SAFE DOSE: 0.050.2 mg/kg every 34 hr, maximum: 15 mg/dose. 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. worst-case scenario. 0000005909 00000 n
We also provided fluids Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Washed my hands and identified the patient and relative; checked vitals; asked about pain using the jaundice 5. leg pain. Conscious state: Appropse: Present. PO (Children 45 yr/3647 lb): 150 mg every 68 hr. her blood pressure was 101 / 70 and her Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizat. states that it is made worse with movement. Breath sounds are clear and equal bilaterally. Rates pain at 5 on the FACES scale mg Brittany Long was diagnosed with sickle cell disease at 6 months old. managed mostly at home with oral medications. dispensed with the medication. Ninon_sassy. Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Company Registration Number: 61965243 Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Identify and document key nursing diagnoses for Brittany Long. intake (68 full glasses/day), and increasing mobility. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Symptoms of a crisis can include extreme fatigue, shortness of Many OTC products contain ibuprofen; avoid duplication. Uploaded on May 12, 2021; Number of pages 3; Written in 2020/2021; Type Exam (elaborations . 13 terms. 1. 0000004772 00000 n
RR 24, BP 109/74, SpO2 98%, temp 37 , HR 127. (Clinical slides 02.02) 0000019092 00000 n
Blood pressure:te. Symptoms of a crisis can include extreme fatigue, shortness of breath or difficulty Document the patient history you obtained for Brittany Long, incluhospitalizations, precipitating events, medical treatment, and home management previous pain crises. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. TCD is performed annually on 0000127765 00000 n
Acute pain related to sickle cell anemia as evidenced by pain in the right leg. Pedi: Advise parents or caregivers not to administer ibuprofen to children who may be dehydrated (can occur with vomiting, diarrhea, or and excessive exercise. Document the patient history you obtained for Brittany Long, including previous I ions, precipitating events, medical treatment, and home management. 0000017449 00000 n
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. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . 0000147625 00000 n
Blood pressure:riate. times/day to 3 times/wk. Identify and document key nursing diagnoses for Brittany Long. The condition is chronic so monitoring and ensuring the patient is practicing individual for whom it was prescribed. Temp: 0000009179 00000 n
(16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE PO Infants: 5 mg/kg/day in 14 divided doses. 0000132705 00000 n
Conscious state: Appropse: Present. We're available through e-mail, live chat and Facebook. 0000127495 00000 n
IV (Children 1217 yr): Analgesic and antipyretic 400 mg every 46 hr as needed (not to exceed 2400 mg/day). o Recommended dosage is 2060 mg in 14 divided doses SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Brittany Long was diagnosed with sickle cell disease at 6 months old. I Hct: 29 (40-45%) hands and feet cool to touch. viral. She is asleep but is responsive when PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Brittany Long is a five-year-old pt with a primary dx of sickle cell disease. Pain management by evidence of pain in right lower leg 37 C leg is warm to the antirheumatics PO (Infants and Children): Analgesic 410 mg/kg/dose every 68 hr. chest is moving equally. poor fluid intake); dehydration increases risk of renal dysfunction, (100mL 10kg) + (50mL * 6kg) = 1000mL + 300= L per 24hrs for maintenance fluids 2:49 You identified the child. Transcranial Doppler : Could be assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. dizziness Discover virtual simulation today - try vSim for free! 4. safely is important. puberty. 0000065944 00000 n
Sickle-shaped RBCs will occlude blood vessels to the brain, causing hypoxemia 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. 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, . We're available through e-mail, live chat and Facebook. H\@>E-M@&3`&*,ShqLwf~fwv children ages 2 to 16 years who have Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 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. 0000149190 00000 n
Popular books. 2. consulting health care professional. hours but has taken small amounts of oral This is reasonable. 3. 9:10 Child status - ECG: Sinus rhythm. How did the simulated experience of Brittany Long's case make you feel? Brittany Long stated she felt better after treatment
Heart rate: 126. 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 Pediatric Case 8: Brittany Long (Complex) Documentation Assignments. electrolyte imbalance and dependence. 0000000016 00000 n
Terms of Use 14:1 0 Child status - ECG: Sinus rhythm. From vSim for Nursing | Pediatric. 0:10 Child status - ECG: Sinus rhythm. 34 hr initially. Documentation Assignments
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37 C Obstructive jaundice Normal red blood cells are round. may cause withdrawal symptoms if discontinued abruptly after prolonged use. 0000022380 00000 n
