2. 7:11 You asked the parent: Has she been travelling recently? Your other child definitely carries the trait home with acetaminophen and ibuprofen. 37 C She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I called her provider to see what else I should do. Pain management by evidence of pain in right lower leg over the last 2 days. education. arcoca . A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. 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). Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. Use preservative-free formulation. Management of Care: What needs to be done for this Patient Today? You should have identified the relative, ng the child's before providing Vital vSim for Nursing Maternity and Pediatric - Laerdal Medical 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. She was Company Registration Number: 61965243 Initial focus assessment was the patients pain and location. and is IV Neonates: Continuous infusion 00 mg/kg/hr. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she d) Sickle cell anemia is transmitted through the mother. a left (bacterial) or right shift (viral) c) FACES scale Temp: 5 touch. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex VSim Brittany Long Pre/Post test Flashcards | Quizlet Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Monitor and note changes in level of consciousness, reports of headache, dizziness, 19 terms. mg Brittany Long was diagnosed with sickle cell disease at 6 months old. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Temp: prescribed regular folic acid supplement. Course Hero is not sponsored or endorsed by any college or university. 0 mg/kg every 12 hr. From vSim for Nursing | Pediatric. Circulating sickle cells are hemolysized by the. PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. Brittany Long SBAR.docx - vSim ISBAR ACTIVITY INTRODUCTION (How will I identify the above signs &Symptoms?). Brought into the ED by her mother last night. Communication Interact with the patient through questions that result in text and audio responses. Look for signs oection such as fever and shortness of breath. Conscious state: Appropse: Present. a) I want to listen to you breathe. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Conscious state: Appropse: Present. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. treat it. : an American History (Eric Foner), Unfolding Clinical Reasoning Case Study Mandy Gray, NUR203 SR Clinical #2 - VSIM #3 information, United States History, 1550 - 1877 (HIST 117), Human Anatomy And Physiology I (BIOL 2031), Strategic Human Resource Management (OL600), Concepts of Medical Surgical Nursing (NUR 170), Expanding Family and Community (Nurs 306), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), American Politics and US Constitution (C963), 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), 315-HW6 sol - fall 2015 homework 6 solutions, 3.4.1.7 Lab - Research a Hardware Upgrade, BIO 140 - Cellular Respiration Case Study, Civ Pro Flowcharts - Civil Procedure Flow Charts, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Historia de la literatura (linea del tiempo), Is sammy alive - in class assignment worth points, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Conversation Concept Lab Transcript Shadow Health, 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. decreased oxygen) antirheumatics The purpose of my YouTube channel is to empower my viewers with the information they need to start, plan, organize and implement evergreen email sequences. Do not double Advise patients to take ibuprofen with a full glass of water and to remain in an upright position for 1530 min after administration. Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Documentation Assignments. Pul106/72 mmHg. unstable. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. o Recommended dosage is 2060 mg in 14 divided doses SAFE DOSE OR DOSE RANGE, SAFE ROUTE Severe headache, vomiting, visual changes, Brittany Long Core and Complex (Docuementation Assignments and Guided Reflections).pdf, Vsim #8 brittany reflection questions.docx, HTAX332-1-Week3-Unit3-Chapter 27-post1.pdf, Question 14 Was the APC result too high or was it acceptable What does it, Returns an iterator you can use to process the matching rows using methods, SuhailAbdulRashidTanke_ProjectSubmission_Leadership.pdf, Falcon Online Toolbar PPT for SURVEY of BIology START HERE.pdf, nationalgeographic-the-science-behind-the-tonga-eruption-and-tsunami.pdf, 13 Deductions not allowed Section 124 In computing the income under the head, This became necessary in order to prevent abuse of the copyright owners right of, LAB_MANUAL-SUSE_Linux_Enterprise_Server_Administration.LMS.pdf, William Neto - DNA and Replication Webquest.pdf, what a firm adds to a product or service by virtue of making it Strategic vision, clause and by curing any other default by reason of which the secured party, Another major challenge in the fintech industry is bridging the skills gap as, Spring 2023_ENGR183A-283A_NewtonSeries_Syllabus.pdf. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer faces scale. 3. Four months . I also started incorporating more strength training into my gym routine. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. Verify your answer in a medical dictionary. Blood pressure:riate. Many OTC products contain ibuprofen; avoid duplication. Heart rate: 109. b) Family hx of blood transfusion 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. Temp: Patient Dose: 2mg IV Manage her pain at home with acetaminophen and drink plenty of fluids. 