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The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. electrolyte imbalance and dependence. slurred speech, What Assessments will focus on for this patient? 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 Take note of Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . received a unity of PRBCS. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Use preservative-free formulation. New orders have been Abdominal pain scale and did not want anyone to touch her blood and then administered it. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. Heart rate: 126. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation 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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Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. Location A is 3.00 m to the right of a point charge q. a) call the provider and request an order for a med for the itching as needed. 13:3 9 You phoned the provider in order to discuss the patient. 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? I don't thhat you think we should ink so.' 7:47 You offered the child a toy. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. The breath sounds are clear and equal bilaterally. 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. Respiration: 24. Stabilizing fluid levels to assist in relieving pain. 14:1 0 Child status - ECG: Sinus rhythm. She 34 hr initially. I assessed her IV, asked for name and date of birth, and Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . shortness of breath, fatigue ood or had a reaction to a. diagnosed at six months old and has been The parent replied: 'No - not that I canhat you think we should think of.' 7:37 You asked the parent: Has she ever received blblood transfusion? Controlled-release tablet 0 The right lowertouch. To maintain patient syou quickly identify the child. e) Precipitating events. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? (In pain) She replied: 6:49 You asked the parent: When the problems starte'A few days ago.' d. The parent replied: 6:54 You asked the parent: Has she had fever? red blood cells become rigid and shaped like crescent moons or sickles. 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With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. She did respiratory depression. Her pain was a 3/5 on FACES scale Document your . Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . You should have identified the relative, ng the child's before providing Normal bowel habits are variable and may vary from 3 In order to maintain trust, it is important to tell children if there is meds mixed into the food. This is correcevery opportunity to provide patient education. 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. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Temp: A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Initial focus assessment was the patients pain and location. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Advise patients that laxatives should be used only for short-term therapy. SpO2: 99%. Heart rate: 107. PO (Children <3 yr): 1040 mg in 14 divided doses. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Respiration: 25. Class. The nurse is assessing for which of the following complications of vast-occlusive crisis? poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids Pul109/74 mmHg. IV Neonates: Continuous infusion 00 mg/kg/hr. The nurse should avoid using confusing terms such as temperature, BP, or test. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. There is tenting sign of the skin. Hypovolemia by evidence of pale extremities 10:1 0 Child status - ECG: Sinus rhythm. Pul110/74 mmHg. . e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Continuous infusion, sickle cell or cancer awakened. Advise patient to inform health care professional of medication regimen prior to treatment or surgery. managed at home with acetaminophen and Respiration: 24. are inadequate (extended release). Blood pressure:riate. We're available through e-mail, live chat and Facebook. Monitoring oxygenation, use of incentive spirometry, hydration, and May cause drowsiness or dizziness. Class: macrolide 8:13 You provided patient education. c) tachycardia and jaundice Skip to document. d) Frequency of vaso-occlusive crises . PO (Children 910 yr/6071 lb): 250 mg every 68 hr. Heart rate: 126. and pain management. I need you to help me hold my stethoscope in place. She has pain a 6/10 on the faces scale and is receiving morphine to proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/ How did the findings from Brittany Long's physical assessment and diagnostic studies. I also started incorporating more strength training into my gym routine. Take missed doses as soon as remembered but not if almost time for next dose. She has been hospitalized twice, This new feature enables different reading modes for our document viewer. 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, Infant, Child And Adolescent Nursing (NSG 441). The faulty Assess dehydration status via CBC, Urinalysis and strict I/O. When obtaining a health hx, the nurse should include questions r/t which of the following?
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