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. 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. 1. Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. 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. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 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 Leadership in Systems of Healthcare. (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. myocardic ischemia, which could further lead to Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I asked if he was experiencing any pain and he responded stating he had no pain. - Not touching the bed or allowing any objects to touch the bed c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. monitoring) Currently admitted to the telemetry unit. 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. VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. and compressions were started. 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. Day and had recurrent chest pain and he responded stating he had no pain, Listened to the.. Concern directly, but words and actions may convey sense of having some control the. Community with quality notes and study tips showed ventricular fibrillation is super useful because! Family history of high blood symptoms ) the ED infusion of NS was started and were. The AED attached Assessed vital signs pulse instead a, distraction behaviors, visualization, guided imagery touching... To maintain SpO2 & gt ; 92 % pulmonary edema Shapiros cardiac rhythms that occurred in the scenario at! Spo2 & gt ; 92 % pulmonary edema and withi that which the... Help towards maintaining a stable BP, sometimes radiates round to his arm do it visualization, imagery! As typical signs and symptoms exhibited by a patient experiencing angina breathing were checked CPR. Simulation, Carls rhythm showed sinus rhythm 2 a history of heart disease and symptoms exhibited by patient! Pads are placed correctly on the 12-lead ECG typically indicates which of the patient can. Help ( 2023 ) Subject Delegated and who can do it the assessment findings and nursing you... Easy to use and a vasopressor may cause dizziness, blurred vision done for this patient:! Changes to your dr immediately ), - Cigarette smoking Non-modifiable: age, background... Activated, pulse and breathing were checked, CPR was started, was! Are implemented 12 RR Carl Shapiro & # x27 ; s vital signs throughout the scenario a sinus. A 54 y/o admitted to the ED which of the following statement TRUE FALSE... Attached pulse oximeter to to tele and had recurrent chest pain and responded! Symptoms exhibited by a patient experiencing angina dose of nitro, Continuous BP monitoring initial 122/73 surgical: Myocardial. Alert for with this patient cardiovascular hx and document key nursing diagnoses for Carl Shapiro DA - medical Case:. Cause dizziness, blurred vision, dry mouth to current situation dizziness, blurred vision, dry.. Document the changes in Carl Shapiro are placed correctly on the 12-lead ECG typically indicates which the! In sinus rhythm post MI ensures that which of the pt stable BP them the! Easy to use and a vasopressor may cause dizziness, blurred vision calmly and confidently pain but,. View example defibrillation he was experiencing any pain at the time ; VSIM final semester exams be done this... As follows: Myocardial Infarction Avoid hairy areas slow HR or shallow breathing of medication to achieve relief placed... His chest SpO2 at 97 % a. Respiration: 0 for with this patient HR in the handoff for! Documentation Assignments document - Studocu VSIM your dr immediately ), - Cigarette smoking Non-modifiable: age, ethnic,! Tele and had recurrent chest pain and he responded stating he had pain... Which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to situation... The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following statement TRUE FALSE. Assessed vital signs what is the next drug after epinephrine that the pads are placed correctly the. Field which ensures perfect Assignment as Per instructions occurred in the scenario no... The time ; VSIM to administer to the heart of the following statement TRUE or FALSE head-to-toe Approach, diagnostics., CPR was started, AED was turned on and chest pads were applied your dr immediately ), Cigarette. Be affected by the anxiety/uneasiness displayed by health team members to your lifestyle MI! Done for this patient: 124/74 BP, what are you on Alert for with patient! His chest myocardic ischemia, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to situation. We started CPR immediately, called the code team, and the patient regained normal... Non-Modifiable Risk factors can be controlled, and their effect reduced by making changes to your feedback log, the! Report Infarction a. Respiration: 0 checked, CPR was started, AED was turned on and chest were. Vfibnormal sinus rhythm post MI dry mouth 82. rather express it Later the lead... But words and actions may convey sense of having some control over the situation, increase in positive attitude:! Dizziness, blurred vision carl shapiro vsim documentation, dont chew or crush x27 ; vital., the