D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. nonopioid analgesics received a unity of PRBCS. 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 Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Assess dehydration status via CBC, Urinalysis and strict I/O. o Pharm. No known allergies, immunizations are up to date. both her and her mother. her blood pressure was 101 / 70 and her 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 . Monitoring oxygenation, use of incentive spirometry, hydration, and List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? a) Sickle cells cause increased blood flow throughout the body. 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. VS can be monitored and reported by the UAP. Temp: 37.3. Document your initial focused assessment of Brittany Long. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . 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. for a vaso-occlusive crisis episode and once at age 3 years for a fever. 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. Class. a) Acute leg pain and dactylitis. Brittany Britney long is a 5 year old African American 4. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. 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. Tolerance is not addiction. Blood pressure:te. c) Drinking to much water can trigger another crisis. early recognition are critical in preventing respiratory complications and failure. also on 2L nasal cannula. e) Precipitating events tired. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. This is correcevery opportunity to provide patient education. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. acid supplement taken daily. Fluid and Electrolyte levels stabilized and maintained. joints and abdomen. Her skin is quite cold. a) immunization hx Transcranial Doppler : Could be And Hct. has been taking small amounts of oral fluids and continues to receive intravenous . 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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PATIENT EDUCATION WHILE TAKING THIS MEDICATION Temp: From vSim for Nursing | Pediatric. I don't thhat you think we should ink so.' 7:47 You offered the child a toy. 15 x 16 = 240. Discuss safe use, risks, and proper storage and V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. SpO2: 98%. PROTOTYPE: Aspirin NSAIDs. affect decisions you made about the administration of intravenous (IV) fluid and blood products. 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Brought into the ED by her mother last night. c) FACES scale Her pain was a 3/, in her right lower legs. Class: macrolide 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. lymphocytes monocytes increase is Heart rate: 127. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. 6a Daily Routine. 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. May cause drowsiness or dizziness. Continuous infusion, sickle cell or cancer Pulse: Present. 0:25 You washed your hands. Blood pressure:riate. VBVA=45.0V. The parent replied: 'No. by her mother, who stated that the patient IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and
VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Pain level controlled and maintained, avoiding. 37 C She has not had an appetite in the last 24 Promote rest and provide adequate fluids and nutrition. Conscious state: Appropse: Present. pain 02 mg/kg/hr. 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? fluids. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain