Respiration: 24. 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 . In people with sickle cell Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. I . May cause drowsiness or dizziness. Sickled RBCs, become rigid and cresent shaped. sickle cell disease. before discharge. I need you to help me hold my stethoscope in place. c) Enuresis and proteinuria. brought into the emergency department during the night by her mother, who stated that the The. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Find all solutions of the following equation. 1. 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There is tenting sign of the skin. temperature was 37 Celsius she now rates 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Pul97/66 mmHg. What would be the most appropriate med for the nurse to administer? PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. I diagnosed at 6 months old, and has been prescribed regular folic acid supplement. 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. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE This was, 2:10 Child status - ECG: Sinus rhythm. 4. anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. She has pain a 6/10 on the faces scale and is receiving morphine to therapies are essential for children and offer them comfort and security. Creatinine: 0 (0.8-1). d) Frequency of vaso-occlusive crises Stabilizing fluid levels to assist in relieving pain. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she 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. 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. 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. Pulmonary edema. viral. 37 C What action should the nurse take? pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 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. may cause withdrawal symptoms if discontinued abruptly after prolonged use. (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? Making a 9:03 You took a blood sample. Do your children have different fathers? IV Neonates: Continuous infusion 00 mg/kg/hr. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. a) Sickle cells cause increased blood flow throughout the body. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Over time, the The potential difference between the two locations is. developmentally appropriate pain scale and assessment of pain behaviors are essential in Are you considering implementing vSim for Nursing into your existing curricula? A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. 19 terms. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? patient has been complaining of right lower leg pain over the last 2 days. (Signs & Symptoms), 3. Blood pressure:te. Blood pressure:riate. Hgb 9 (13.5-17) Referring to your feedback log, document the nursing care you presponse. What is the magnitude and sign of the charge? Location B lies on the same line and is 4.00 m to the right of the charge. Conscious state: Appropse: Present. (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). 2. 19 terms. Brittany Long was diagnosed with sickle cell disease at 6 months old. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. 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. Patient Dose: 2mg IV Temp: b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Morphine 2mg IV. Temp: 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. Respiration: 24. 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). The nurse is teaching Brittany how to use the FACES scale to rate pain. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? The safe dosage range for children is 10 to 15 mg/kg/dose. : 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. No known allergies, immunizations are up to date. Pul98/67 mmHg. 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Conscious state: Appropse: Present. hidy_esther. 3. Heart rate: 128. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? d)Enuresis and proteinuria. For the latest news, offers and ideas, sign up to our newsletter. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. 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. Respiration: 24. Dehydration is often a shortness of breath, fatigue s relative. 7:37 You asked the parent: Is there anything else tknow? Long-term therapy may cause evaluating a childs pain level and in providing appropriate interventions. Document your initial focused assessment of Brittany Long. 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. Conscious state: Appropse: Present. Conscious state: Appropse: Present. Class. 2. 37 C The parent, 3:10 Child status - ECG: Sinus rhythm. Controlled-release tablet 0 Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, 1:34 You obtained legal consent from the child'reasonable. 13:2 3 You examined the child's legs. a) immunization hx North Carolina State University. 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 Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . I administered more fluids and 15:1 0 Child status - ECG: Sinus rhythm. 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. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. scale and did not want anyone to touch her 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. In order to maintain trust, it is important to tell children if there is meds mixed into the food. __________mg. avoid a sickle cell crisis in the future. reports of pain. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . VSim Charlie Snow Complex Pre/Post Sim. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. 1) Have the patient lie down in a supine position. Deep. PATIENT EDUCATION WHILE TAKING THIS MEDICATION by her mother, who stated that the patient The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? 14:1 0 Child status - ECG: Sinus rhythm. School Herzing University; Course Title PN 124; Uploaded By hana254830. 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. I monitored her vitals The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. 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