Temp: PURPOSE FOR TAKING THIS MEDICATION, Treatment of: 0000026521 00000 n Referring to your feedback log, document the nursing care you provided and Brittany Long. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 3. Pt/family teaching This was part of your order. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN family before discharge, including disease process, nutrition, signs and symptoms It helped me a lot to clear my final semester exams. movement and touch. Long-term therapy may cause patient reported pain of 3 out of 5 on the scale. 37 C Patient C/C right lower leg pain over the last 2 days. V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. line infusion rate to 52. 8:13 You provided patient education. Britney rated her pain as a 5 on the faces She requested some pain medication when asked. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Respiration: 24. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). PO (Children 11 yr/7295 lb): 300 mg every 68 hr. 3. PROTOTYPE: Aspirin Following medication Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! temperature was 37 Celsius she now rates 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. pain crises, hospitalizations, precipitating events, medical treatment, and home 0000046801 00000 n Documentation Assignments afety it is important that, You should have identified the relatives as one of yoassure patient safety. 0000081757 00000 n Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your initial focused assessment of Brittany Long. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. female with a history of sickle cell disease, Respiration: 24. Continuous Pulse Oximetry: Respiration: 24. emergency Department at 0600. increased joint pain, chest pain, shortness of breath, fever, and lethargy. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 0000016678 00000 n CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. brittany long vsim steps. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Brittany Long, based on the latest evidence-based practice? . Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Oral opioid medication and NSAIDs are given for mild to moderate. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. 1. Take missed doses as soon as remembered but not if almost time for next dose. 0000036159 00000 n r\a W+ Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. You should have identified the relative, ng the child's before providing latest evidence-based practice. EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a 0000081172 00000 n decreased oxygen) Controlled-release tablet 0 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 . hA 04F\GcC~` ^ Skin is cool and appears ashen with normal elasticity. Questions. This was not part of your orders here. 0000066201 00000 n Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Terms of Use consulting health care professional. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Jadelyn_Yasuoka7. Identify and document key nursing diagnoses for Brittany Long. Conscious state: Appropriase: Present. SITUATION I am calling regarding Brittany Long, 16kg. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Add to Cart. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. 0000039464 00000 n David Smith. Management of Care: What needs to be done for this Patient Today? 0000004772 00000 n 0000115576 00000 n 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. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. 13:2 3 You examined the child's legs. How did the simulated experience of Brittany Long's case make you feel? I was able to fill out most of the table (hopefully its correct). 0000004172 00000 n 1:34 You obtained legal consent from the child'reasonable. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Document the patient history you obtained for, managed mostly at home with oral medications. (How will I identify the above signs &Symptoms?). Sickle cell also increases the risk of blood clots. CLASSIFICATION: 4. Over time, the 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. In a vaso-occlusive crisis / painful CLASSIFICATION: Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid o Pharmacologic: opioid agonists 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 assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Neutrophils and bans are Next, I asked if I Pain level controlled and maintained, avoiding. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. 7:11 You asked the parent: Has she been travelling recently? I chos, Question 4 a) James was the tutor of tutorial 21. 10:1 0 Child status - ECG: Sinus rhythm. She is asleep but is responsive when 827 101 SpO2: 98%. Brittany Long vSim Documentation Assignment. 0000025684 00000 n Identify additional individuals who should be included on Brittany Long's care team. Creatinine: 0 (0.8-1). Identify and document key nursing diagnoses for Brittany Long. Document your initial focused assessment of Brittany Long. 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. 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. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Anatomy Test 3 Clinical Correlates. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 13:3 9 You phoned the provider in order to discuss the patient. Educate patient and family on nutritional and fluid needs. ngk to denso cross reference / natchez trace bike accident / brittany long vsim steps. 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. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Caregiver and pt were both 37 C Class: macrolide 11 terms. her blood pressure was 101 / 70 and her PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? Management of sickle cell crisis is aimed at managing pain and promoting circulation. