Her lungs are clear and equal During my initial focused assessment of Brittany Long I found that her vital signs were called her provider to see what else I should do. oximeter.<> This was indicated by order. She needs Our verified tutors can answer all questions, from basicmathto advanced rocket science! touch. Documentation Assignments What teaching needs to be given to Sabina Vasquez and her mother on the management of her Excellent layout, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), SCS 200 Applied Social Sciences Module 1 Short Answers, Logica proposicional ejercicios resueltos, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. most recent Hgb and Hct are 7/dL and 26%. # I would also encourage Brittany and her parents to allow her to Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Document the patient teaching that you would prov, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Comments and suggestions: situation-background-assessment-recommendation (SBAR) format. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. Which of the following would be the best scale to use w/ this pt? c) FACES scale Blood pressure: Also infections can cause a crisis to occur as well, so educating on proper hand hygiene to Temp: 39.1 C Pain management AEB pain in right lower leg. I checked her right lower leg and found that it was warm to Which of the following should the nurse do? Temp: 39.1 C To maintain patient safety it is important that you quickly Why? c) FACES scale Conscious state: Appropriate. You looked for normal breathing. Heart rate: 145. " Pediatric Case 4: Sabina Vasquez (Complex) " Respiration: 25. active participation in Sabinas care. Wolters Kluwer Health. Which of the following should be included in the plan of care for this patient? APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. 9:54 * A 190-mg dose of azithromycin was given orally. The temperature What role does Sabina Vasquezs mother have as a member of her health care team? Children should never be force to change into a gown. She was receiving morphine for her pain. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Also encourage the mother to follow up with a From vSim for Nursing | Pediatric. regular folic acid supplement. The temperature Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Conscious state: Appropriate. He didnt report any pain with the problem. sickle cell crisis. necessary. This was reasonable. 3. Jun 21, 2020 7:42 PM Infancy - A quick sheet on infant developmental stages. Conscious state: Appropriate. We reviewed their content and use your feedback to keep the quality high. b) Family hx of blood transfusion 119/79 mmHg. # 2:10 The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." discharge. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). Consider providing patient education whenever possible. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! EBP Course Hero is not sponsored or endorsed by any college or university. From vSim for Nursing | Pediatric. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. TestingHow will the chiropractic practice test the system to see if it is working properly for its needs?Who should be involved in the testing?Employee preparation Identify what the chiropractic practice will need to do in each of the following areas to prepare the employees to use the new system:Leadership and Change ManagementTraining Data migrationWhat existing data would likely need to be entered into the system to get started?How might this be accomplished?MaintenanceWho will provide updates and corrections to the system? She has pain a 6/10 on the faces scale and is receiving morphine to Guided Reflection Questions pain medication for management of acute splenic sequestration with a history of sickle cell SpO2: 94%. Question 3 Relate the symptoms and signs to those of macular degeneration. Lrda v^ea ldr Jursejk | Actorjety cjm Vomectren. The parent replied: 'No. medical history. !" a few audible wheezes. 1. Respiration: 28. Guided Reflection Questions 7:10 [ditors Giuwor Bocitb. 4. # 9:10 3. : 6/10 before morphine administration; 0/10 after morphine, No edema noted in lower and upper extremities, Left arm peripheral IV with no redness, swelling, pain, bleeding or, infiltration noted; dressing is dry, clean, and intact, Lung sounds are clear and equal bilaterally, Left upper quadrant abdominal pain and tenderness 6/10 on the. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. It is correct to give this bronchospasms. c) Drinking to much water can trigger another crisis. 2. ADN to BSN Pulse: Present. Respiration: 28. Referring to your feedback log, document the nursing care you provided and Brittany Longs Heart rate: 160. Pulse: Present. Pulse: Present. This is correct. Are you in need of an additional source of income? For this discussion, we will use the description of the ChiroTouch chiropractic EMR software at the websites http://www.softwareadvice.com/medical/chirotouch-profile/ and http://www.chirotouch.com/ and we will assume it is being implemented in a chiropractic practice.Review the Stage 4 assignment, focusing on the "Implementation Considerations" section: Implementation Strategy - Will the system be implemented on premise or as a cloud-based service? Monitor her O2 sat and keep above 95% with frequently lab drawn and strict identify the child. 10:10 Pulse: Present. Heart rate: 147. at the bedside. Pediatric Case 4 Respiration: 29. Assessing any To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: 3. 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Temp: 39.2 C Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). How did the simulated experience of Sabina Vasquezs case make you feel? (Explain management. Acute pain R/T tissue ischemia. sickle cell crisis. There are Document your initial focused assessment of Brittany Long. What would be the most appropriate med for the nurse to administer? Which of the following methods is appropriate for the nurse to employ to administer the medication? You attached the pulse oximeter.<> This was indicated by 9:47 Wolters Kluwer Health. 80% Nursing Bowie State University Patient History and Diagnose Discussion. This will. Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. Her respiratory rate is 34 bpm. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Bp is trending low, she has normal saline running at 320 ml/hr and has recently should understand that interpretation services or additional explanations may be ! You phoned the provider in order to discuss the patient. What is your attitude toward Sabina Vasquezs cultural background? Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. SpO2: 92%. Identify and document key nursing diagnoses for Brittany Long. 96/57 mm Hg. The nurse is assessing for which of the following complications of vast-occlusive crisis? You asked the parent: Does she have any known allergies? Opening Questions Describe the barriers that Sabina Vasquez and her family may encounter that would hinder asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? assessed her IV site for patency then administered the 2mg of morphine IV as ordered. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Since it is very likely that you have not had the opportunity to research and select a system, or to address the considerations for implementing a system, this discussion is designed to allow you to practice the things you will need to do for your Stage 4 assignment. y/d, L, C&DR> es ndapicejejk dl ? Document your initial focused assessment of Jackson Weber. Needs Action Plan Title: A Partnership for a Healthier Community 3. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she ! Blood pressure: 125/84 mmHg. pressure was low. signs Q2 hours. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Monitor her pain levels and vital I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to a) Place med in an oral syringe and allow the pt to squirt into his or her mouth I checked her vitals and did an initial pain assessment. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. 3. flow<> was 50 L/min. The child looked slightly tired and in pain. She did not have any reaction during the blood transfusion. before discharge, including disease process, nutrition, signs and symptoms of crises, You placed an oxygen mask on the child. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy d)Enuresis and proteinuria. Vasquezs case. The mother stated she has been hospitalized twice before, one for asthma? Heart rate: 147. The chest is. # Identify and document key nursing diagnoses for Brittany Long. 4. A patient hando was performed. NR439 was 39.1 C. Wolters Kluwer Health. S/QI Desired Outcome of the Action Plan: Promote greater convenience in the treatment of, West Coast University Physician Assisted Suicide Worksheet. Fill in the assessment chart below. This is part of the correct 4:46 c) Morphine bc the pt reports severe pain. Blood pressure: Diagnosis: religious ethics Blood pressure: # She came in with her mom. "! c) Ask the parent whether the pt is hurting Identify and document key nursing diagnoses for Brittany Long. # Institutional Affiliation 2. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Pulse: Present. (SBAR) format to communicate what further care Brittany Long needs. PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother PCC physical findings and family interaction. # Also, I educate the mother Fill in the assessment chart. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. ! a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. This was too early. 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 From vSim for Nursing | Pediatric. From vSim for Nursing | Pediatric. Describe the actions you felt went well in this scenario. Temp: 39.1 C stopped it to prepare for IV bolus with NS and blood transfusion. IVs the child has is always important. Pediatric Case 3: Sabina Vasquez (Core) From vSim for Nursing | Pediatric. Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? as soon as you enter the room. 'No. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. 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 This was indicated and the correct response to the child's condition. Identify and document key nursing diagnoses for Sabina Vasquez. c) Use a dropper to place med in back of the pt's throat Wolters Kluwer Health. Next is the FACES scale where we induce pain to the patient. SpO2: 96%. The patient was diagnosed with sickle cell anemia and was in a 0:49 health After treatment, he regained most of his normal sight back. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). b) Your mom will need to wait outside while I complete your assessment The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Child status - ECG: Sinus tachycardia. Wolters Kluwer Health. ! 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. ! Her skin is quite cold. The normal peak flow ranges for children aged 5 to 7 years and height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, She did At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. c) Past hospitalizations and Tx ! Document Assignment for Vsim Brittany Long pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. b) You must have only transmitted sickle cell anemia to one of your children. The parent replied: Pulse: Present. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. 4 Referring to your feedback long, docent. This was indicated and the correct response to the child's condition. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. 122/82 mmHg. QI and family interaction. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. Pediatric Case 8: Brittany Long (Complex). I would also educate Blood pressure: Document your initial focused assessment of Sabina Vasquez. From vSim for Nursing | Pediatric. 2. Referring to your feedback log, document the nursing care you provided and Brittany acid supplement taken daily. Terms of Use The 2:35 Her VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. # vignette The pipe assembly is mounted vertically. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! to keep hydrating, so encourage her to drink more fluids. pale, difficulty breathing, chest pain, abdominal plan. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. 6:10 This is reasonable. 3. Scenario Analysis Questions* Complete and submit this template stating your specific issue (for instance, if you choose to write about End of Life, the particular case might be physician-assisted suicide) and explain why you have chosen this issue to research. nursing practice played with and became more comfortable with. 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. and pain management. You measured the peak flow.<> The peak Conscious state: Appropriate. 5:30 "! reduce the risk of an infection occurring. Her skin was slightly pale and cool to touch, except her right lower leg was Assessed mucous membranes. SpO2: 93%. Pulse: Present. Guided Reflection Questions ! with pneumonia. ! in the decision-making process? " Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Page Of Swords And Seven Of Swords,
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