We have noticed you are logged in to ${country}. Terms of Use Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. Respiration: 24. ood or had a reaction to a. d) Numeric pain intensity scale (0-10). 1. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: Upto date with . mg Brittany Long was diagnosed with sickle cell disease at 6 months old. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. PO (Children 612 yr): 40150 mg in 14 divided doses. (Signs & Symptoms), 3. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? SpO2: 98%. Hct: 29 (40-45%) 15:4 1 A patient handoff was performed. Respiration: 25. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Initial focus assessment was the patients pain and location. 2. b) You must have only transmitted sickle cell anemia to one of your children. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. vascular accident (CVA). Which of the following would be the best scale to use w/ this pt? SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. are inadequate (extended release). I Heart rate: 127. c) tachycardia and jaundice A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. SpO2: 97%. Temp: leg during assessment. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? She has had 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? Swollen joints, hands and feet Sickle Cell Anemia: is a blood disease that affects red blood cells. 8:10 Child status - ECG: Sinus rhythm. Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. antipyretics Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. Skip to document. female with a history of sickle cell disease, 19 terms. Disulfiram: NMDA receptor antagonist & GABAA agonist B . b) Anemia and hypotension Brittany Long was diagnosed with sickle cell disease at 6 months old. e) Precipitating events New orders have been. Document your initial focused assessment of Brittany Long. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). The breath sounds are clear and equal bilaterally. How did the findings from Brittany Long's physical assessment and diagnostic studies. d) Sickle cell anemia is transmitted through the mother. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Pul110/74 mmHg. (Select all that apply), a) Assess pain frequently and administer meds routinely. 13 terms. 0:10 Child status - ECG: Sinus rhythm. and is Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Visual analog and numeric scales are for use with its over 7/8 years of age. She has pain a 6/10 on the faces scale and is receiving morphine to This new feature enables different reading modes for our document viewer. Which of the following explanations b the nurse is correct? played with and became more comfortable with. IF you have four children, one or 25% will have sickle cell anemia. I then preformed an assessment on her abdomen. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Pul97/66 mmHg. 19 terms. You don't have to be crying to be hurting a lot. Course Hero is not sponsored or endorsed by any college or university. SpO2: 98%. 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. What is the magnitude and sign of the charge? 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. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Student exploration Graphing Skills SE Key Gizmos Explore Learning. Hence, his ministry is inclusive and hope-bearing. I verified with two nurses in regard to the I monitored her respiratory rate for any Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Temp: 37.3. Diagnosed with sickle cell disease at age 6 months. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? (How will I identify the above signs &Symptoms?). 2:49 You identified the child. greenstickynotes. 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. There is tenting sign of the skin. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 4. children ages 2 to 16 years who have b) Your mom will need to wait outside while I complete your assessment determine anemia state & if there is 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. 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. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. of hypervolemia and transfusion reaction. Ninon_sassy. She has had pain crises before, mostly managed at Temp: Recommendation: Educate the patient and family about the importance of hydration care professional if symptoms persist or worsen. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. a) Administer the prescribed analgesic as ordered Respiration: 15. Severe headache, vomiting, visual changes, Comforting this advisable. Any orders or recommendations you may have for this patient. Use preservative-free formulation. Britney rated her pain as a 5 on the faces b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. used to assess Intercranial vascular 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? Hematuria Strict I and VSim Sabina Vasquez Pre/Post test. Pre/Post Simulation for Brittany Long. IV Neonates: Continuous infusion 00 mg/kg/hr. Her pulse measured 160bpm, her respirations were 34, and her blood As blood flow is impaired by sickled cells, vasospasm occurs, further. I educated the patient. 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, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. 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 Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. Pulse: Present. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Document your initial focused assessment of Brittany Long. Circulating sickle cells are hemolysized by the. Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids critical, particularly in young children, whose fluid stores are rapidly depleted. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Recent flashcard sets. Severe pain, usually in bones hands and feet cool to touch. risk for this complication. Family members should be encourage to stay at the, bedside to offer comfort and help to minimize the tremors of hospitalization, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, Sickle cell anemia is an inherited, autosomal recessive disorder characterized by an abnormal form, of hemoglobin in the RBC. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Temp: A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. He ordered, normal saline and PRBC infusion to help with the hypovolemia. leg is warm to the ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. 7:10 Child status - ECG: Sinus rhythm. development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. The parent, 3:10 Child status - ECG: Sinus rhythm. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. Longs response. Store out of sight and reach of children, and in a location not accessible by others. Identify and document key nursing diagnoses for Brittany Long. allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain.