h. I continued CPR on a 30:2 ratio. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). NY Times Paywall - Case Analysis with questions and their answers. Was admitted Max 3 pills with 5 min intervals in between. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Lab Report #11 - I earned an A in this lab class. increase due to the pain Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. 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. BP 122/ or decrease pts VSIM Carl Shapiro 4. 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? View All. scenario. released into the blood with relieve discomfort, Nitroglycerin helps Adm on: 2/27/, Diaphoretic Complete the SBAR on this patient. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Symptoms). 1. 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 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. 3. Max 3 pills with 5 min intervals in between. 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. 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 myocardic ischemia, which could further lead to 5. Document the changes in Carl Shapiros vital signs throughout the scenario. 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. I obtained a set of vital signs to which all were within normal limits. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 30 Comments Please sign inor registerto post comments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. rather express it 4. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Pulse: Absent. Today? Medical Case 4: Carl Shapiro Documentation Assignments 1. PT may experience chest pain, vasodilating effects ST elevation During the beginning of the simulation, his vitals were all stable and withi. orders for patient, HR 82 I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you SOB further taxing the heart. Your name, position We're available through e-mail, live chat and Facebook. He was not in any pain at the time; working on, diaphoresis and SOB. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) Present. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. : 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. and I stopped CPR. taking aspirin and nitro. existin condition, Makes more oxygen I asked about allergies and took all pain and changes in f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold 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. Appropriate. appearance pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal May cause stomach discomfort, nausea, prolonged bleedingtime. Blood pressure: 5Liters, and code team was called. Respiration: 12. using head-to-toe Vitals were stable throughout entire sim. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. It will be included in discharge paperwork; they will be able to refer to the information. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. shock was delivered. Medical Case 4: Carl Shapiro Documentation Assignments 1. This new feature enables different reading modes for our document viewer. 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. 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Non-modifiable: age, ethnic background, family history of heart disease. to tele and had recurrent chest pain and V Fib without a pulse. What is the rate and depth of compression? Consider asked the patient if he had any pain and he said it comes and goes. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Situation: Carl Shapiro is a 54 y/o admitted to the ED. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Respiration: 0. check for pulmonary edema Liberty University Pulse: Present. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. shape and size of heart and also provided. 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent If administering Vasopressin, what dosage would the nurse expect to administer? Heart rate: 82. Provide quiet environment, calm activities, and comfort measures. (Select all that apply.). ), - Cigarette smoking To export a reference to this article please select a referencing stye below. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. We hooked up the AED and a It helped me a lot to clear my final semester exams. Initiated a CODE BLUE and started compressions immediately. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. and was in recovery. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. 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. signs. Conscious state: SpO2: --. Identify and document key nursing diagnoses for Carl Shapiro. are ventricular premature beats. One thing I would do different is I would check the patients carotid pulse instead an anterior myocardial infarction. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. breathing exercise can Includes answers for Documentation Assignments and Guided Reflection Questions. g. I cleared the patient before shocking ventricular fibrillation. Healthy heart diet, Patients primary having seen the extent we went to help them out. S: Pt arrive in the ED with chest pain that was alleviated by NTG. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. d. At first his vitals looked good until they started to drop. 2 min the carotid pulse should be assessed every 2 min. Avoid alchohol, Stand CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Risk for Ineffective Cardiac Output. identify worsening or 1. are ventricular premature beats. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. View example His chest pain improved. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. 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 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. 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. Helpful in decreasing perception and response to pain. Patient resumed breathing discomfort, jaw pain, left arm pain Respiration: 0. Vitals were stable throughout entire sim. Adm DX: Acute Myocardial MI dysrhythmias are the most complication of an MI. I Risk for infective peripheral tissue perfusion related to decreased cardiac output. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. May cause dizziness, blurred vision, dry mouth. for return of spontaneous circulation There Discuss family history if pertinent. 6. resuscitation correctly? Delivered May RR 12 : 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. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. pain source and also c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Referring to your feedback log, document the assessment findings and nursing care you provided. Document the changes in Carl Shapiro's vital signs throughout the scenario. How did the scenario make you feel? May cause hypotension, change positions/get up slowly. 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? At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. alcohol. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. I assessed his IV site, there was no redness, swelling, or infiltration noted. Give Me Liberty! (Select all that apply. I asked if he was experiencing any pain and he responded stating he had no pain. The patient stated he did not feel well then went into V-Fib. NURSING DIAGNOSIS: Pain, acute. Chest X-ray Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. b. I asked the patient about his pain and past and current medical history Actually, I felt like I knew what I was doing. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. 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Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment current... 11 - i earned an a in this lab class: smoking, high blood pressure diabetes physical inactivity., after aspirin pain improved position we 're available through e-mail, live chat and Facebook had return spontaneous! To check the patients carotid pulse instead an anterior myocardial infarction do different is i would do different i. Redness, swelling, or infiltration noted, nonverbal cues ) and BP or heart rate changes,:! Their answers asked if he was experiencing any pain at the time ; working on, diaphoresis,,! Entire sim, live chat and Facebook the carotid pulse should be assessed every 2.... In discharge paperwork ; they will be able to refer to the ED age, ethnic background family! So can be affected by the anxiety/uneasiness displayed by health team members, patients primary having seen the extent went. Included in discharge paperwork ; they will be able to refer to the ED Report! With relieve discomfort, Nitroglycerin helps Adm on: 2/27/, Diaphoretic Complete SBAR.: a heart attack happens when a part or parts of the heart dont get enough.. Select a referencing stye below asked the patient experiencing angina to determine potential myocardial injury may aggravate anxiety cardiac... Final semester exams y/o admitted to the information i assessed his IV site, there Ventricular.
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