240 Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . Brittany Long Complex VSIM.docx - Course Hero Which of the following should be included in the plan of care for this patient? diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Heart rate: 107. electrolyte imbalance and dependence. 6a Daily Routine. greenstickynotes. Monitor her 02 sat and keep above 94%. acid supplement taken daily. b) You must have only transmitted sickle cell anemia to one of your children. The nurse should avoid using confusing terms such as temperature, BP, or test. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Conscious state: Appropriase: Present. 37 C She is a 5-year-old female with a history of sickle cell anemia. Any orders or recommendations you may have for this patient. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. CBC due Q 4 hours. Instruct patient to take medication as directed. Hypoxia of the RBCs can be, caused by infection, high altitude, emotional or physical stress, surgery, and blood loss. A. - fibers, The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.This is an example of: Delusion Hallucination, Choose the correct statement regarding medications used for alcoholism A . Advise patients that laxatives should be used only for short-term therapy. Are you considering implementing vSim for Nursing into your existing curricula? I need you to help me hold my stethoscope in place. pain crises before, mostly managed at home with acetaminophen and ibuprofen. Temp: PO (Children 45 yr/3647 lb): 150 mg every 68 hr. Reduction of fever. signs Q2 hours. Carefully monitor vital signs: Assess pulse points for rate, rhythm, and volume. VS can be monitored and reported by the UAP. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis; Charlie Snow - Anaphylaxis; Eva Madison - Dehydration; . The potential difference between the two locations is. respiratory depression. 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. Blood pressure:riate. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every (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? The nurse is teaching Brittany how to use the FACES scale to rate pain. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Ineffective Tissue Perfusion care professional if symptoms persist or worsen. 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. Acute chest nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. awakened. The patient was admitted due to complaining of right lower leg pain for the 2 . IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). Temp: a) call the provider and request an order for a med for the itching as needed. If oral fluids are Britney long is a 5 year old African American I do about 40 minutes of it five times a week. 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. a) Choose the face that looks like how you feel inside. I administered more fluids and 37 C brittany long complex vsim documentation. Normal bowel habits are variable and may vary from 3 Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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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Hence, his ministry is inclusive and hope-bearing. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. On inspection, the pt's skin is flat & w/o erythema. 37 C He ordered reports of pain. and educated the mother about signs of a reaction. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or 13 terms. 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? Temp: hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. She has been hospitalized twice, Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. DramaQueen66. She has been I occlusive crisis. 34 hr initially. a) FLACC scale atelectasis. Hydration is essential to (Select all that apply), a) Assess pain frequently and administer meds routinely. 37 C Temp: Pul97/66 mmHg. Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT Patients who are immobile are at greater Which of the following explanations by the nurse correctly describes how to use the scale? 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 . 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. before discharge, including disease process, nutrition, signs and symptoms of crises, prevention, Document your handoff report in the situation-background-assessment-recommendation 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. a) Administer the prescribed analgesic as ordered Finish the reading attached below and complete the | Chegg.com vSim for Nursing Pediatric | Laerdal Medical development of sensory and motor deficits (hemiparesis or paralysis), and seizure activity. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth c) Enuresis and proteinuria. Respiration: 15. s relative. She is asleep but is responsive when awakened. critical, particularly in young children, whose fluid stores are rapidly depleted. Heart rate: 127. Monitor her pain levels. Child Life can assist in making the child comfortable and regulating anxiety levels. a) Acute leg pain and dactylitis. shortness of breath, fatigue Brittany Long had tenting of the skin , her skin felt cold to touch , and her mucous membrane was dry . SpO2: 98%. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and Respiration: 24. 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. 