She rates her pain as a 5/5 on the FACES scale. Which of the following would be the best response by the nurse? 2. 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. 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. Vaso-occlusive pain crisis from sickle cell anemia SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. her blood pressure was 101 / 70 and her Observe for manifestations Bp is trending low, she has normal saline running at 320 ml/hr and has recently 7:20 You asked the parent: Is she being given any mreplied: 'Yes - painkiller and folic acid.&aposedications? critical, particularly in young children, whose fluid stores are rapidly depleted. 4. Respiration: 24. Use preservative-free formulation. The. 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. antipyretics Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. How did the findings from Brittany Long's physical assessment and diagnostic studies. Class. Examined the leg and it was warm. leg is warm to the Document the patient teaching that you would provide for Brittany Long and her family Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! PATIENT EDUCATION WHILE TAKING THIS MEDICATION poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Morphine 2mg IV. 3. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. 0 mg/kg every 12 hr. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Monitor and note changes in level of consciousness, reports of headache, dizziness, She did She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. brittany long complex vsim documentation. ood or had a reaction to a. . Pul109/74 mmHg. brought into the emergency department during the night by her mother, who stated that the The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. c) FACES scale I stayed to watch for a transfusion reaction. 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. The child looked slightly I need you to help me hold my stethoscope in place. School Herzing University; Course Title PN 124; Uploaded By hana254830. also on 2L nasal cannula. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Conscious state: Appropse: Present. Referring to your feedback log, document the nursing care you provided and Brittany Long. Continuous Pulse Oximetry: Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? Impaired Gas Exchange Instruct patient to take medication as directed. 19 terms. 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. avoid a sickle cell crisis in the future. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. e) Precipitating events With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. 1. Document the patient history you obtained for Brittany Long. Identify and document key nursing diagnoses for Brittany Long. Look for signs oection such as fever and shortness of breath. VSim Brittany Long Pre/Post test. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. d) Numeric pain intensity scale (0-10). nonopioid analgesics Acute: (related to dehydration PRBCS. ibuprofen. 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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 . The nurse is teaching Brittany how to use the FACES scale to rate pain. Assess patient and caregiver knowledge of how to avoid crisis. Voc Latin page 24. Advise patient to change positions slowly to minimize orthostatic hypotension. Visual disturbances. 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. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. 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SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). Temp: 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. 34 hr initially. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Recent flashcard sets . 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 intravenous maintenance fluids at 52 milliliters You must be logged in to submit this form. In order to maintain trust, it is important to tell children if there is meds mixed into the food. New orders have been. 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. 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Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without prevention of infection and dehydration, and pain management. Promote rest and provide adequate fluids and nutrition. If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. Temp: Student exploration Graphing Skills SE Key Gizmos Explore Learning. education. In a vaso-occlusive crisis / painful Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? 13:2 3 You examined the child's legs. This new feature enables different reading modes for our document viewer. 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). Respiration: 24. Before discharging Brittany Long and her family, I would educate them on how to The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Reticulocytes 5 (0.5-1%) 37 C Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. 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. decreased oxygen) slurred speech, What Assessments will focus on for this patient? CBC w/ dif : SHOULD be ordered to Blood pressure:riate. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg I would explain the importance of pain not meeting the childs fluid requirements, IV fluids are necessary. 19 terms. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. SpO2: 97%. line infusion rate to 52. She has pain a 6/10 on the faces scale and is receiving morphine to