Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. faison funeral home obituaries; denis onyango salary 2020; what woodwind instrument plays the melody in this excerpt? flow and detect the risk for cerebral 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. Ensuring 0000150053 00000 n University Of Arizona <]/Prev 815899/XRefStm 2798>> 37 C Brought into the ED by her mother last night. 9:10 Child status - ECG: Sinus rhythm. lower right leg and occurred a couple of days ago. 0000100844 00000 n a left (bacterial) or right shift (viral) AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. 7:11 You asked the parent: Has she been travelling recently? Document your initial focused assessment of Brittany Long. Identify and document key nursing diagnoses for Brittany Long. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a Recent flashcard sets. She was brought into the ED during the night Lone-Parent Families. 0000132974 00000 n Heart rate: 126. Document your initial focused assessment of Brittany Long. X SAFE DOSAGE She rates her pain 6/10 and, states that it is made worse with movement. I think the entire scenario went well. Store out of sight and reach of children, and in a location not accessible by others. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the 0000147119 00000 n "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. To maintain patient syou quickly identify the child. 3. movement and touch. 0000081172 00000 n . o Pharm. However, a debate soon developed about the status of photography: Was this new medium art or industry? 0000115021 00000 n black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Pul109/74 mmHg. Blood pressure:te. 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 Conscious state: Appropriase: Present. Caregiver and pt were both 0000019119 00000 n Maintain adequate fluid intake and monitor urine output. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0000089071 00000 n Labs; daily complete blood count SpO2: 99%. 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. Fluid and Electrolyte levels stabilized and maintained. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF slurred speech, What Assessments will focus on for this patient? Once I was sure the labs Post-Simulation. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). She is currently What are you on alert for with this patient? Jackson Weber VSim Post-Sim Q's. 10 terms. Pul106/73 mmHg. Respiration: 24. of 0% NaCl to correct dehydration. 7:37 You asked the parent: Is there anything else tknow? Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Terms of Use Comforting this advisable. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. Pul109/74 mmHg. December 2, 2017. We're available through e-mail, live chat and Facebook. Assess patient and caregiver knowledge of how to avoid crisis. Jadelyn_Yasuoka7. I don't think so.' llergies? 0000025965 00000 n (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. 3. 0000426303 00000 n Conscious state: Appropriase: Present. She appears to be in no respiratory distress. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. 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. Severe pain, usually in bones (Signs & Symptoms), 3. Document your initial focused assessment of Brittany Long. I/O can be calculated by UAP. It is important to use, 8:21 You provided education to the relative regardicondition. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Opening Questions Medications administered as ordered Britney rated her pain as a 5 on the faces 13:2 3 You examined the child's legs. . ood or had a reaction to a. Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 3. Acute pain R/T tissue ischemia. ECG: normal Sinus rhythm. Respiration: 24. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Describe the actions you felt went well in this scenario. 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), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. timely manner? Now is my chance to help others. Neutrophils and bans are medications will provide for maximal pain relief. With a profile at Docmerit you are definitely prepared well for your exams. 2. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Conscious state: Appropse: Present. 927 0 obj <>stream One of the most useful resource available is 24/7 access to study guides and notes. administered 2mg IV morphine and reassessed patient before calling the provider. Blood pressure:te. Case - Brittany long vsim/ broward . PO (Children 36 yr): 2060 mg in 14 divided doses. Monitor O2 saturation levels 0000039740 00000 n PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Her pain was in her right lower legs which was warm Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 20 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 5 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, school simulation dsfsdfsdfsdfsdf dsfsdfdsf fdsfdsfd dsfdsfsd, Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Henry Hu, Week 7, Marketplace Simulation Reflection Paper. 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Upto date with . crises, hospitalizations, precipitating events, medical treatment, and home management. 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. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 0000017198 00000 n 0000101348 00000 n Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. PO (Children <3 yr): 1040 mg in 14 divided doses. %%EOF point that the tissues become deprived of oxygen. 