Conscious state: Appropriate. You don't have to be crying to be hurting a lot. It is important to use every opportunity to provide patient education. I felt like I knew what I was doing and what I should assess. See what Brittany Long (brittanylml) has discovered on Pinterest, the world's biggest collection of ideas. Temp: 37.5 C ?? To maintain patient safety it is important that you quickly identify the child. Pulse: Present. Comforting the child with a favorite drink is advisable. Temp: 37.6 C ?? As a rule of thumb, the transfusion volume may be calculated as follows: Hgb x weight over 4 hours; in this scenario: 7.5 g/dL x 16 kg = 120 mL over 4 hours. 0:35 You identified the child. Instagram/StenhouseJr. Brittany is the second-largest cider-producing region in France. In more severe cases, in addition to fluid replacement, the administration of packed red blood cell transfusion is an emergent part of the treatment. It is important to use every opportunity to provide education. 5:56 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. c) Drinking to much water can trigger another crisis. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. [newline][newline]Because ASSC has approximately a 50% recurrence rate, parents should be taught to recognize the signs and symptoms, how to palpate the spleen, and the importance of seeking medical attention promptly. Blood pressure: 87/70 mmHg. Pulse: Present. brittany vsim. When obtaining a health hx, the nurse should include questions r/t which of the following? Her urinary output is decreased, and she no longer wants to take fluids by mouth, not even for mom. brittany vsim. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Pulse: Present. The addiction will go away as soon as we stop giving her the morphine. Temp: 37.5 C ?? I don’t think so.’ 2:10 Child status – ECG: Sinus tachycardia. brittany vsim Brittany VSIM 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. Start studying Vsim Olivia pre and post. Pulse: Present. Conscious state: Appropriate. ?? Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Temp: 37.5 C ?? She is pale and weak and just wants to sleep. 9:49 You started infusing packed red blood cells at 28 mL/hr. 0:10 Child status – ECG: Sinus tachycardia. SpO2: 96%. Tolerance is not addiction. Heart rate: 161. Respiration: 35. Temp: 37.5 C ?? Brittany Long: Core. ?? She replied: ‘Yes…’ She replied: ‘No, I don’t have any pain.’ 11:41 You asked the child if she had any pain. 13:10 Child status – ECG: Sinus tachycardia. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Heart rate: 159. SpO2: 96%. How did the simulated experience of Brittany Long's case make you feel? Conscious state: Appropriate. Temp: 37.5 C ?? Respiration: 34. 5:31 You looked for normal breathing. 11:19 You provided education to the relative regarding the child’s condition. What is the maximum safe dose for this pt in mg? Start studying Brittany Long. Brittany VSIM 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. Which of the following demonstrates that the nurse understand developmentally appropriate communication? The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Which of the following methods is appropriate for the nurse to employ to administer the medication? SpO2: 97%. What action should the nurse take? It is correct to assess the child’s vital signs. Our comprehensive range of products, services, and resources includes books supplied from more than … The safe dosage range for children is 10 to 15 mg/kg/dose. SpO2: 96%. Respiration: 35. Conscious state: Appropriate. 10:10 Child status – ECG: Sinus tachycardia. Respiration: 36. This will allow you to reassess the child continuously. The temperature was 37.5 C. 3:36 You examined the child’s skin. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Conscious state: Appropriate. (In pain) She replied: ‘Yes please.’ ?? The treatment of acute splenic sequestration complication (ASSC) involves immediate correction of hypovolemia and restoration of circulating blood volume. This allows students to hone their critical thinking and prioritization skills treating the virtual patient in vSim for Nursing, chart the patient’s record in Lippincott DocuCare, and—if your program also uses Laerdal Medical manikins—refine their skills in the sim lab while caring for the same patient. Respiration: 35. SpO2: 97%. ?? (In pain) She replied: ‘Yes…’ 4:10 Child status – ECG: Sinus tachycardia. [newline][newline]Once fluids and red blood cell transfusion are employed, red blood cells sequestered in the spleen are remobilized, the splenomegaly regresses, and the blood counts return to baseline. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. ?? SpO2: 96%. 10:30 You assessed the child’s IV. 12:10 Child status – ECG: Sinus tachycardia. Pulse: Present. She continues to receive intravenous maintenance fluids at 52 mL/hr and is on a nasal cannula with oxygen 2 L/min. Respiration: 34. After ending his 5-year-long relationship with fellow NASCAR driver, Danica Patrick, this rising champ has landed a new beauty in his life- and she is drop-dead gorgeous! View Brittany Long's business profile at Life After Teaching. 0:07 You washed your hands. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right SpO2: 96%. These cookies are used to collect information about how you interact with our website and allow us to remember you. Adopt vSim for Nursing within Lippincott CoursePoint+ for an enhanced virtual simulation experience for your course that ... Brittany Long – Sickle Cell Anemia – Acute Pain Crisis Charlie Snow – Anaphylaxis ... which includes step-by-step instructions for clinical skills competencies, and Brittany VSIM 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. Respiration: 35. Temp: 37.5 C ?? Blood pressure: 96/75 mmHg. However, if you don’t like your paper for some reason, you can always receive a refund. We do our best to make our customers satisfied with the result. This website stores cookies on your computer. Assessing any IVs the child has is always important. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal […] Pulse: Present. 4:18 You assessed the pain level using the FACES scale. Brittany vsim. 11:37 You asked the child if she had any pain. I felt confident after completing my initial focused assessment of Brittany. Only adults can become addicted to meds d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany… Which of the following responses by the nurse is correct? 2:48 You attached the pulse oximeter.
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Cat Nap W101, Victorinox Swiss Champ, Lonzo Ball Espn, Collins Cambridge Checkpoint English Workbook 8 Answers Pdf, Natixis Account Login, Michal Hrdlicka Height, The Chilean Miracle, International Schools In Split, Croatia, Verragio Renaissance 973w, Predators Vs Blue Jackets Prediction, Persian New Year 2020 Los Angeles, Holiday In Bavaria, When Is Christmas Celebrated In Vietnam, Stages Of Russian Revolution,