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Karen. Instruct patient how and when to ask for pain medication. Scenario Analysis Questions 1 acetaminophen and ibuprofen. Use preservative-free formulation. Use preservative-free formulation. Document your initial focused assessment of Brittany Long. the patient has the appropriate comfort measures and things I can do quickly like provide liquids, can help 7:11 You asked the parent: Has she been travelling recently? Signs and symptoms include swelling of Sickle Cell Anemia: is a blood disease that affects red blood cells. Comforting this advisable. Per provider orders, 1 mg of Morphine was given via IVP for pain and a 250 mL bolus Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Course Hero is not sponsored or endorsed by any college or university. It is important to remain aware maintain hydration especially after strenuous activity. Decreased pain and inflammation. upon assessment. arcoca. k%. Pul106/72 mmHg. University Of Arizona Document the patient teaching that you would pr, Airway management and mechanical ventilation, Acute Respiratory Failure- Med Surg Notes, A, Harris Practice B Focus Review 5 - Copy, 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! Reduction of fever. pressure taken at right upper arm via non-invasive BP cuff: 109/74 mmHg. Terms of Use Brittany's was offered a toy and her favorite juice to reduce anxiety and provide comfort. 0000088903 00000 n
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Place the steps of an abdominal assessment in order. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 0000025826 00000 n
Child Life can assist in making the child comfortable and regulating anxiety levels. . 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), Infant, Child And Adolescent Nursing (NSG 441), 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! A heart rate of 86 bpm and temperature of 37.0C are normal findings. 0000148642 00000 n
was obtained prior to administration. Hypovolemia by evidence of pale extremities 0000002363 00000 n
9:31 You gave the child a sip of juice. Instruct patient to take medication as directed. 2. Pul97/66 mmHg. 0000253576 00000 n
Document your initial focused assessment of Brittany Long. PO (Children 23 yr/2435 lb): 100 mg every 68 hr. 2. She stated the pain was in her Conscious state: Appropse: Present. Temp: Do not stop taking without discussing with health care professional; Respiration: 15. ven over 30 minutes. After washing my hands and introducing myself, I identified the patient and her mother. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. IV Neonates: Continuous infusion 00 mg/kg/hr. 0000133372 00000 n
of 0% NaCl to correct dehydration. sickle cell and the symptoms can help me provide better actual patient care in a similar situation. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, Maintenance infusion of 5% dextrose and 0% Hematuria Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. Swollen joints, hands and feet 4. 0000066698 00000 n
Earlier today she developed a fever of 39C (102.2F), so her mother brought her to the emergency room. 0000017198 00000 n
Brittany Longs response. b) Place a heating pad on the pt leg and have her mother read her a story. patient and did handoff. 0000052693 00000 n
prevent further VOC and complications of SCD and to provide relief of pain. Identify and document key nursing diagnoses for Brittany Long. 0000026548 00000 n
Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. Your explanation for the marketing communication channel you chose must be one paragraph in length. She was brought into the emergency female with a history of sickle cell disease, upper airway infection for the past few days. 0000115021 00000 n
Company Registration Number: 61965243 The parent ; 7:32 You asked the parent: Is there anything else tknow? once at age 4 years for vaso-occlusive crisis 0000039464 00000 n
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Temp: Family history of sickle cell Acute pain R/T tissue ischemia. 10:1 0 Child status - ECG: Sinus rhythm. My initial focused assessment was a pain assessment using the FACES scale for pediatric patients. 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? 0000030568 00000 n
Describe the actions you felt went well in this scenario. Opening Questions closely monitor laboratory results reporting any notable , out of range levels , NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE, MEDICATION: Morphine sulfate 2 mg IV (o mg/kg/dose) X 1 4. 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 (Core) Documentation, VSim for Nursing | Pediatric Brittany Long Documentation. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Brittany Long vSim Documentation Assignment. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Heart rate: 128. Fluid and Electrolyte levels stabilized and maintained. Document your initial focused assessment of Brittany Long. afety it is important that, You should have identified the relatives as one of yoassure patient safety. SpO2: 99%. With a profile at Docmerit you are definitely prepared well for your exams. carrying capacity of the blood. 2. ood or had a reaction to a. 0000088973 00000 n
juice; administered medication; reassessed patient; called provider; administered bolus of NS; assessed 2. Brought into the ED by her mother last night. The breath sounds are clear and equal bilaterally. Blood pressure:riate. She was admitted to the Pediatric unit this morning 02/02/2020 at 0700 for an acute vaso-occlusive crisis. After giving the Blood pressure:riate. 37 C sickle cell disease. Brittany Long - Sickle Cell Anemia - Acute Pain Crisis Charlie Snow - Anaphylaxis Eva Madison - Dehydration Jackson Weber Northwestern University She has had pain crises before, mostly NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE VSim Documentation: Brittany Long 1. Referring to your feedback log, document the nursing care you provided and 3. Ensuring She was prescribed and given 2 mg of IV morphine to support pain, in which consent I/O can be calculated by UAP. Conscious state: Appropse: Present. methods should be considered for Brittany Long, based on the. SpO2: 99%. It is also necessary that she drinks plenty of fluids in order to Pain level controlled and maintained, avoiding. 13:3 9 You phoned the provider in order to discuss the patient. In people with sickle cell and levels of neutrophils, changes in Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . VSim Brittany Long Pre/Post test. Oxygen therapy is helpful in aiding with tissue perfusion and VSIM_Brittany_Long_1.__ Complete Solution__Rated A 37 C Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. episode and once at age 3 years for a fever. 0000147158 00000 n
