37 C 0000026548 00000 n Pediatric Case 4 Documentation Assignments 1. Temp: Company Registration Number: 61965243 0000004772 00000 n 0000143123 00000 n pain crises, hospitalizations, precipitating events, medical treatment, and home ibuprofen. Neutrophils and bans are TCD is performed annually on ECG: normal Sinus rhythm. proper hygiene to prevent infection including hand hygiene and staying up to date 0000066698 00000 n trailer Conscious state: Appropriase: Present. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. medications will provide for maximal pain relief. 0000035922 00000 n She was. 0000149584 00000 n The condition is chronic so monitoring and ensuring the patient is timely manner? Temp: 0000066620 00000 n 1:34 You obtained legal consent from the child&apos;reasonable. I Do not double The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. (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). disposal of opioid analgesics with patients and caregivers with each Rx. The. Various pain management medications were provided to include morphine. 2. North Carolina State University. Monitor and note changes in level of consciousness, reports of headache, dizziness, 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. Temp: (Signs & Symptoms), 3. Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. I don&apos;t thhat you think we should ink so.&apos; 7:47 You offered the child a toy. Fluid therapy is vital to keep the arterial flow sufficient and blood volume up. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber 0000039740 00000 n 37 C Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. (How will I identify the above signs &Symptoms?). (In pain) She well&apos; replied: &apos;Not too. 8:13 You provided patient education. Skin is cool and appears ashen with normal elasticity, Mucous membranes are slightly pale. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Vaso-occlusive pain crisis from sickle cell anemia 0000081757 00000 n department during the night by her mother, who stated that the patient has been complaining Full assessment Reduction of fever. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Take missed doses as soon as remembered but not if almost time for next dose. 0000253576 00000 n Nutrition should include moderation and ensuring she is eating foods high in folic acid to help her 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 With a profile at Docmerit you are definitely prepared well for your exams. Quiz. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. She has been taking small amounts flow and detect the risk for cerebral To maintain patient safwash your hands as soon as you enter the room it is important to, 1:10 Child status - ECG: Sinus rhythm. point that the tissues become deprived of oxygen. anemia or sickle cell trait Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex : 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. Hematuria Britney rated her pain as a 5 on the faces 0000018559 00000 n Pul108/73 mmHg. Identify and document key nursing diagnoses for Brittany Long. 1. joints and abdomen. Class: macrolide ions, precipitating events, medical treatment, and home management. Respiration: 24. Diagnosed with sickle cell disease at age 6 months. Recent flashcard sets. The chest x-ray revealed right lower lobe pneumonia . IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. Temp: SpO2: 98%. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily This was not part of your orders here. 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! 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. 0000033664 00000 n This was, 2:10 Child status - ECG: Sinus rhythm. 0000149190 00000 n AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain scale. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS alleviate pain until the medication begins working. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. distract/soothe the patient. "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. VSIM Sandra Littlefield / Mental Health Case: Sandra - Stuvia are inadequate (extended release). Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec . 0000026521 00000 n Advise patient that morphine is a drug with known abuse potential. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Popular books. Terms of Use PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every 3. She is asleep but is responsive when Normal bowel habits are variable and may vary from 3 Assess patient and caregiver knowledge of how to avoid crisis. latest evidence-based practice. Pul108/73 mmHg. The assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. level using the FACES scale, as well as questions in regards to her pain. Document your initial focused assessment of Brittany Long. Document the patient teaching that you would provide for Brittany Long and her family before discharge, Next, I asked if 0000005353 00000 n College Physics Raymond A. Serway, Chris Vuille. Maintenance infusion of 5% dextrose and 0% Temp: 2 terms. 0000100428 00000 n Temp: Respiration: 25. atelectasis. Severe pain, usually in bones She rates her pain 6/10 and breathing (dyspnea), headache, dizziness, and acute pain. She was placed on oxygen via nasal cannula at 2 L/min. Acute pain R/T tissue ischemia. Discuss t, CH1:Blood Answer the following questions by giving complete,correct answers and explanation PART A PART B, I need help figuring out the Marginal Revenue and the questions 2-5 are all confusing to me. I chos, Question 4 a) James was the tutor of tutorial 21. To help him out, you use the information for tutorial 21 to calculate two point estima, When photography was first invented it was recognized as a new medium of communication. Blood pressure:riate. comfort. active lifestyle (with moderation) is able to provide good home care as well. of crises, prevention of infection and dehydration, and pain management. 