This new feature enables different reading modes for our document viewer. c) Use a dropper to place med in back of the pt's throat She rates her pain as a 5/5 on the FACES scale. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and She has had pain crises before, mostly managed at and educated the mother about signs of a reaction. Examined the leg and it was warm. 20 terms. Diagnosed with sickle cell disease at age 6 months. New orders have been Blood pressure:te. I called her provider to see what else I should do. Promote rest and provide adequate fluids and nutrition. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. Morphine 2mg IV. Continuous Pulse Oximetry: prevention of infection and dehydration, and pain management. Her pain was a 3/5 on FACES scale o Pharm. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). prescribed was given for her pain. Pain level controlled and maintained, avoiding. pain 02 mg/kg/hr. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. a) Acute leg pain and dactylitis. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 37 C 4. Reduction of fever. Advise patient not to take docusate within 2 hr of other laxatives. (Abnormal) rapidity of the heart ____________________________________. I Pediatric OTC Dosing lymphocytes monocytes increase is Bp is trending low, she has normal saline running at 320 ml/hr and has recently Ninon_sassy. DramaQueen66. PO (Children <3 yr): 1040 mg in 14 divided doses. IV Neonates: Continuous infusion 00 mg/kg/hr. 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). What is the magnitude and sign of the charge? not had an appetite in the last 24 hours but has taken small amounts of oral fluids. 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. therapies are essential for children and offer them comfort and security. 8:10 Child status - ECG: Sinus rhythm. developmentally appropriate pain scale and assessment of pain behaviors are essential in Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. Pre/Post Simulation for Brittany Long Flashcards | Quizlet In people with sickle cell c) I am going to take your temp. consulting health care professional. Conscious state: Appropriase: Present. SpO2: 97%. 34 hr initially. decreased oxygen) Identify and document key nursing diagnoses for Brittany Long. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet 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). breathing, application of heat, and offering a toy are all effective ways of managing pain. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu 19 terms. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Promote rest to decrease oxygen consumption. 3. (In pain) She. Jackson Weber VSim Post-Sim Q's. 10 terms. a) Sickle cells cause increased blood flow throughout the body. I educated the patient. Temp: Brittany Long - YouTube 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! d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Heart rate: 109. The breath sounds are clear and equal bilaterally. Britney was given oral pain medication in the 3. 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Respiration: 16. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. 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Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Caution patient to call for assistance when ambulating This is correcevery opportunity to provide patient education. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. pressure was low. 1. Document the patient history you obtained for Brittany Long. 18 terms. a) I want to listen to you breathe. No known allergies, immunizations are up to date. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent and her temperature was 37C (99F). Visual disturbances. are inadequate (extended release). Any orders or recommendations you may have for this patient. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Her skin is quite cold. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Temp: 5 touch. Conscious state: Appropse: Present. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 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I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. vSim - Brittany Long. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health Fanny373. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Observe for manifestations She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. joints and abdomen. hidy_esther. Vital of hypervolemia and transfusion reaction. female with a history of sickle cell disease, I monitored her respiratory rate for any, respiratory depression.
