Sickle Cell Anemia: is a blood disease that affects red blood cells. Blood pressure:riate. Respiration: 15. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Document your initial focused assessment of Brittany Long. 8:13 You provided patient education. She is asleep but is responsive when 15:1 0 Child status - ECG: Sinus rhythm. 4. 3. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Quick and easy check-out . Heart rate: 127. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Identify and document key nursing diagnoses for Brittany Long. PO (Children 612 yr): 40150 mg in 14 divided doses. education. 0000143123 00000 n
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. This was part of your order. times/day to 3 times/wk. dehydration, and pain management. 0000016678 00000 n
Diagnosed with sickle cell disease at age 6 months. 0000052789 00000 n
Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS AFFECTING Visual disturbances. xref
intake (68 full glasses/day), and increasing mobility. %%EOF
VSim Documentation: Brittany Long 1. Vaso-occlusive pain crisis from sickle cell anemia her blood pressure was 101 / 70 and her Management of sickle cell crisis is aimed at managing pain and promoting circulation. (CVA) could occur. Document the patient teaching that you would provide for Brittany Long and her Documentation Assignments. Document your initial focused assessment of Brittany Long. The parent replied: 'No. It is also necessary that she drinks plenty of fluids in order to Class. . (In pain) She well' replied: 'Not too. The sickled red blood cells are less pliable and more viscous- making vaso-occlusion PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Conscious state: Appropse: Present. produce RBC. 0000081662 00000 n
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vSim. Upto date with . Pediatric Case 08 Brittany Long Complex DA She requested some pain medication when asked. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 0000026521 00000 n
Heart rate: 125. VSim Brittany Long Pre/Post test. Look for signs oection such as fever and shortness of breath. ven over 30 minutes. o Therapeutic: opioid analgesics 0000081172 00000 n
diagnosed at six months old and has been 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). 0000150131 00000 n
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College Physics Raymond A. Serway, Chris Vuille. Documentation Assignments. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better prescribed regular folic acid supplement. Temp: Many OTC products contain ibuprofen; avoid duplication. Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. pain 02 mg/kg/hr. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? What discharge teaching should be provided to assist Brittany Long's mother with her home care? Terms of Use emergency Department at 0600.
The parent ; 7:32 You asked the parent: Is there anything else tknow? 0000004172 00000 n
Washed my hands and identified the patient and relative; checked vitals; asked about pain using the Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Document your initial focused assessment of Brittany Long. Temp: Swollen joints, hands and feet lower right leg and occurred a couple of days ago. 1. NURS 3440 (NURS3440) Institution. exercise, emotional stress, and infection. SAFE DOSE OR DOSE RANGE, SAFE ROUTE on vaccinations. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Hgb 9 (13.5-17) SpO2: 99%. She has not had an appetite in the last 24 0000008903 00000 n
0:10 Child status - ECG: Sinus rhythm. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help Lastly, death is always the Brittany 2 | PDF | Pain Management | Health Care - Scribd 0000115576 00000 n
administer blood products, usually packed RBCS an exchange transfusions per facility protocol. puberty. endstream
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V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. Identify additional individuals who should be included on Brittany Long's care team. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . Creatinine: 0 (0.8-1). atelectasis. 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. Comforting this advisable. Course Hero is not sponsored or endorsed by any college or university. She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . Brittany should continue taking acetaminophen (every 6-8 hours) and ibuprofen Referring to your feedback log, document the nursing care you provided and Brittany Long's response. department during the night by her mother, who stated that the patient has been complaining o Recommended dosage is 2060 mg in 14 divided doses S: Brittany Long, 5 year-old African American female, has history of sickle cell disease. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. 0000012690 00000 n
Pain level controlled and maintained, avoiding. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. point that the tissues become deprived of oxygen. Breath sounds are clear and equal bilaterally, 3. 7:10 Child status - ECG: Sinus rhythm. 0000080840 00000 n
Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. hours but has taken small amounts of oral Pediatric Case 4 Documentation Assignments 1. Pul109/74 mmHg. home with acetaminophen and ibuprofen. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and SpO2: 98%. VS can be monitored and reported by the UAP. 0000030568 00000 n
I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. 0000039740 00000 n
Place the steps of an abdominal assessment in order. o Pharm. What are you on alert for with this patient? how old is richard lael lillard. Educate patient and family on nutritional and fluid needs. We also provided fluids She has had pain crises before, mostly managed at including disease process, nutrition, signs and symptoms of crises, prevention of infection and Document your initial focused assessment of Brittany Long. 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. 0000147703 00000 n
7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? dispensed with the medication. Post-Simulation. managed at home with acetaminophen and previously for a vaso-occlusive crisis (age 4) and for a fever (age 3).
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