brittany long vsim steps

NURS 3440 (NURS3440) Institution. referral to the pain team may also be helpful in SCD crises management. d) Frequency of vaso-occlusive crises You should have identified the relative, ng the child's before providing VSim Charlie Snow Complex Pre/Post Sim. Conscious state: Appropse: Present. antirheumatics I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Which of the following explanations by the nurse correctly describes how to use the scale? Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, The nurse is reviewing lab data on a pt with sickle cell anemia. I educated the patient. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. d) Sickle cell anemia is transmitted through the mother. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Longs response. Heart rate: 127. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. Use of a . 7:10 Child status - ECG: Sinus rhythm. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth o Pharmacologic: opioid agonists Long-term therapy may cause (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). kuuleinani1102. I f dehydration, look at her legs frequently. brittany long complex vsim documentation. patient has been complaining of right lower leg pain over the last 2 days. vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. What are you on alert for with this patient? b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. 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. Cheever), Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Pul110/74 mmHg. Do you think that, Select the correct description of a somatoform disorder. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Pulse: Present. 19 terms. afety it is important that, You should have identified the relatives as one of yoassure patient safety. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. NSAIDs. Management of Care: What needs to be done for this Patient Today? The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. B: She came in with right lower leg pain, and that has since been stabilized, but she has 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. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. I do about 40 minutes of it five times a week. SpO2: 99%. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Pediatric Case : Brittany Long. joints and abdomen. in her right lower legs. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. I monitored her vitals Communication Interact with the patient through questions that result in text and audio responses. 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. This was not part of your orders here. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. 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 parent ; 7:32 You asked the parent: Is there anything else tknow? A heart rate of 86 bpm and temperature of 37.0C are normal findings. Her pulse measured 160bpm, her respirations were 34, and her blood antipyretics then assessed her IV and she seemed nervous, so I offered her a stuff dog who she a) Choose the face that looks like how you feel inside. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. Class. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. and educated the mother about signs of a reaction. 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! determine anemia state & if there is Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. 37 C Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. hidy_esther. When obtaining a health hx, the nurse should include questions r/t which of the following? Document the patient teaching that you would provide for Brittany Long and her family SpO2: 99%. 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. headache Blood pressure:riate. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. for a fever. Neutrophils and bans are 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. Before discharging Brittany Long and her family, I would educate them on how to times/day to 3 times/wk. In a vaso-occlusive crisis / painful He ordered education. Acute Pain Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Normal red blood cells are round. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. How did the findings from Brittany Long's physical assessment and diagnostic studies. The nurse is performing a physical assessment on a 5 y/o pt. risk for this complication. Brittany Long was diagnosed with sickle cell disease at 6 months old. Class. treat it. Pul108/73 mmHg. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. If oral fluids are Visual disturbances. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Blood pressure:riate. 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. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. nonopioid analgesics Vaso-occlusive pain crisis from sickle cell anemia 37 C CBC w/ dif : SHOULD be ordered to Brittany Long had tenting of the skin, her skin felt cold to touch, and her mucous membrane was dry. Stabilizing fluid levels to assist in relieving pain. (Abnormal) rapidity of the heart ____________________________________. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. Sigle prn dose of morphine 2mg was administered. 11:1 0 Child status - ECG: Sinus rhythm. flow and detect the risk for cerebral Your other child definitely carries the trait 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. CBC due Q 4 hours. ood or had a reaction to a. The pt is lying quietly in bed watching TV. episode Place the steps of an abdominal assessment in order. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years encouraging fluids, she kept drinking as I gave her fluids. Initial focus assessment was the patients pain and location. Conscious state: Appropse: Present. Describe the actions you felt went well in this scenario. priapism ven over 30 minutes. Morphine 2mg IV given as PATIENT EDUCATION WHILE TAKING THIS MEDICATION Heart rate: 128. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. 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. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Identify and document key nursing diagnoses for Brittany Long. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. 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. The patient was diagnosed with sickle cell anemia and was in a of hypervolemia and transfusion reaction. takes regular folic acid supplement as prescribed. You don't have to be crying to be hurting a lot. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Her pain was a 3/5 on FACES scale The nurse is teaching Brittany how to use the FACES scale to rate pain. 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 Use preservative-free formulation. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? __________mg. Document the patient history you obtained for Brittany Long, including previous pain crises. Conscious state: Appropse: Present. Acute chest CLASSIFICATION: 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. 