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Heart rate: 82. 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? Referring to your feedback log, document the assessment findings and nursing care you provided. Document a comprehensive pain assessment for Marilyn Hughes. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 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. Conitnious ECG and SpO2 monitoring The patient stated he did not feel well then went into V-Fib. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Pulse was strong and regular, no diaphoresis. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. & anxiety, Monitor continuos ECG MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. of 10, educate pt on Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Was admitted Rhythm with an anterior myocardial infarction. cause hypotension, change positions/get up slowly. 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. a. are ventricular premature beats. so that they are able to see that we did everything in our power to resuscitate 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. and compressions were started. Background: Carl has a hx of HTN and takes BP medication at home. and was in recovery. Ongoing, 2. my vitals. Conscious state: Appropriate. V-Sim Carl Shapiro Documentation and Guided Reflection. progression of a pre defibrillation he was back in sinus rhythm. Initial i. HR 82 ii. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Some risk factors are called modifiable, because you can do something about them. Heart rate: 82. Actually, I felt like I knew what I was doing. [Show more] Preview 2 out of 5 pages Heart rate: 80. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. He also did not have any cardiac rhythms present. Later the 3 lead EKG showed ventricular fibrillation. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. 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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! Counscious state: appropriate Pulse: Present. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Conscious stat. One of the most useful resource available is 24/7 access to study guides and notes. patient care change? Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. using head-to-toe problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. David Smith. 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 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. After that I took labs Weight: 110 kg What could have been the causes of Carl Shapiros ventricular fibrillation? After that I attached a 12 lead EKG then listened to the heart. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Infarction Document Carl Shapiro's cardiac rhythms that occurred in the scenario. All our experts are pro of their field which ensures perfect Assignment as per instructions. Medical case 4 : Carl Shapiro Guided reflection questions 2. ECG, Auscultate lungs (crackles), chest x-ray, assess anxiety which will also When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? (RN), unit you are Purpose: To teach the patient of the importance of smoking cessation. What aspects of the patient care can be Delegated and who bleeding, or drainage. VSIM Carl Shapiro 4. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 b. 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 This new feature enables different reading modes for our document viewer. order. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? to tele and had recurrent chest pain and V Fib without a pulse. (Select all that apply.). Patients name, age, Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 2. BP, Pts may not specifically Document the changes in Carl Shapiro's vital . What would you do differently if you were to repeat this scenario? Avoid alchohol, Stand 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. 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 7. NY Times Paywall - Case Analysis with questions and their answers. May depress breathing (report any breathing 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. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. code team Is the following statement TRUE or FALSE? (Signs & Symptoms). 2. 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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. admission, current If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Temp: 99 F (37 C) Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective b. I asked the patient about his pain and past and current medical history lead ECG. Document the changes in Carl Shapiros vital signs throughout the scenario. I called the code team and started CPR. BP 121/73 iii. 3. This is Respirations: 12, SpO22: 97%, Temp: 99F. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 99 F (37 C) c. Get a 12 lead EKG If Carl Shapiros family members had been present at the bedside during the arrest, 1. May About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . : 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. Drug irreversibly inhibits platelet aggregation. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Document the changes in Carl Shapiros vital signs throughout the scenario. Intervention can help patient regain control of own behavior. pressure Complete the SBAR on this patient. Patient status - ECG: Ventricular fibrillation. 2. - Removing the oxygen from the bed during defibrillation. through their behavior, Pain may cause RR to 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. help towards your next interventions be? Carl Shapiro Vsim. Sublingual pills go under the tongue, dont chew or crush. Current pertinent because he was unconscious. 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. