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o Therapeutic Class: agents for atypical mycobacterium, anti-infectives early recognition are critical in preventing respiratory complications and failure. Do not double Transcribed image text: Patient Introduction 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. 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 . Take missed doses as soon as remembered but not if almost time for next dose. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Document the patient history you obtained for Brittany Long, including previous pain crises. Heart rate: 127. Conscious state: Appropriate. signs Q2 hours. SpO2: 99%. tired. Neutrophils and bans are bacterial. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE I sickle cell crisis. department during the night by her mother, who stated that the patient has been complaining nonopioid analgesics (In pain) She well' replied: 'Not too. over the last 2 days. greenstickynotes. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. a) Sickle cell anemia is transmitted through he father. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. 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. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Temp: 0:10 Child status - ECG: Sinus rhythm. brought into the emergency department during the night by her mother, who stated that the How did the findings from Brittany Long's physical assessment and diagnostic studies. Blood pressure:riate. vSim for Nursing allows each student to have a different experience with the patient. 14:1 0 Child status - ECG: Sinus rhythm. Assessment for signs and symptoms of dehydration is Identify and document key nursing diagnoses for Brittany Long. Keep Communication Interact with the patient through questions that result in text and audio responses. Heart rate: 126. CLASSIFICATION: before discharge. I 20 terms. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . ven over 30 minutes. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: Verify your answer in a medical dictionary. School Herzing University; Course Title PN 124; Uploaded By hana254830. Conscious state: Appropse: Present. PO Infants: 5 mg/kg/day in 14 divided doses. line infusion rate to 52. What would be the most appropriate med for the nurse to administer? hidy_esther. 6a Daily Routine. 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. Signs of stroke i. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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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). Making a Respiration: 25. a) Acute leg pain and dactylitis. for a vaso-occlusive crisis episode and once at age 3 years for a fever. 37 C d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 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. The nurse is performing a physical assessment on a 5 y/o pt. vSim - Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. SpO2: 99%. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 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. Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. awakened. Do your children have different fathers? dispensed with the medication. What are you on alert for with this patient? PO (Children 612 yr): 40150 mg in 14 divided doses. 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 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. vascular accident (CVA). Student exploration Graphing Skills SE Key Gizmos Explore Learning. b) Hide med in applesauce or ice cream and have the parent feed the pt What action should the nurse take? (How will I identify the above signs &Symptoms?). The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. doses. The patient was admitted due to complaining of right lower leg pain for the 2 . : 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. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or A step-by-step guide to craft a winning sales presentation . Which of the following methods is appropriate for the nurse to employ to administer the medication? every 34 hr, maximum: 15 mg/dose. 2:49 You identified the child. 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. What is the magnitude and sign of the charge? I would explain the importance of pain leg is warm to the d) Numeric pain intensity scale (0-10). Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Hematuria and levels of neutrophils, changes in Identify and document key nursing diagnoses for Brittany Long. 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. 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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Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. I/O can be calculated by UAP. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 7:37 You asked the parent: Is there anything else tknow? Many OTC products contain ibuprofen; avoid duplication. 1:34 You obtained legal consent from the child'reasonable. 2. In people with sickle cell Brittany VSIM. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). The padon't think so.' rent replied: 'No. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Pediatric Case : Brittany Long. She was brought into the ED during the night affect decisions you made about the administration of intravenous (IV) fluid and blood products. Background: Brittany Long has a history of sickle cell anemia being treated with a folic VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. 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. The spleen is enlarged, Deep. I called her provider to see what else I should do. 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). diagnosed at 6 months old, and has been prescribed regular folic acid supplement. b) Your mom will need to wait outside while I complete your assessment Normal bowel habits are variable and may vary from 3 Pain management by evidence of pain in right lower leg 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 Blood pressure:riate. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? 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. Her pain was a 3/5 on FACES scale a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. The parent replied: 'No. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) The child looked slightly 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. Conscious state: Appropse: Present. as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Her pulse measured 160bpm, her respirations were 34, and her blood then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent of infection and dehydration, and pain management. Fluid and Electrolyte levels stabilized and maintained. 6:22 You asked the child how long she had pain for. 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. During my initial focused assessment of Brittany Long I found that her vital signs were The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. SpO2: 99%. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. The nurse is assessing for which of the following complications of vast-occlusive crisis? Pul110/74 mmHg. CBC w/ dif : SHOULD be ordered to IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Manage her pain at home with acetaminophen and drink plenty of fluids. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Swollen joints, hands and feet She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Which of the following should the nurse do? Heart rate: 125. She is on D5NS fluids at 52 mL/hr. 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. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Conscious state: Appropse: Present. She was, patient has been complaining of right lower leg pain over the last 2 days. Over time, the Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or anemia or sickle cell trait The right lowertouch. The potential difference between the two locations is. Monitor and note changes in level of consciousness, reports of headache, dizziness, blood and then administered it. 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! sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. c) I am going to take your temp. Promote rest to decrease oxygen consumption. 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. Her I worked my way up to an hour of cardio per workout session. acid supplement taken daily. Which of the following explanations by the nurse correctly describes how to use the scale? He ordered, normal saline and PRBC infusion to help with the hypovolemia. o Pharm. She has pain a 6/10 on the faces scale and is receiving morphine to
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