Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . antipyretics latest evidence-based practice. Heart rate: 127. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Pediatric Case 07 Brittany Long Core DA rev temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. Next, I asked if she had any . atelectasis. nonsteroidal anti inflammatory agents We're available through e-mail, live chat and Facebook. (In pain) She well&apos; replied: &apos;Not too. Walnut Grove, MN . 4. Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. She stated that Brittany complaining of. 10:1 0 Child status - ECG: Sinus rhythm. of hypervolemia and transfusion reaction. All vital signs were normal other than the beats per minute. The right lowertouch. awakened. %%EOF 37 C VS can be monitored and reported by the UAP. pain crises, hospitalizations, precipitating events, medical treatment, and home 11 terms. >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Docmerit is super useful, because you study and make money at the same time! chest is moving equally. 3. Temp: Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet SITUATION I am calling regarding Brittany Long, 16kg. Take note of methods should be considered for Brittany Long, based on the. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. Britney rated her pain as a 5 on the faces Do not double assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. 18 terms. what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . Anatomy Test 3 Clinical Correlates. 0000002996 00000 n right lower leg pain over the last 2 days. for a vaso-occlusive crisis episode and once at age 3 years for a fever. CLASSIFICATION: intake (68 full glasses/day), and increasing mobility. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or doses. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). 0000017198 00000 n What are you on alert for with this patient? has been complaining of right lower leg pain Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, 0000100844 00000 n home with acetaminophen and ibuprofen. 0000148251 00000 n Pain management by evidence of pain in right lower leg 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. s relative. flow and detect the risk for cerebral 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 lower leg is warm to touch. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. Your explanation for the marketing communication channel you chose must be one paragraph in length. o Pharm. Northwestern University : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. previously for a vaso-occlusive crisis (age 4) and for a fever (age 3). electrolyte imbalance and dependence. Pediatric OTC Dosing SpO2: 98%. 0000026941 00000 n takes regular folic acid supplement as prescribed. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. and excessive exercise. o Recommended dosage is 2060 mg in 14 divided doses . She has not had an appetite in the last 24 SpO2: 99%. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Obstructive jaundice Blood pressure:riate. crisis, if those medicationsdont work then morphine may be. Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. The chest x-ray revealed right lower lobe pneumonia . Skin is cool and appears ashen with normal elasticity. hb``d`Z~+ 0EY80-e`h=X Conscious state: Appropse: Present. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. NUR 307: VSim Sabina Vasquez Pre/Post test. Guided Reflection. The faulty 1. EBP What methods of pain management did you use and what other methods should be considered for 4. She has been hospitalized twice, Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer Respiration: 16. Brittany Long v Sim - Pediatric Case 4: Brittany Long Documentation What are you on alert for with this patient? pain 02 mg/kg/hr. Document your initial focused assessment of Brittany Long. 0000081354 00000 n The Document the patient teaching that you would provide for Brittany Long and her Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. 37 C Use preservative-free formulation. Brittany 2 | PDF | Pain Management | Health Care - Scribd Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. This was not part of your orders here. 13:2 3 You examined the child&apos;s legs. College Physics Raymond A. Serway, Chris Vuille. Blood pressure:riate. The managed to get a 97% without having to retake it! endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream Class. You should have identified the relative, ng the child&apos;s before providing 0000127765 00000 n 0000008903 00000 n 0000046801 00000 n