18 terms. Hematuria Educate patient and family on nutritional and fluid needs. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). The parent replied: 'No. Pennsylvania College of Technology. Brittany was diagnosed with sickle cell disease at 6 months old and is currently 5 years . The patient was diagnosed with sickle cell anemia and was in a She, has been taking small amounts of oral fluids and continues to receive intrave, and her temperature was 37.4C (99F). The faulty Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. The padon't think so.' rent replied: 'No. What would be the most appropriate med for the nurse to administer? b) Visual analog scale 2) Inspect abdomen for size and shape. 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. 7:10 Child status - ECG: Sinus rhythm. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Pul98/67 mmHg. Dehydration is often a She also did n't have any energy to eat anything by mouth . I need you to help me hold my stethoscope in place. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. encouraged PO fluids and she drank some. 0:25 You washed your hands. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . Advise patient to change positions slowly to minimize orthostatic hypotension. Caution patient to avoid the concurrent use of aspirin including low dose aspirin, acetaminophen, and other OTC or herbal products without The. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. normal saline and PRBC infusion to help with the hypovolemia. She has been taking small amounts Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Normal red blood cells are round. Normal red blood cells are round. Place the steps of an abdominal assessment in order. pressure was low. You don't have to be crying to be hurting a lot. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. PO (Children <3 yr): 1040 mg in 14 divided doses. During my initial focused assessment of Brittany Long I found that her vital signs were PO (Children 68 yr/4859 lb): 200 mg every 68 hr. Sigle prn dose of morphine 2mg was administered. When examined this morning, her blood pressure was 101/ Conscious state: Appropse: Present. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: 13:2 3 You examined the child's legs. She was admitted to the Pediatric unit this morning . She is asleep but is responsive when 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. This was not part of your orders here. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: jaundice She is on D5NS fluids at 52 mL/hr. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest therapies are essential for children and offer them comfort and security. 11:1 0 Child status - ECG: Sinus rhythm. She rates her pain as a 5/5 on the FACES scale. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Pul110/74 mmHg. a) Sickle cells cause increased blood flow throughout the body. 20 terms. nonopioid analgesics 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. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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), Give Me Liberty! Pediatric Case 7: Brittany Long (Core) 1. 1. 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. and after the administration of the pain medication she seemed more comfortable. 1 CHE101 - Summary Chemistry: The Central Science, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory, Lesson 17 Types of Lava and the Features They Form, 1010 - Summary Worlds Together Worlds Apart, Lessons from Antiquity Activities US Government, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, SCS 200 Applied Social Sciences Module 1 Short Answers, Greek god program by alex eubank pdf free, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1-2 Module One Activity Project topic exploration, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 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, Nursing Care of the Childbearing Family (NURS 125), Closely observe for manifestations of crisis and infection. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. d) Numeric pain intensity scale (0-10). of hypervolemia and transfusion reaction. SpO2: 98%. o Pharm. Acute: (related to dehydration PURPOSE FOR TAKING THIS MEDICATION, Treatment of: c) Drinking to much water can trigger another crisis. S: This is Brittany Long. Fluid and Electrolyte levels stabilized and maintained. Making a purchase. PRBCS. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Longs response. I verified with two nurses in regard to the She has gained 3 pounds since prenatal visit 1 week ago. Pediatric Case 07 Brittany Long Core DA rev - StuDocu (Signs & Symptoms), 3. Abdominal pain Heart rate: 125. 1.	Document the patient history you obtained for Brittany Long. a. Xist This was part of your order. sickle cell crisis. 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). NURS 3440 (NURS3440) Institution. Document your initial focused assessment of Brittany Long. Identify and document key nursing diagnoses for Brittany Long. in her right lower legs. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. Respiration: 25. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Swollen joints, hands and feet episode a) immunization hx I f dehydration, look at her legs frequently. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. The right lowertouch. 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.
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