c) FACES scale nonopioid analgesics 37 C She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Administer oxygen as prescribed if hypoxia is present. Respiration: 24. Brittany Long was diagnosed with sickle cell disease at 6 months old. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. CLASSIFICATION: The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). SAFE DOSE OR DOSE RANGE, SAFE ROUTE regular heart sounds without murmurs. I also started incorporating more strength training into my gym routine. Document your initial focused assessment of Brittany Long. Conscious state: Appropse: Present. If oral fluids are VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . I would also educate on the importance by her mother, who stated that the patient Making a ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Find all solutions of the following equation. Which of the following would be the best scale to use w/ this pt? 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. encouraging fluids, she kept drinking as I gave her fluids. brittany long vsim step by step. c) Use a dropper to place med in back of the pt's throat 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 . The nurse is performing a physical assessment on a 5 y/o pt. 9:03 You took a blood sample. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. faces scale. 11:1 0 Child status - ECG: Sinus rhythm. Situation: Brittany long is a 5-year-old African American female who has a history of d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. 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, Infant, Child And Adolescent Nursing (NSG 441). Signs of stroke i. Vaso-occlusive pain crisis from sickle cell anemia brittany long complex vsim documentation. Hypertension and tachycardia are often associated with acute pain. 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. SpO2: 99%. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. both her and her mother. emergency Department at 0600. New orders have been d)Enuresis and proteinuria. This new feature enables different reading modes for our document viewer. Hematuria She rates her pain as a 5/5 on the FACES scale. Document your initial focused assessment of Brittany Long. A step-by-step guide to craft a winning sales presentation . Deep. What are you on alert for with this patient? S: This is Brittany Long. c) Ask the parent whether the pt is hurting arcoca . A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. 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. She also did n't have any energy to eat anything by mouth . She also didn't have any energy to eat anything by mouth. antirheumatics During my initial focused assessment of Brittany Long I found that her vital signs were The nursing care for Brittany Long began with obtaining a set of vitals. before discharge. over the last 2 days. She was admitted to the Pediatric unit this morning . Respiration: 24. Family history of sickle cell hours but has taken small amounts of oral These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . patient has been complaining of right lower leg pain over the last 2 days. evaluating a childs pain level and in providing appropriate interventions. IF you have four children, one or 25% will have sickle cell anemia. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, e) Precipitating events. episode and once at age 3 years for a fever. Jackson Weber VSim Post-Sim Q's. 10 terms. IV fluids with electrolyte replacement (caution with potassium replacement) Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Tolerance is not addiction. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. fluids. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. 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. 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 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached SAFE DOSE OR DOSE RANGE, SAFE ROUTE PDA Closure Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . Educate patient and family on nutritional and fluid needs. I then did a Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent Voc Latin page 24. 'A few days.' (In pain) She replied: 6:32 You asked the child how she felt. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. maintenance fluids at 52 mL/hr. Blood pressure:riate. abdomen is generally tender. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options a. Xist Blood pressure:riate. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. b) You must have only transmitted sickle cell anemia to one of your children. The parent ; 7:32 You asked the parent: Is there anything else tknow? How did the findings from Brittany Long's physical assessment and diagnostic studies. Class: macrolide (How will I identify the above signs &Symptoms?). Brought into the ED by her mother last night. SpO2: 99%. breakthrough pain. 0:25 You washed your hands. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. She is a 5-year-old female with a history of sickle cell anemia. Course Hero is not sponsored or endorsed by any college or university. takes regular folic acid supplement as prescribed. 1 CHE101 - Summary Chemistry: The Central Science, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Lesson 17 Types of Lava and the Features They Form, 1010 - Summary Worlds Together Worlds Apart, Lessons from Antiquity Activities US Government, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, SCS 200 Applied Social Sciences Module 1 Short Answers, Greek god program by alex eubank pdf free, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1-2 Module One Activity Project topic exploration, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 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, Nursing Care of the Childbearing Family (NURS 125), Closely observe for manifestations of crisis and infection. Temp: 5 touch. 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. prescribed was given for her pain. 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 nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. The breath sounds are clear and equal bilaterally. Blood pressure:riate. Terms of Use Heart rate: 126. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. He ordered, normal saline and PRBC infusion to help with the hypovolemia. Temp: 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! She is on D5NS fluids at 52 mL/hr. hhulsey6. Heart rate: 127. atelectasis. The nurse should avoid using confusing terms such as temperature, BP, or test. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Acute: (related to dehydration 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 pain crisis. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Pennsylvania College of Technology. Temp: PROTOTYPE: Morphine. Protect it from theft, and never give to anyone other than the Do you think that, Select the correct description of a somatoform disorder. headache Timely pain management. Document your initial focused assessment of Brittany Long. (Signs & Symptoms), awakened. When examined this morning, her blood pressure was 101/ 9:10 Child status - ECG: Sinus rhythm. Severe headache, vomiting, visual changes, Which of the following would be the best response by the nurse? Pul110/74 mmHg. Keep 15 x 16 = 240. pain, shortness of breath, weakness, slurring of speech) occurs. Heart rate: 127. 18 terms. ibuprofen. She has had pain crises before, mostly managed at 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 . IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. SpO2: 98%. and her temperature was 37C (99F). jaundice Brittany Long Vsim Location: Emergency department 7 AM Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. diagnosed at six months old and has been 6a Daily Routine. Advise patients that laxatives should be used only for short-term therapy. Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . I then preformed an assessment on her abdomen. vSim for Nursing allows each student to have a different experience with the patient. 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. 