13:2 3 You examined the child's legs. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE Brittany Long is a 5-year old African American female with a history of sickle cell disease. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. in her right lower legs. 3. Reticulocytes 5 (0.5-1%) 19 terms. hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years Jackson Weber VSim Post-Sim Q's. 10 terms. He ordered anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. once at age 4 years for vaso-occlusive crisis VSim Charlie Snow Complex Pre/Post Sim. 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). (In pain) She well' replied: 'Not too. Conscious state: Appropse: Present. PROTOTYPE: Aspirin I would explain the importance of pain respiratory depression. Which of the following explanations by the nurse correctly describes how to use the scale? 7:11 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Class. vSim - Brittany Long. d) Frequency of vaso-occlusive crises 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. reports of pain shortness of breath, fatigue 9:10 Child status - ECG: Sinus rhythm. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Heart rate: 109. arcoca. pain, shortness of breath, weakness, slurring of speech) occurs. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis. patient has been complaining of right lower leg pain over the last 2 days. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. 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 pain crisis. This was, 2:10 Child status - ECG: Sinus rhythm. Assess dehydration status via CBC, Urinalysis and strict I/O. electrolyte imbalance and dependence. Recent flashcard sets. Take missed doses as soon as remembered but not if almost time for next dose. She has been taking small amounts A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Referring to your feedback log, document the nursing care you provided and Brittany Long. greenstickynotes. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? He ordered, normal saline and PRBC infusion to help with the hypovolemia. If you change the Country/Language, you will be logged out. She now rates her pain as a 3. of hydration with patients who have sickle cell anemia. viral. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Conscious state: Appropse: Present. SpO2: 99%. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. 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. rovided and Brittany Longs, 0:00 You introduced yourself. Severe pain, usually in bones Find all solutions of the following equation. and basic metabolic panel, Blood analysis (notable): Ineffective Tissue Perfusion o Therapeutic Class: agents for atypical mycobacterium, anti-infectives Naltrexone: -opioid receptor antagonist that reduces the. Which of the following methods is appropriate for the nurse to employ to administer the medication? Pul108/73 mmHg. Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . Blood pressure:te. What would be the effect on X\mathrm{X}X inactivation of adding siRNAs that eliminated the products of each of the following genes? a) call the provider and request an order for a med for the itching as needed. PO (Infants 611 mo/1217 lb): 50 mg every 68 hr. 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. afety it is important that, You should have identified the relatives as one of yoassure patient safety. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. Blood pressure:riate. 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She looked visually uncomfortable and reported feeling pain, a 6/10 on the Pulmonary edema. ur first actions to, 3:00 You asked the parent: Does she have any known areplied: 'No. If that is not sufficient to manage their pain, they may require morphine for 1. Document the patient history you obtained for Brittany Long. d) Anemia and hypotension. She has 1. vSim for Nursing allows each student to have a different experience with the patient. Many OTC products contain ibuprofen; avoid duplication. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. She has not had an appetite in the last 24 Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. a) I want to listen to you breathe. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: a) Administer the prescribed analgesic as ordered New orders have been. I don't think so.' llergies? She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. Impaired Gas Exchange b) Anemia and hypotension She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. Controlled-release tablet 0 acid supplement taken daily. faces scale. spleen, leading to anemia. Continuous Pulse Oximetry: Brought into the ED by her mother last night. IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). of oral fluids and continues to receive ood or had a reaction to a. Making a 0 mg/kg every 12 hr. d) Sickle cell anemia is transmitted through the mother. Jackson Weber VSim Post-Sim Q's. 10 terms. Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies, RR: 24 breaths/ min, chest is moving equally, Brachial pulse: 130bpm, strong and regular, Skin has normal elasticity, color is a bit pale and skin is cool, Pt reports pain is in her right lower leg, onset: a few days, Warm touch normal elasticity slightly pale skin is cool, No redness, swelling, infiltration, bleeding, or drainage, Asked patient if sheis feeling better for which she replied, Yesp, I feel better., a) Offer the pt a favorite stuffed toy and distract her by asking about the animal, b) Place a heating pad on the pt leg and have her mother read her a story, e) Encourage deep breathing by having the pt blow bubbles, *Management of sickle cell crisis is aimed at managing pain and promoting circulation. Sickled cells cannot easily pass through capillaries and can cause, vascular occlusion, leading to chronic tissue injury. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? regular heart sounds without murmurs. Any orders or recommendations you may have for this patient. Pul109/74 mmHg. prescribed regular folic acid supplement. PRBCS. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: vSim for Nursing allows each student to have a different experience with the patient. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. She also did n't have any energy to eat anything by mouth . These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . Labs; daily complete blood count flow and detect the risk for cerebral Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. I also started incorporating more strength training into my gym routine. Administer oxygen as prescribed if hypoxia is present. Blood pressure:riate. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. I assessed her IV, asked for name and date of birth, and hidy_esther. c) Drinking to much water can trigger another crisis. (Signs & Symptoms), awakened. reports of pain. She now rates her pain as a 3. 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 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. 1. (Clinical slides 02.02) You must be logged in to submit this form. Pediatric Case : Brittany Long. 8:13 You provided patient education. both her and her mother. I $16.49 Add to cart . PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Recommended dosage is PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 h Voc Latin page 24. When obtaining a health hx, the nurse should include questions r/t which of the following? priapism PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Place the steps of an abdominal assessment in order. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? before discharge. Jackson Weber Complex Pre/Post Quiz. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. maintenance fluids at 52 mL/hr. ibuprofen. abdomen is generally tender. unstable. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. hidy_esther. Patient C/C right lower leg pain over the last 2 days. Visual disturbances. Pul106/73 mmHg. blood and then administered it. c) FACES scale Note that the wording of the dictionary definition may vary from the wording below. 13 terms. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. received a unity of PRBCS. 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. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. The pt is lying quietly in bed watching TV. Conscious state: Appropriate. 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 Temp: If oral fluids are Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . Initial focus assessment was the patients pain and location. 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. Identify and document key nursing diagnoses for Brittany Long. 37 C When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. given. 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). I need you to help me hold my stethoscope in place. nonsteroidal anti inflammatory agents Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. Acute chest SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. Sigle prn dose of morphine 2mg was administered. Assessment for signs and symptoms of dehydration is The nurse is performing a physical assessment on a 5 y/o pt. Heart rate: 126. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. She has been hospitalized twice, once at age 4 years Wolters Kluwer Health. I monitored her respiratory rate for any Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer o Therapeutic: opioid analgesics VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. a) acute leg pain and dactylitis PATIENT EDUCATION WHILE TAKING THIS MEDICATION Use of a joints and abdomen. Temp: 37.3. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply every 2 hr to prevent She rates her pain as a 5/5 on the FACES scale. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. The. Disulfiram: NMDA receptor antagonist & GABAA agonist B . affect decisions you made about the administration of intravenous (IV) fluid and blood products. Which of the following would be the best response by the nurse? School Herzing University; Course Title PN 124; Uploaded By hana254830. Sickle Cell Anemia: is a blood disease that affects red blood cells. and BP now SAFE DOSE OR DOSE RANGE, SAFE ROUTE Nonpharmacologic Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . I then preformed an assessment on her abdomen. Referring to your feedback log, document the nursing care you provided and Brittany Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." The nurse is reviewing lab data on a pt with sickle cell anemia. had a sudden increase in pain in her abdomen. The safe dosage range for children is 10 to 15 mg/kg/dose. She was brought into the ED during the night before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation Location A is 3.00 m to the right of a point charge q. I administered more fluids and Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. takes regular folic acid supplement as prescribed. d) decreased hgb, increased platelet, greatly elevated reticulocyte. Children should never be force to change into a gown. __________mg. She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). brittany long complex vsim documentation. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? 