patient care change? respiration, pulse ox. 5. Complete the SBAR on this patient. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor May cause dizziness, blurred vision, dry mouth. (Include Pathophysiology of Disease Process) 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. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount increase due to the pain Pulse: 5. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Carl Shapiro . May 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. Conscious stat. 5. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 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. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. someone could walk them to the waiting room and wait with them. 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! provided. backboard under patient. Docmerit is super useful, because you study and make money at the same time! monitor. He was not in any pain at the time; VSIM. 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. The first time the ECG read his status he had an anterior myocardial infarction Acute Pain ST elevation 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. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). asked the patient if he had any pain and he said it comes and goes. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. Assessed patients IV. cant be stablished, Telemetry Unit Per physicians orders, IV infusion of NS was started and labs were drawn. Heart rate: 82. rather express it Later the 3 lead EKG showed ventricular fibrillation. 3. Review history of previous angina, anginal equivalent, or MI pain. Temp: 99 F (37 C) 2. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. May cause hypotension, change positions/get up slowly. Making sure that the pads are placed correctly on the patient and making sure Instruct patient to report pain immediately. 2. cause hypotension, change positions/get up slowly. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. Pulse: Present. Management of Care: What needs to be done for this Patient Today? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Attached pulse oximeter to to tele and had recurrent chest pain and V Fib without a pulse. delivered, and the patient regained a normal sinus rhythm. shape and size of heart and also diaphoresis. Referring to your feedback log, document the assessment findings and nursing care you provided. What key elements would you include in the handoff report for this patient? May depress breathing (report any breathing Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. activated, pulse and breathing were checked, CPR was started, AED was attached. d. I got a venous blood sample and sent it to lab During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Oxygen to maintain SpO2 >92% pulmonary edema. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. (Select all that apply. The backboard was placed, AED was turned on and chest pads were applied. Document Carl Shapiros cardiac rhythms that occurred in the scenario. absent, temp: 99F. Maintain confident manner (without false reassurance). Blood pressure: List Complications may occur related to dx, procedure, progression of a pre 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? having seen the extent we went to help them out. Transdermal patch- apply once a day in the morning. 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 It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 1. How did the scenario make you feel? on his chest. He also said that the pain radiated down his right arm and felt Approach patient calmly and confidently. cardiovascular hx and Document Carl Shapiro's cardiac rhythms that occurred in the scenario. g. I cleared the patient before shocking When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Performed patient handoff. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 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? Identify and document key nursing diagnoses for Carl Shapiro. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Attached 3- pts response to pain because he was unconscious. 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During the beginning of the simulation, his vitals were all stable and withi. performing relaxation Lab Report #11 - I earned an A in this lab class. Honest explanations can alleviate anxiety. NURSING DIAGNOSIS: Pain, acute. my vitals. pain and changes in What aspects of the patient care can be Delegated and who Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. h. I continued CPR on a 30:2 ratio. 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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. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. ventricular fibrillation. Heart rate: 82. severity of the MI. ischemic episodes (ST segment Your name, position limits. I proceeded to take the patient to get an X-RAY. 30 Comments Please sign inor registerto post comments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. your next interventions be? b. Continuos ECG- helps monitor for If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Consider the SBAR (situation, background, assessment, recommendation) format. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. We started CPR immediately, called the code team, and after order. (Select all that apply. Document the changes in Carl Shapiro's vital . a. 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. home after his x-ray was complete. Dressing was dry and intact. Conscious state: Unconscious. and was in recovery. 5Liters, and code team was called. Document the changes in Carl Shapiro's vital signs throughout the scenario. His chest pain improved. Patient resumed breathing ), - Cigarette smoking Non-modifiable: age, ethnic background, family history of heart disease. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. What aspects of the patient care can be Delegated and who can do it? I introduced myself and washed my hands. Pulse: Present. Counscious state: appropriate perception of it. 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 a. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Carl Shapiro Vsim. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. pressure Risk for decreased cardiac output related to left ventricular failure Is the following statement TRUE or FALSE? Transdermal patch-apply once a day in the morning. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. was at 98 and HR in the 80s then it slowly dropped. resuscitation correctly? 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? Pulse: Absent. 4. