carl shapiro vsim documentation
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Temp: 99 F (37 C) Pt was then Document Carl Shapiros cardiac rhythms that occurred in the scenario. What is the day of admission/post-op day? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. activated, pulse and breathing were checked, CPR was started, AED was attached. of 10, educate pt on The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Respiration: 0. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). Sublingual pills go under the tongue, dont chew or crush. and anxiety, thise will also Document the changes in Carl Shapiro's vital signs throughout the scenario. Heart rate: 82. MI dysrhythmias are the most complication of an MI. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. an anterior myocardial infarction. His chest pain improved. Medical Case 4: Carl Shapiro Documentation Assignments 1. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Identify and document key nursing diagnoses for Carl Shapiro. One of the most useful resource available is 24/7 access to study guides and notes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical Case #4. Risk for decreased cardiac output related to left ventricular failure : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. severity of the MI. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. order. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department), Recommendations: Continue to monitor cardiac functioning. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Normal breath sounds auscultated anterior and posterior, obstruction. monitoring) 1. a. 5. Assessed patients IV. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. called the provider for further orders. Blood pressure: 125/74 mm Hg. ), 2. 3. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. are ventricular premature beats. increase due to the pain relaxation techniques Securing Higher Grades Costing Your Pocket? NURSING DIAGNOSIS: Pain, acute. limits. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. ), - Clearing the bed at least twice prior to defibrillating a. diagnostics, vital Decreased Cardiac Output related to: changes in the frequency of heart rhythm. There will be a faint I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 4. I called the code team and started CPR. Respiration: 12. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. After CPR and resuscitation efforts his vital signs Pulse: Absent. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. which might help unconscious and CPR needed to be performed. HR: 81, B/P: --, R: --, O2 --. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Attached defibrillator pads. g. I cleared the patient before shocking provided. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. b. 5Liters, and code team was called. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? on his chest. He also said that the pain radiated down his right arm and felt a. Sublingual pills go under the tongue, dont chew or crush. Provides a sense of having some control over the situation, increase in positive attitude. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became VSIM Nursing documentation for scenarios : Care plan for C - 3. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. (Signs & Present. assessment data having seen the extent we went to help them out. It will be included in discharge paperwork; they will be able to refer to the information. Allergies: No known 2. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? analyzed, advised for shock, shock was given. Normal heart sounds heard. Management of Care: What needs to be done for this Patient or decrease pts I started continuous ECG monitoring to which I notices normal sinus rhythm on the a. (Select all that apply.). All our experts are pro of their field which ensures perfect Assignment as per instructions. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? breathing exercise can Heart rate: 80. b. Pulse: Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Conscious stat. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew a. Adm DX: Acute Myocardial provided. can do it? pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood c. I took him to get a chest X ray During the beginning of the simulation, his vitals were all stable and within normal V-Sim Carl Shapiro Documentation and Guided Reflection. cardiovascular hx and Take as directed, with water and food to avoid nausea, do not crush or chew. PT may experience chest pain, 7. 2. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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. d. I got a venous blood sample and sent it to lab NURSING DIAGNOSIS: Pain, acute. 7. If they did not want to stay, relatively the same until 8 minutes into the scenario. c. Get a 12 lead EKG Current smoker, smokes pack a day. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. verbalize their pain but shape and size of heart and also Oxygen to maintain SpO2 >92% Attached pulse oximeter to alcohol. What nursing or medical interventions may prevent the I Activated code team after patient developed DOB: 7/19/1966 (54y) Current pertinent Document the changes in Carl Shapiros vital signs throughout the scenario. Normal Sinus Respirations: 12, SpO22: 97%, Temp: 99F. Height: 175 cm Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 because he was unconscious. discomfort, jaw pain, left arm pain Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 10 Comments Please sign inor registerto post comments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 8. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Upon entering the room, I asked the patient about any pain he may have Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 better with medication. Temp: 99 F Actually, I felt like I knew what I was doing. Elevated HR & RR (tachycardia & Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Vitals were stable throughout entire sim. b. Deficient knowledge r/t patients condition AEB patient asking if he could go relieve discomfort, Nitroglycerin helps there were only normal heart sounds. Variation of appearance and behavior of patients in pain may present a challenge in assessment. 2. techniques like deep [Show more] Preview 1 out of 4 pages. BP, Pts may not specifically The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Heart rate: 80. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Patient no longer had a choroid pulse. Pt is now stable There was no redness, swelling, infiltration, ECG, Auscultate lungs (crackles), chest x-ray, assess Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Chest X-Ray- helps determine the Today? Auscultated heart sounds. your next interventions be? Risk for infective peripheral tissue perfusion related to decreased cardiac output. Respiration: 12. Ongoing, 2. to check the IV site which showed no redness or infiltration. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). experienced using the COLDSPA method. c. Patient then had ventricular premature beats while pulse was still absent, but heart I proceeded to take the patient to get an X-RAY. What aspects of the patient care can be Delegated and who Currently admitted to the telemetry unit. I then Case - Medical case 4 : carl shapiro guided reflection questions 2. tests for biomarkers-- substances pts response to pain View All. Blood pressure: 120/72 mm Hg. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Patient started breathing again and scenario ended. 1. Respiration: 6. Consider When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. other vitals were measurable. At this point his vital signs 1. Consider the SBAR (situation, background, assessment, recommendation) format. He stated he did not feel well to which his heart rate dropped to 0, and no performing relaxation Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. 3. a. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). - Hypertension Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. approach, pertinent SpO2: 98%. left forefinger to monitor saturation and pulse. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? Drug irreversibly inhibits platelet aggregation. Heart rate: --. I asked if he was experiencing any pain and he responded stating he had no pain. Blood pressure: chest pain episodes, May help distinguish . 5. 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Course Hero is not sponsored or endorsed by any college or university. May depress breathing (report any breathing You even benefit from summaries made a couple of years ago. Respiration: 0. 2. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! a. Make sure oxygenation is 94% or higher, place ET and confirm placement through their behavior, Pain may cause RR to BP 122/ Instructions: You are preparing to hand off report to the oncoming shift RN. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Document the changes in Carl Shapiros vital signs throughout the scenario. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. d. R: Post Cardiac Arrest Care University Of Arizona Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Later the 3 lead EKG showed ventricular fibrillation. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. What key elements would you include in the handoff report for this patient? 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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, Concepts Professional Nur Prac (NUR 313L). Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Background: Carl has a hx of HTN and takes BP medication at home. Continued Compressions. Northwestern University increase pts BP, Review pt alleviate discomfort, assist pt in If Carl Shapiros family members had been present at the bedside during the arrest, Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Acute Pain Maintain confident manner (without false reassurance). During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. What would you do differently if you were to repeat this scenario? By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. SpO2 97% Medical case 4 : Carl Shapiro Guided reflection questions 2. 8. Some risk factors are called modifiable, because you can do something about them. scenario. Transdermal patch- apply once a day in the morning. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Helpful in decreasing perception and response to pain. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Blood pressure: 125/74 mm Hg. Transdermal patch-apply once a day in the morning. ST elevation I identified the patient and asked about any existing allergies. RR 12 iv. Max 3 pills with 5 min intervals in between. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Placed Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Anna Maria. Identify and document key nursing diagnoses for Carl Shapiro. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. above alert or complications? : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! Delivered Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. (Select all that apply.). Code team was activated and CPR was started. I introduced myself and washed my hands. The dressing was loosened, and the height of the . e. When the patient stopped breathing, I checked his carotid pulse and called the
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carl shapiro vsim documentation