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Sarah is a 15 year old freshman in high school admitted to your unit in sickle cell crisis. Sarah explained that she started to develop pain in her left lower extremity early this week and got to the point where she couldn’t handle it anymore. Prior to the pain, Sarah explained how her softball team has been having daily practices leading up to the sectional tournament starting next week. She explained when she is not playing softball she is studying for her finals. She is worried about finals because she wants to make good grades so colleges will be interested in her. She plans to be a pharmacist and says how competitive the program is at Butler and needs to make good grades.
ROS: Sarah is a 15 year old African-American female admitted in sickle cell crisis. Mom at bedside. Weight: 38kg.
Neuro: Alert and oriented x4, speech clear and coherent, follows commands
Cardiac: Regular rhythm, HR 78, BP 108/72 automatic, non-invasive RUE, distal pulses palpable at 2+, D5 ½ NS running at 2x daily maintenance.
Pulmonary:Â Breath sounds clear bilaterally, RR 18, Pulse Ox 93% on room air
GI:Â Bowel sounds x4; soft, flat, non-distended, non-tender, last BM stated as yesterday
GU:Â No urine assessed at this time; last void in ER
Skin:Â warm, dry, normal for ethnicity with pink undertone
Pain:Â 9, LLE, described as throbbing / aching, last dose of Morphine given 2 hours prior in ER.
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Q5. The physician orders D5 1/2 NS to run at 2x daily maintenance requirements. Reminder: Sarah weighs 38 kg?
Q6. The MD prescribed Morphine 0.1 mg/kg IV push every 2 hrs as needed for severe pain. On the unit, there are 5 mg/ml vials available. How many mg will be administered? Do not round.
SCIENCE
HEALTH SCIENCE
NURSING
NURS H371
