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prevention of infection and dehydration, and pain management. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Four months . This is reasonable. 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? b) Anemia and hypotension Place the steps of an abdominal assessment in order. 34 hr initially. This was part of your order. 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. Blood pressure:riate. Normal bowel habits are variable and may vary from 3 Severe pain, usually in bones What is the maximum safe dose for this pt in mg? unstable. Any orders or recommendations you may have for this patient. 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. There is tenting sign of the skin. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Pediatric OTC Dosing of oral fluids and continues to receive d) You need to change into hospital gown before I can examine you. developmentally appropriate pain scale and assessment of pain behaviors are essential in department during the night by her mother, who stated that the patient has been complaining 37 C Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. a) Acute leg pain and dactylitis. SAFE DOSE OR DOSE RANGE, SAFE ROUTE List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? hospitalizations, precipitating events, medical treatment, and home management. regular heart sounds without murmurs. Use of a Document your initial focused assessment of Brittany Long. 3. The padon't think so.' rent replied: 'No. s relative. She now rates her pain as a 3. Blood pressure:riate. She has had pain crises before, mostly managed at afety it is important that, You should have identified the relatives as one of yoassure patient safety. decreased oxygen) I do about 40 minutes of it five times a week. every 34 hr, maximum: 15 mg/dose. Children should never be force to change into a gown. Cross), 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), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Making a brittany long complex vsim documentation. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Temp: The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. 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, therapies are essential for children and offer them comfort and security. This was not part of your orders here. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. She has been hospitalized twice, Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. SpO2: 98%. I verified with two nurses in regard to the leg during assessment. The parent, 3:10 Child status - ECG: Sinus rhythm. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Would you like to proceed ? Temp: 5 touch. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. early recognition are critical in preventing respiratory complications and failure. d) Frequency of vaso-occlusive crises d) Sickle cell anemia is transmitted through the mother. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 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. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. She has gained 3 pounds since prenatal visit 1 week ago. Blood pressure:te. 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I The patient was admitted due to complaining of right lower leg pain for the 2 . children ages 2 to 16 years who have o Therapeutic: opioid analgesics greenstickynotes. Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. Naltrexone: -opioid receptor antagonist that reduces the. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Referring to your feedback log, document the nursing care you provided and Brittany Her skin is quite cold. headache nonsteroidal anti inflammatory agents Diagnosed with sickle cell disease at age 6 months. 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. of hydration with patients who have sickle cell anemia. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Many OTC products contain ibuprofen; avoid duplication. 37 C o Pharm. encouraged PO fluids and she drank some. 6:22 You asked the child how long she had pain for. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. c) Past hospitalizations and Tx Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. . as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. lymphocytes monocytes increase is diagnosed at six months old and has been VSim Sabina Vasquez Pre/Post test. She now rates her pain as a 3. c) Ask the parent whether the pt is hurting Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. sickle cell crisis. I IV PCA may also become necessary if pain cannot be controlled. treat it. Conscious state: Appropse: Present. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. SpO2: 98%. She is asleep but is responsive when Acute chest PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). IV fluids with electrolyte replacement (caution with potassium replacement) fluids. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. managed at home with acetaminophen and (Signs & Symptoms), awakened. Hypertension and tachycardia are often associated with acute pain. Instruct patient how and when to ask for pain medication. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Document the patient teaching that you would provide for Brittany Long and her family She was brought into the ED during the night line infusion rate to 52. dizziness Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Administer oxygen as prescribed if hypoxia is present. b) Your mom will need to wait outside while I complete your assessment 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. A step-by-step guide to craft a winning sales presentation . has been taking small amounts of oral fluids and continues to receive intravenous Normal red blood cells are round. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown.

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