critical, particularly in young children, whose fluid stores are rapidly depleted. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet 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 . Cross), 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Normal bowel habits are variable and may vary from 3 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. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 2) Inspect abdomen for size and shape. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. 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! Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. 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It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h Pul110/74 mmHg. her pain as a three. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. This was part of your order. I stayed to watch for a transfusion reaction. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. Temp: and levels of neutrophils, changes in Transcranial Doppler : Could be temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Which of the following explanations b the nurse is correct? Acute Pain There is tenting sign of the skin. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. e) Precipitating events. 1:34 You obtained legal consent from the child&apos;reasonable. rovided and Brittany Longs, 0:00 You introduced yourself. intravenous maintenance fluids at 52 milliliters To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. 3. d) You need to change into hospital gown before I can examine you. The increased blood flow through the blood vessels causes tour child to have severe pain c) Morphine bc the pt reports severe pain. Pul106/72 mmHg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. What are you on alert for with this patient? (Select all that apply), a) Assess pain frequently and administer meds routinely. Pulmonary edema. Heart rate: 109. 6a Daily Routine. __________mg. NSAIDs. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . hidy_esther. Four months . hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Observe for manifestations Jackson Weber VSim Post-Sim Q's. 10 terms. Patients who are immobile are at greater The spleen is enlarged, prescribed regular folic acid supplement. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. She has had For the latest news, offers and ideas, sign up to our newsletter. ibuprofen. Pain management by evidence of pain in right lower leg In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? brittany vsim | Write my Essay | Assignment Help Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. In a vaso-occlusive crisis / painful Hct: 29 (40-45%) encouraged PO fluids and she drank some. ven over 30 minutes. Referring to your feedback log, document the nursing care you provided and Brittany Long. Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION Brittany was given oral pain medication in the emergency department at 6:00 AM. The child looked slightly Brittany Long was diagnosed with sickle cell disease at 6 months old. 1. consulting health care professional. You don't have to be crying to be hurting a lot. Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily leg during assessment. 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. 13 terms. Blood pressure:riate. atelectasis. Strict I and 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. PROTOTYPE: Morphine. reports of pain. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Conscious state: Appropse: Present. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 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. vSim for Nursing Maternity and Pediatric - Laerdal Medical She now rates her pain as a 3. Pediatric Case : Brittany Long. d) Frequency of vaso-occlusive crises To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: 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. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. A step-by-step guide to craft a winning sales presentation . (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. and basic metabolic panel, Blood analysis (notable): Examined the leg and it was warm. vSim for Nursing allows each student to have a different experience with the patient. b) Family hx of blood transfusion a) immunization hx a) Sickle cells cause increased blood flow throughout the body. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 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. 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) I want to listen to you breathe. Assessment for signs and symptoms of dehydration is Monitor her pain levels. Making a After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. CBC w/ dif : SHOULD be ordered to Which of the following should be included in the plan of care for this patient? *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd He ordered, normal saline and PRBC infusion to help with the hypovolemia. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. of hypervolemia and transfusion reaction. Pediatric OTC Dosing may cause withdrawal symptoms if discontinued abruptly after prolonged use. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. IF you have four children, one or 25% will have sickle cell anemia. Administer oxygen as prescribed if hypoxia is present. provided education to Signs of stroke i. b) Your mom will need to wait outside while I complete your assessment Manage her pain at home with acetaminophen and drink plenty of fluids. Respiration: 24. I educated the patient. Deep. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Vaso-occlusive pain crisis from sickle cell anemia Blood pressure:riate. greenstickynotes. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Brought into the ED by her mother last night. individual for whom it was prescribed. kuuleinani1102. Advise patient to change positions slowly to minimize orthostatic hypotension. 1) Have the patient lie down in a supine position. a left (bacterial) or right shift (viral) A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Do not stop taking without discussing with health care professional; nonopioid analgesics The nurse is performing a physical assessment on a 5 y/o pt. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Do not double The nurse is assessing for which of the following complications of vast-occlusive crisis? Her Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Use preservative-free formulation. a) I want to listen to you breathe. of infection and dehydration, and pain management. Pre/Post Simulation for Brittany Long. normal saline and PRBC infusion to help with the hypovolemia. Sigle prn dose of morphine 2mg was administered. Document your initial focused assessment of Brittany Long. 14:1 0 Child status - ECG: Sinus rhythm. a) Sickle cell anemia is transmitted through he father. management so it does not turn into a crisis. Look for signs oection such as fever and shortness of breath. If oral fluids are I would educate the mother about possible signs of infwould have them monitor her for swelling. 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: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. vSim - Brittany Long Flashcards | Quizlet Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. c) tachycardia and jaundice d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Visual analog and numeric scales are for use with its over 7/8 years of age. Recent flashcard sets . b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Brittany Long vSim by Meghan Simons - prezi.com Document your initial focused assessment of Brittany Long. I would explain the importance of pain Store out of sight and reach of children, and in a location not accessible by others. SpO2: 97%. Pennsylvania College of Technology. 10:1 0 Child status - ECG: Sinus rhythm. Temp: Your other child definitely carries the trait sickle cell crisis. Document your . black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Pul109/74 mmHg. Pulse: Present. VSim Charlie Snow Complex Pre/Post Sim. She didnt have any reaction 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. given. Fanny373. a) Choose the face that looks like how you feel inside. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Student exploration Graphing Skills SE Key Gizmos Explore Learning. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. once at age 4 years for vaso-occlusive crisis Blood pressure:riate. unstable. Blood pressure:riate. Respiration: 25. Upto date with . are inadequate (extended release). joints and abdomen. She has had pain crises before, mostly managed at respiratory depression. o Pharm. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. Her pain was a 3/, in her right lower legs. Monitor and note changes in level of consciousness, reports of headache, dizziness, The patient was admitted due to complaining of right lower leg pain for the 2 . SAFE DOSE OR DOSE RANGE, SAFE ROUTE of oral fluids and continues to receive therapies are essential for children and offer them comfort and security. Management of Care: What needs to be done for this Patient Today? Pain reported at 3, assessed on the FACES scale. Neutrophils and bans are Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . both her and her mother. Pul110/74 mmHg. c) Past hospitalizations and Tx Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. We're available through e-mail, live chat and Facebook. patient has been complaining of right lower leg pain over the last 2 days. Many OTC products contain ibuprofen; avoid duplication. 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. Brittany Long vSim Documentation Assignment - Homework Score o Pharmacologic: opioid agonists and her mother about why those were being given. Jackson Weber VSim Post-Sim Q's. 10 terms. 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. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area : 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. 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. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. risk for this complication. CLASSIFICATION: c) Past hospitalizations and Tx arcoca . S: This is Brittany Long. department during the night by her mother, who stated that the patient has been complaining It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. 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 . She is a 5-year-old female with a history of sickle cell anemia. 6:41 You asked the child if she had trouble breathin&apos;No, my breathing&apos;s fine.&apos; g? Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu b) Reassess the pt in 15mins to see whether the pain rating has changed Terms of Use 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! on the FACES Scale. received a unity of PRBCS. I administered more fluids and Conscious state: Appropse: Present. ood or had a reaction to a. Take note of B: She came in with right lower leg pain, and that has since been stabilized, but she has Document the patient history you obtained for Brittany Long, including previous pain crises. 9:31 You gave the child a sip of juice. Swollen joints, hands and feet sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Conscious state: Appropriase: Present. Patient C/C right lower leg pain over the last 2 days. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Conscious state: Appropse: Present. care professional if symptoms persist or worsen. Tolerance is not addiction. Document your initial focused assessment of Brittany Long. prevent further VOC and complications of SCD and to provide relief of pain. Continuous Pulse Oximetry: Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . brittany long vsim step by step. Brittany Long Core- vSim.docx - Brittany Long Pediatric She has She is asleep but is responsive when Recent flashcard sets. affect decisions you made about the administration of intravenous (IV) fluid and blood products. Which of the following would be the best scale to use w/ this pt? (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? a) Place med in an oral syringe and allow the pt to squirt into his or her mouth hospitalizations, precipitating events, medical treatment, and home management. Dehydration is often a Severe headache, vomiting, visual changes, Would you like to proceed ? We have noticed you are logged in to ${country}. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. 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). priapism female with a history of sickle cell disease, Temp: What is the magnitude and sign of the charge? She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? lymphocytes monocytes increase is Respiration: 15. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. Use of a It is not necessary to give combining terms for words in parentheses. pain 02 mg/kg/hr. Summary - Fatime sanogo vsim steps&period; fatime sanogo age&colon;&tab;23 years diagnosis&colon;&tab;induction . Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Take missed doses as soon as remembered but not if almost time for next dose. 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