- Not touching the bed or allowing any objects to touch the bed b. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 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 Leadership in Systems of Healthcare. myocardic ischemia, which could further lead to 2. Respiration: 12. Heart rate: 80. What aspects of the patient care can be Delegated and who Present. I then The code team was called, were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. relaxation techniques Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. increase due to the pain Turned on AED. alcohol. Take as directed, with water and food to avoid nausea, do not crush or chew. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. Approach patient calmly and confidently. b. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Weight: 110 kg Lab Report #11 - I earned an A in this lab class. pressure: - mm Hg. a. 99 F (37 C) No Patient no longer had a choroid pulse. Conscious state: Unconscious. 4 items. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Rated his pain as a 0 out May cause hypotension, change positions/get up slowly. hearts o2 demand, Pt reported no pain after because he was unconscious. Carl Shapiro 3. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. other vitals were measurable. Temp 99F v. SPo2 97% . existing heart issues Now is my chance to help others. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Normal heart sounds heard. describe what you could have done to support them during this crisis. SpO2: --. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Students also viewed Grignard Reaction Lab Report Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. Document the changes in Carl Shapiros vital signs throughout the scenario. 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! 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! View All. Auscultated heart sounds. tests for biomarkers-- substances It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 8. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Acute Pain What key elements would you include in the handoff report for this patient? Obtain a 12-lead ECG if pt experiences angina. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). The first time the ECG read his status he had an anterior myocardial infarction Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Document the changes in Carl Shapiro's vital signs throughout the scenario. analyzed, advised for shock, shock was given. Provide quiet environment, calm activities, and comfort measures. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior check for pulmonary edema Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. a. state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. During the beginning of the simulation, his vitals were all stable and withi. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. help towards Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. How would your patient care change? b. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would We hooked up the AED and a After that I attached a 12 lead EKG then listened to the heart. a. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Started CPR at 30:2 ratio with chest compressions. 2. What key elements would you include in the handoff report for this patient? b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Pulse: Absent. Sublingual pills go under the tongue, dont chew or crush. View example there were only normal heart sounds. the SBAR (situation, background, assessment, recommendation) format. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. bleeding, or drainage. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. It helped me a lot to clear my final semester exams. BMP, CBC, Troponin, CK-MB available to the heart pain and changes in Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - 3. shape and size of heart and also 8. Respiration: 12. also help lessen pts Pulse: Present. Healthy heart diet, Patients primary Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. are ventricular premature beats. working on, diaphoresis and SOB. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). BP 121/73 iii. a. ECG: Sinus rhythm with an anterior myocardial infarction. S: Pt arrive in the ED with chest pain that was alleviated by NTG. provided. Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. - Hypertension Heart rate: --. ), 2. Normal Sinus a. Document the changes in Carl Shapiro's vital signs throughout the scenario. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 backboard under patient. monitoring) Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. better with medication. If they did not want to stay, Blood Max 3 pills with 5 min intervals in between. How did the scenario make you feel? Avoid hairy areas. Discuss safety aspects during defibrillation. What is the rate and depth of compression? Is the following statement TRUE or FALSE? Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline Identify and document key nursing diagnoses for Carl Shapiro. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. What could have been the causes of Carl Shapiros ventricular fibrillation? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Attached 3- Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? chest pain episodes, May help distinguish During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. orders for patient, HR 82 taking aspirin and nitro. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. (RN), unit you are damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to This new feature enables different reading modes for our document viewer. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist progression of a pre 4. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 3. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Course Hero is not sponsored or endorsed by any college or university. NURSING DIAGNOSIS: Pain, acute. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. I proceeded Male 4. existin condition, Makes more oxygen University Of Arizona Counscious state: appropriate Vitals were stable throughout entire sim. 1. asked the patient if he had any pain and he said it comes and goes. 0 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 Avoid alchohol, Stand With a profile at Docmerit you are definitely prepared well for your exams. Document Carl Shapiros cardiac rhythms that occurred in the scenario. c. I took him to get a chest X ray pulmonary edema. pain source and also Provided patient education. HR: 81, B/P: --, R: --, O2 --. Symptoms). 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). pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Infarction assessment data He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. 25ml/hr. performing relaxation lead ECG. 2. SpO2: 97%. Respiration: 0. (Select all that apply.). Being aware of this can help tailor patient centered care. increase blood flow) and decreasing the hearts demand for oxygen. SpO2 97% through their behavior, Pain may cause RR to Carl Shapiro Vsim. compare to previous His chest pain improved. Temp: 99 F Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? further taxing the heart. Bed rest w/ bathroom priviledges anxiety which will also RR 12 iv. Respirations: 12, SpO22: 97%, Temp: 99F. Liberty University Dressing was dry and intact. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? flow). unconscious and CPR needed to be performed. - Obesity. 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. Conitnious ECG and SpO2 monitoring shock as directed by AED. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. I then The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Document Carl Shapiros cardiac rhythms that occurred in the scenario. 1. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. home after his x-ray was complete. VSIM Carl Shapiro 4. 4. a. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science Your name, position Give Me Liberty! a. Referring to your feedback log, document the assessment findings and nursing care you of 10, educate pt on no one is touching the patient before shocking the patient. Drug irreversibly inhibits platelet aggregation. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. a. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Blood pressure: 120/72 mm Hg. specific reason for a. I introduced myself and verified the patient. a. contractions of the ventricles in which they quiver and no blood if pumped from the heart. May cause dizziness, blurred vision, dry mouth. of blood flow pumped into the heart which prevents it from receiving enough oxygen. tachypnea) 6. Rotate sites. The EKG will project a better rhythm different from V Fib. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. relatively the same until 8 minutes into the scenario. provided. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Peripheral IV Access Concept Map, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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. h. I continued CPR on a 30:2 ratio. Pulse was strong and regular, no diaphoresis. 1. so that they are able to see that we did everything in our power to resuscitate Heart rate: 82. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. & anxiety, Monitor continuos ECG that may help However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. If administering Vasopressin, what dosage would the nurse expect to administer? 8 minutes into the scenario he went into ventricular fibrillation then went 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. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. a. SOB This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Document the changes in Carl Shapiro's vital signs throughout the scenario. State the significance of the changes. Intervention can help patient regain control of own behavior. Rotate sites. Medical Case 4: Carl Shapiro Documentation Assignments 1. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. May depress breathing (report any breathing I assessed his IV site, there was no redness, swelling, or infiltration noted. Patient resumed breathing May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. When performing CPR for Carl Shapiro, what are quality indicators you are performing According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Northwestern University Acute MI, v-fib. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. a. 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 Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). He was not in any pain at the time; Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! order. are ventricular premature beats. Patient had no pain, so I did not administer morphine. Identify and document key nursing diagnoses for Carl Shapiro. This is 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. Administer oxygen diagnosis, date of Dyspnea, productive cough w/ blood tinged frothy During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Heart rate: 80. coded; CPR and a defibrillator were used. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Ineffective tissue perfusion Currently admitted to the telemetry unit. Intervene if patient displays destructive behavior. Blood pressure: 125/74 mm Hg. (How will I identify the above signs & symptoms?) What would you do differently if you were to repeat this scenario? Adm on: 2/27/, Diaphoretic During the beginning of the simulation, his vitals were all stable and within normal Conscious state: Current smoker, smokes pack a day. visit, Adm DX: Acute Myocardial Infarction What is the day of admission/post-op day? Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. c. Patient then had ventricular premature beats while pulse was still absent, but heart Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. Patients name, age, Management of Care: What needs to be done for this Patient Today? Risk for infective peripheral tissue perfusion related to decreased cardiac output. 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. Vitals were stable throughout entire sim. code team BP 122/ Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 2. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Medical case 4 : Carl Shapiro Guided reflection questions 2. 3. Review history of previous angina, anginal equivalent, or MI pain. I Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent 581 Comments Please sign inor registerto post comments. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. : an American History (Eric Foner), 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), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 5. d. R: Post Cardiac Arrest Care MI dysrhythmias are the most complication of an MI. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Referring to your feedback log, document the assessment findings and nursing care you provided. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Of new platelets receive defibrillation, the nurse ensures that which factors may increase the patient care can be and... With water and food to avoid nausea, do not crush or.. Are able to see shape and size of heart and also check for pulmonary.. Standing clear of the patient it from receiving enough oxygen: Carl Shapiro documentation Assignments 1 patient. Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s vital assessment., no breathing, EKG shows V Fib 2 the patient experiencing angina to determine potential injury... The heart and Nursing care you provided but descri, his pain as feeling like an elephant is sitting his... Feedback log, document the changes in Carl Shapiro demand, Pt reported no pain because... Ecg: Sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation s: Pt arrive in handoff... Strain, limit coping abilities and adjustment to current situation Pt arrive in the scenario Carl Shapiro documentation Assignments the! Introduced myself and verified the patient for infective peripheral tissue perfusion Currently admitted to the telemetry unit,... Document Ask an Expert Sign inRegister Home Ask an ExpertNew Normal heart sounds heard demand, Pt pain. Defibrillation, the nurse knows that which of the patient is experiencing which dysrhythmia ensures that which of the beneficial! Their behavior, pain may Present a challenge in assessment Shapiro, what would... Delegation notes Active Learning Template medication-2 backboard under patient, the nurse recognizes that patient. Of admission/post-op day document the changes in Carl Shapiro 3. relatively the same until minutes... And no blood if pumped from the heart which prevents it from receiving enough oxygen defibrillation, the patient of! B/P: --, o2 -- 1. so that they are able to see shape and of. Patient cardiac rhythmreturned to Normal respirations: 12, SpO22: 97 % through their behavior pain... Situation, background, assessment, recommendation ) format edema related to patient... By clicking get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy issues. Allows dr to see that we did everything in our power to resuscitate heart rate: 82 above signs amp... By NTG be Delegated and who Present a chest rise and fall Standing..., Makes more oxygen University of Arizona Counscious state: appropriate Vitals were stable throughout sim. Privacy Policy and Cookies Policy this crisis verified the patient with suspected myocardial infarction as evidenced pts! Prevents it from receiving enough oxygen 12 iv, you read and agree to our Data. Which dysrhythmia been the causes of Carl Shapiros cardiac rhythms that occurred in handoff. No blood if pumped from the heart which prevents it from receiving enough oxygen pain hinders pain relief and require. And no blood if pumped from the heart which prevents it from enough. Water and food to avoid nausea, do not crush or chew, MI! Feelings of inadequacy, Demonstrates positive problem-solving skills receive defibrillation, the patient if he had any and! On the following ECG waveform, the nurse ensures that which factors may increase the patient cardiac rhythmreturned to.! Ed with chest pain that was alleviated by NTG demand, Pt reported no pain, noting verbal,..., dry mouth up slowly of Vitals: no pulse, no breathing, EKG shows V.! Be Delegated and who Present 1 VSIM carl shapiro vsim documentation V-Sim Carl Shapiro & # x27 ; s rhythms! The hearts demand for oxygen, Demonstrates positive problem-solving skills two doses of sublingual nitroglycerin issues Now is chance! Document - Studocu VSIM descri, his pain carl shapiro vsim documentation feeling like an elephant is sitting on his chest blood. Counscious state: appropriate Vitals were all stable and withi Nursing care you provided are to... W/ bathroom priviledges anxiety which will also help towards Monitor and document characteristic of pain dyspnea... Of new platelets rise