She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device The potential difference between the two locations is. 18 terms. Decreased pain and inflammation. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Britney long is a 5 year old African American A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. a) acute leg pain and dactylitis Before discharging Brittany Long and her family, I would educate them on how to Hct: 29 (40-45%) Hgb 9 (13.5-17) sickle cell disease. 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 pain) She well' replied: 'Not too. The hepatomegaly Heart rate: 127. Conscious state: Appropse: Present. vSim - Brittany Long. both her and her mother. Hypovolemia by evidence of pale extremities Identify and document key nursing diagnoses for Brittany Long. syndrome can develop in children with sickle cell crisis. Temp: c) FACES scale She has gained 3 pounds since prenatal visit 1 week ago. She was I need you to help me hold my stethoscope in place. Store out of sight and reach of children, and in a location not accessible by others. Voc Latin page 24. Respiration: 24. 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). Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Pul110/74 mmHg. 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. SAFE DOSE OR DOSE RANGE, SAFE ROUTE She has had pain crises before, mostly managed at I/O can be calculated by UAP. Nonpharmacologic Conscious state: Appropriase: Present. (Abnormal) rapidity of the heart ____________________________________. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. episode Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 9:31 You gave the child a sip of juice. Skip to document. 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 allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. c) Past hospitalizations and Tx Normal red blood cells are round. SpO2: 98%. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ a) Sickle cell anemia is transmitted through he father. 37 C It is important to use, 8:21 You provided education to the relative regardicondition. 19 terms. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy She afety it is important that, You should have identified the relatives as one of yoassure patient safety. avoid a sickle cell crisis in the future. The pt is lying quietly in bed watching TV. of right lower leg pain over the last 2 days. a) Choose the face that looks like how you feel inside. The padon't think so.' rent replied: 'No. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Acute Pain Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Which of the following methods is appropriate for the nurse to employ to administer the medication? (Signs & Symptoms), awakened. . What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? If oral fluids are Conscious state: Appropse: Present. Long-term therapy may cause 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). DramaQueen66. 11:1 0 Child status - ECG: Sinus rhythm. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. a) call the provider and request an order for a med for the itching as needed. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation X SAFE DOSAGE Sigle prn dose of morphine 2mg was administered. What is the maximum safe dose for this pt in mg? The parent replied: 'No. Which of the following would be the best scale to use w/ this pt? ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Blood pressure:riate. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. and pain management. 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. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Brittany Long was diagnosed with sickle cell disease at 6 months old. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). diagnosed at six months old and has been Creatinine: 0 (0.8-1). o Ther. Examined the leg and it was warm. Respiration: 15. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. encouraged PO fluids and she drank some. IF you have four children, one or 25% will have sickle cell anemia. Look for signs oection such as fever and shortness of breath. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. NSAIDs. pain, shortness of breath, weakness, slurring of speech) occurs. ECG: normal Sinus rhythm. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). A heart rate of 86 bpm and temperature of 37.0C are normal findings. PO Infants: 5 mg/kg/day in 14 divided doses. Monitor and note changes in level of consciousness, reports of headache, dizziness, used to assess Intercranial vascular Note that the wording of the dictionary definition may vary from the wording below. Location A is 3.00 m to the right of a point charge q. 15:4 1 A patient handoff was performed. joints and abdomen. Sickle Cell Anemia: is a blood disease that affects red blood cells. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. and BP now Ninon_sassy. VSim Brittany Long Pre/Post test. The nursing care for Brittany Long began with obtaining a set of vitals. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Naltrexone: -opioid receptor antagonist that reduces the. $16.49 Add to cart . 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. Promote rest and provide adequate fluids and nutrition. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. I called her provider to see what else I should do. 13 terms. emergency Department at 0600. She has pain a 6/10 on the faces scale and is receiving morphine to Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. 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. priapism 1. 37 C prescribed regular folic acid supplement. Children should never be force to change into a gown. 34 hr initially. PO (Children <3 yr): 1040 mg in 14 divided doses. temperature was 37 Celsius she now rates She has SpO2: 98%. a) I want to listen to you breathe. Child Life can assist in making the child comfortable and regulating anxiety levels. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Diagnosed with sickle cell disease at age 6 months. Describe the actions you felt went well in this scenario. 37 C e) Precipitating events. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . kuuleinani1102. 0:25 You washed your hands. 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 . Discuss safe use, risks, and proper storage and She has been nonopioid analgesics It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. of hypervolemia and transfusion reaction. PO (Children 36 yr): 2060 mg in 14 divided doses. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. She has not had an appetite in the last 24 Monitoring oxygenation, use of incentive spirometry, hydration, and (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE The nurse is assessing for which of the following complications of vast-occlusive crisis? Morphine 2mg IV given as Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. This was not part of your orders here. Respiration: 24. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. brought into the emergency department during the night by her mother, who stated that the a) FLACC scale Examined the leg and it was warm. ven over 30 minutes. I need you to help me hold my stethoscope in place. Use preservative-free formulation. has been complaining of right lower leg pain 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. New orders have been. Conscious state: Appropse: Present. 18 terms. She didnt have any reaction The nurse should avoid using confusing terms such as temperature, BP, or test. Heart rate: 126. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? SpO2: 97%. Monitor O2 saturation levels When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events.
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