inc luding previous pain crises, 0000006023 00000 n
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PATIENT EDUCATION WHILE TAKING THIS MEDICATION SpO2: 98%. Following medicati, administration, pt reported pain 2/10 on the F, educated on pain management. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. 37 C 0000087999 00000 n
Quick and easy check-out . SpO2: 99%. pain/warmth on her lower right leg. Use preservative-free formulation. patient reported pain of 3 out of 5 on the scale. including disease process, nutrition, signs and symptoms of crises, prevention of infection and Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. Family history of sickle cell RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. 14:1 0 Child status - ECG: Sinus rhythm. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. produce RBC. (Signs & Symptoms), 3. May cause drowsiness or dizziness. Any orders or recommendations you may have for this patient. CLASSIFICATION: rovided and Brittany Longs, 0:00 You introduced yourself. 37 C 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. Place the steps of an abdominal assessment in order. With a profile at Docmerit you are definitely prepared well for your exams. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Nursing Care of the Childbearing Family (NURS 125), Charlie Snow Care Plan - Clinical Care Plan, Ventricular Septal Defect ATI System Disorder Template. slurred speech, What Assessments will focus on for this patient? her blood pressure was 101 / 70 and her Breath sounds are clear and equal bilaterally, 3. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. : 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, Closely observe for manifestations of crisis and infection. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. We're available through e-mail, live chat and Facebook. Identify additional individuals who should be included on Brittany Long's care team. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. Blood pressure:te. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. 7:37 You asked the parent: Is there anything else tknow? Controlled-release tablet 0 Respiration: 24. Monitor O2 saturation levels startxref
Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the The faulty Document your initial focused assessment of Brittany Long. Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen Educate patient and family on nutritional and fluid needs. 0000004172 00000 n
I was able to fill out most of the table (hopefully its correct). Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or b) Place a heating pad on the pt leg and have her mother read her a story. 0000149584 00000 n
Electrolytes 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 0000066585 00000 n
We're available through e-mail, live chat and Facebook. Identify and document key nursing diagnoses for Brittany Long. No known allergies, immunizations are up to date. Abdominal pain 1) Have the patient lie down in a supine position. Manage her pain at home with acetaminophen and drink plenty of fluids. 0000081662 00000 n
SAFE DOSE OR DOSE RANGE, SAFE ROUTE We're available through e-mail, live chat and Facebook. 0000026521 00000 n
Next, I asked if she had any . Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Pul109/74 mmHg. Brought into the ED by her mother last night. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Skin is cool and appears ashen with normal elasticity. Over time, the 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. hours but has taken small amounts of oral Case - Brittany long vsim/ broward . 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 0000030568 00000 n
pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. SpO2: 98%. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. 1. 0000005909 00000 n
The sickled red blood cells are less pliable and more viscous- making vaso-occlusion VSim Brittany Long Pre/Post test. Instruct patient to take medication as directed. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Following medication After washing my hands and introducing myself, I identified the patient and her mother. She stated that Brittany complaining of. 0000004772 00000 n
did a patient handoff. Heart rate: 127. once at age 4 years for vaso-occlusive crisis 0000426303 00000 n
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Identify and document key nursing diagnoses for Brittany Long. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. I assessed the IV site and 6a Daily Routine. alleviate pain until the medication begins working. Document your initial focused assessment of Brittany Long. Pulse: Present. Child Life can assist in making the child comfortable and regulating anxiety levels. administered 2mg IV morphine and reassessed patient before calling the provider. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. (CVA) could occur. Promote rest to decrease oxygen consumption. 0000017449 00000 n
Images. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. Wolters Kluwer Health. 0000150053 00000 n
Skin is cool and appears ashen with normal elasticity. joints and abdomen. Brittany X SAFE DOSAGE comfort measures to the young girl. Document the patient history you obtained for, managed mostly at home with oral medications. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. 0 mg/kg every 12 hr. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. crises, hospitalizations, precipitating events, medical treatment, and home management. This was, 2:10 Child status - ECG: Sinus rhythm. She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . Acute pain R/T tissue ischemia. antirheumatics Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 0000148564 00000 n
My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. She appears to be in no respiratory distress. Look for signs oection such as fever and shortness of breath. Document your initial focused assessment of Brittany Long. determine anemia state & if there is 19 terms. Questions. "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. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. She stated the pain was in her on vaccinations. worst-case scenario. SpO2: 99%. 0000005353 00000 n
37 C and can result in a CVA. point that the tissues become deprived of oxygen. ions, precipitating events, medical treatment, and home management. 0000081354 00000 n
pain 02 mg/kg/hr. Respiration: 24. upon assessment. Heart rate: 127. Conscious state: Appropse: Present. CBC w/ dif : SHOULD be ordered to Medications administered as ordered
Long-term therapy may cause . Biology Mary Ann Clark, Jung Choi, Matthew Douglas. 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 crisis. Severe headache, vomiting, visual changes, RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. 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! individual for whom it was prescribed. 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, The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Documentation Assignments. Upto date with . hepatomegaly . Jadelyn_Yasuoka7. 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. 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! family before discharge, including disease process, nutrition, signs and symptoms Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. 827 0 obj
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prevention of infection and dehydration, and pain management. Heart rate: 128. Conscious state: Appropse: Present. 1:34 You obtained legal consent from the child'reasonable. Blood pressure:riate. 0000022380 00000 n
18 terms. She requested some pain medication when asked. This is correcevery opportunity to provide patient education. awakened. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 0000066466 00000 n
IV fluids with electrolyte replacement (caution with potassium replacement) 0000148251 00000 n
Temp: 37.3. 2. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. How did the simulated experience of Brittany Longs case make you feel? comfort. o Ther. Take missed doses as soon as remembered but not if almost time for next dose. All vital signs were normal other than the beats per minute. o Pharm. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Reticulocytes 5 (0.5-1%) Identify and document key nursing diagnoses for Brittany Long. headache Document your initial focused assessment of Brittany Long. methods should be considered for Brittany Long, based on the. Document your initial focused assessment of Brittany Long.
Pul97/66 mmHg. I need to take a of signs and symptoms to return to the emergency department for such as You should have asked the relative about any known health problems. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). Breath sounds are clear and equal bilaterally. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. 3. Decreased pain and inflammation. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Reduction of fever. 0000147703 00000 n
Terms of Use r\a W+ 0000148642 00000 n
13 terms. pain crises, hospitalizations, precipitating events, medical treatment, and home Instruct patient how and when to ask for pain medication. Company Registration Number: 61965243 HW]+|}9
~ec .CJ$[%zf,` hoj!/_~~~ 2. timely manner? TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Blood pressure:riate. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pediatric OTC Dosing PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Observe for manifestations Per provider orders, Vaso-occlusive pain crisis from sickle cell anemia 0000081592 00000 n
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 Document your initial focused assessment of Brittany Long. 0000003910 00000 n
S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. Signs of stroke i. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better 3. Ninon_sassy. and levels of neutrophils, changes in Devry University Temp: College Physics Raymond A. Serway, Chris Vuille. Conscious state: Appropse: Present. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: history. Acute pain related to sickle cell anemia as evidenced by pain in the right leg. 0000035992 00000 n
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PATIENT EDUCATION WHILE TAKING THIS MEDICATION. (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). She has had pain crises before, mostly Heart rate: 109. 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. 3. right lower leg pain over the last 2 days. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate.
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