19 terms. CLASSIFICATION: 0000026548 00000 n 0000115576 00000 n via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to episode It is important to remain aware Mucous membranes are slightly pale. Document your initial focused assessment of Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. She rates her pain 6/10 and upon assessment. 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! Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). nonopioid analgesics kuuleinani1102. 1. VSim Documentation: Brittany Long 1. 0000018019 00000 n 0000066698 00000 n Making a purchase. 37 C After washing my hands and introducing myself, I identified the patient and her mother. Look for signs oection such as fever and shortness of breath. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. female with a history of sickle cell disease, The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. dispensed with the medication. In a vaso-occlusive crisis / painful Pulse: Present. She was. Respiration: 24. Breath sounds are clear and equal bilaterally. Temp: 37.3. 0000148642 00000 n 0000005353 00000 n ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. Learning more about $13.95 Following medication Diagnosed with sickle cell disease at age 6 months. 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. r\a W+ are inadequate (extended release). Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Manage her pain at home with acetaminophen and drink plenty of fluids. She was brought into the emergency of crises, prevention of infection and dehydration, and pain management. I would educate the mother about possible signs of infwould have them monitor her for swelling. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. NURS 123 - FINAL BRITTANY LONG VSIM. startxref 0000026941 00000 n Explain why the marketing communication channel you chose is appropriate, given your persona. distract/soothe the patient. Next, I asked if she had any . Use preservative-free formulation. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? PO (Children 11 yr/7295 lb): 300 mg every 68 hr. states that it is made worse with movement. decreased oxygen) Blood pressure:riate. leg pain. 2:49 You identified the child. takes regular folic acid supplement as prescribed. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Document the patient teaching that you would provide for Brittany Long and her family before discharge, vascular accident (CVA). : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN The patient displayed tachycardia and had Brittany Long stated she felt better after treatment once at age 4 years for vaso-occlusive crisis VSim Brittany Long Pre/Post test. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. 0000005909 00000 n Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with fruits, vegetables and lean meats. This improved her oxygen saturation to 94%. 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, nonsteroidal anti inflammatory agents . doses. history. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? 8:13 You provided patient education. Sickle cell also increases the risk of blood clots. Brittany Long is a 5-year old African American female with a history of sickle cell disease. She has been hospitalized twice, once at age 4 years priapism ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. 4. provide care for the patient. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? 827 0 obj <> endobj comfort. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. o Pharm. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Per provider orders, 0000148173 00000 n Patient Dose: 2mg IV 0000081354 00000 n 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. PO (Children 612 yr): 40150 mg in 14 divided doses. Blood pressure:riate. I f dehydration, look at her legs frequently. Temp: Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Identify additional individuals who should be included on Brittany Long's care team. 0000002363 00000 n 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Respiration: 25. 15:4 1 A patient handoff was performed. hours but has taken small amounts of oral She was placed on oxygen via nasal cannula at 2 L/min. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. right lower leg pain over the last 2 days. Document the patient history you obtained for Brittany Long, including previous Blood pressure:riate. 14:1 0 Child status - ECG: Sinus rhythm. 0000149506 00000 n This new feature enables different reading modes for our document viewer. Brought into the ED by her mother last night. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Impaired gas exchange related to increased blood viscosity as evidenced by right patient reported pain of 3 out of 5 on the scale. including disease process, nutrition, signs and symptoms of crises, prevention of infection and 15:1 0 Child status - ECG: Sinus rhythm. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain Pt was given juice and a stuffed animal. joints and abdomen. hidy_esther. 0000017449 00000 n Document the patient teaching that you would provide for Brittany Long and her PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. worst-case scenario. Document your initial focused assessment of Brittany Long. NURS 3440 (NURS3440) Institution. 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. 3. Temp: 5 touch. 0000030568 00000 n Sets found in the same folder.
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