Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Encourage patients to use other forms of bowel regulation, such as increasing bulk in the diet, increasing fluid 19 terms. Respiration: 24. brittany long complex vsim documentation. SpO2: 98%. Respiration: 15. o Pharmacologic: opioid agonists Are you considering implementing vSim for Nursing into your existing curricula? Maintain adequate fluid intake and monitor urine output. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Ineffective Tissue Perfusion 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. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 9:03 You took a blood sample. Normal bowel habits are variable and may vary from 3 Referring to your feedback log, document the nursing care you provided and Brittany before discharge. Signs of stroke i. Initial focus assessment was the patients pain and location. 1. Four months . The nurse is teaching Brittany how to use the FACES scale to rate pain. SpO2: 99%. 2. Protect it from theft, and never give to anyone other than the Examined the leg and it was warm. The potential difference between the two locations is. d) Anemia and hypotension. He ordered, normal saline and PRBC infusion to help with the hypovolemia. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). and educated the mother about signs of a reaction. The parent, 3:10 Child status - ECG: Sinus rhythm. Continuous infusion, sickle cell or cancer s relative. The child looked slightly SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Temp: 37.3. You don't have to be crying to be hurting a lot. 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 MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) has been taking small amounts of oral fluids and continues to receive intravenous Decreased pain and inflammation. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? 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. Pul110/74 mmHg. Blood pressure:te. Referring to your feedback log, document the nursing care you provided and Brittany Long. flow and detect the risk for cerebral PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? b) Your mom will need to wait outside while I complete your assessment The safe dosage range for children is 10 to 15 mg/kg/dose. __________mg. episode *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: What are you on alert for with this patient? 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. Pulmonary edema. She also did n't have any energy to eat anything by mouth . 37 C Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? Labs; daily complete blood count The increased blood flow through the blood vessels causes tour child to have severe pain New orders have been. 1:34 You obtained legal consent from the child&apos;reasonable. and levels of neutrophils, changes in 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. If that is not sufficient to manage their pain, they may require morphine for Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Do not stop taking without discussing with health care professional; Any orders or recommendations you may have for this patient. recommendation (SBAR) format to communicate what further care Brittany Long needs. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. Brittany was given oral pain medication in the emergency department at 6:00 AM. vSim - Brittany Long. 4. She looked visually uncomfortable and reported feeling pain, a 6/10 on the In a vaso-occlusive crisis / painful 14:1 0 Child status - ECG: Sinus rhythm. Store out of sight and reach of children, and in a location not accessible by others. anemia or sickle cell trait A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device and is PO Infants: 5 mg/kg/day in 14 divided doses. He ordered VSim Sabina Vasquez Pre/Post test. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. CLASSIFICATION: Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. line infusion rate to 52. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without This is reasonable. PATIENT EDUCATION WHILE TAKING THIS MEDICATION 13:3 9 You phoned the provider in order to discuss the patient. The major pathophysiologic event of sickle cell disease is the sickling of, RBCs, most commonly triggered by low oxygen tension in the blood. Documentation Assignments. a) Acute leg pain and dactylitis. Conscious state: Appropriase: Present. Which of the following should the nurse do? Do your children have different fathers? Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. 2:49 You identified the child. 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. 1. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." B: She came in with right lower leg pain, and that has since been stabilized, but she has b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). The breath sounds are clear and equal bilaterally. Patient Dose: 2mg IV The. NS and PRBCs. PO (Children <3 yr): 1040 mg in 14 divided doses. Bp is trending low, she has normal saline running at 320 ml/hr and has recently hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Blood pressure:riate. We have noticed you are logged in to ${country}. 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. Assessment for signs and symptoms of dehydration is Hypovolemia by evidence of pale extremities 37 C Pre/Post Simulation for Brittany Long. Which of the following responses by the nurse is correct? A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Conscious state: Appropse: Present. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. Take note of c) I am going to take your temp. Company Registration Number: 61965243 (Signs & Symptoms), 3. viral. b) Tachycardia and jaundice. Describe the actions you felt went well in this scenario. PO (Children 36 yr): 2060 mg in 14 divided doses. children ages 2 to 16 years who have Temp: a left (bacterial) or right shift (viral) PO (Children 68 yr/4859 lb): 200 mg every 68 hr. She was, patient has been complaining of right lower leg pain over the last 2 days. SpO2: 99%. SAFE DOSE OR DOSE RANGE, SAFE ROUTE brought into the emergency department during the night by her mother, who stated that the for a fever. Respiration: 24. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 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. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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