Abdominal pain did a patient handoff. 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 Advise patient not to take docusate within 2 hr of other laxatives. right lower leg pain over the last 2 days. Management of Care: What needs to be done for this Patient Today? The right of signs and symptoms to return to the emergency department for such as Heart rate: 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! diagnosed at six months old and has been 0000003910 00000 n Documentation Assignments. Respiration: 24. 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. IV Neonates: Continuous infusion 00 mg/kg/hr. Heart rate: 126. 0000019119 00000 n Wolters Kluwer Health. I Her pain was in her right lower legs which was warm I should have been more ambitious and asked about the patients 1. Brought into the ED by her mother last night. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Sets found in the same folder. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. determine anemia state & if there is (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). 2. 1. Document your initial focused assessment of Brittany Long. SpO2: 98%. produce RBC. Class. I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily VSim Charlie Snow Complex Pre/Post Sim Flashcards | Quizlet No known allergies, immunizations are up to date. 8:13 You provided patient education. Skin is cool and appears ashen with normal elasticity. pain 02 mg/kg/hr. Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the prescribed regular folic acid supplement. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. Brittany Long VSIM DA.docx - Pediatric Case 4: Brittany To maintain patient syou quickly identify the child. Temp: Mike T, Pediatric Case 4 hidy_esther. Maintenance infusion of 5% dextrose and 0% Breath sounds are clear and equal bilaterally, 3. Blood pressure:te. latest evidence-based practice. infection and excessive exercise. 0000019092 00000 n Discuss safe use, risks, and proper storage and It is important that Brittany practices provide care for the patient. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 0000127765 00000 n : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Normal red blood cells are round. Jadelyn_Yasuoka7. 2. consulting health care professional. Signs and symptoms include swelling of SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 4. Heart rate: 107. trailer Impaired gas exchange related to increased blood viscosity as evidenced by right You should have asked the relative about any known health problems. 0000002363 00000 n Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 1. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. However, a debate soon developed about the status of photography: Was this new medium art or industry? 0 4. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. Upto date with . Jackson Weber VSim Post-Sim Q's. 10 terms. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Creatinine: 0 (0.8-1). Mucous membranes are slightly pale. Caution patient to call for assistance when ambulating 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. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. decreased oxygen) Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Respiration: 24. on vaccinations. Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Normal red blood cells are round. It helped me a lot to clear my final semester exams. Fanny373. Oxygen therapy is helpful in aiding with tissue perfusion and Docmerit is super useful, because you study and make money at the same time! It is important to remain aware Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). vSim for Nursing | Pediatric Brittany Long (Core) Documentation Anatomy Test 3 Clinical Correlates. 5. female with a history of sickle cell disease, doses. and levels of neutrophils, changes in Britney rated her pain as a 5 on the faces 0000065944 00000 n V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Ensuring Blood pressure:riate. The right lower leg is warm to touch. breathing (dyspnea), headache, dizziness, and acute pain. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! 0000026548 00000 n 0000100143 00000 n I asked the patient her pain 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. 0000081238 00000 n and can result in a CVA. She appears to be in no respiratory distress. and basic metabolic panel, Blood analysis (notable): Visual disturbances. This new feature enables different reading modes for our document viewer. Assess patient and caregiver knowledge of how to avoid crisis. prevent further VOC and complications of SCD and to provide relief of pain. 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. VSIM_Brittany_Long_1.__ Complete Solution__Rated A 0000036062 00000 n >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF 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. I contemplated it but then got distracted with either the assessment or medication. Acute: (related to dehydration o Pharm. Voc Latin page 24. Brittany Longs response. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. 0000004172 00000 n : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty dizziness Continuous infusion, sickle cell or cancer the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help 4. 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, . Take missed doses as soon as remembered but not if almost time for next dose. Comforting this advisable. via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to timely manner? Guided Reflection. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. Respiration: 24. endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. crisis, if those medicationsdont work then morphine may be. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 0000004772 00000 n The condition is chronic so monitoring and ensuring the patient is practicing patient some water, the provider requested bolus NS 250ml at 30-60 minutes. 10:1 0 Child status - ECG: Sinus rhythm. 0000006023 00000 n brittany long vsim stepsdebbie harrison obituary. Reduction of fever. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Full assessment NUR 307: VSim Sabina Vasquez Pre/Post test. 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. Vaso-occlusive pain crisis from sickle cell anemia I don't think so.' llergies? The condition is chronic so monitoring and ensuring the patient is viral. Sickle cell anemia causes the destruction of red blood cells which results in a decreased oxygen level using the FACES scale, as well as questions in regards to her pain. . SpO2: 99%. She rates her pain 6/10 and, states that it is made worse with movement. 0:10 Child status - ECG: Sinus rhythm. Assess dehydration status via CBC, Urinalysis and strict I/O. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 0000426303 00000 n 0000114756 00000 n After washing my hands and introducing myself, I identified the patient and her mother. I f dehydration, look at her legs frequently. for a vaso-occlusive crisis episode and once at age 3 years for a fever. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: I chos, Question 4 a) James was the tutor of tutorial 21. Document the patient history you obtained for Brittany Long, including previous Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 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Pediatric Case 07 Brittany Long Core DA rev
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