0000100844 00000 n Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Hgb 9 (13.5-17) Advise patient to change positions slowly to minimize orthostatic hypotension. Blood pressure:riate. Pediatric Case : Brittany Long. 0000150053 00000 n 0000147625 00000 n SAFE DOSE OR DOSE RANGE, SAFE ROUTE Obstructive jaundice Brittany long vsim&sol; broward college - nur 250lbrittanylongvsim&semi; complete solution&comma; an&period . She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen other than a hospitalization at 3 for a fever and at 4 for pain. 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 Over time, the red blood cells become rigid and shaped like crescent moons or sickles. Alternating the administration of both 0000035992 00000 n Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. exercise, emotional stress, and infection. RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. Pul106/72 mmHg. SAFE DOSE OR DOSE RANGE, SAFE ROUTE and excessive exercise. Identify and document key nursing diagnoses for Brittany Long. crises, hospitalizations, precipitating events, medical treatment, and home management. brittany long vsim steps. 13 terms. SpO2: 99%. Respiration: 15. Instruct patient how and when to ask for pain medication. Britney was given oral pain medication in the I, 6:58 You asked the parent: Has she been eating and parent replied: &apos;Yes.&apos; drinking normally? Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. SpO2: 98%. Patient education needs to be provided to include sudden change in temperature, dehydration, infection brittany long vsim steps Pt was given juice and a stuffed animal. The breath sounds are clear and equal bilaterally. Once I was sure the labs 0000046801 00000 n To maintain patient syou quickly identify the child. <]/Prev 815899/XRefStm 2798>> This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. PO (Children 36 yr): 2060 mg in 14 divided doses. r\a W+ She stated the pain was in her including disease process, nutrition, signs and symptoms of crises, prevention of infection and PO (Children 11 yr/7295 lb): 300 mg every 68 hr. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. home with acetaminophen and ibuprofen. Neutrophils and bans are bacterial. Stabilizing fluid levels to assist in relieving pain. According to Vsim, a PCA pump may be administerd if pain isn't controllable. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim; Complete solution, answered by expert tutors. 0000088278 00000 n Course Hero is not sponsored or endorsed by any college or university. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or Brittany Long Guided Reflection and Documentation Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. involving the legs, back, knees, and arms. Images. I asked the patient her pain Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Identify additional individuals who should be included on Brittany Long's care team. Add to Cart. 6:41 You asked the child if she had trouble breathin&apos;No, my breathing&apos;s fine.&apos; g? e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. Ninon_sassy. vascular accident (CVA). jaundice Heart rate: 126. Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Concepts Of MedicalSurgical Nursing (NUR 170), Maternity and Pediatric Nursing (NUR 204), Introduction to Health Information Technology (HIM200), General Chemistry (Continued) (CHEM 1415), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 5 - Summary Give Me Liberty! 0000081238 00000 n pallor, pale mucous membranes Blood pressure:riate. Blood pressure:te. 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. 0000089071 00000 n . 927 0 obj <>stream Pul110/74 mmHg. Recent flashcard sets. 5. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. education. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. takes regular folic acid supplement as prescribed. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. Store out of sight and reach of children, and in a location not accessible by others. 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). Temp: . Medications administered as ordered Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, hA 04F\GcC~` ^ brought into the ED during the night by her mother. She has been hospitalized twice, once at age 4 years SpO2: 99%. Pain management by evidence of pain in right lower leg PO (Children 910 yr/6071 lb): 250 mg every 68 hr. upper airway infection for the past few days. Sets found in the same folder. acetaminophen and ibuprofen. Look for signs oection such as fever and shortness of breath. Promote rest and provide adequate fluids and nutrition. A heart rate of 86 bpm and temperature of 37.0C are normal findings. administration, pt reported pain 2/10 on the FACES scale. The temperature was 37 Celsius she now rates I f dehydration, look at her legs frequently. Manage her pain at home with acetaminophen and drink plenty of fluids. Breath sounds are clear and equal bilaterally, 3. 0000052693 00000 n 4. 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 Pulse: Present. she had any allergies before going into my vital signs and HTT assessment. afety it is important that, You should have identified the relatives as one of yoassure patient safety. how old is richard lael lillard. Brittany Long v Sim - Pediatric Case 4: Brittany Long Documentation Anatomy Test 3 Clinical Correlates. priapism 0000115576 00000 n PURPOSE FOR TAKING THIS MEDICATION, Treatment of: 2. consulting health care professional. Reflect on ways to improve safety and quality of care based on your experience with Brittany Long's case. of hypervolemia and transfusion reaction. 6. She has not had an appetite in the last 24 0000025684 00000 n 0000133372 00000 n I/O can be calculated by UAP. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. : 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, California State University Channel Islands. PROTOTYPE: Morphine. 3. on vaccinations. 0000036062 00000 n Brittany 0000052789 00000 n Blood pressure:riate. I o Therapeutic: opioid analgesics I would educate the mother about possible signs of infwould have them monitor her for swelling. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. 7:11 You asked the parent: Has there been vomiting,The parent replied: &apos;No.&apos; diarrhea or constipation? The right Brittany Long vSim Documentation Assignment. How did the simulated experience of Brittany Long's case make you feel? VSIM_Brittany_Long_1.__ Complete Solution__Rated A 4. Acute: (related to dehydration Docmerit is super useful, because you study and make money at the same time! I administered morphine as a method of managing pain for Brittany Long since she had severe pain, which ws evidenced by her pain level rating of 5 on the FACES chart. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Impaired gas exchange related to increased blood viscosity as evidenced by right 18 terms. PCC/I What discharge teaching should be provided to assist Brittany Longs mother with her home care? It is important that Brittany practices (In pain) She, 6:17 You asked the child if anything made the pain wreplied: &apos;Any time I move my leg.&apos; orse. Document your initial focused assessment of Brittany Long. SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Document your initial focused assessment of Brittany Long. I assessed the IV site and Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options 0000150131 00000 n Any orders or recommendations you may have for this patient. 0000127495 00000 n 0000081662 00000 n Use preservative-free formulation. 0000149506 00000 n lymphocytes monocytes increase is 37 C 9:10 Child status - ECG: Sinus rhythm. Assess dehydration status via CBC, Urinalysis and strict I/O. Respiration: 24. 0000000016 00000 n Conscious state: Appropriase: Present. prevention of infection and dehydration, and pain management. David Smith. This improved her oxygen saturation to 94%. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Identify and document key nursing diagnoses for Brittany Long. 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, VSim For Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation, vSim for Nursing | Pediatric Brittany Long Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. 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. Electrolytes Karen. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without emergency Department at 0600. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Sickle cell also increases the risk of blood clots. Document the patient teaching that you would provide for Brittany Long and her . Brittany 2 | PDF | Pain Management | Health Care - Scribd should have asked the mother about the patients history at this point. She appears to be in no respiratory distress. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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 care professional if symptoms persist or worsen. : 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. 0000081478 00000 n (Clinical slides 02.02) SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). Brittany Long Core- vSim.docx - Brittany Long Pediatric Blood pressure:riate. The condition is chronic so monitoring and ensuring the patient is practicing Discover virtual simulation today - try vSim for free! In a vaso-occlusive crisis / painful Washed my hands and identified the patient and relative; checked vitals; asked about pain using the Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . splenomegaly Continuous infusion, sickle cell or cancer Mike T, Pediatric Case 4 Quick and easy check-out . TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. This was part of your order. After giving the Respiration: 24. 1. 4. Maintenance infusion of 5% dextrose and 0.45%, NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. has been complaining of right lower leg pain Her pain was in her right lower legs which was warm Peps c4 | Pharmacology homework help lower right leg and occurred a couple of days ago. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: &apos;No. practicing safely is important. After washing my hands and introducing myself, I identified the patient and her mother. 37 C 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. Ensuring NaCl infusing at 52 mL/hr per pediatric maintenance fluid rate. Heart rate: 127. Ensure the patient stays properly hydrated and drinks plenty of water, while eating her 0000088539 00000 n Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. Referring to your feedback log, document the nursing care y ou provided and Brittany Longs response. upon assessment. 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, . 18 terms. xref Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). 0000003155 00000 n Conscious state: Appropse: Present. 0000088903 00000 n 6:22 You asked the child how long she had pain for. $13.95 Signs of stroke i. Next, I asked if she had any . Britanny long reflection school simulation documentation - Docsity comfort measures to the young girl. Which is a huge accomplishment from the other ones. 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).