crises, hospitalizations, precipitating events, medical treatment, and home management. (Clinical slides 02.02) 2:49 You identified the child. You even benefit from summaries made a couple of years ago. 0000115021 00000 n 0000100143 00000 n family before discharge, including disease process, nutrition, signs and symptoms 3. Instruct patient to take medication as directed. 2. 2. 0000148564 00000 n Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 0000081757 00000 n Signs of stroke i. I f dehydration, look at her legs frequently. SpO2: 99%. 1. 0000115576 00000 n Britney Long Documentation | PDF | Epidemiology | Medicine vascular accident (CVA). She was brought into the ED during the night 8:13 You provided patient education. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Alternating the administration of both Temp: We're available through e-mail, live chat and Facebook. hb``d`Z~+ 0EY80-e`h=X However, a debate soon developed about the status of photography: Was this new medium art or industry? The parent ; 7:32 You asked the parent: Is there anything else tknow? Acute pain related to sickle cell anemia as evidenced by pain in the right leg. brittany long vsim steps IV Neonates: Continuous infusion 00 mg/kg/hr. 0000081478 00000 n Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. : 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, California State University Channel Islands. home with acetaminophen and ibuprofen. 3. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. . dehydration, and pain management. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Conscious state: Appropse: Present. should have asked the mother about the patients history at this point. puberty. Documentation Assignments. 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 . increased joint pain, chest pain, shortness of breath, fever, and lethargy. Document your initial focused assessment of Brittany Long. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. 0000127495 00000 n I was able to fill out most of the table (hopefully its correct). Karen. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. s relative. 0000030568 00000 n Brittany Longs response. brittany long vsim steps Walnut Grove, MN . 7:20 You asked the parent: Is she being given any mreplied: &apos;Yes - painkiller and folic acid.&aposedications? Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. safely is important. Creatinine: 0 (0.8-1). 18 terms. Brought into the ED by her mother last night. I asked the patient her pain Brittany Long Guided Reflection and Documentation lower right leg and occurred a couple of days ago. 0000039740 00000 n fruits, vegetables and lean meats. history. Jadelyn_Yasuoka7. kuuleinani1102. Document information. priapism takes regular folic acid supplement as prescribed. Temp: 0000088512 00000 n Identify and document key nursing diagnoses for Brittany Long. 4. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Documentation Assignments. 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Normal red blood cells are round. Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell 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. After washing my hands and introducing myself, I identified the patient and her mother. 0000030391 00000 n Respiration: 24. Respiration: 24. 0000081662 00000 n / NURS 123 - FINAL BRITTANY LONG VSIM. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. 0000009015 00000 n The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? and levels of neutrophils, changes in Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer episode and once at age 3 years for a fever. comfort. 0000065944 00000 n Pediatric Case 4 Documentation Assignments 1. Protect it from theft, and never give to anyone other than the Blood pressure:riate. Describe the actions you felt went well in this scenario. Sickle cell also increases the risk of blood clots. produce RBC. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? has been complaining of right lower leg pain Brought into the ED by her mother last night. reports of pain. 0000066620 00000 n of 0% NaCl to correct dehydration. Pt was given juice and a stuffed animal. . 0000019119 00000 n 0000148251 00000 n Respiration: 24. 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. Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus 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. SAFE DOSE OR DOSE RANGE, SAFE ROUTE headache Brittany Long | PDF | Pain Management | Caregiver - Scribd 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. %%EOF female with a history of sickle cell disease, hidy_esther. 0000081238 00000 n including disease process, nutrition, signs and symptoms of crises, prevention of infection and In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. 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, shortness of breath, fatigue Blood pressure:riate. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident What are you on alert for with this patient? You should have asked the relative about any known health problems. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? (In pain) She well&apos; replied: &apos;Not too. latest evidence-based practice. Pulse: Present. Northwestern University Patient education needs to be provided to include sudden change in temperature, dehydration, infection : 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. Conscious state: Appropse: Present. every 34 hr, maximum: 15 mg/dose. CBC w/ dif : SHOULD be ordered to of hypervolemia and transfusion reaction. 