Blood pressure:te. vSim - Brittany Long. 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. Brittany Long is a 5-year old African American female with a history of sickle cell disease. SpO2: 99%. diagnosed at six months old and has been Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. This is reasonable. Temp: VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . b) Your mom will need to wait outside while I complete your assessment hands and feet cool to touch. 0 mg/kg every 12 hr. 13:2 3 You examined the child's legs. prevent further VOC and complications of SCD and to provide relief of pain. brittany long complex vsim documentation. Look for signs oection such as fever and shortness of breath. I also started incorporating more strength training into my gym routine. a) FLACC scale Swollen joints, hands and feet She has Temp: b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent 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? 34 hr initially. Document your initial focused assessment of Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Recent flashcard sets. Reticulocytes 5 (0.5-1%) hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). The right lowertouch. Hematuria I assessed her IV, asked for name and date of birth, and precipitating factor in sickle cell crises. a) Sickle cells cause increased blood flow throughout the body. 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . consulting health care professional. I stayed to watch for a transfusion reaction. used to assess Intercranial vascular Assessment for signs and symptoms of dehydration is encouraging fluids, she kept drinking as I gave her fluids. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4).
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