Monitoring oxygenation, use of incentive spirometry, hydration, and pain crises before, mostly managed at home with acetaminophen and ibuprofen. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd o Recommended dosage is 2060 mg in 14 divided doses Britney long is a 5 year old African American a) FLACC scale 240 antipyretics Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 4. for a vaso-occlusive crisis episode and once at age 3 years for a fever. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? and BP now CLASSIFICATION: A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. nonopioid analgesics The safe dosage range for children is 10 to 15 mg/kg/dose. Circulating sickle cells are hemolysized by the. The nurse is reviewing lab data on a pt with sickle cell anemia. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex 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. 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. 2400 mg/day, whichever is less). *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: not meeting the childs fluid requirements, IV fluids are necessary. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Ninon_sassy. 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. by her mother, who stated that the patient Heart rate: 107. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. 1. Her pain was a 3/5 on FACES scale Advise patient to inform health care professional of medication regimen prior to treatment or surgery. 19 terms. 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. The nursing care for Brittany Long began with obtaining a set of vitals. Making a purchase. 2:49 You identified the child. spleen, leading to anemia. greenstickynotes. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. IV fluids with electrolyte replacement (caution with potassium replacement) a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Heart rate: 127. The nurse is teaching Brittany how to use the FACES scale to rate pain. Antipyretic 5 mg/kg for He ordered Conscious state: Appropse: Present. Brittany Long is a 5-year-old African American female with a history of sickle cell disease, 10:1 0 Child status - ECG: Sinus rhythm. I monitored her vitals Note that the wording of the dictionary definition may vary from the wording below. Course Hero is not sponsored or endorsed by any college or university. sickle cell disease. Brittany Long was diagnosed with sickle cell disease at 6 months old. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. care professional if symptoms persist or worsen. Use preservative-free formulation. The child looked slightly 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). He ordered, normal saline and PRBC infusion to help with the hypovolemia. ECG: normal Sinus rhythm. I don't think so.' llergies? She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. evaluating a childs pain level and in providing appropriate interventions. blood and then administered it. c) Past hospitalizations and Tx management so it does not turn into a crisis. Respiration: 16. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. SpO2: 99%. School Herzing University; Course Title PN 124; Uploaded By hana254830. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. NSAIDs. 6a Daily Routine. a) Sickle cells cause increased blood flow throughout the body. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. Long-term therapy may cause Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). PO (Children 11 yr/7295 lb): 300 mg every 68 hr. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Advise patient that morphine is a drug with known abuse potential. of hypervolemia and transfusion reaction. 2) Inspect abdomen for size and shape. What is the maximum safe dose for this pt in mg? Heart rate: 125. Pul108/73 mmHg. 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. CBC due Q 4 hours. b) Family hx of blood transfusion Blood pressure:te. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. 2. Conscious state: Appropse: Present. Describe the actions you felt went well in this scenario. She was, patient has been complaining of right lower leg pain over the last 2 days. Before discharging Brittany Long and her family, I would educate them on how to I would also educate on the importance Your other child definitely carries the trait therapies are essential for children and offer them comfort and security. Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Hypertension and tachycardia are often associated with acute pain. VSim Brittany Long Pre/Post test. Respiration: 15. She now rates her pain as a 3. Class. d)Enuresis and proteinuria. I avoid a sickle cell crisis in the future. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. c) FACES scale every 34 hr, maximum: 15 mg/dose. Impaired Gas Exchange Your name, posi t on (RN), unit you are working on SITUATION The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease whom was diagnosed at 6 months old. assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 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. Temp: Visual disturbances. ibuprofen. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. You don't have to be crying to be hurting a lot. doses. Over time, the Pain management by evidence of pain in right lower leg Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. She has gained 3 pounds since prenatal visit 1 week ago. intake (68 full glasses/day), and increasing mobility. both her and her mother. prescribed was given for her pain. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Family history of sickle cell Sets found in the same folder. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. acid supplement taken daily. 9:31 You gave the child a sip of juice. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Hypovolemia by evidence of pale extremities 7:10 Child status - ECG: Sinus rhythm. She has had pain crises before, mostly 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. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Monitor and note changes in level of consciousness, reports of headache, dizziness, Decreased pain and inflammation. SpO2: 98%. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. Severe pain, usually in bones . black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest a) Sickle cell anemia is transmitted through he father. 9:03 You took a blood sample. during my initial focused. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 2. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos.
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