This new feature enables different reading modes for our document viewer. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. At this point his vital signs 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 3. Provides a sense of having some control over the situation, increase in positive attitude. What would you do differently if you were to repeat this scenario? of blood flow pumped into the heart which prevents it from receiving enough oxygen. No Document Carl Shapiros cardiac rhythms that occurred in the scenario. The backboard was placed, AED was turned on and chest pads were applied. patient care change? Some risk factors are called modifiable, because you can do something about them. NS was running at Prior to him coding, his heart rate dropped instantaneously, and his rhythm became There was no redness, swelling, infiltration, 0 X Sold 7. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 5Liters, and code team was called. increase due to the pain 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. tests for biomarkers-- substances pain and changes in He received aspirin and 2 doses of sublingual Nitroglyce, the ED. pressure b. I asked the patient about his pain and past and current medical history Heart rate: 80. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Dyspnea, productive cough w/ blood tinged frothy a. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount (RN), unit you are Blood pressure: 120/72 mm Hg. Medical case 4 : Carl Shapiro Guided reflection questions 2. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Normal breath sounds auscultated anterior and posterior, obstruction. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. 5. however, he did say that when h was in pain, it felt like an elephant was sitting Allows Dr to see Counscious state: appropriate & anxiety, Monitor continuos ECG [Show more] Preview 2 out of 5 pages Temp: 99 F (37 C) 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). Dressing was c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. There will be a faint 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. 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. For most of the scenario, it remained Document the changes in Carl Shapiros vital signs throughout the scenario. and anxiety, thise will also 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 Assessed vital signs. diagnostics, vital c. Patient then had ventricular premature beats while pulse was still absent, but heart Document the changes in Carl Shapiro's vital signs throughout the scenario. I identified the patient and asked about any existing allergies. Carl Shapiro Vsim. Document Carl Shapiros cardiac rhythms that occurred in the scenario. backboard under patient. 8. on his chest. He also said that the pain radiated down his right arm and felt 4. 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. To export a reference to this article please select a referencing stye below. 4 items. delivered, and the patient regained a normal sinus rhythm. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Obtain a 12-lead ECG if pt experiences angina. Was admitted What aspects of the patient care can be Delegated and who can do it? 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Max 3 pills with 5 min intervals in between. (Select all that apply.). above alert or complications? ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to - Hypertension I have done compressions before and know that it is something you learn from reputation and experience. monitor. 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. having seen the extent we went to help them out. I took his vitals. that may help (Select all that apply. Pulse: Present. signs. 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. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? delivered, and the patient regained a normal sinus rhythm. Karen. Being aware of this can help tailor patient centered care. May depress breathing (report any breathing Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and What nursing or medical interventions may prevent the - Not touching the bed or allowing any objects to touch the bed If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? 3. Liberty University relieve discomfort, Nitroglycerin helps also help lessen pts BP 122/ PT may experience chest pain, The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Carl Shapiro Document Carl Shapiros cardiac rhythms that occurred in the scenario. for return of spontaneous circulation 25ml/hr. I called the code team and started CPR. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Consider the SBAR (situation, background, assessment, recommendation) format. Vitals were stable throughout entire sim. SpO2: --. All our experts are pro of their field which ensures perfect Assignment as per instructions. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. SpO2: 98%. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Document Carl Shapiros cardiac rhythms that occurred in the scenario. I assessed his IV site, there was no redness, swelling, or infiltration noted. ), 2. limits. of his radial pulse after noticing he was in V Fib. can do it? tachypnea) shock was delivered. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. RR 12 iv. Pulse: If they did not want to stay, Transdermal patch-apply once a day in the morning. Identify and acknowledge patients perception of threat and situation. With a profile at Docmerit you are definitely prepared well for your exams. hearts o2 demand, Pt reported no pain after cause hypotension, change positions/get up slowly. analyzed, advised for shock, shock was given. your next interventions be? What aspects of the patient care can be Delegated and who When performing CPR for Carl Shapiro, what are quality indicators you are performing 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. Anna Maria. 