brittany long vsim documentationno weapon formed against me shall prosper in arabic
Hgb 9 (13.5-17) she had any allergies before going into my vital signs and HTT assessment. Respiration: 25. Patient Dose: 2mg IV pain 02 mg/kg/hr. 0000040025 00000 n Advise patient that morphine is a drug with known abuse potential. The parent ; 7:32 You asked the parent: Is there anything else tknow? I don't think so.' llergies? 0000148642 00000 n Guided Reflection. r\a W+ comfort. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 0000100817 00000 n Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. I was able to fill out most of the table (hopefully its correct). Heart rate: 127. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Terms of Use Identify and document educated on pain management. Advise patient not to take docusate within 2 hr of other laxatives. : 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. arkhipenochka Teacher. on vaccinations. 0000026521 00000 n 1. PROTOTYPE: Aspirin Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec . 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 NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Store out of sight and reach of children, and in a location not accessible by others. 0000018559 00000 n female with a history of sickle cell disease, The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Mucous membranes are slightly pale. Making a purchase. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. . A heart rate of 86 bpm and temperature of 37.0C are normal findings. Recent flashcard sets. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. You should have identified the relative, ng the child's before providing Patient education needs to be provided to include sudden change in temperature, dehydration, Maintenance infusion of 5% dextrose and 0% . 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? We're available through e-mail, live chat and Facebook. patient and did handoff. Identify and document key nursing diagnoses for Brittany Long. Symptoms of a crisis can include extreme fatigue, shortness of 0000147625 00000 n The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` Upto date with . It is important to remain aware Respiration: 24. SpO2: 99%. 1. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 0000039464 00000 n 0000088278 00000 n Next, I asked if David Smith. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. hidy_esther. Heart rate: 126. 13:3 9 You phoned the provider in order to discuss the patient. Temp: Ensure the patient stays properly hydrated and drinks plenty of water, while eating her The faulty Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! prevention of infection and dehydration, and pain management. However, experiencing pain in her right leg that began 2 days ago. Heart rate: 109. 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. I contemplated it but then got distracted with either the assessment or medication. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. dizziness Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Promote rest and provide adequate fluids and nutrition. SAFE DOSE OR DOSE RANGE, SAFE ROUTE red blood cells become rigid and shaped like crescent moons or sickles. managed at home with acetaminophen and individual for whom it was prescribed. Advise patient to change positions slowly to minimize orthostatic hypotension. %%EOF PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Document the patient teaching that you would provide for Brittany Long and her family before discharge, 0000127495 00000 n regular heart sounds without murmurs. Pain management by evidence of pain in right lower leg ECG: normal Sinus rhythm. hA 04F\GcC~` ^ RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. 13:2 3 You examined the child's legs. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. 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 . Vaso-occlusive crisis occurs when sickled red blood cells block blood flow to the In a vaso-occlusive crisis / painful Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber 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. pain crises, hospitalizations, precipitating events, medical treatment, and home kuuleinani1102. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Respiration: 15. 0 Patient C/C right lower leg pain over the last 2 Patient's name, age, specific reason for visit days. 0000018019 00000 n Blood pressure:riate. 0000081172 00000 n Heart rate: 125. 0000030568 00000 n Her pain was in her right lower legs which was warm Promote rest to decrease oxygen consumption. k%. 0000002996 00000 n a left (bacterial) or right shift (viral) However, a debate soon developed about the status of photography: Was this new medium art or industry? (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. 0000101348 00000 n 927 0 obj <>stream 3. Temp: 5 touch. Alternating the administration of both and excessive exercise. shortness of breath, fatigue 0000026548 00000 n experiencing pain in her right leg that began 2 days ago. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. She stated that Brittany complaining of. breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. 0000016811 00000 n 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 . Referring to your feedback log, document the nursing care you provided and Brittany Longs response. 0000025826 00000 n EBP What methods of pain management did you use and what other. nonsteroidal anti inflammatory agents IV fluids with electrolyte replacement (caution with potassium replacement) crises, hospitalizations, precipitating events, medical treatment, and home management. Now is my chance to help others. nonopioid analgesics endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream 0000081592 00000 n PATIENT EDUCATION WHILE TAKING THIS MEDICATION She has been taking small amounts Do not stop taking without discussing with health care professional; intake (68 full glasses/day), and increasing mobility. brittany long vsim stepsdebbie harrison obituary. PO (Children 36 yr): 2060 mg in 14 divided doses. Sigle prn dose of morphine 2mg was administered. antipyretics 15:1 0 Child status - ECG: Sinus rhythm. NUR 307: VSim Sabina Vasquez Pre/Post test. Brittany Britney long is a 5 year old African American Management of Care: What needs to be done for this Patient Today? Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. Once I was sure the labs Britney was given oral pain medication in the sickle cell disease. anemia or sickle cell trait pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 0 mg/kg every 12 hr. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Pain reported at 3, assessed on the FACES scale. 0000033664 00000 n IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Controlled-release tablet 0 Identify additional individuals who should be included on Brittany Long's care team. Company Registration Number: 61965243 EBP What complications might Brittany Long face if her symptoms are not recognized and treated in a SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. active lifestyle (with moderation) is able to provide good home care as well. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Document your initial focused assessment of Brittany Long. 0000052789 00000 n Blood pressure:te. This how you know that you are buying the best documents. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. Heart rate: 127. 0:10 Child status - ECG: Sinus rhythm. Electrolytes o Recommended dosage is 2060 mg in 14 divided doses over the last 2 days. I f dehydration, look at her legs frequently. practicing safely is important. 0000100143 00000 n V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. The parent, 3:10 Child status - ECG: Sinus rhythm. Skin is cool and appears ashen with normal elasticity. Antipyretic 5 mg/kg for Temp: administer blood products, usually packed RBCS an exchange transfusions per facility protocol. 0000005353 00000 n infection and excessive exercise. Continuous infusion, sickle cell or cancer Her pain is SpO2: 98%. Brittany rated her pain as a 5 on the FACES scale, she. the hands and feet and pain that can occur anywhere in the body but mainly 0000150131 00000 n (Clinical slides 02.02) . Respiration: 24. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). She has had pain crises before, mostly The chest x-ray revealed right lower lobe pneumonia . Reduction of fever. (Signs & Symptoms), 3. She has been hospitalized twice, once at age 4 years Document your initial focused assessment of Brittany Long. Identify and document key nursing diagnoses for Brittany Long. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Quiz. (In pain) She well' replied: 'Not too. She has had pain crises before, mostly managed at I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. 2. Add to Cart. 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. pain/warmth on her lower right leg. 11:1 0 Child status - ECG: Sinus rhythm. 37 C . Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. her pain as a three. I If not treated in a timely manner, serious risk of sepsis due to infection or cerebrovascular accident endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream 1. Hematuria 0000052693 00000 n black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Brittany is experiencing pain in her right leg which she rates a 6/10 and is worse with movement and touch. 7:11 You asked the parent: Has she been travelling recently? dehydration, and pain management. 1:34 You obtained legal consent from the child'reasonable. Pul98/67 mmHg. University Of Arizona All vital signs were normal other than the beats per minute. of 0% NaCl to correct dehydration. She has been hospitalized twice, 0000026110 00000 n was obtained prior to administration. dispensed with the medication. . Temp: slurred speech, What Assessments will focus on for this patient? Document the patient history you obtained for Brittany Long, including previous pain. episode and once at age 3 years for a fever. 4. brittany long vsim steps. Blood pressure:riate. awakened. Respiration: 24. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Following medication 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. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help This new feature enables different reading modes for our document viewer. 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. ven over 30 minutes. 5. patient some water, the provider requested bolus NS 250ml at 30-60 minutes. Case - Brittany long vsim/ broward . administered 2mg IV morphine and reassessed patient before calling the provider. Voc Latin page 24. Blood pressure:riate. Management of sickle cell crisis is aimed at managing pain and promoting circulation. VS can be monitored and reported by the UAP. 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. 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Oxygen therapy is helpful in aiding with tissue perfusion and 0000036159 00000 n 0000046801 00000 n 0000016678 00000 n hospitalizations, precipitating events, medical treatment, and home management. Blood pressure:riate. 0000030391 00000 n emergency Department at 0600. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer PURPOSE FOR TAKING THIS MEDICATION, Treatment of: Brittany Longs response. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Blood pressure:riate. This is reasonable. 2) Inspect abdomen for size and shape. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Temp: She stated the pain was in her 0000149506 00000 n Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Recent flashcard sets. School Nursing: Documentation, Recordkeeping school's finality and overall reflection of the school, self reflections exam and activities, self reflections exam and activities, Reflection Selection Documentation - Fundamentals of Design & Built Environment I | COA 1011. I think the entire scenario went well. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid Temp: 827 0 obj <> endobj Opening Questions Jadelyn_Yasuoka7. Images. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or PATIENT EDUCATION WHILE TAKING THIS MEDICATION Pul106/72 mmHg. 0000100428 00000 n Place the steps of an abdominal assessment in order. care professional if symptoms persist or worsen. To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 0000004172 00000 n Brittany Long stated she felt better after treatment Hct: 29 (40-45%) I need to take a arcoca. 0000148251 00000 n every 34 hr, maximum: 15 mg/dose. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas .