Creatinine: 0 (0.8-1). Referring to your feedback log, document the nursing care you provided and MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? The right DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Sickle cell anemia is a blood disease that affects red blood cells. 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. 827 0 obj <> endobj CLASSIFICATION: How did the simulated experience of Brittany Longs case make you feel? 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). sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Sets found in the same folder. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. including disease process, nutrition, signs and symptoms of crises, prevention of infection and 0000002798 00000 n every 34 hr, maximum: 15 mg/dose. shortness of breath, fatigue Instruct patient to take medication as directed. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Per provider orders, the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help Use preservative-free formulation. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Conscious state: Appropse: Present. puberty. Do not double 0000133372 00000 n Brittany Long stated she felt better after treatment We're available through e-mail, live chat and Facebook. 37 C PO (Children 11 yr/7295 lb): 300 mg every 68 hr. nonopioid analgesics Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. The. SpO2: 98%. Case - Brittany long vsim&sol; broward . prevention of infection and dehydration, and pain management. endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream 37 C Caregiver and pt were both 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. Pt was given juice and a stuffed animal. arcoca. r\a W+ RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid 1. Documentation Assignments Acute pain R/T tissue ischemia. Brittany Long vSim SICKLE CELLS Flashcards | Quizlet Monitor and note changes in level of consciousness, reports of headache, dizziness, upper airway infection for the past few days. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). reports of pain Hematuria Obstructive jaundice 3. alleviate pain until the medication begins working. Look for signs oection such as fever and shortness of breath. Blood pressure:te. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. The chest x-ray revealed right lower lobe pneumonia . Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. priapism 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 PO (Children <3 yr): 1040 mg in 14 divided doses. 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 Brittany long vsim&sol; broward college - nur 250lbrittanylongvsim&semi; complete solution&comma; an&period . hours but has taken small amounts of oral vSim for Nursing | Pediatric Brittany Long (Core) Documentation . 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 trailer H\@>E-M@&3`&*,ShqLwf~fwv Referring to your feedback log, document the nursing care you provided and Brittany Long's response. I Management of Care: What needs to be done for this Patient Today? The right lowertouch. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Conscious state: Appropse: Present. SpO2: 99%. Patient education needs to be provided to include sudden change in temperature, dehydration, Pain Management Case Study - 1400 Words | Studymode . Sigle prn dose of morphine 2mg was administered. 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). Management of sickle cell crisis is aimed at managing pain and promoting circulation. Karen. Fanny373. brittany long vsim steps. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her PROTOTYPE: Aspirin 0000147703 00000 n I would educate the mother about possible signs of infwould have them monitor her for swelling. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. <]/Prev 815899/XRefStm 2798>> D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. Pt/family teaching (Signs & Symptoms), awakened. 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). Following medication o Therapeutic: opioid analgesics She has had pain crises before, mostly Blood pressure:riate. 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Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. . 15:1 0 Child status - ECG: Sinus rhythm. Brittany Long | PDF | Pain Management | Caregiver - Scribd VSim Charlie Snow Complex Pre/Post Sim Flashcards | Quizlet Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. What discharge teaching should be provided to assist Brittany Long's mother with her home care? Labs; daily complete blood count Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. were taken care of and that no other medications needed to be given; and comfort measures provided, I family before discharge, including disease process, nutrition, signs and symptoms PATIENT EDUCATION WHILE TAKING THIS MEDICATION Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors.