brittany long complex vsim documentation

Avoid terms that are too technical or confusing, such as "catheter" or "urethra," which can cause the child to misunderstand what is going to occur. Pediatric Case 7: Brittany Long (Core) 1. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Symptoms of an acute hemolytic reaction include: chills, shaking, fever, nausea and vomiting, chest tightness, headache, flank pain, and pain at the intravenous insertion site. Pediatric Case 08 Brittany Long Complex DA - Studocu Which of the following steps should be included during the preparation and administration process? VSim for FA Davis. (Select all that apply.). VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Pre/Post Simulation for Brittany Long Flashcards | Quizlet Immediately discontinue the blood transfusion ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your . d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. A nonhemolytic febrile reaction is indicated by fever and chills. Terms of Use The patient is alone in the room, sitting in bed watching television and says she lost her identification band. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Although pain management is important, assessment and management of circulation and perfusion are the priority. c. Contacted doctor Decreased cardiac output related to decrease in circulating blood volume brittany long complex vsim documentation. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. The O2 SAT was 97% with 2 L of oxygen. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. b. Parent/visitor identification Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Place the steps of an abdominal assessment in order. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. His symptoms include mental confusion, ataxia, stupor, and hypotension. The patient is awake and sitting in bed playing video games with her sister. crises, hospitalizations, precipitating events, medical treatment, and home management. include IV maintenance fluids and Morphine as needed. Temp 99, and BP 110/74. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? the documentation, over the simulation. S: The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease who was diagnosed at 6 months old. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The doctor has ordered Ceftazidime 140mg Q8hr. Brittany Long vSim Documentation Assignment - Homework Score Rationale:Providing the patient with a favorite drink and allowing for simple choices such as what cup to drink the fluid in or which color straw to use gives the patient a sense of control. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Right patient Jackson Weber Complex Pre/Post Quiz. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? The patient Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Acute hemolytic reaction e. Administers a fluid bolus and PRBC as prescribed Brittany Long v SIM Care Plan; Charlie Snow v Sim Care Plan; Sabrina Vasquez v Sim Complete Care Plan; Marilyn hughes - VSIM; Jennifer Hoffman - VSIM; Skylar Hansen - VSIM; Related Studylists Peds VSIMMS Nur402 Peds.

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brittany long complex vsim documentation