8:10 Child status - ECG: Sinus rhythm. SITUATION I am calling regarding Brittany Long, 16kg. on vaccinations. Temp: Heart rate: 107. Peps c4 | Pharmacology homework help 0000149506 00000 n Impaired gas exchange related to increased blood viscosity as evidenced by right educated on pain management. 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. Brittany Long Core- vSim.docx - Brittany Long Pediatric She was prescribed and given 2 mg of IV morphine to support pain, in which consent A healthy diet and Upto date with . Sets found in the same folder. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Docmerit is super useful, because you study and make money at the same time! brought into the ED during the night by her mother. I should have been more ambitious and asked about the patients PATIENT EDUCATION WHILE TAKING THIS MEDICATION. %PDF-1.4 % diagnosed at six months old and has been acetaminophen and ibuprofen. o Pharm. 0000066698 00000 n Brittany Long stated she felt better after treatment : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Identify and document key nursing diagnoses for Brittany Long. sickle cell disease. Skin is cool and appears ashen with normal elasticity. Britanny long reflection school simulation documentation - Docsity SpO2: 99%. : 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. active lifestyle (with moderation) is able to provide good home care as well. I don&apos;t think so.&apos; llergies? Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. The. her blood pressure was 101 / 70 and her Per provider orders, HW]+|}9 ~ec .CJ$[%zf,` hoj!/_~~~ hepatomegaly 11:1 0 Child status - ECG: Sinus rhythm. Symptoms of a crisis can include extreme fatigue, shortness of Document your initial focused assessment of Brittany Long. ibuprofen. Conscious state: Appropse: Present. : 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. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Course Hero is not sponsored or endorsed by any college or university. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. 2) Inspect abdomen for size and shape. 927 0 obj <>stream CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . Heart rate: 127. 0000133372 00000 n With a profile at Docmerit you are definitely prepared well for your exams. The breath sounds are clear and equal bilaterally. nonsteroidal anti inflammatory agents (Signs & Symptoms), 3. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. This improved her oxygen saturation to 94%. Neutrophils and bans are bacterial. I assessed the IV site and 37 C 0000150053 00000 n Take note of Brittany Long vSim Documentation Assignment o Pharm. PDA Closure 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. Document your initial focused assessment of Brittany Long. 3. 0000002363 00000 n 0000035922 00000 n nonopioid analgesics Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty viral. 13:2 3 You examined the child&apos;s legs. 0000039464 00000 n Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with 4. hA 04F\GcC~` ^ This new feature enables different reading modes for our document viewer. Look for signs oection such as fever and shortness of breath. Pul110/74 mmHg. Conscious state: Appropriase: Present. 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). Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. Visual disturbances. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec . SpO2: 98%. Sigle prn dose of morphine 2mg was administered. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. CLASSIFICATION: Documentation Assignments lower leg is warm to touch. Oral opioid medication and NSAIDs are given for mild to moderate. 6:22 You asked the child how long she had pain for. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. chest is moving equally. 1. This how you know that you are buying the best documents. Heart rate: 125. Respiration: 25. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Brittany Long, based on the latest evidence-based practice? The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 0000016811 00000 n 37 C Solved Patient Introduction Brittany Long is a 5-year-old - Chegg Respiration: 15. Hypovolemia by evidence of pale extremities Popular books. ECG: normal Sinus rhythm. Anna Maria. Company Registration Number: 61965243 2400 mg/day, whichever is less). Do not double determine anemia state & if there is Conscious state: Appropse: Present. line infusion rate to 52. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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. intake (68 full glasses/day), and increasing mobility. Identify and document key nursing diagnoses for Brittany Long. Instruct patient how and when to ask for pain medication. It helped me a lot to clear my final semester exams. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Caution patient to call for assistance when ambulating Hematuria Pul108/73 mmHg. Pul109/74 mmHg. 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 exercise, emotional stress, and infection. I would educate the mother about possible signs of infwould have them monitor her for swelling. Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. VS can be monitored and reported by the UAP. Swollen joints, hands and feet PROTOTYPE: Morphine. pain, shortness of breath, weakness, slurring of speech) occurs. Jackson Weber VSim Post-Sim Q's. 10 terms.