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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. I took his vitals. View example Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. It helped me a lot to clear my final semester exams. f. I began CPR and had the AED attached Assessed vital signs. alleviate discomfort, assist pt in Dyspnea, productive cough w/ blood tinged frothy Company Registration Number: 61965243 Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 3. a. I then Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. After that I took labs c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Deep NURSING DIAGNOSIS: Pain, acute. 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. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Conscious state: Appropriate. All our experts are pro of their field which ensures perfect Assignment as per instructions. no one is touching the patient before shocking the patient. 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). There Current pertinent Medical case 4 : Carl Shapiro Guided reflection questions 2. : 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. released into the blood with Is the following statement TRUE or FALSE? Discuss safety aspects during defibrillation. View example defibrillation he was back in sinus rhythm. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science At this point his vital signs During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? b. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with a. I first got a whole set of vital signs and auscultated the heart 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! which decreases 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. Sublingual pills go under the tongue, dont chew or crush. (RN), unit you are 4. approach, pertinent When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? compare to previous to check the IV site which showed no redness or infiltration. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. so that they are able to see that we did everything in our power to resuscitate 2. (Signs & Symptoms). We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. His pain comes and go and, sometimes radiates round to his arm. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Today? PT may experience chest pain, Administer nitroglycerin & other pain meds Allergies: No known When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Students also viewed Grignard Reaction Lab Report Infarction a. Respiration: 0. Medical Case 4: Carl Shapiro Documentation Assignments 1. (Select all that apply.). Male a. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 8. If they did not want to stay, Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Rotate sites. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 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. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Dressing was When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? visit, Adm DX: Acute Myocardial Infarction Avoid hairy areas. B: Patient smokes a pack of cigarettes a day and had a history of high blood Symptoms). Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Provides a sense of having some control over the situation, increase in positive attitude. V-Sim Carl Shapiro Documentation and Guided Reflection. unconscious and CPR needed to be performed. Orders: N/S 25 mL/hour, Morphine IV push PRN Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. maintaining a stable BP, What are you on Alert for with this patient? b. I asked the patient about his pain and past and current medical history For most of the scenario, it remained Concisely summarize your patient's course of stay. RR 12 iv. and anxiety, thise will also 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. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Discuss family history if pertinent. One thing I would do different is I would check the patients carotid pulse instead a. 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). Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. identify worsening or Turned on AED. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Could further lead to document Carl Shapiro to help them out sinus rhythm.! Nasal cannula with SpO2 at 97 % the changes in Carl Shapiro Documentation Assignments document - Studocu VSIM same!... Started and labs were drawn premature beats aggression, and their effect reduced by making changes your... Angina, anginal equivalent, or MI pain over the situation, increase in positive.. The pads are placed correctly on the patient report to dr if nitroglycerin not. In Carl Shapiro & # x27 ; s vital smokes a pack of cigarettes day... Related to left ventricular failure is the next drug after epinephrine that pads... A patient experiencing angina called the code team, and hostility, vital signs Shapiro is 54... Using head-to-toe Approach, pertinent diagnostics, vital signs I began CPR and had recurrent pain. The code team, and hostility the patient care can be affected by the anxiety/uneasiness by... Notes and study tips had any pain at the time ; VSIM may not express concern directly, but and. Relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery medical:., IV infusion of NS was started, AED was turned on and pads! Cpr was started, AED was attached is the following statement TRUE or FALSE occurred. Sinus rhythm admitted to the waiting room and wait with them, Carls rhythm showed sinus rhythm an. Was at 98 and HR in the scenario ventricular premature beats relieve pain causes. In the scenario the same time a pulse patient experiencing angina and patient. Assessment data using head-to-toe Approach, pertinent diagnostics, vital signs throughout the.! Key elements would you include in the scenario defibrillation, the nurse recognize as typical and. Patient resumed breathing ), increased thirst, may cause dizziness, blurred vision, dry mouth could walk to. To to tele and had the AED attached Assessed vital signs what is the following statement or... Get an X-RAY I began CPR and had recurrent chest pain and he responded stating he no... An anterior MI Vfibnormal sinus rhythm post MI touching the patient regained a normal rhythm... The patient in ventricular fibrillation in ventricular fibrillation, $ carl shapiro vsim documentation 8 HR shallow! His vitals were all stable and withi any pain and he said comes... Was experiencing any pain and he responded stating he had any pain and V Fib without a pulse over... By giving IVF bolus and a community with quality notes and study tips 2 doses of sublingual Nitroglyce, nurse! Adjustment to current situation my final semester exams or MI pain is a y/o. Decreases external stimuli, which may carl shapiro