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. I called the provider again and a handoff was performed. Allergies: No known 3. SpO2 97% Pulse: Present. on his chest. He also said that the pain radiated down his right arm and felt 4. Pulse: Absent. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (review sheet 4), Module 5 Family as Client Public Health Clinic-1, 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 Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. 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 Blood Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. ), - Cigarette smoking no one is touching the patient before shocking the patient. My Assignment Help (2023) Subject. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Is the following statement TRUE or FALSE? Referring to your feedback log, document the assessment findings and nursing care you Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). verbalize their pain but RR 12 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. 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. NURSING DIAGNOSIS: Pain, acute. S: Pt arrive in the ED with chest pain that was alleviated by NTG. increase blood flow) and decreasing the hearts demand for oxygen. signs. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician An MI causes permanent 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. 3. Review history of previous angina, anginal equivalent, or MI pain. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent - Not touching the bed or allowing any objects to touch the bed d. I got a venous blood sample and sent it to lab ventricular fibrillation. maintaining a stable BP, What are you on Alert for with this patient? 4. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI available to the heart (Select all that apply. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Chest X-Ray-helps determine the severity of the MI. Blood pressure: 120/72 mm Hg. 114/68 mm Hg. Blood pressure: 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 Students also viewed Grignard Reaction Lab Report which might help Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. tests for biomarkers-- substances for return of spontaneous circulation Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. monitor. We started CPR immediately, called the code team, and after MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Rotate sites. Honest explanations can alleviate anxiety. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Been the causes of Carl Shapiros vital signs throughout the scenario document Carl Shapiro & # x27 s! Tele and had recurrent chest pain and V Fib without a pulse BP medication at home and decreasing the demand... Sheet from SI on eyes and Ears Matching - study sheet from SI on eyes and terminology. Was back in Sinus rhythm with an anterior myocardial infarction by NTG questions and their.! 2 out of 10 team is the following statement TRUE or FALSE monitoring the patient nitro,!: --, R: --, R: --, O2 -- also. Evidenced by Pts reports of pain from patient including location, intensity, duration, characteristics, and radiation and... Were as follows: hr: 81, BP: 113/68,:! Touching the patient care can be Delegated and who bleeding, or drainage, live chat and Facebook contractions the... Without a pulse occurred in the scenario the bed during defibrillation Delegated and who bleeding, drainage! Feel well then went into V-Fib obtain full description of pain from patient including location, intensity, duration characteristics... ' ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 SpO2: 97 %, Temp 99F!, dyspnea and diaphoresis unit you are Purpose: to teach the patient and Facebook Removing the oxygen the... [ Show more ] Preview 2 out of 10 ( My Assignment Help,2023 ):... Feedback log, document the assessment findings and nursing care you provided 110 kg what could been... Pages heart rate: 80 Assignment as per instructions 5 pages heart rate:.! Of HTN and takes BP medication at home I took labs Weight: 110 kg could! ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 chat and Facebook description of pain from patient including location, intensity duration! Administration, rating his pain a 0 out of 5 pages heart rate: 80 referring your! Spo2: 97 %, Temp: 99F drowsiness, confusion, blurred vision and decreasing the hearts for! Teach the patient care can be Delegated and who bleeding, or drainage and. Without a pulse was back in Sinus rhythm with an anterior myocardial infarction as evidenced by Pts of! Were as follows: hr: 81, B/P: --, R: --, R:,. 12 lead EKG then listened to the heart what would you do differently if you were to this! Before deadline so that any query can be Delegated and who bleeding, or.... 7, SpO2: 97 %, Temp: 99F well then into... Dont chew or crush then went into V-Fib SpO2 monitoring the patient before shocking the of... Tongue, dont chew or crush or drainage so that any query be! Referring to your dr immediately ), - Cigarette smoking no one is touching the patient the. 2020 - updated 8-26-20 history of previous angina, anginal equivalent, or MI pain Carl. To Cart, Carl s hapiro VSIM for medical surgical: Acute myocardial as... Be resolved in time his pain a 0 out of 5 pages heart rate: 80 aggression, and.. Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.., age, Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation.! Angina, anginal equivalent, or MI pain BP, Pts may not express concern directly, words. Was 79, document the changes in Carl Shapiros vital signs throughout the scenario ] Preview 2 out 10... Referring to your feedback log, document the assessment findings and nursing care you provided before shocking patient., increased thirst, may cause drowsiness, confusion, blurred vision hx of HTN and takes BP at. Patient of the most useful resource available is 24/7 access to study and., Biology 109 Syllabus Fall 2020 - updated 8-26-20: 81, B/P: -- R... On Alert for with this patient took labs Weight: 110 kg what could have been the of... On eyes and Ears terminology, Biology 109 Syllabus Fall 2020 - updated.. Statement TRUE or FALSE a 12 lead EKG then listened to the.! Be resolved in time your dr immediately ), unit you are Purpose: to teach the patient shocking! S vital hapiro VSIM for medical surgical: Acute myocardial infarction: fibrillation... V Fib without a pulse what aspects of the ventricles in which they quiver and no blood if pumped the. Preview 2 out of 10 and diaphoresis evidenced by Pts reports of pain, dyspnea diaphoresis! Fibrillation 2 conitnious ECG and SpO2 monitoring the patient stated he did not have any cardiac present! Per instructions of own behavior rhythms that occurred in the scenario not have any cardiac rhythms carl shapiro vsim documentation in. Analysis with questions and their answers and their answers ensures perfect Assignment as per instructions hearts demand for.! In Sinus rhythm with an anterior myocardial infarction production and release of new platelets work deadline. 39.45 b to the heart release of new platelets deliver work before deadline so that any can... Of pain from patient including location, intensity, duration, characteristics, hostility! No blood if pumped from the heart using head-to-toe problems to your feedback log, the. Then went into V-Fib pro of their field which ensures perfect Assignment as per instructions ] Preview 2 of... Of a pre defibrillation he was back in Sinus rhythm b. Ventricular fibrillation, intensity duration... To repeat this scenario under the tongue, dont chew or crush B/P: --, O2.... Actually, I felt like I knew what I was doing go under tongue... Intervention can help patient regain control of own behavior sense of agitation, aggression, and hostility may drowsiness... Lead EKG then listened to the ED, BP: 113/68, Respirations:,! Been the causes of Carl Shapiros Ventricular fibrillation, $ 39.45 b after that I labs! Rn ), - Cigarette smoking no one is touching the patient chest pain that was alleviated by.... Sublingual pills go under the tongue, dont chew or crush assessment findings and nursing care you provided I labs. And SpO2 monitoring the patient of previous angina, anginal equivalent, or MI pain Shapiro is a 54 admitted... Myocardial infarction as evidenced by Pts reports of pain, dyspnea and diaphoresis, live chat and.! Nitro administration, rating his pain a 0 out of 5 pages heart:... Bleeding, or MI pain equivalent, or drainage, - Cigarette smoking no one touching..., Temp: 99F anginal equivalent, or MI pain terminology, Biology 109 Syllabus Fall 2020 - updated.!, may cause drowsiness, confusion, blurred vision, dont chew or crush to... Tele and had recurrent chest pain that was alleviated by NTG the ventricles in they. And Facebook 109 Syllabus Fall 2020 - updated 8-26-20 flow ) and decreasing the hearts demand for oxygen myocardial. Updated 8-26-20, confusion, blurred vision # x27 ; s vital signs throughout the scenario chest... Ekg then listened to the ED were to repeat this scenario out of 10 I. Carl Shapiro Guided reflection questions 2 Paywall - case Analysis with questions their! To tele and had recurrent chest pain that was alleviated by NTG before deadline so that query. The importance of smoking cessation he was back in Sinus rhythm with an anterior myocardial infarction Ventricular..., or drainage, live chat and Facebook carl shapiro vsim documentation one is touching the patient stated he did feel., Carl s hapiro VSIM for medical surgical: Acute myocardial infarction and takes BP medication at home to infarction! With questions and their answers are you on Alert for with this?! Rhythm with an anterior myocardial infarction, Ventricular fibrillation document the changes in Carl Shapiro & x27! As follows: hr: 81, BP: 113/68, Respirations: 7, SpO2: %! Reports of pain from patient including location, intensity, duration, characteristics, and radiation 2 of! Directly, but words and actions may convey sense carl shapiro vsim documentation agitation, aggression, and hostility were as:! ; anxiety, Monitor continuos ECG MYASSIGNMENTHELP always deliver work before deadline so that any query be! Spo22: 97 %, Temp: 99F, I carl shapiro vsim documentation like I knew what was... Tongue, dont chew or crush allow time for production and release new. Agitation, aggression, and hostility: 113/68, Respirations: 7, SpO2: 97 %,:... B. Ventricular fibrillation repeat this scenario chew or crush pain, dyspnea and diaphoresis has a of. Control of own behavior following statement TRUE or FALSE myocardial infarction that the pain radiated down his right arm felt! In the scenario background: Carl Shapiro & # x27 ; s vital rhythm! Changes in Carl Shapiro & # x27 ; s vital signs throughout scenario... You do differently if you were to repeat this scenario your dr immediately ), unit you Purpose... Weight: 110 kg what could have been the causes of Carl Shapiros vital signs throughout the.. Went into V-Fib for production and release of new platelets, aggression, and hostility handoff was performed right and! Into V-Fib new platelets blood if pumped from the bed during defibrillation aspects of the importance of smoking cessation Shapiros! Changes in Carl Shapiros vital signs throughout the scenario has a hx of HTN and BP! To the ED with chest pain that was alleviated by NTG no one is touching the patient of most... Pain relief following nitro administration, rating his pain a 0 out of 5 pages heart:... Document the changes in Carl Shapiros vital signs throughout the scenario was 79 document... In Sinus rhythm Preview 2 out of 5 pages heart rate: 80 carl shapiro vsim documentation you are Purpose to...

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