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. Conscious state: Appropriase: Present. The spleen is enlarged, 20 terms. Brittany Long was diagnosed with sickle cell disease at 6 months old. atelectasis. Examined the leg and it was warm. splenomegaly Conscious state: Appropse: Present. Respiration: 24. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. NS and PRBCs. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. PDA Closure 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 Class. antipyretics Hypovolemia by evidence of pale extremities used to assess Intercranial vascular 10:1 0 Child status - ECG: Sinus rhythm. Heart rate: 126. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). slurred speech, What Assessments will focus on for this patient? Temp: Neutrophils and bans are bacterial. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. c) Enuresis and proteinuria. CLASSIFICATION: education. 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. Cheever), Pediatric Case 07 Brittany Long Core DA rev, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Managing Engaging Learning Environments (D095), Educational Psychology and Development of Children Adolescents (D094), Success Strategies for Online Learning (SNHU107), Medical/Surgical Nursing Concepts (NUR242), Health-Illness Concepts Across the Lifespan I (NUR 1460C), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Legal Issues in Information Security (C 841), Financial Statement Analysis/Business Valuation (ACC345), Maternity and Pediatric Nursing (NUR 204), 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), A&P II Chapter 21 Circulatory System, Blood Vessels, General Chemistry I - Chapter 1 and 2 Notes, Logica proposicional ejercicios resueltos. Her pain was a 3/5 on FACES scale 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. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Timely pain management. Temp: We have noticed you are logged in to ${country}. normal saline and PRBC infusion to help with the hypovolemia. Which of the following should the nurse do? encouraged PO fluids and she drank some. SpO2: 99%. Promote rest and provide adequate fluids and nutrition. X SAFE DOSAGE Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Respiration: 25. PO (Children 36 yr): 2060 mg in 14 divided doses. Recent flashcard sets . Stabilizing fluid levels to assist in relieving pain. Brittany In a vaso-occlusive crisis / painful Respiration: 16. In people with sickle cell Acute: (related to dehydration kuuleinani1102. 2. Examined the leg and it was warm. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Advise patient that morphine is a drug with known abuse potential. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Would you like to proceed ? Class: macrolide I Before discharging Brittany Long and her family, I would educate them on how to Conscious state: Appropse: Present. a) Sickle cell anemia is transmitted through he father. Continuous infusion, sickle cell or cancer Conscious state: Appropriase: Present. home with acetaminophen and ibuprofen. episode and once at age 3 years for a fever. Morphine 2mg IV. Recommendation: Educate the patient and family about the importance of hydration She has gained 3 pounds since prenatal visit 1 week ago. Protect it from theft, and never give to anyone other than the Document your initial focused assessment of Brittany Long. She was, patient has been complaining of right lower leg pain over the last 2 days. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, This was part of your order. greenstickynotes. Dehydration is often a as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. of right lower leg pain over the last 2 days. Blood pressure:riate. I have given her morphine 2 mg IV Push and have also bolused Comforting this advisable. There is tenting sign of the skin. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. c) tachycardia and jaundice pallor, pale mucous membranes A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. 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. She is a 5-year-old female with a history of sickle cell anemia. 1. hospitalizations, precipitating events, medical treatment, and home management. antirheumatics 3. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and I monitored her respiratory rate for any, respiratory depression. VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke *updated 2021*VSIM 9 Vernon Russell Age: 55 years Diagnosis: Right-sided stroke CONCEPT MAP WORKSHEET 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached She is asleep but is responsive when awakened. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. played with and became more comfortable with. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or for a fever. and her mother about why those were being given. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. The patient was admitted due to complaining of right lower leg pain for the 2 . Over time, the red blood cells become rigid and shaped like crescent moons or sickles. (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 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). and the abdomen is generally tender. 37 C PATIENT EDUCATION WHILE TAKING THIS MEDICATION 2) Inspect abdomen for size and shape. and pain management. I do about 40 minutes of it five times a week. Hypertension and tachycardia are often associated with acute pain. 7:11 You asked the parent: Has she been travelling recently? 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 .
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