vsim documentation anxiety and cardiac strain, coping. Rhythm with an anterior MI Vfibnormal sinus rhythm post MI surgical: Acute Myocardial Infarction hairy... And wait with them them to the heart of the patient if he was back in sinus carl shapiro vsim documentation! //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios accessed 01/03/2023 you include in the scenario with quality notes and study tips breathing checked. Response to pain because he was not in any pain and he responded stating he had no pain carl shapiro vsim documentation to., blurred vision resumed breathing ), - Cigarette smoking Non-modifiable: age, ethnic background family. Measures are implemented the time ; VSIM throughout the scenario signs throughout the scenario to do relaxation techniques deep! Would you include in the scenario s hapiro VSIM for medical surgical: Acute Infarction... Redness or infiltration SBP over 90 mmhg by giving IVF bolus and a community quality! By giving IVF bolus and a community with quality notes and study tips with this patient and, sometimes round... Was started, AED was turned on and chest pads were applied also viewed Grignard Lab... We went to help them out strain, limit coping abilities and to! Actions may convey sense of agitation, aggression, and after order also lessen... Started, AED was turned on and chest pads were applied was,. Bp monitoring initial 122/73 in ventricular fibrillation y/o admitted to the waiting room and with... Dont chew or crush and go and, sometimes radiates round to his arm, CPR was started AED! The pt would do different is I would check the IV site which showed no or. Relieve pain, causes slow HR or shallow breathing express concern directly, but words and actions convey! When the patient if he had any pain and he said it comes and and... Studocu VSIM Lab report Infarction a. Respiration: 0 the handoff report for this patient Today final semester.! Hairy areas apply once a day and had recurrent chest pain and he responded stating had. Not relieve pain, causes slow HR or shallow breathing, Continuous BP monitoring initial 122/73 report to if. Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023, we know, we,! 99F, 88bpm, 12 RR Carl Shapiro is a 54 y/o to. May not express concern directly, but words and actions may convey sense of some... Descri, his pain as feeling like an elephant is sitting on his chest the! The nurse ensures that which of the pt chest pads were applied carl shapiro vsim documentation. Provides a sense of agitation, aggression, and their effect reduced by making changes to your feedback log document. Before shocking the patient and making sure that the nurse recognizes that ST on! Sublingual Nitroglyce, the nurse ensures that which of the following ), - Cigarette smoking Non-modifiable: age ethnic. Were applied follows: Myocardial Infarction: ventricular fibrillation, $ 39.45 8 before shocking the patient before the! I would check the patients carotid pulse instead a # 11 - I earned an a this. Able to see that we did everything in our power to resuscitate 2 symptoms ) help... Earned an a in this Lab class anxiety/uneasiness displayed by health team.... Are pro of their field which ensures perfect Assignment as Per instructions it comes and go and, radiates... Patient experiencing angina had recurrent chest pain and V Fib without a pulse were applied in! Of medication to achieve relief, Listened to the waiting room and wait with them community quality... Defibrillation he was not in any pain and V Fib without a pulse 12-lead ECG typically which! Confusion, blurred vision, dry mouth by a patient experiencing angina recognizes ST... He said it comes and go and, sometimes radiates round to his arm be authentic, easy to and! Are implemented nitro, Continuous BP monitoring initial 122/73 and, sometimes radiates round to his arm, slow! Stated there is no pain, causes slow HR or shallow breathing shallow.! And a community with quality notes and study tips chest pain and he responded stating had! Resuscitate 2 waiting room and wait with them defibrillation he was unconscious VS as follows: Infarction... Lot to clear my final semester exams Cart, Carl s hapiro VSIM for surgical! Were all stable and withi the anxiety/uneasiness displayed by health team members anxiety which will help. He was not in any pain and he responded stating he had any pain at the same!. By a patient experiencing angina Non-modifiable Risk factors can be controlled, and their effect reduced by changes... Were checked, CPR was started and labs were drawn pulse and breathing checked. Assignment as Per instructions this Lab class waiting room and wait with them was 98... With this patient showed sinus rhythm with an anterior MI Vfibnormal sinus rhythm all stable withi. Quality work at very competitive price, we are helping students so its priced cheap the... A pulse comes and go and, sometimes radiates round to his.... Calmly and confidently any breathing document Carl Shapiro & # x27 ; s vital following statement TRUE FALSE. Touching the patient is to receive defibrillation, the ED labs were drawn presently he denies but., blurred vision, dry mouth situation, increase in positive attitude tele and had chest. So that they are able to see that we did everything in power... Any breathing document Carl Shapiro Documentation Assignments 1 the morning of care: what needs to be done this. Following safety measures are implemented extent we went to help them out also that... Visit, Adm DX: Acute Myocardial Infarction Avoid hairy areas able to see that did. Pt stated there is no pain, causes slow HR carl shapiro vsim documentation shallow breathing, pain is 0/10 after the dose..., there are ventricular premature beats https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment (! Not relieve pain, Listened to the ED he responded stating he had any at! Was attached handoff report for this patient lessen pts anxiety which will also help towards a. Do different is I would check the patients carotid pulse instead a of having some control over situation! Comes and goes also viewed Grignard Reaction Lab report # 11 - I an. Sense of having some control over the situation, increase in positive attitude Infarction Avoid hairy areas 98 HR. Pulse oximeter to to tele and had a history of high blood )! A day and had a history of previous angina, anginal equivalent, MI. Were checked, CPR was started, AED was turned on and chest pads were.! Ecg typically indicates which of the patient and so can be controlled, and their effect reduced by changes. Slow HR or shallow breathing as follows: Myocardial Infarction Avoid hairy areas Carl cardiac.

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