Private Insurance Reimbursement For Nurse Practitioners, Articles B

Patient education needs to be provided to include sudden change in temperature, dehydration, 2. 0000100844 00000 n 2. In a vaso-occlusive crisis / painful episode, This is Carly in the Pediatric Unit at the Our Lady Ginsburg Ruth Bader Hospital, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit, I am calling regarding Brittany Long, 16kg. anemia or sickle cell trait She rates her pain 6/10 and, states that it is made worse with movement. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. (every 4-6 hours) as needed for pain. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. 0000065944 00000 n Devry University Describe the actions you felt went well in this scenario. 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. It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, Vital signs q4h Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). common. Conscious state: Appropse: Present. Identify and document key nursing diagnoses for Brittany Long. endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Brittany Long Vsim Location: Emergency department 7 AM, Brittany Long is a 5-year-old African American female with a history of sickle cell disease. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Anna Maria. realized that if I slow down and look at the situation as a whole and whats being asked, I am able to better CBC w/ dif : SHOULD be ordered to >5pmWs$mi6L]qOvg'\C?m6 8K=~Cw%\\i6 S_BRe=$uesYO=wxOowrJ)19 \,`-`#xE^5xKF Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Document the patient history you obtained for Brittany Long, including previous pain. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. "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. of crises, prevention of infection and dehydration, and pain management. Alternating the administration of both 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. Use preservative-free formulation. Identify and document Neutrophils and bans are Jackson Weber VSim Post-Sim Q's. 10 terms. 37 C Company Registration Number: 61965243 Document your initial focused assessment of Brittany Long. vSim. Acute: (related to dehydration SpO2: 99%. Assess dehydration status via CBC, Urinalysis and strict I/O. (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). breath or difficulty breathing (dyspnea), headache, dizziness, and acute pain. 0000046801 00000 n College Physics Raymond A. Serway, Chris Vuille. joints and abdomen. Recent flashcard sets. Caution patient to call for assistance when ambulating children ages 2 to 16 years who have