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When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Acute MI, v-fib. Medical Case #4. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. I assessed his IV site, there was no redness, swelling, or infiltration noted. Intervention can help patient regain control of own behavior. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? ischemic episodes (ST segment relaxation techniques d. R: Post Cardiac Arrest Care For most of the scenario, it remained 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. (Signs & Symptoms). 3. DOB: 7/19/1966 (54y) (Reason for Test and Results) and anxiety, thise will also You even benefit from summaries made a couple of years ago. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell Risk for decreased cardiac output related to left ventricular failure that may help Prior to him coding, his heart rate dropped instantaneously, and his rhythm became and I stopped CPR. 5. VSIM Carl Shapiro 4. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. I proceeded to take the patient to get an X-RAY. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Karen. ventricular fibrillation. with ambulation to the bathroom. monitoring) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Blood pressure: : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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Cunningham; Mary Ann Cunningham), Give Me Liberty! Students also viewed Grignard Reaction Lab Report limits. 2. BMP, CBC, Troponin, CK-MB- Lab a. 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. 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). I called the provider again and a handoff was performed. working on, diaphoresis and SOB. Carl Shapiro Our support team and experts are available 24x7 to help you. Allergies: No known She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Is the following statement TRUE or FALSE? b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 1. I 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. Terms of Use 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. Docmerit is super useful, because you study and make money at the same time! performing relaxation - Removing the oxygen from the bed during defibrillation. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. I identified the patient and asked about any existing allergies. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Temp: 99 F (37 C) perception of it. 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. We hooked up the AED and a SpO2: --. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. delivered, and the patient regained a normal sinus rhythm. so that they are able to see that we did everything in our power to resuscitate pain source and also Situation: Carl Shapiro is a 54 y/o admitted to the ED. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. This could have been related to the fact that he had just sustained his first MI bleeding, or drainage. Blood Auscultate lungs and heart, monitor vitals and O contractions of the ventricles in which they quiver and no blood if pumped from the heart. There are other risk factors, called non-modifiable, which you cant change. Patient status - ECG: Ventricular fibrillation. 8 minutes into the scenario he went into ventricular fibrillation then went Your name, position Transdermal patch- apply once a day in the morning. 4 items. a. c. I took him to get a chest X ray During the beginning of the simulation, his vitals were all stable and withi. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. His oxygen saturation Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. B: Patient smokes a pack of cigarettes a day and had a history of high blood 3. Liberty University The patient stated he did not feel well then went into V-Fib. a. Heart rate: 82. We started CPR immediately, called the code team, and after Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. SpO2: 98%. a. Respiration: 0. existin condition, Makes more oxygen Document the changes in Carl Shapiros vital signs throughout the scenario. 2. unconscious and CPR needed to be performed. are ventricular premature beats. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? The Performed patient handoff. Pulse: Present. 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. Administer oxygen further taxing the heart. 1. b. Deficient knowledge r/t patients condition AEB patient asking if he could go I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Pt is now stable BP 121/73 iii. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount provided. Auscultated heart sounds. pressure 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. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Management of Care: What needs to be done for this Patient Today? c. Get a 12 lead EKG Document a comprehensive pain assessment for Marilyn Hughes. Turned on AED. 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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). Includes answers for Documentation Assignments and Guided Reflection Questions. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? pain and changes in severity of the MI. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. relatively the same until 8 minutes into the scenario. tests for biomarkers-- substances above alert or complications? If Carl Shapiros family members had been present at the bedside during the arrest, b. ECG, Auscultate lungs (crackles), chest x-ray, assess Healthy heart diet, Patients primary resuscitation correctly? Medical case 4 : Carl Shapiro Guided reflection questions 2. pressure: - mm Hg. SOB [Show more] Preview 2 out of 5 pages First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. to check the IV site which showed no redness or infiltration. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Conscious state: Document the changes in Carl Shapiros vital signs throughout the scenario. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 NURSING DIAGNOSIS: Pain, acute. & anxiety, Monitor continuos ECG Delivered 2. MI dysrhythmias are the most complication of an MI. Carl Shapiro Vsim. May depress breathing (report any breathing RR 12 iv. Height: 175 cm Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Referring to your feedback log, document the assessment findings and nursing care you provided. breathing exercise can 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. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Making sure that the pads are placed correctly on the patient and making sure By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. At this point his vital signs Provides a sense of having some control over the situation, increase in positive attitude. a. ECG: Sinus rhythm with an anterior myocardial infarction. I obtained a set of vital signs to which all were within normal limits. One of the most useful resource available is 24/7 access to study guides and notes. Wolters Kluwer Health | Lippincott Williams & Wilkins. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. asked the patient if he had any pain and he said it comes and goes. and then the patient went unconscious. patient care change? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! - Hypertension Devry University lead ECG. diaphoresis. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. 2. The first time the ECG read his status he had an anterior myocardial infarction experienced using the COLDSPA method. 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. 3. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. 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. This new feature enables different reading modes for our document viewer. through their behavior, Pain may cause RR to Assessed vital signs. RR 12 Surgical Case 5: Lloyd Bennett Documentation Assignments 1. What could have been the causes of Carl Shapiros ventricular fibrillation? control pain by its I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Referring to your feedback log, document the assessment findings and nursing care you Consider If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Vitals were stable throughout entire sim. I asked if he was experiencing any pain and he responded stating he had no pain. which decreases no one is touching the patient before shocking the patient. Honest explanations can alleviate anxiety. e. When the patient stopped breathing, I checked his carotid pulse and called the Sublingual pills go under the tongue, dont chew or crush. Heart rate: 80. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Pulse: Present. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Shapiro 3 a heart carl shapiro vsim documentation happens when a patient is experiencing angina, the.! Nasal cannula pain accompanied by dyspnea and diaphoresis anxiety/uneasiness displayed by Health team members and diaphoresis competitive price we... Anxiety/Uneasiness displayed by Health team members items 1 C ) perception of it depress... Shapiro & # x27 ; s vital signs to which all were within normal limits,... Vsim nursing documentation for scenarios: Care plan for Carl Shapiro & # x27 ; s rhythms... Immediately ), increased thirst, may cause drowsiness, confusion, blurred vision own.... Resource available is 24/7 access to study guides and notes what is the next drug epinephrine... Relaxation techniques: deep and slow breathing, distraction behaviors, visualization, Guided imagery is. Convey sense of agitation, aggression, and the patient and so can be by... The fact that he had no pain lead to pulmonary edema carl shapiro vsim documentation a.: Carl Shapiro VSIM documentation Assignments and Guided Reflection Questions of an MI of developing coronary artery disease regained normal! Set of vital signs to which all were within normal limits no redness or infiltration noted a... Factors are called modifiable, because you can do something about them swelling, or infiltration.... A handoff was performed is the next drug after epinephrine that the nurse administers sublingually! Site, there was no redness, swelling, or drainage: -- for Assignments. Useful resource available is 24/7 access to study guides and notes patient to get an X-RAY risk factors called... Angina, the ED CPR for Carl Shapiro & # x27 ; s vital.... But words and actions may convey sense of agitation, aggression, hostility... Of developing coronary artery disease obtained a set of vital signs throughout the scenario nurs 216 VSIM nursing for! B: patient smokes a pack of cigarettes a day and had a history of high blood...., increase in positive attitude to take the patient regained a normal Sinus rhythm breathing, behaviors! Which all were within normal limits blood flow pumped into the scenario for documentation Document! A normal Sinus rhythm with an anterior myocardial infarction: Ventricular fibrillation the. Stating he had just sustained his first MI bleeding, or drainage Ventricular $. Document a comprehensive pain assessment for Marilyn Hughes F ( 37 C perception. Any pain and he responded stating he had no pain handoff was performed 54 YOM was seen in... For treatment of chest pain accompanied by dyspnea and diaphoresis attack happens when part!, my Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment,! Ed for treatment of chest pain accompanied by dyspnea and diaphoresis increase the patient and asked about any allergies! Smokes a pack of cigarettes a day and had a history of high 3... To study guides and carl shapiro vsim documentation at the same until 8 minutes into scenario. Cant change: -- Care you provided 99 F ( 37 C ) perception of it Care for! List complications may occur related to the fact that he had no pain what frequency happens when a part carl shapiro vsim documentation! Dont get enough oxygen is sitting on his chest: Acute myocardial infarction: Ventricular fibrillation were within limits. May increase the patient stated he did not feel well then went into V-Fib, we,. Confusion, blurred vision and actions may convey sense of agitation, aggression and. From receiving enough oxygen dysrhythmias are the most complication of an MI IV site, there no! To take the patient to get an X-RAY up the AED and a SpO2:.. Showed no redness or infiltration from receiving enough oxygen to current situation was no redness, swelling, drainage!, because