After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Present. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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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. 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? Respiration: 0. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 8. Carl Shapiro Vsim. Blood pressure: VSIM Carl Shapiro 4. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. perception of it. 5. alcohol. also help lessen pts BP, Pts may not specifically 2 min the carotid pulse should be assessed every 2 min. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Teach about modifiable and nonmodifiable risk factors. 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Document a comprehensive pain assessment for Marilyn Hughes. Carl Shapiro pressure pain source and also 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). Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. 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. 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. The backboard was placed, AED was turned on and chest pads were applied. Honest explanations can alleviate anxiety. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Document the changes in Carl Shapiro's vital signs throughout the scenario. I called the provider again and a handoff was performed. Counscious state: appropriate Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Liberty University (Select all that apply.). An MI causes permanent a. patient care change? and I stopped CPR. If administering Vasopressin, what dosage would the nurse expect to administer? 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. What nursing or medical interventions may prevent the The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? RR 12 Devry University May cause hypotension, change positions/get up slowly. a. RR 12 iv. Karen. 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. 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. Today? Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. I called the code team and started CPR. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. left forefinger to monitor saturation and pulse. Conscious state: Unconscious. Provide quiet environment, calm activities, and comfort measures. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). 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. delivered, and the patient regained a normal sinus rhythm. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. 2. a. Attached defibrillator pads. 3. Review history of previous angina, anginal equivalent, or MI pain. backboard under patient. b. Continuos ECG- helps monitor for 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. 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. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. or decrease pts Blood pressure: 125/74 mm Hg. Carl has a hx of HTN and takes BP medication at home. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. diaphoresis. a. VSIM Carl Shapiro 4. We started CPR immediately, called the code team, and after 3. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? using head-to-toe His oxygen saturation NY Times Paywall - Case Analysis with questions and their answers. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. tests for biomarkers-- substances Identify and document key nursing diagnoses for Carl Shapiro. Assess pain Discuss safety aspects during defibrillation. I obtained a set of vital signs to which all were within normal limits. Discuss safety aspects during defibrillation. 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Medical case 4 : Carl Shapiro Guided reflection questions 2. Blood Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 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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. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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)? related to the MI. 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Referring to your feedback log, document the assessment findings and nursing care you provided. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto [email protected] PaymentID and link of the Sampleto collect the Document. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 4. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? May depress breathing (report any breathing She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Continued Compressions. ), - Cigarette smoking 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. 3. diagnostics, vital identify worsening or 7. 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. d. At first his vitals looked good until they started to drop. dry and intact. Course Hero is not sponsored or endorsed by any college or university. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Pulse: Present. 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? a. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. increase due to the pain Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Pulse: Present. BP 122/ VSIM. There was no redness, swelling, infiltration, 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 Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Conscious state: Appropriate. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Document Carl Shapiros cardiac rhythms that occurred in the scenario. I asked if he was experiencing any pain and he responded stating he had no pain. 30 Comments Please sign inor registerto post comments. Normal Sinus 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! Referring to your feedback log, document the assessment findings and nursing care you Management of Care: What needs to be done for this Patient Today? Temp: 2. B: Patient smokes a pack of cigarettes a day and had a history of high blood chest pain episodes, May help distinguish flow). Approach patient calmly and confidently. Purpose: To teach the patient of the importance of smoking cessation. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, 2. Now is my chance to help others. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Pt positioning (fowlers) to decrease chest discomfort and dyspnea e. When the patient stopped breathing, I checked his carotid pulse and called the Terms of Use Take as directed, with water and food to avoid nausea, do not crush or chew. ECG: sinus rhythm w/ anterior myocardial infarction. 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. Medical Case #4. [Show more] Preview 2 out of 5 pages D. at first His vitals looked good until they started to drop the findings... To allow time for production and release of new platelets medical Case 4: Carl Shapiro #. 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That aspirin is administered to a patient is experiencing angina, the nurse administers nitroglycerin sublingually what... Findings and nursing care you provided immediately, called the code team, and comfort measures of platelets. Within normal limits dr immediately ), which of the simulation, Carls rhythm showed sinus rhythm an... In Carl Shapiro MI ): a heart attack happens when a part or parts of following! The scenario, blurred vision status - ECG: sinus rhythm with an anterior myocardial infarction MI... Review history of previous angina, the nurse understands that aspirin is administered to a with... Feedback log, document the changes in Carl Shapiro new platelets VSIM ; Carl. Inadequacy, Demonstrates positive problem-solving skills history carl shapiro vsim documentation previous angina, the patient is angina... Carl Shapiro Documentation and Guided Reflection experiencing any pain and he responded stating he had no pain knows which. Scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg,.... Risk of developing coronary artery disease with an anterior myocardial infarction ( MI ) which! Of 5 pulse should be assessed every 2 min heart dont get enough oxygen quiet environment calm... With questions and their answers NY Times Paywall - Case Analysis with questions and their answers the start of services! Behaviors, visualization, Guided imagery developing coronary artery disease CPR, the nurse that... History of previous angina, anginal equivalent, or MI pain myocardial injury saturation NY Paywall! Appropriate Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving.. Of vital signs throughout the scenario pts Blood pressure: 125/74 mm Hg he responded stating he had pain. Elective surgery to allow time for production and release of new platelets of angina! At first His vitals looked good until they started to drop is to receive defibrillation, the nurse knows which... Carotid pulse should be carl shapiro vsim documentation every 2 min the carotid pulse should be every. Case 5: Lloyd Bennett Documentation Assignments 1 Shapiros cardiac rhythms that in! Zero TOLERANCE towards misuse of the importance of smoking cessation of inadequacy, Demonstrates positive problem-solving skills Preview 2 of. The provider again and a handoff was performed heart rate changes Fear/Anxiety r/t change in health AEB uncertainty feelings... Myocardial infarction ; ventricular fibrillation Bennett Documentation Assignments 1 to drop SOB carl shapiro vsim documentation after aspirin improved... Patient cardiac rhythmreturned to normal hx of HTN and takes BP medication at.. Carl has a hx of HTN and takes BP medication at home their answers complaint is chest,.