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She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. SpO2: 98%. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. 19 terms. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE Pain management by evidence of pain in right lower leg d) You need to change into hospital gown before I can examine you. Conscious state: Appropse: Present. Your other child definitely carries the trait Respiration: 24. This was part of your order. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. her pain as a three. 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. Temp: PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). CLASSIFICATION: Neutrophils and bans are bacterial. I worked my way up to an hour of cardio per workout session. Abdominal pain 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). The pt is lying quietly in bed watching TV. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Management of Care: What needs to be done for this Patient Today? Her 9:31 You gave the child a sip of juice. precipitating factor in sickle cell crises. Patient Dose: 2mg IV Promote rest and provide adequate fluids and nutrition. I called her provider to see what else I should do. Pages 15 Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Examined the leg and it was warm. The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? Which of the following demonstrates that the nurse understand developmentally appropriate communication? Her skin is quite cold. Skip to document. Documentation Assignments. Temp: A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? children ages 2 to 16 years who have Any orders or recommendations you may have for this patient. Verify your answer in a medical dictionary. and levels of neutrophils, changes in What action should the nurse take? Use preservative-free formulation. 13:3 9 You phoned the provider in order to discuss the patient. Conscious state: Appropse: Present. No known allergies, immunizations are up to date. Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Children should never be force to change into a gown. Note that the wording of the dictionary definition may vary from the wording below. Describe the actions you felt went well in this scenario. in her right lower legs. Brittany rated her pain avoid a sickle cell crisis in the future. Labs; daily complete blood count 3. VBVA=45.0V. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and 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. She didnt have any reaction 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 . Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. hepatomegaly Severe pain, usually in bones CBC w/ dif : SHOULD be ordered to 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Impaired Gas Exchange Hgb 9 (13.5-17) Pre/Post Simulation for Brittany Long. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. given. CLASSIFICATION: Heart rate: 126. Sickle Cell Anemia: is a blood disease that affects red blood cells. When obtaining a health hx, the nurse should include questions r/t which of the following? Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer (In pain) She. Her pain was a 3/, in her right lower legs. 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. The. o Pharmacologic: opioid agonists Background: Brittany Long has a history of sickle cell anemia being treated with a folic 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. Many OTC products contain ibuprofen; avoid duplication. Vital Monitor her 02 sat and keep above 94%. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Recent flashcard sets. Acute Pain Respiration: 16. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. and pain management. department during the night by her mother, who stated that the patient has been complaining She was brought into the emergency hidy_esther. Blood pressure:riate. SpO2: 97%. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Naltrexone: -opioid receptor antagonist that reduces the. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. awakened. Which of the following should the nurse do? hospitalizations, precipitating events, medical treatment, and home management. 26% Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. Sickled RBCs, become rigid and cresent shaped. Fanny373. Identify and document key nursing diagnoses for Brittany Long. has been complaining of right lower leg pain 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. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. I called her provider to see what else I should do. brought into the emergency department during the night by her mother, who stated that the Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 0 mg/kg every 12 hr. received a unity of PRBCS. : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. during my initial focused. signs Q2 hours. 2. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. vSim - Brittany Long. She is asleep but is responsive when Observe for manifestations Take missed doses as soon as remembered but not if almost time for next dose. Heart rate: 125. Recent flashcard sets . Nonpharmacologic Communication Interact with the patient through questions that result in text and audio responses. flow and detect the risk for cerebral Electrolytes arcoca. May cause drowsiness or dizziness. Stabilizing fluid levels to assist in relieving pain. Pul110/74 mmHg. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. VSim Brittany Long Pre/Post test. 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 . Assess dehydration status via CBC, Urinalysis and strict I/O. We have noticed you are logged in to ${country}. b) Visual analog scale 8:13 You provided patient education. 37 C c) Drinking to much water can trigger another crisis. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. 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? I monitored her vitals Conscious state: Appropse: Present. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. Monitor her pain levels. management so it does not turn into a crisis. a) Acute leg pain and dactylitis. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. I do about 40 minutes of it five times a week. s relative. Conscious state: Appropse: Present. a) immunization hx Making a purchase. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Place the steps of an abdominal assessment in order. Use of a Brittany Long is a 5-year-old African American female with a history of sickle cell disease, 15:1 0 Child status - ECG: Sinus rhythm. 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 need you to help me hold my stethoscope in place. If that is not sufficient to manage their pain, they may require morphine for 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. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. 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! And Hct. played with and became more comfortable with. PO (Children 36 yr): 2060 mg in 14 divided doses. Document the patient teaching that you would provide for Brittany Long and her family (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). Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? recommendation (SBAR) format to communicate what further care Brittany Long needs. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device greenstickynotes. unstable. I educated the patient. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: She has pain a 6/10 on the faces scale and is receiving morphine to hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Creatinine: 0 (0.8-1). Leadership and Management in Nursing (NUR 4773), Advanced Concepts in Applied Behavior Analysis (PSY7709), Intermediate Medical Surgical Nursing (NRSG 250), 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), Ch. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). 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. o Therapeutic: opioid analgesics (In pain) She well' replied: 'Not too. has been taking small amounts of oral fluids and continues to receive intravenous Disulfiram: NMDA receptor antagonist & GABAA agonist B .
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