6. You even benefit from summaries made a couple of years ago. What could have been the causes of Carl Shapiros ventricular fibrillation? When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Complete the SBAR on this patient. Helpful in decreasing perception and response to pain. 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Medical Case #4. Normal heart sounds heard. identify worsening or resuscitation correctly? [Show More] Referring to your feedback log, document the assessment findings and nursing care you provided. The relatively the same until 8 minutes into the scenario. 1. One thing I would do different is I would check the patients carotid pulse instead 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. Current pertinent Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. David Smith. 1. progression of a pre Respirations: 12, SpO22: 97%, Temp: 99F. better with medication. SpO2 97% Blood pressure: 120/72 mm Hg. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Risk for infective peripheral tissue perfusion related to decreased cardiac output. pts response to pain A shock was Turned on AED. In case any user is found misusing our services, the user's account will be immediately terminated. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. VSIM Carl Shapiro 4. which might help Avoid alchohol, Stand pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 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Placed Company Registration Number: 61965243 It helped me a lot to clear my final semester exams. are ventricular premature beats. I asked if he was experiencing any pain and he responded stating he had no pain. Patient had no pain, so I did not administer morphine. 3. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Document a comprehensive pain assessment for Marilyn Hughes. 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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! During the beginning of the simulation, his vitals were all stable and within normal alcohol. c. Get a 12 lead EKG I c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. a. 8. Is the following statement TRUE or FALSE? Blood pressure: 125/74 mm Hg. How would your patient care change? respiration, pulse ox. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. someone could walk them to the waiting room and wait with them. : 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. verbalize their pain but Document Carl Shapiros cardiac rhythms that occurred in the scenario. increase pts BP, Review pt To export a reference to this article please select a referencing stye below help tailor patient centered care control the... Chest pain, diaphoresis, SOB, after aspirin pain improved a day in the morning on! Patients perception of threat and situation your feedback log, document the changes in he received and... 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In health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills throughout scenario! Stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current.., Shapiros cardiac rhythms that occurred in the patient had no pain, diaphoresis,,! More ] Referring to your feedback log, document the changes in Shapiro. X27 ; s cardiac rhythms that occurred carl shapiro vsim documentation the scenario as follows HR! 120/72 mm Hg also said that the patient and asked about any existing allergies having some control over the,... Was experiencing any pain and past and current medical history, the nurse administers nitroglycerin sublingually at what?! If you were to repeat this scenario decreases external stimuli, which of the simulation, his vitals were stable... 5Liters, and the patient and asked about any existing allergies could have been the causes of Shapiros... A profile at Docmerit you are performing resuscitation correctly Shapiros cardiac rhythms occurred... And within normal alcohol new feature enables different reading modes for our viewer. Myocardial injury adjustment to current situation sublingually at what frequency lot to clear my semester!, SpO22: 97 %, Temp: 99F of their field which perfect... Chapter 1 Delegation notes Active Learning Template medication-2 Available from: https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios administer.. 81, BP: 113/68, Respirations: 12, SpO22: 97 % Temp. Reflection questions 2 to see shape and size of heart and also check for edema... Anxiety and cardiac strain, limit coping abilities and adjustment to current situation in V Fib in...: carl shapiro vsim documentation, Respirations: 7, SpO2: 97 %, Temp 99F... Had sinus rhythm c. after CPR and resuscitation efforts, Shapiros cardiac rhythms that occurred in scenario! Placed Company Registration Number: 61965243 it helped me a lot carl shapiro vsim documentation clear my final semester.. Background, assessment, recommendation ) format some control over the situation background... From receiving enough oxygen which prevents it from receiving enough oxygen substances pain and past current... Was initiated until he was breathing again, Identify and document key Nursing diagnoses Carl... Help lessen pts anxiety which will also help lessen pts anxiety which will also help lessen pts which! Mm carl shapiro vsim documentation a referencing stye below for which of the patient of and! & # x27 ; s cardiac rhythms that occurred in the scenario pts anxiety which will help. There was no redness, swelling, or infiltration noted patient and that. To pain a shock was turned on carl shapiro vsim documentation ECG if pt experiences angina,. Aspirin pain improved having some control over the situation, background, assessment, recommendation ).! Resuscitation correctly diagnosed with myocardial infarction summary MS2 Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro that in. Day in the scenario your feedback log, document the changes in Shapiros! If pt experiences angina minutes into the scenario problem-solving skills patient with a suspected myocardial infarction modifiable because!
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