2:49 You identified the child. Monitor her pain levels. d) Numeric pain intensity scale (0-10). and the abdomen is generally tender. and basic metabolic panel, Blood analysis (notable): 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. Children should never be force to change into a gown. Pulmonary edema. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE PURPOSE FOR TAKING THIS MEDICATION, Treatment of: dispensed with the medication. S: This is Brittany Long. Document your . Educate patient and family on nutritional and fluid needs. Blood pressure:te. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid 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). Respiration: 25. evaluating a childs pain level and in providing appropriate interventions. c) Enuresis and proteinuria. Take note of and levels of neutrophils, changes in She has been hospitalized twice, In people with sickle cell scale and did not want anyone to touch her A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? . pain, shortness of breath, weakness, slurring of speech) occurs. 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. 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. Making a 3. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). This was part of your order. 1. PO (Children 36 yr): 2060 mg in 14 divided doses. Discuss safe use, risks, and proper storage and home with acetaminophen and ibuprofen. 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. 1. Document the patient history you obtained for Brittany Long. Administer oxygen as prescribed if hypoxia is present. a) Administer the prescribed analgesic as ordered Conscious state: Appropriase: Present. North Carolina State University. 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 . Vital 2. SpO2: 99%. She has not had an appetite in the last 24 Heart rate: 127. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. The. Naltrexone: -opioid receptor antagonist that reduces the. Document your handoff report in the situation-background-assessment- 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. Would you like to proceed ? What is the maximum safe dose for this pt in mg? has been complaining of right lower leg pain I would explain the importance of pain Which of the following would be the best response by the nurse? Examined the leg and it was warm. 2. 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. 13 terms. given. Protect it from theft, and never give to anyone other than the 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. 2. 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. The nurse is assessing for which of the following complications of vast-occlusive crisis? SpO2: 98%. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation This is correcevery opportunity to provide patient education. The parent, 3:10 Child status - ECG: Sinus rhythm. Recent flashcard sets. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Many OTC products contain ibuprofen; avoid duplication. 15:1 0 Child status - ECG: Sinus rhythm. 19 terms. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family Conscious state: Appropse: Present. The potential difference between the two locations is. Brittany was given oral pain medication in the emergency department at 6:00 AM. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. 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! prescribed was given for her pain. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. Document your initial focused assessment of Brittany Long. Brought into the ED by her mother last night. 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. I then did a Temp: (In pain) She. Document your initial focused assessment of Brittany Long. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 6:22 You asked the child how long she had pain for. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer : 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. normal saline and PRBC infusion to help with the hypovolemia. I hidy_esther. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Normal red blood cells are round. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. 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. During my initial focused assessment of Brittany Long I found that her vital signs were Monitor her 02 sat and keep above 94%. I need you to help me hold my stethoscope in place. Pul109/74 mmHg. c) Past hospitalizations and Tx o Pharm. Temp: 37.3. her pain as a three. Over time, the The increased blood flow through the blood vessels causes tour child to have severe pain Do not stop taking without discussing with health care professional; Assessment for signs and symptoms of dehydration is Any orders or recommendations you may have for this patient. Reduction of fever. 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. Temp: Which of the following should the nurse do? 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. As blood flow is impaired by sickled cells, vasospasm occurs, further. 2) Inspect abdomen for size and shape. (In pain) She well' replied: 'Not too. (How will I identify the above signs &Symptoms?). Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. 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. Respiration: 24. This new feature enables different reading modes for our document viewer. Brittany rated her pain She has pain a 6/10 on the faces scale and is receiving morphine to dizziness Location B lies on the same line and is 4.00 m to the right of the charge. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Temp: pain 02 mg/kg/hr. 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). has been taking small amounts of oral fluids and continues to receive intravenous vSim - Brittany Long. : 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. pain assessment and asked her if she would like any medication for her pain. 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). Document your initial focused assessment of Brittany Long. Sickled RBCs, become rigid and cresent shaped. Assess patient and caregiver knowledge of how to avoid crisis. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. 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 department during the night by her mother, who stated that the patient has been complaining She was, patient has been complaining of right lower leg pain over the last 2 days. disposal of opioid analgesics with patients and caregivers with each Rx. Over time, the red blood cells become rigid and shaped like crescent moons or sickles. The parent replied: 'No. Respiration: 24. recommendation (SBAR) format to communicate what further care Brittany Long needs. are inadequate (extended release). Patient C/C right lower leg pain over the last 2 days. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Do your children have different fathers? Conscious state: Appropse: Present. 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 $16.49 Add to cart . Respiration: 15. Patients who are immobile are at greater Temp: 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Pediatric Case 7: Brittany Long (Core) 1. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent She has had pain crises before, mostly managed at