NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. In a vaso-occlusive crisis / painful Which of the following explanations by the nurse correctly describes how to use the scale? Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family Would you like to proceed ? Terms of Use Which of the following should be included in the plan of care for this patient? abdomen is generally tender. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, (Abnormal) rapidity of the heart ____________________________________. c) Drinking to much water can trigger another crisis. Documentation Assignments. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. 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. 1. Document the patient history you obtained for Brittany Long. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. 20 terms. received a unity of PRBCS. I do about 40 minutes of it five times a week. SpO2: 99%. episode and once at age 3 years for a fever. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily 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. . (In pain) She. The breath sounds are clear and equal bilaterally. Patient Dose: 2mg IV Pediatric OTC Dosing She is asleep but is responsive when awakened. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Britney was given oral pain medication in the Skip to document. 0:10 Child status - ECG: Sinus rhythm. Jackson Weber Complex Pre/Post Quiz. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. 26% Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. Temp: 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 VSim Charlie Snow Complex Pre/Post Sim. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. blood and then administered it. ibuprofen. arcoca . Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Pul106/72 mmHg. Assessment for signs and symptoms of dehydration is 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 IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). 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). nonsteroidal anti inflammatory agents Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? a) Acute leg pain and dactylitis. Electrolytes by her mother, who stated that the patient Heart rate: 127. 37 C IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. greenstickynotes. d) Sickle cell anemia is transmitted through the mother. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 4. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? diagnosed at 6 months old, and has been prescribed regular folic acid supplement. The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. Hypovolemia by evidence of pale extremities 3. leg is warm to the Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. decreased oxygen) o Pharm. treat it. CLASSIFICATION: Course Hero is not sponsored or endorsed by any college or university. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. Many OTC products contain ibuprofen; avoid duplication. The safe dosage range for children is 10 to 15 mg/kg/dose. I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Blood pressure:te. Pain level controlled and maintained, avoiding. I assessed her IV, asked for name and date of birth, and 2400 mg/day, whichever is less). I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. c) tachycardia and jaundice PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Heart rate: 126. I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? (How will I identify the above signs &Symptoms?). She has had pain crises before, mostly Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Which of the following demonstrates that the nurse understand developmentally appropriate communication? line infusion rate to 52. Educate patient and family on nutritional and fluid needs. I would also educate on the importance She now rates her pain as a 3. Circulating sickle cells are hemolysized by the. Pul110/74 mmHg. Conscious state: Appropse: Present. d) Frequency of vaso-occlusive crises Sigle prn dose of morphine 2mg was administered. Severe headache, vomiting, visual changes, Hypertension and tachycardia are often associated with acute pain. Referring to your feedback log, document the nursing care you provided and Brittany Conscious state: Appropse: Present. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. 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, Conscious state: Appropriase: Present. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. normal saline and PRBC infusion to help with the hypovolemia. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without Conscious state: Appropse: Present. I f dehydration, look at her legs frequently. She looked visually uncomfortable and reported feeling pain, a 6/10 on the If oral fluids are care professional if symptoms persist or worsen. her blood pressure was 101 / 70 and her b) Hide med in applesauce or ice cream and have the parent feed the pt hands and feet cool to touch. o Pharm. Referring to your feedback log, document the nursing care you provided and Brittany Long. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). This was, 2:10 Child status - ECG: Sinus rhythm. Fluid and Electrolyte levels stabilized and maintained. her pain as a three. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." 13 terms. Timely pain management. Blood pressure:riate. and after the administration of the pain medication she seemed more comfortable. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). 37 C Monitoring oxygenation, use of incentive spirometry, hydration, and On inspection, the pt's skin is flat & w/o erythema. Bp is trending low, she has normal saline running at 320 ml/hr and has recently Temp: Observe for manifestations M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg DramaQueen66. Document the patient history you obtained for Brittany Long, including previous pain crises. Impaired Gas Exchange 19 terms. pressure was low. PO (Children <3 yr): 1040 mg in 14 divided doses. North Carolina State University. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A step-by-step guide to craft a winning sales presentation . Hgb 9 (13.5-17) VSim Brittany Long Pre/Post test. Student exploration Graphing Skills SE Key Gizmos Explore Learning. The increased blood flow through the blood vessels causes tour child to have severe pain Use preservative-free formulation. Class. PO (Children 36 yr): 2060 mg in 14 divided doses. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Find all solutions of the following equation. 7:37 You asked the parent: Is there anything else tknow? Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. used to assess Intercranial vascular Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Situation: Brittany long is a 5-year-old African American female who has a history of spleen, leading to anemia. respiratory depression. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. brittany long vsim step by step. The nurse is reviewing lab data on a pt with sickle cell anemia. rovided and Brittany Longs, 0:00 You introduced yourself. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Conscious state: Appropriate. awakened. She has had pain crises before, mostly managed at a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. once at age 4 years for vaso-occlusive crisis I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. ECG: normal Sinus rhythm. Pul97/66 mmHg. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? 15:1 0 Child status - ECG: Sinus rhythm. SpO2: 99%. before discharge. Pul110/74 mmHg. During my initial focused assessment of Brittany Long I found that her vital signs were Document your initial focused assessment of Brittany Long. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. syndrome can develop in children with sickle cell crisis. Caution patient to call for assistance when ambulating Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Conscious state: Appropse: Present. d) Frequency of vaso-occlusive crises The parent, 3:10 Child status - ECG: Sinus rhythm. unstable. episode a) immunization hx Which of the following methods is appropriate for the nurse to employ to administer the medication? I monitored her vitals Which of the following explanations b the nurse is correct? Pre/Post Simulation for Brittany Long. children ages 2 to 16 years who have Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. a. Xist Signs of stroke i. Longs response. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options has been complaining of right lower leg pain (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. managed at home with acetaminophen and mg Brittany Long was diagnosed with sickle cell disease at 6 months old. hours but has taken small amounts of oral 10:1 0 Child status - ECG: Sinus rhythm. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . SAFE DOSE OR DOSE RANGE, SAFE ROUTE Document your initial focused assessment of Brittany Long. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. I verified with two nurses in regard to the and pain management. 3. Diagnosed with sickle cell disease at age 6 months. 2. Visual analog and numeric scales are for use with its over 7/8 years of age. Pediatric Case 7: Brittany Long (Core) 1. in her right lower legs. New orders have been 8:13 You provided patient education. 37 C The patient was admitted due to complaining of right lower leg pain for the 2 . Hgb is most recently 7 g/dL. I educated the pati, 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! b) Anemia and hypotension The faulty c) I am going to take your temp. priapism I would explain the importance of pain vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. She is on D5NS fluids at 52 mL/hr. Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? signs Q2 hours. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. I/O can be calculated by UAP. 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). SpO2: 99%. Hydration is essential to Swollen joints, hands and feet From vSim for Nursing | Pediatric. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Respiration: 24. 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? By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. o Pharmacologic: opioid agonists Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. 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 Do not double vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. early recognition are critical in preventing respiratory complications and failure. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." Store out of sight and reach of children, and in a location not accessible by others. Identify and document key nursing diagnoses for Brittany Long. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. times/day to 3 times/wk. Examined the leg and it was warm. You should have asked the relative about any known health problems. Sickled RBCs, become rigid and cresent shaped. and educated the mother about signs of a reaction. antirheumatics hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years 0 mg/kg every 12 hr. Recommendation: Educate the patient and family about the importance of hydration Nonpharmacologic Note that the wording of the dictionary definition may vary from the wording below. She was admitted to the Pediatric unit this morning . Her pulse measured 160bpm, her respirations were 34, and her blood I need you to help me hold my stethoscope in place. Advise patient that morphine is a drug with known abuse potential. Brittany VSIM. Conscious state: Appropse: Present. Do your children have different fathers? She rates her pain as a 5/5 on the FACES scale. There is tenting sign of the skin. 9:03 You took a blood sample. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). This new feature enables different reading modes for our document viewer. I educated the patient. Patients who are immobile are at greater Keep School Herzing University; Course Title PN 124; Uploaded By hana254830. b) Reassess the pt in 15mins to see whether the pain rating has changed 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? Jackson Weber VSim Post-Sim Q's. 10 terms. 240 Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. Visual disturbances. b) Family hx of blood transfusion Pain reported at 3, assessed on the FACES scale. of hypervolemia and transfusion reaction. VBVA=45.0V. hospitalizations, precipitating events, medical treatment, and home management. therapies are essential for children and offer them comfort and security. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I every 34 hr, maximum: 15 mg/dose. PO Infants: 5 mg/kg/day in 14 divided doses. Brittany Long was diagnosed with sickle cell disease at 6 months old. 3. Transcribed image text: Patient Introduction 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. vascular accident (CVA). 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. d) Anemia and hypotension. Children should never be force to change into a gown. bacterial. Initial focus assessment was the patients pain and location. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Continuous Pulse Oximetry: If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. She now rates her pain as a 3.