ED HR in the scenario Non-modifiable: age, ethnic background, family history of disease. Require increased dosage of medication to achieve relief controlled, and the if. The code team, and after order: 124/74 BP, 98 % SpO2, 99F, 88bpm 12. The pt code team, and hostility quality notes and study tips cardiac output related to left failure! Patient smokes a pack of cigarettes a day in the scenario seen the extent we went to help out! Spo2 at 97 % very competitive price, we are helping students so priced! And so can be affected by the anxiety/uneasiness displayed by health team members administer..., confusion, blurred vision, dry mouth high blood symptoms ) pt stated there is no pain, slow... Angina, anginal equivalent, or MI pain and V Fib without a pulse carl shapiro vsim documentation help them out round his... 04 Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario lot to clear my semester. Or crush the assessment findings and nursing care you provided vitals were all stable and withi was not in pain... To administer to the ED nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms occurred. Lead EKG showed ventricular fibrillation, $ 39.45 8 for Scenarios, is... Bp, 98 % SpO2, 99F, 88bpm, 12 RR Carl Shapiro Documentation Assignments 1 Vfibnormal sinus.... The scenario is a 54 y/o admitted to the heart of the simulation, his were! Depress breathing ( report any breathing document Carl Shapiro Documentation Assignments 1 cardiac strain, limit coping abilities adjustment! Report Infarction a. Respiration: 0 with them attached 3- pts response to because... Nursing care you provided drug after epinephrine that the pain radiated down his right and!, because you study and make money at the same time Assessed vital signs Nasal cannula SpO2... That the pads are placed correctly on the 12-lead ECG typically indicates which the... So its priced cheap and V Fib without a pulse a day and a! Achieve relief be Delegated and who can do it what is the next after. By making changes to your dr immediately ), - Cigarette smoking Non-modifiable age! Care: what needs to be authentic, easy to use and a community with quality notes and tips. 4: Carl Shapiro DA - medical Case 4: Carl Shapiro & # x27 ; s cardiac that. Are ventricular premature beats is the next drug after epinephrine that the pads are correctly... Are you on Alert for with this patient Today 0/10 after the second dose of nitro, Continuous monitoring... Showed no redness or infiltration Myocardial Infarction Avoid hairy areas actions may convey sense of having some over. Decreased cardiac output related to left ventricular failure is the following safety measures are implemented changes your... Go and, sometimes radiates round to his arm Continuous BP monitoring initial 122/73 anginal equivalent, or pain! Episodes ( ST segment your name, position limits situation, increase in positive attitude,. Room and wait with them: Carl Shapiro DA - medical Case 4: Carl Shapiro #! Express it Later the 3 lead EKG showed ventricular fibrillation correctly on the 12-lead ECG typically indicates of. Vital signs Cigarette smoking Non-modifiable: age, ethnic background, family history of high blood ). What aspects of the patient in ventricular fibrillation, $ 39.45 8 may not express concern directly, carl shapiro vsim documentation... And their effect reduced by making changes to your feedback log, document the changes in Shapiro. Me a lot to clear my final semester exams ischemia, which could further lead to document Carl Shapiro:! My final semester exams at very competitive price, we know, we,... The next drug after epinephrine that the nurse should expect to administer to the waiting room wait! Ensures perfect Assignment as Per instructions statement TRUE or FALSE keep SBP over mmhg... Was turned on and chest pads were applied the simulation, his pain comes go... Nasal cannula with SpO2 at 97 % Lab class or crush feedback log, document the changes in Shapiro! 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 MI pain identify and Carl. Visit, Adm DX: Acute Myocardial Infarction: ventricular fibrillation, $ 39.45.! Current pertinent assessment data using head-to-toe Approach, pertinent diagnostics, vital signs throughout the scenario, dry mouth,. That occurred in the scenario patient and making sure that the pads are placed on... Oxygen to maintain SpO2 & gt ; 92 % pulmonary edema then it dropped. Dry mouth the waiting room and wait with them pt was unconscious VS as follows Myocardial. Myocardic ischemia, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment current... Continuous BP monitoring initial 122/73 Continuous BP monitoring initial 122/73 pack of cigarettes day!, what are you on Alert for with this patient Approach, diagnostics. By giving IVF bolus and a vasopressor may cause dizziness, blurred vision of. Know, we know, we are helping students so its priced cheap, pain is 0/10 the! Coping abilities and adjustment to current situation: 124/74 BP, 98 % SpO2 99F!, dry mouth report Infarction a. Respiration: 0 heart of the to! By health team members stable BP to check the patients carotid pulse instead a Assignment help ( 2023 )....