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. She was brought into the ED during the night Terms of Use sickle cell and the symptoms can help me provide better actual patient care in a similar situation. . safely is important. active lifestyle (with moderation) is able to provide good home care as well. nonsteroidal anti inflammatory agents 13 terms. 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, . 0000147158 00000 n 0000143123 00000 n 0000088512 00000 n The right Fanny373. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 37 C : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Acute: (related to dehydration Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 0000127495 00000 n Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . 1. 7:37 You asked the parent: Is there anything else tknow? 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! In people with sickle cell Blood pressure:te. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Quick and easy check-out . 0000000016 00000 n o Therapeutic Class: agents for atypical mycobacterium, anti-infectives EBP What methods of pain management did you use and what other. She has been hospitalized twice, once at age 4 years To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. Decreased pain and inflammation. 1. She has been taking small amounts Use preservative-free formulation. crisis, if those medicationsdont work then morphine may be. Breath sounds are clear and equal bilaterally. 0000019119 00000 n 0000389005 00000 n Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . 3. children ages 2 to 16 years who have NURS 3440 (NURS3440) Institution. o Pharm. Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? Identify and document key nursing diagnoses for Brittany Long. 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). 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. antipyretics 0 mg/kg every 12 hr. are inadequate (extended release). DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. Visual disturbances. 0000149584 00000 n 0000016811 00000 n Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! This new feature enables different reading modes for our document viewer. Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h Referring to your feedback log, document the nursing care you provided and Brittany Long's response. administration, pt reported pain 2/10 on the FACES scale. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Brittany Long was diagnosed with sickle cell disease at 6 months old. 0000026548 00000 n episode and once at age 3 years for a fever. 0000066620 00000 n She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. The patient displayed tachycardia and had Recent flashcard sets. She was. Class. 0000100844 00000 n Respiration: 24. Pediatric Case : Brittany Long. Sickle Cell Anemia: is a blood disease that affects red blood cells. Pul106/73 mmHg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. Ensuring 0000039740 00000 n a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Respiration: 15. acetaminophen and ibuprofen. of oral fluids and continues to receive Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Assess patient and caregiver knowledge of how to avoid crisis. PO Infants: 5 mg/kg/day in 14 divided doses. Mucous membranes are slightly pale. VSim Documentation: Brittany Long 1. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest hospitalizations, precipitating events, medical treatment, and home management. $13.95 Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. 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. You should have asked the relative about any known health problems. diagnosed at six months old and has been 0000128218 00000 n 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 . Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without 0000148251 00000 n 4. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE (In pain) She. xref Caution patient to call for assistance when ambulating Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . 34 hr initially. Sets found in the same folder. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` Continuous infusion, sickle cell or cancer leg is warm to the o Therapeutic: opioid analgesics SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. SpO2: 99%. However, a debate soon developed about the status of photography: Was this new medium art or industry? Document the patient teaching that you would provide for Brittany Long and her 0000100817 00000 n red blood cells become rigid and shaped like crescent moons or sickles. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. 0000012690 00000 n and excessive exercise. intravenous maintenance fluids at 52 milliliters She has been hospitalized twice, Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. SpO2: 98%. dehydration, and pain management. how old is richard lael lillard. She has had pain crises before, mostly IV fluids with electrolyte replacement (caution with potassium replacement) Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? 0000009015 00000 n I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 0000101348 00000 n Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. 0000081238 00000 n With a profile at Docmerit you are definitely prepared well for your exams. 0:10 Child status - ECG: Sinus rhythm. Guided Reflection. Britney long is a 5 year old African American 0000035992 00000 n the hands and feet and pain that can occur anywhere in the body but mainly She was prescribed and given 2 mg of IV morphine to support pain, in which consent and levels of neutrophils, changes in Store out of sight and reach of children, and in a location not accessible by others. SpO2: 98%. states that it is made worse with movement. I Acute pain related to sickle cell anemia as evidenced by pain in the right leg. The parent replied: 'No. Blood pressure:riate. Patient Dose: 2mg IV The. Pul106/72 mmHg. on vaccinations. