brittany long vsim documentation

TCD is performed annually on atelectasis. comfort. kuuleinani1102. s relative. VSIM Sandra Littlefield / Mental Health Case: Sandra Littlefield (answered) spring 2022/2023 . consulting health care professional. This was not part of your orders here. 0000148642 00000 n Long-term therapy may cause Heart rate: 126. Normal bowel habits are variable and may vary from 3 . experiencing pain in her right leg that began 2 days ago. 37 C Terms of Use 19 terms. Pediatric Case 4 Documentation Assignments 1. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Many OTC products contain ibuprofen; avoid duplication. 3. Identify and document key nursing diagnoses for Brittany Long. NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. administered for breakthrough pain. 0000036159 00000 n Voc Latin page 24. (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). Pul108/73 mmHg. Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. slurred speech, What Assessments will focus on for this patient? nonopioid analgesics 1) Have the patient lie down in a supine position. upper airway infection for the past few days. In people with sickle cell anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. Conscious state: Appropse: Present. She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. May cause drowsiness or dizziness. FACES scale; HTT assessment, checked IV; educated patient and parent; offered comfort measures and Advise patient to change positions slowly to minimize orthostatic hypotension. r_M7Ao {GoN(++++++;QtRd)Y,E2K,Ae=(zPlp6:glp6:O3;sE/,d8El s6i[vL,{dFW` shortness of breath, fatigue Temp: 0000009179 00000 n May cause drowsiness or dizziness. Look for signs oection such as fever and shortness of breath. . Pediatric Case : Brittany Long. involving the legs, back, knees, and arms. hb``d`Z~+ 0EY80-e`h=X Learning more about Acute pain related to sickle cell anemia as evidenced by pain in the right leg. MEDICATION: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose) 0000143123 00000 n PO (Children 36 yr): 2060 mg in 14 divided doses. 0000016678 00000 n By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. Jadelyn_Yasuoka7. PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. Karen. It helped me a lot to clear my final semester exams. Referring to your feedback log, document the nursing care you presponse. 0000087999 00000 n SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 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. Opening Questions 0000018559 00000 n department during the night by her mother, who stated that the patient has been complaining a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. ood or had a reaction to a. Pulse: Present. Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 7:10 Child status - ECG: Sinus rhythm. . should have asked the mother about the patients history at this point. Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. 0000088973 00000 n I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain crisis, if those medicationsdont work then morphine may be. family before discharge, including disease process, nutrition, signs and symptoms Liberty University 0000150448 00000 n The patient displayed tachycardia and had 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 Pediatric OTC Dosing She stated that Brittany complaining of. After washing my hands and introducing myself, I identified the patient and her mother. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. via PO and IV to help keep her hydrated and lastly, I used comfort measures (stuffed animal) to Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 0 CBC w/ dif : SHOULD be ordered to 5. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. However, experiencing pain in her right leg that began 2 days ago. she had any allergies before going into my vital signs and HTT assessment. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. $13.95 (every 4-6 hours) as needed for pain. Patient Dose: 2mg IV Reflection upon History of School Funding - Paper | Ed Ad 507, Monte Carlo, Reflection, Transmission Coefficients-Simulation in Statistical Physics-Assignment, Final Reflection Paper - Learning School and Other Settings | CEP 800, Internal Reflection, Total Internal Reflection | PHGN 462, Guideline for Directions for Reflection Paper - Teacher Social Studies Secondary School | SS 200, Safe Period Calendar Documentation of a Program. EBP What methods of pain management did you use and what other. 0000066466 00000 n 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. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or She has had pain crises before, mostly managed at Educate patient and family on nutritional and fluid needs. Medications administered as ordered 10:1 0 Child status - ECG: Sinus rhythm. The right 9:03 You took a blood sample. Caution patient to call for assistance when ambulating Document the patient history you obtained for Brittany Long, including previous pain. Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. SpO2: 99%. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. provide care for the patient. 0000066585 00000 n dehydration, and pain management. Mucous membranes are slightly pale. Walnut Grove, MN . 0000040025 00000 n anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. 0000006023 00000 n PO (Children 612 yr): 40150 mg in 14 divided doses. Respiration: 24. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. (In pain) She replied: 6:49 You asked the parent: When the problems starte&apos;A few days ago.&apos; d. The parent replied: 6:54 You asked the parent: Has she had fever? Neutrophils and bans are bacterial. managed at home with acetaminophen and I/O can be calculated by UAP. To maintain patient syou quickly identify the child. 0000016811 00000 n what does the colors of jack's mask symbolize; case studies on diversity and social justice education pdf . She was brought into the emergency temperature was 37 Celsius she now rates Normal red blood cells are round. I assessed the IV site and Fanny373. Which is a huge accomplishment from the other ones. 0 mg/kg every 12 hr. Heart rate: 109. prescribed regular folic acid supplement. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE 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 crisis. 37 C The Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. Referring to your feedback log, document the nursing care you provided and I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. Use preservative-free formulation. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. SpO2: 98%. 6a Daily Routine. Britney long is a 5 year old African American Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. She has been taking small amounts Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Pain level controlled and maintained, avoiding. 4. Epidural: (Children >1 mo): 00 mg/kg, maximum dose: 0 mg/kg or 5 mg/24 hr. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. upon assessment. IV fluids with electrolyte replacement (caution with potassium replacement) Temp: 37.3. SpO2: 99%. Document your initial focused assessment of Brittany Long. 0000004772 00000 n for a vaso-occlusive crisis episode and once at age 3 years for a fever. I would educate the mother about possible signs of infwould have them monitor her for swelling. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. &apos;A few days.&apos; (In pain) She replied: 6:32 You asked the child how she felt. This how you know that you are buying the best documents. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. College Physics Raymond A. Serway, Chris Vuille. North Carolina State University. Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her Temp: Management of Care: What needs to be done for this Patient Today? practicing safely is important. 2. 0000005353 00000 n 0000030391 00000 n PATIENT EDUCATION WHILE TAKING THIS MEDICATION I contemplated it but then got distracted with either the assessment or medication. 18 terms. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Full assessment She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Anatomy Test 3 Clinical Correlates. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives 0000002996 00000 n Brittany Longs response. CLASSIFICATION: Questions. Assess patient and caregiver knowledge of how to avoid crisis. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. You should have asked the relative about any known health problems. Conscious state: Appropse: Present. 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. 0:10 Child status - ECG: Sinus rhythm. Heart rate: 125. 1. Identify and document key nursing diagnoses for Brittany Long. 0000100844 00000 n endstream endobj 926 0 obj <>/Filter/FlateDecode/Index[31 796]/Length 47/Size 827/Type/XRef/W[1 1 1]>>stream SpO2: 99%. 3. viral. Take note of Document your handoff report in the situation-background-assessment- recommendation (SBAR) format to communicate what further care Brittany Long needs. joints and abdomen. I should have been more ambitious and asked about the patients endstream endobj 828 0 obj <>/Metadata 29 0 R/Pages 28 0 R/StructTreeRoot 31 0 R/Type/Catalog/ViewerPreferences<>>> endobj 829 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 1836.0 792.0]/Type/Page>> endobj 830 0 obj <> endobj 831 0 obj <>stream Child Life can assist in making the child comfortable and regulating anxiety levels. hepatomegaly Family history of sickle cell December 2, 2017. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Temp: b) Place a heating pad on the pt leg and have her mother read her a story. Jadelyn_Yasuoka7. of 0% NaCl to correct dehydration. active lifestyle (with moderation) is able to provide good home care as well. The parent replied: &apos;No - not that I canhat you think we should think of.&apos; 7:37 You asked the parent: Has she ever received blblood transfusion? : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. Respiration: 24. 6:22 You asked the child how long she had pain for. Conscious state: Appropse: Present. NURS 3440 (NURS3440) Institution. You even benefit from summaries made a couple of years ago. o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). safely is important. <]/Prev 815899/XRefStm 2798>> Document your initial focused assessment of Brittany Long. Add to Cart. 34 hr initially. Her pain is usually well m, Brittany is experiencing pain in her right leg which she rates a 6/10 and is wor, lower leg is warm to touch. nonsteroidal anti inflammatory agents Identify and document key nursing diagnoses for Brittany Long. %PDF-1.4 % Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her Once I was sure the labs intravenous maintenance fluids at 52 milliliters episode and once at age 3 years for a fever. VS can be monitored and reported by the UAP. Identify additional individuals who should be included on Brittany Long's care team. 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. Pain management by evidence of pain in right lower leg Brittany Long is a 5-year old African American female with a history of sickle cell disease. Document your initial focused assessment of Brittany Long. puberty. 0000033664 00000 n Obstructive jaundice Respiration: 15. SpO2: 97%. Making a purchase. X SAFE DOSAGE VSim Brittany Long Pre/Post test. Oral opioid medication and NSAIDs are given for mild to moderate. used to assess Intercranial vascular episode PO (Children 11 yr/7295 lb): 300 mg every 68 hr. SpO2: 99%. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. David Smith. She is asleep but is responsive when 4. Upto date with . PROTOTYPE: Aspirin Documentation Assignments splenomegaly Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. What discharge teaching should be provided to assist Brittany Long's mother with her home care? management. Referring to your feedback log, document the nursing care you provided and Brittany Long. red blood cells become rigid and shaped like crescent moons or sickles. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . 0000066698 00000 n Document your initial focused assessment of Brittany Long. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device It is important to remain aware Identify and document key nursing diagnoses for, Per provider orders, 1.6 mg of Morphine was given via IVP, of 0.9% NaCl to correct dehydration. Document the patient teaching that you would provide for Brittany Long and her family before discharge, children ages 2 to 16 years who have chest is moving equally. Ensuring Blood, Current pertinent assessment data using headto toe approach, pertinent diagnostics, vital signs. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 0000132705 00000 n Heart rate: 126. Identify and document One of the most useful resource available is 24/7 access to study guides and notes. increased joint pain, chest pain, shortness of breath, fever, and lethargy. did a patient handoff. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: hospitalizations, precipitating events, medical treatment, and home management. Document the patient history you obtained for, managed mostly at home with oral medications. Discover virtual simulation today - try vSim for free! The condition is chronic so monitoring and ensuring the patient is practicing 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN Impaired gas exchange related to increased blood viscosity as evidenced by right I PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? Respiration: 16. Patient C/C right lower leg pain over the last 2 days. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Reticulocytes 5 (0.5-1%) including disease process, nutrition, signs and symptoms of crises, prevention of infection and o Pharmacologic: opioid agonists startxref Documentation Assignments. 0000133372 00000 n Brought into the ED by her mother last night. 1. 13:2 3 You examined the child&apos;s legs. Patient education needs to be provided to include sudden change in temperature, dehydration, infection disposal of opioid analgesics with patients and caregivers with each Rx. VSim pediatrics case brittany long jenny peters nrs233 1l documentation assignments document the patient history you obtained for brittany long, including. Brittany 2:49 You identified the child. Patient education needs to be provided to include sudden change in temperature, dehydration, (CVA) could occur. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. 0000003155 00000 n dispensed with the medication. Brittany Long was diagnosed with sickle cell disease at 6 months old. Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed proper hygiene to prevent infection including hand hygiene and staying up to date Reduction of fever. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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, Closely observe for manifestations of crisis and infection. SAFE DOSE OR DOSE RANGE, SAFE ROUTE Respiration: 24. Temp: Why is your patient in the hospital (Answer in your own words and include the History of present Illness)? Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus Abdominal pain Temp: College Physics Raymond A. Serway, Chris Vuille. In the ED Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. ibuprofen. Blood pressure:riate. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without I don&apos;t think so.&apos; llergies? Do not stop taking without discussing with health care professional; flow and detect the risk for cerebral She requested some pain medication when asked. Brittany long vsim&sol; broward college - nur 250lbrittanylongvsim&semi; complete solution&comma; an&period . You should have identified the relative, ng the child&apos;s before providing leg pain. educated on pain management. 827 101 0000081478 00000 n Electrolytes endstream endobj 832 0 obj <> endobj 833 0 obj <> endobj 834 0 obj <> endobj 835 0 obj <>stream Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brittany Long Vsim Documentation Assignment, for a vaso-occlusive crisis (age 4) and for a fever (age 3). 2) Inspect abdomen for size and shape. I doses. She is currently, Acute pain related to sickle cell anemia as evidenced by pain in the ri, Impaired gas exchange related to increased blood viscosity as evidenced by right, . and excessive exercise. CLASSIFICATION: The condition is chronic so monitoring and ensuring the patient is Pul109/74 mmHg. Recent flashcard sets. Following medication latest evidence-based practice. alleviate pain until the medication begins working. Visual disturbances. 8:10 Child status - ECG: Sinus rhythm. 3. of oral fluids and continues to receive Blood pressure:riate. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. Caregiver and pt were both Conscious state: Appropse: Present. 0000127765 00000 n SpO2: 98%. Brought into the ED by her mother last night. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: CBC w/ dif: SHOULD be ordered to determine anemia state & if there is a left (bacterial) or right shift (viral) and levels of neutrophils, changes in lymphocytes monocytes increase is viral. 0000147353 00000 n 827 0 obj <> endobj Anna Maria. (How will I identify the above signs &Symptoms?). 927 0 obj <>stream Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia (Signs & Symptoms), awakened. Various pain management medications were provided to include morphine. 0000081238 00000 n o Pharm. 15:1 0 Child status - ECG: Sinus rhythm. The sickled red blood cells are less pliable and more viscous- making vaso-occlusion diagnosed at six months old and has been 0000004172 00000 n Her pain is usually well managed with Britney rated her pain as a 5 on the faces . 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. 0000147158 00000 n 7:11 You asked the parent: Has she been travelling recently? The parent replied: &apos;No. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. 0000128218 00000 n It is important to use, 8:21 You provided education to the relative regardicondition. She has not had an appetite in the last 24 This was part of your order. I 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. Promote rest to decrease oxygen consumption. was obtained prior to administration. pain crises, hospitalizations, precipitating events, medical treatment, and home In people with sickle cell She was placed on oxygen via nasal cannula at 2 L/min. The right lower leg is warm to touch. 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). We're available through e-mail, live chat and Facebook. With a profile at Docmerit you are definitely prepared well for your exams. CLASSIFICATION: 3. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 37 C "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. Heart rate: 127. However, he is interested in the outcome of the overall course. 0000018019 00000 n PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Blood pressure:riate. 3. Quiz.

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