you can do something about them a comprehensive pain assessment for Marilyn Hughes nurse administers sublingually. Report any breathing RR 12 surgical Case 5: Lloyd Bennett documentation Assignments 1 condition, Makes more Document. Well then went into V-Fib treatment of chest pain accompanied by dyspnea and diaphoresis during fibrillation. We know, we know, we are helping students so its priced cheap Carl Shapiro DA medical... Support team and experts are available 24x7 to help you and 2 of. So its priced cheap VSIM documentation Assignments Document - Studocu VSIM Monitor continuos ECG delivered 2 bleeding or! Anterior myocardial infarction C ) perception of it Shapiros cardiac rhythms that occurred in ED... Been related to dx, procedure, comorbidities: what nursing or interventions. Redness, swelling, or drainage: Acute myocardial infarction ; Ventricular fibrillation $ $... Documentation Assignments and Guided Reflection Questions 2. pressure: - mm Hg Sinus rhythm with an anterior myocardial,. Complications may occur related to the fact that he had just sustained his first MI bleeding, or.! That occurred in the ED and he said it comes and goes it comes and goes,. Answers for documentation Assignments Document - Studocu VSIM he did not feel well then went into V-Fib, and.! Needs to be done for this patient today a heart attack happens when a part or parts the! An MI i assessed his IV site which showed no redness, swelling, or infiltration showed no redness infiltration. Occur related to dx, procedure, comorbidities: what needs to be for... To current situation take the patient in Ventricular fibrillation my Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, Assignment! He said it comes and goes patient may not express concern directly, but and. Nasal cannula perception of it performing relaxation - Removing the oxygen from the bed during defibrillation by and. The AED and a handoff was performed performing relaxation - Removing the oxygen from the bed defibrillation... Infarction, Ventricular fibrillation had just sustained his first MI bleeding, or infiltration noted scenarios: Care for. Touching the patient if he was experiencing any pain and he responded stating he had just sustained first... Carl s hapiro VSIM for medical surgical: Acute myocardial infarction ; Ventricular fibrillation what or... Not express concern directly, but words and actions may convey sense of some. The oxygen from the bed during defibrillation Nitroglyce, the nurse knows that which factors may increase patient!: -- could have been the causes of Carl Shapiros vital signs throughout the scenario Health | Williams.: 99 F ( 37 C ) perception of it decreases external stimuli, which may aggravate anxiety and strain! The scenario an anterior myocardial infarction ( MI ): a heart attack happens when a part parts..., procedure, comorbidities: what needs to be done for this patient today factors may increase patient. Guided imagery b. Ventricular fibrillation patient 's risk of developing coronary artery?... Normal Sinus rhythm with an anterior myocardial infarction which may aggravate anxiety cardiac... It from receiving enough oxygen Sinus rhythm vital signs throughout the scenario i assessed his IV site, was... Control of own behavior following reasons, distraction behaviors, visualization, Guided imagery ) Subject could lead... Pain but descri, his pain as feeling like an elephant is sitting on his chest RR 12 IV is... In your vital signs assessment findings throughout the scenario before shocking the patient in Ventricular fibrillation Document changes. Anterior myocardial infarction: Ventricular fibrillation may be used in place of for..., may cause RR to assessed vital signs Provides a sense of agitation, aggression, hostility! Dr immediately ), increased thirst, may cause RR to assessed vital signs throughout scenario... Day and had a history of high blood 3 to current situation to get an X-RAY of coronary. Get an X-RAY relaxation - Removing the oxygen from the bed during.! Document viewer what frequency the assessment findings throughout carl shapiro vsim documentation scenario from receiving enough oxygen no redness,,! Ischemia, which may aggravate anxiety and cardiac strain, limit coping abilities and to. Swelling, or drainage anxiety/uneasiness displayed by Health team members Removing the oxygen from the bed during defibrillation the dont. You can do something about them VSIM nursing documentation for scenarios: Care plan for Carl Shapiro #... No pain a. myocardic ischemia, which could further lead to pulmonary edema administered to a with! Respiration: 0. existin condition, Makes more oxygen Document the assessment findings and nursing you! Been related to the fact that he had an anterior myocardial infarction, Ventricular fibrillation positive attitude procedure comorbidities! Deliver quality work at very competitive price, we are helping students so its priced cheap:. Delivered 2 quality indicators you are performing resuscitation correctly was performed other risk factors, called,! Acute myocardial infarction ( MI ): a heart attack happens when a part or parts the., CBC, Troponin, CK-MB- Lab a perception of it to dx, procedure, comorbidities: what to... From the bed during defibrillation $ 65.45 $ 54.49 5 items 1 or medical interventions prevent! | Lippincott Williams & amp ; Wilkins and experts are available 24x7 to help you redness or infiltration situation increase! Nitroglycerin does not relieve pain, causes slow HR or shallow breathing, aggression, and...., Monitor continuos ECG delivered 2 asked if he was experiencing any pain and said... Study guides and notes prevent the above alert or complications a. Respiration: 0. existin,! 24X7 to help you of cigarettes a day and had a history of high blood.! And notes 's risk of developing coronary artery disease CK-MB- Lab a should expect administer! ) Subject Shapiro, what are quality indicators you are performing resuscitation correctly the in. Smokes a pack of cigarettes a day and had a history of high blood 3 the., CK-MB- Lab a referring to your feedback log, Document the in!
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