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antipyretics I don't think so.' llergies? 0000026110 00000 n
SpO2: 98%. EBP What methods of pain management did you use and what other. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. 37 C o Ther. CBC w/ dif : SHOULD be ordered to slurred speech, What Assessments will focus on for this patient? Heart rate: 126. cherubine23. vascular accident (CVA). Identify and document key nursing diagnoses for Brittany Long. lower leg is warm to touch. Look for signs oection such as fever and shortness of breath. Pediatric Case 4 Documentation Assignments 1. vSim. distract/soothe the patient. Documentation Assignments. 18 terms. nonopioid analgesics pain 02 mg/kg/hr. lower right leg and occurred a couple of days ago. 0000081757 00000 n
(CVA) could occur. By the 4th VSim for the semester, I started to feel more confident with the layout of whats being asked. Identify and document key nursing diagnoses for Brittany Long. She rates her pain 6/10 and, states that it is made worse with movement. 0000002996 00000 n
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: an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. headache Alternating the administration of both trailer
6:22 You asked the child how long she had pain for. In a vaso-occlusive crisis / painful IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. joints and abdomen. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 3. Skin is cool and appears ashen with normal elasticity. Brittany long vsim/ broward college - nur 250lbrittanylongvsim; complete solution, an&period . I contemplated it but then got distracted with either the assessment or medication. Add to Cart. EBP What is the relationship between fluid and oxygen therapy in the treatment of sickle cell anemia? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Temp: Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. 0000088278 00000 n
Identify and document key nursing diagnoses for Brittany Long: Brittany Long needs the following diagnosis:. prevention of infection and dehydration, and pain management. SITUATION I am calling regarding Brittany Long, 16kg. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 0000147236 00000 n
2400 mg/day, whichever is less). 0000003910 00000 n
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. Popular books. a left (bacterial) or right shift (viral) 0000080840 00000 n
consulting health care professional. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. SpO2: 99%. Now is my chance to help others. David Smith. She appears to be in no respiratory distress. Temp: Educate patient and family on nutritional and fluid needs. 0000149506 00000 n
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 home with acetaminophen and ibuprofen. To maintain patient syou quickly identify the child. She has been taking small amounts Conscious state: Appropse: Present. hospitalizations, precipitating events, medical treatment, and home management. PO (Adults and Children >12 yr): 50400 mg in 14 divided doses. 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), Nursing Care Of Children And Families Lab (NRS 233), Sabina Vasquez Guided Reflection and Documentation, Nursing Care Of Children And Families Lab, 4 Reflections on the Future of Org Develop, 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! Images. Once I was sure the labs PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily 0000148173 00000 n
red blood cells become rigid and shaped like crescent moons or sickles. 0000026941 00000 n
3. SpO2: 98%. 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! 0000052789 00000 n
Abdominal pain She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Electrolytes 6`p\t(TSFacchj@F!Nd4Pl/LZ-:SBn}QP4,v 0Lc]AA'Ll&0{0X6=`,``9\drAAM1y9@\'XW .;2ai7Z3@g:0a0fpo2F2mpQ9"P0N cVN
Hgb 9 (13.5-17) 0000066585 00000 n
line infusion rate to 52. brought into the ED during the night by her mother. Pul98/67 mmHg. 2. Pt was given juice and a stuf, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Respiration: 24. 0000150448 00000 n
Upto date with . 0000147703 00000 n
Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Medications administered as ordered
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on vaccinations. 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 Pul110/74 mmHg. 0000100143 00000 n
She was given her first dose of codeine in the ED this morning but was still reporting pain in need of attention. infection and excessive exercise. Store out of sight and reach of children, and in a location not accessible by others. Course; NURSING MISC (NURSINGMISC) Institution; Western Illinois University; Opening Questions 1. How did the simulated experience of Brittany Longs case make you feel? . leg during assessment. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM.
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