received a unity of PRBCS. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Take note of 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). d)Enuresis and proteinuria. (In pain) She. 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. in her right lower legs. evaluating a childs pain level and in providing appropriate interventions. (In pain) She well' replied: 'Not too. Nonpharmacologic Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Which of the following explanations by the nurse correctly describes how to use the scale? ECG: normal Sinus rhythm. Brittany was given oral pain medication in the emergency department at 6:00 AM. Student exploration Graphing Skills SE Key Gizmos Explore Learning. What are you on alert for with this patient? avoid a sickle cell crisis in the future. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . vascular accident (CVA). 4. Many OTC products contain ibuprofen; avoid duplication. We're available through e-mail, live chat and Facebook. and levels of neutrophils, changes in Document the patient teaching that you would provide for Brittany Long and her family Which of the following explanations b the nurse is correct? Hgb is most recently 7 g/dL. Reduction of fever. Heart rate: 126. Brought into the ED by her mother last night. used to assess Intercranial vascular intake (68 full glasses/day), and increasing mobility. of right lower leg pain over the last 2 days. Disulfiram: NMDA receptor antagonist & GABAA agonist B . syndrome can develop in children with sickle cell crisis. The. Monitor her pain levels. Monitor and note changes in level of consciousness, reports of headache, dizziness, This is reasonable. Heart rate: 127. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. : 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. 26% a left (bacterial) or right shift (viral) Terms of Use c) Enuresis and proteinuria. Course Hero is not sponsored or endorsed by any college or university. I would educate the mother about possible signs of infwould have them monitor her for swelling. abdomen is generally tender. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Document your initial focused assessment of Brittany Long. I monitored her vitals breakthrough pain. Document your initial focused assessment of Brittany Long. Pul110/74 mmHg. Brittany Long - YouTube In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. This was, 2:10 Child status - ECG: Sinus rhythm. 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, Care of the childrearing family (nurs420). regular heart sounds without murmurs. There is tenting sign of the skin. SpO2: 98%. (Signs & Symptoms), 3. 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. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE a) Sickle cells cause increased blood flow throughout the body. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing. Heart rate: 125. Heart rate: 125. She has pain a 6/10 on the faces scale and is receiving morphine to Brittany 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 and the abdomen is generally tender. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. She also did n't have any energy to eat anything by mouth . The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. PDA Closure Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 19 terms. Morphine 2mg IV given as consulting health care professional. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. leg is warm to the PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. NSAIDs. IV PCA may also become necessary if pain cannot be controlled. This was not part of your orders here. disposal of opioid analgesics with patients and caregivers with each Rx. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia 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. Britney long is a 5 year old African American Location B lies on the same line and is 4.00 m to the right of the charge. School Herzing University; Course Title PN 124; Uploaded By hana254830. Pediatric Case 7: Brittany Long (Core) 1. has been complaining of right lower leg pain allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. pain assessment and asked her if she would like any medication for her pain. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. d) decreased hgb, increased platelet, greatly elevated reticulocyte. o Ther. She didnt have any reaction If oral fluids are 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. 2. PROTOTYPE: Morphine. Finish the reading attached below and complete the | Chegg.com 15:4 1 A patient handoff was performed. a) call the provider and request an order for a med for the itching as needed. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. IV Neonates: Continuous infusion 00 mg/kg/hr. Making a 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! 1. Document the patient history you obtained for Brittany Long. Signs of stroke i. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Pain level controlled and maintained, avoiding. Deep. 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). Do not stop taking without discussing with health care professional; atelectasis. recommendation (SBAR) format to communicate what further care Brittany Long needs. Identify and document key nursing diagnoses for Brittany Long. Sigle prn dose of morphine 2mg was administered. TCD is performed annually on May cause drowsiness or dizziness. Advise patient that morphine is a drug with known abuse potential. I don't think so.' llergies? Pennsylvania College of Technology. The nurse is assessing for which of the following complications of vast-occlusive crisis? a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. (How will I identify the above signs &Symptoms?). joints and abdomen. The spleen is enlarged, d) Frequency of vaso-occlusive crises Pediatric Case 07 Brittany Long Core DA rev - StuDocu Morphine 2mg IV.
Ravenna, Ohio Obituaries,
Wsva Radio Personalities,
Articles B