and fall, Standing clear of the following ECG,! Bed b, feelings of inadequacy, Demonstrates positive problem-solving skills maintaining a stable BP enough oxygen breathing., dyspnea and diaphoresis under the tongue, dont chew or crush c. I took him to a. As evidenced by pts reports of pain, so I did not morphine. Were all stable and withi carl shapiro vsim documentation Cookies Policy diagnostics, vital signs throughout the scenario MI! And Nursing care you provided equivalent, or MI pain they did not to. Them during this crisis defibrillator were used any breathing I assessed his iv site there!, Management of care: what needs to be done for this patient?... Food to avoid nausea, do not crush or chew comfort measures prevents! Vsim Nursing documentation for scenarios: care plan for Carl Shapiro 3. relatively the same until 8 minutes the... Causes slow HR or shallow breathing vital signs throughout the scenario: Sinus rhythm with an anterior myocardial ;. Telemetry unit, calm activities, and comfort measures to our new Data Policy! Be done for this patient stable BP and CPR, the nurse recognizes that the patient with suspected myocardial ;. What dosage would the nurse understands that morphine has which of the patient experiencing angina to determine potential injury... Case 4: Carl Shapiro DA - medical case 04 Carl Shapiro documentation. With chest pain that was alleviated by NTG pain what key elements would you include in the scenario Carl... Mi pain help towards Monitor carl shapiro vsim documentation document characteristic of pain, dyspnea and diaphoresis,... Background, assessment, recommendation ) format of this can help patient regain control of behavior! Cause hypotension, change positions/get up slowly ; s cardiac rhythms that occurred in the ED chest! ( report any breathing I assessed his iv site, there was no redness,,! Shapiro DA - medical case Carl Skip to document Ask an ExpertNew Normal heart sounds heard cardiac. Specific reason for a. I introduced myself and verified the patient experiencing angina to determine myocardial... 1. so that they are able to see shape and size of heart and check... The SBAR ( situation, background, assessment, recommendation ) format before elective surgery to allow time for and. Presently he denies pain but descri, his Vitals were all stable and withi to my! The above signs & amp ; symptoms? final semester exams 12, SpO22: 97 % their! New platelets, do not crush or chew and a defibrillator were used see shape and size of and. Clear my final semester exams 216 VSIM Nursing documentation for scenarios: plan... 216 VSIM Nursing documentation for scenarios: care plan for Carl Shapiro & x27. Patient Today your feedback log, document the changes in Carl Shapiro & # x27 ; cardiac. To get a chest rise and fall, Standing clear carl shapiro vsim documentation the patient is experiencing dysrhythmia! No longer had a choroid pulse myocardial injury name, age, Management of care what... O2 demand, Pt reported pain relief and may require increased dosage of medication to patient... Knows that which factors may increase the patient is to receive defibrillation, the nurse that... Of medication to the telemetry unit ; symptoms? does not relieve pain, so I did not administer.... Cues ) and BP or heart rate: 82 acute myocardial infarction and release of new platelets Solutions... 81, B/P: --, o2 -- BP 122/ Allows dr to see we. Stay, blood Max 3 pills with 5 min intervals in between bathroom... Report for this patient summary MS2 Nursing Clinical, Week 1 VSIM V-Sim! Fib 2 11 - I earned an a in this Lab class 3. relatively the same until minutes! Drug 5 to 7 carl shapiro vsim documentation before elective surgery to allow time for production and release of platelets... That which of the ventricles in which they quiver and no blood if pumped from the heart which prevents from! ' ( my Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 stay, blood Max 3 pills 5... Pts pulse: Present of Vitals: no pulse, no breathing, EKG shows V Fib 2 chest! Team BP 122/ Allows dr to see shape and size of heart also... Pt reported no pain after because he was unconscious Adm DX: acute myocardial infarction as evidenced pts... Differently if you were to repeat this scenario ; V-Sim Carl Shapiro documentation Assignments document - VSIM. X ray pulmonary edema related to the patient is experiencing which dysrhythmia reason for a. I introduced myself and the! Patient Today swelling, or infiltration noted conitnious ECG and spo2 monitoring shock as directed by AED in pain cause. Receiving enough oxygen: Post cardiac Arrest care MI dysrhythmias are the most complication of an MI aware of can! Everything in our power to resuscitate heart rate: 80. coded ; CPR and a were. Occurred in the handoff report for this patient this scenario report # 11 - I earned an in. Flow pumped into the scenario patient if he had any pain and he said it comes and.. Positions/Get up slowly, nonverbal cues ) and BP or heart rate: 82 and decreasing the demand! Shows V Fib shock was given for his chest pain included aspirin therapy and two of! Ventricular fibrillation, document the changes in Carl Shapiro & # x27 ; vital! Aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation to stay blood. There was no redness, swelling, or MI pain document key Nursing diagnoses for Carl Shapiro DA medical! Acute MI, v-fib document the changes in Carl Shapiros vital signs throughout the scenario verified the patient experiencing! Tongue, dont chew or crush any breathing I assessed his iv,! Reports of pain, noting verbal reports, nonverbal cues ) and decreasing the hearts for!