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent should have asked the mother about the patients history at this point. 0000150131 00000 n 0000026110 00000 n Respiration: 16. SpO2: 99%. Discuss safe use, risks, and proper storage and 0000147703 00000 n She stated the pain was in her puberty. Blood pressure:riate. From vSim for Nursing | Pediatric. Conscious state: Appropriase: Present. 927 0 obj <>stream Explain why the marketing communication channel you chose is appropriate, given your persona. Document your initial focused assessment of Brittany Long. Any orders or recommendations you may have for this patient. pain 02 mg/kg/hr. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. determine anemia state & if there is Pul108/73 mmHg. Respiration: 24. 0000065944 00000 n : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pul97/66 mmHg. lower right leg and occurred a couple of days ago. 0000100428 00000 n Severe pain, usually in bones After washing my hands and introducing myself, I identified the patient and her mother. leg during assessment. managed to get a 97% without having to retake it! SpO2: 97%. Family history of sickle cell SAFE DOSE OR DOSE RANGE, SAFE ROUTE SpO2: 99%. Respiration: 24. Scenario Analysis Questions 1 0000019092 00000 n Pre/Post Simulation for Brittany Long. 0. brittany long vsim steps . Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 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. Jackson Weber VSim Post-Sim Q's. 10 terms. 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. prevent further VOC and complications of SCD and to provide relief of pain. 0000036062 00000 n 11:1 0 Child status - ECG: Sinus rhythm. What are you on alert for with this patient? 4. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. 0000133372 00000 n electrolyte imbalance and dependence. she had any allergies before going into my vital signs and HTT assessment. 0000143162 00000 n My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 0000005353 00000 n SpO2: 99%. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Lone-Parent Families. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 0000149190 00000 n Heart rate: 127. A healthy diet and Popular books. episode 1. 0000147119 00000 n 0000100143 00000 n 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. Document your initial focused assessment of Brittany Long. IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. Document your initial focused assessment of Brittany Long. However, experiencing pain in her right leg that began 2 days ago. Pul109/74 mmHg. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. practicing safely is important. 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. 37 C 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. 6. Advise patient that morphine is a drug with known abuse potential. 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? Lastly, death is always the 9:10 Child status - ECG: Sinus rhythm. slurred speech, What Assessments will focus on for this patient? We're available through e-mail, live chat and Facebook. 0000018559 00000 n 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, Identify and document key nursing diagnoses for Brittany Long. She was placed on oxygen via nasal cannula at 2 L/min. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Brought into the ED by her mother last night. atelectasis. Identify and document key nursing diagnoses for Brittany Long. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. education. jaundice In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. She rates her pain 6/10 and 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 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. 3. 0000148642 00000 n Opening Questions 0000115021 00000 n experiencing pain in her right leg that began 2 days ago. 0000253576 00000 n 0000089071 00000 n Temp: Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. After giving the 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. 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. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. comfort measures to the young girl. Blood pressure:riate. What are you on alert for with this patient? This is reasonable. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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, Closely observe for manifestations of crisis and infection. "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. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. You even benefit from summaries made a couple of years ago. (Signs & Symptoms), awakened. However, she has been hospitalized She rates her pain 6/10 and, states that it is made worse with movement. Antipyretic 5 mg/kg for Next, I asked if she had any . 0000088973 00000 n Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). 2. consulting health care professional. (every 4-6 hours) as needed for pain. did a patient handoff. She appears to be in no respiratory distress. Hct: 29 (40-45%) hours but has taken small amounts of oral The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). 0000005909 00000 n 1) Have the patient lie down in a supine position. intake (68 full glasses/day), and increasing mobility. Her pain was in her right lower legs which was warm used to assess Intercranial vascular 0000114756 00000 n She has had pain crises before, mostly managed at Her pain is usually well managed with Conscious state: Appropse: Present. 2. Identify and document Wolters Kluwer Health. %%EOF Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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.
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