Take missed doses as soon as remembered but not if almost time for next dose. awakened. c) Past hospitalizations and Tx vSim for Nursing allows each student to have a different experience with the patient. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without Neutrophils and bans are bacterial. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Normal red blood cells are round. c) Use a dropper to place med in back of the pt's throat The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. blood and then administered it. Assess dehydration status via CBC, Urinalysis and strict I/O. She has had Heart rate: 107. She now rates her pain as a 3. NURS 3440 (NURS3440) Institution. Jackson Weber Complex Pre/Post Quiz. 9:31 You gave the child a sip of juice. a) immunization hx Naltrexone: -opioid receptor antagonist that reduces the. ood or had a reaction to a. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids over the last 2 days. Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION brittany long vsim step by step. The affect decisions you made about the administration of intravenous (IV) fluid and blood products. She is asleep but is responsive when These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . PO Infants: 5 mg/kg/day in 14 divided doses. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. She was brought into the ED during the night Heart rate: 127. Morphine 2mg IV given as VSim Sabina Vasquez Pre/Post test. The safe dosage range for children is 10 to 15 mg/kg/dose. Pul110/74 mmHg. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Patient C/C right lower leg pain over the last 2 days. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Which of the following responses by the nurse is correct? The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. consulting health care professional. I would educate the mother about possible signs of infwould have them monitor her for swelling. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? She is a 5-year-old female with a history of sickle cell anemia. I called her provider to see what else I should do. referral to the pain team may also be helpful in SCD crises management. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Pediatric Case : Brittany Long. Making a Pediatric Case 08 Brittany Long Complex DA - StuDocu Conscious state: Appropriase: Present. once at age 4 years for vaso-occlusive crisis Heart rate: 126. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Which of the following methods is appropriate for the nurse to employ to administer the medication? Heart rate: 125. What is the maximum safe dose for this pt in mg? hands and feet cool to touch. : 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. jaundice vSim - Brittany Long. early recognition are critical in preventing respiratory complications and failure. SpO2: 98%. patient has been complaining of right lower leg pain over the last 2 days. Britney was given oral pain medication in the PO (Children 36 yr): 2060 mg in 14 divided doses. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . CBC due Q 4 hours. Respiration: 24. If that is not sufficient to manage their pain, they may require morphine for The parent ; 7:32 You asked the parent: Is there anything else tknow? Respiration: 24. She has pain a 6/10 on the faces scale and is receiving morphine to Over time, the d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. IV Neonates: Continuous infusion 00 mg/kg/hr. line infusion rate to 52. SpO2: 99%. 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! She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has Respiration: 24. Diagnosed with sickle cell disease at age 6 months. used to assess Intercranial vascular IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 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? 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 Sickled RBCs, become rigid and cresent shaped. Communication Interact with the patient through questions that result in text and audio responses. o Therapeutic: opioid analgesics PATIENT EDUCATION WHILE TAKING THIS MEDICATION emergency Department at 0600. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . PRBCS. 9:03 You took a blood sample. Initial focus assessment was the patients pain and location. 10:1 0 Child status - ECG: Sinus rhythm. 6a Daily Routine. CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? I monitored her respiratory rate for any, respiratory depression. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu Terms of Use I have a weekly show-- Ease Into . Advise patient not to take docusate within 2 hr of other laxatives. Her Conscious state: Appropse: Present. pain, shortness of breath, weakness, slurring of speech) occurs. 7:11 You asked the parent: Has she been travelling recently? Skip to document. We have noticed you are logged in to ${country}. 4. determine anemia state & if there is Pul110/74 mmHg. Situation: Brittany long is a 5-year-old African American female who has a history of I stayed to watch for a transfusion reaction. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. . Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Impaired Gas Exchange Blood pressure:riate. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. What would be the most appropriate med for the nurse to administer? He ordered 37 C 1. Document your initial focused assessment of Brittany Long. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. 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. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. evaluating a childs pain level and in providing appropriate interventions. Jackson Weber VSim Post-Sim Q's. 10 terms. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Blood pressure:riate. Swollen joints, hands and feet respiratory depression. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Decreased pain and inflammation. During my initial focused assessment of Brittany Long I found that her vital signs were d) Frequency of vaso-occlusive crises Brittany Long is a 5-year-old African American female with a history of sickle cell disease, as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . by her mother, who stated that the patient SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). vSim for Nursing Maternity and Pediatric - Laerdal Medical Pul98/67 mmHg. Temp: She rates her pain as a 5/5 on the FACES scale. Assess patient and caregiver knowledge of how to avoid crisis. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. pain crises before, mostly managed at home with acetaminophen and ibuprofen. on the FACES Scale. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. Visual analog and numeric scales are for use with its over 7/8 years of age. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. 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 unstable. vSim for Nursing Pediatric | Laerdal Medical A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Acute Pain Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Company Registration Number: 61965243 given. 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, Infant, Child And Adolescent Nursing (NSG 441). Vital 9:10 Child status - ECG: Sinus rhythm. Heart rate: 127. The parent, 3:10 Child status - ECG: Sinus rhythm. The nurse is teaching Brittany how to use the FACES scale to rate pain. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Document your initial focused assessment of Brittany Long. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. (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). R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. From vSim for Nursing | Pediatric. every 34 hr, maximum: 15 mg/dose. Sigle prn dose of morphine 2mg was administered. Antipyretic 5 mg/kg for Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 19 terms. Document your handoff report in the situation-background-assessment- With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. I would also educate on the importance afety it is important that, You should have identified the relatives as one of yoassure patient safety. S: This is Brittany Long. care professional if symptoms persist or worsen. 7:37 You asked the parent: Is there anything else tknow? Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Discuss safe use, risks, and proper storage and X SAFE DOSAGE She has had pain crises before, mostly managed at b) Family hx of blood transfusion a. Xist c) FACES scale 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? NS and PRBCs. 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. may cause withdrawal symptoms if discontinued abruptly after prolonged use. in her right lower legs. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every both her and her mother. d) Anemia and hypotension. joints and abdomen. 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PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). ven over 30 minutes. __________mg. and basic metabolic panel, Blood analysis (notable): Temp: The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. episode and once at age 3 years for a fever. prescribed regular folic acid supplement. c) Past hospitalizations and Tx Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. DramaQueen66. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Continuous Pulse Oximetry: In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Timely pain management. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? greenstickynotes. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. a) Administer the prescribed analgesic as ordered vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. Document your initial focused assessment of Brittany Long. spleen, leading to anemia. SAFE DOSE OR DOSE RANGE, SAFE ROUTE I don't thhat you think we should ink so.' 7:47 You offered the child a toy. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. It is not necessary to give combining terms for words in parentheses. Normal bowel habits are variable and may vary from 3 She has not had an appetite in the last 24 Blood pressure:riate. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 15 x 16 = 240. I educated the patient. There is tenting sign of the skin. Pennsylvania College of Technology. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. SpO2: 98%. Respiration: 24. Which of the following should be included in the plan of care for this patient? Conscious state: Appropse: Present. dispensed with the medication. Her skin is quite cold. 19 terms. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Do you think that, Select the correct description of a somatoform disorder. treat it. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Instruct patient how and when to ask for pain medication. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. (Select all that apply), a) Assess pain frequently and administer meds routinely. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. 2. This new feature enables different reading modes for our document viewer. Before discharging Brittany Long and her family, I would educate them on how to Children should never be force to change into a gown. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 37 C MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) 13 terms. Conscious state: Appropse: Present. managed at home with acetaminophen and Long-term therapy may cause While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. 37 C When examined this morning, her blood pressure was 101/ 13:2 3 You examined the child's legs. This is reasonable. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Respiration: 24. 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 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached Temp: 5 touch. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years .
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