She has had pain crises before, mostly managed at Pennsylvania College of Technology. Location B lies on the same line and is 4.00 m to the right of the charge. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest b) Reassess the pt in 15mins to see whether the pain rating has changed Course Hero is not sponsored or endorsed by any college or university. Temp: 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. PO (Children <3 yr): 1040 mg in 14 divided doses. Class. I called her provider to see what else I should do. NSAIDs. a) Choose the face that looks like how you feel inside. b) Anemia and hypotension Caution patient to call for assistance when ambulating If oral fluids are In order to maintain trust, it is important to tell children if there is meds mixed into the food. S: This is Brittany Long. splenomegaly 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? o Pharmacologic: opioid agonists A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. flow and detect the risk for cerebral Document your handoff report in the situation-background-assessment- Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. leg is warm to the provided education to 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. 0:25 You washed your hands. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Her Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Location A is 3.00 m to the right of a point charge q. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. Normal red blood cells are round. Deep. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. CBC due Q 4 hours. and pain management. Heart rate: 127. headache This was part of your order. 37 C d) Frequency of vaso-occlusive crises Morphine 2mg IV. Heart rate: 126. 37 C 20 terms. ood or had a reaction to a. SpO2: 97%. The safe dosage range for children is 10 to 15 mg/kg/dose. The pt is lying quietly in bed watching TV. Recent flashcard sets . The increased blood flow through the blood vessels causes tour child to have severe pain temperature was 37 Celsius she now rates We're available through e-mail, live chat and Facebook. treat it. 8:10 Child status - ECG: Sinus rhythm. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. NS and PRBCs. 13 terms. jaundice Management of Care: What needs to be done for this Patient Today? . A step-by-step guide to craft a winning sales presentation . 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. Her pain was a 3/, in her right lower legs. Controlled-release tablet 0 decreased oxygen) encouraging fluids, she kept drinking as I gave her fluids. emergency Department at 0600. Wolters Kluwer Health. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Respiration: 24. I educated the patient. 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 Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. She has gained 3 pounds since prenatal visit 1 week ago. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. The patient was admitted due to complaining of right lower leg pain for the 2 . vSim - Brittany Long. To maintain patient syou quickly identify the child. both her and her mother. Monitor her pain levels. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. 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. 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This is correcevery opportunity to provide patient education. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? per hour period when examined this morning 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. Blood pressure:riate. 3. 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. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. SpO2: 99%. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Reticulocytes 5 (0.5-1%) nonopioid analgesics 97%, and Temp: 37 C. I asked her if she was in any pain, she responded yes, and then I Your other child definitely carries the trait Hypovolemia by evidence of pale extremities c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy 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 I stayed to watch for a transfusion reaction. before discharge. You should have asked the relative about any known health problems. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 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. her pain as a three. greenstickynotes. Advise patient to change positions slowly to minimize orthostatic hypotension. 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 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. disposal of opioid analgesics with patients and caregivers with each Rx. Many OTC products contain ibuprofen; avoid duplication. Temp: Making a purchase. School Herzing University; Course Title PN 124; Uploaded By hana254830. vSim for Nursing allows each student to have a different experience with the patient. She rates her pain as a 5/5 on the FACES scale. Conscious state: Appropriase: Present. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Reduction of fever. 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? Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. SpO2: 99%. She didnt have any reaction Describe the actions you felt went well in this scenario. A step-by-step guide to craft a winning sales presentation .
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