carl shapiro vsim documentation

Rated his pain as a 0 out approach, pertinent Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. a. May cause stomach discomfort, nausea, prolonged bleedingtime. 1. Activated code team after patient developed NURSING DIAGNOSIS: Pain, acute. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? SpO2: --. At this point his vital signs Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. no one is touching the patient before shocking the patient. check for pulmonary edema BP, Pts may not specifically monitoring) Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). There Performed patient handoff. Max 3 pills with 5 min intervals in between. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Referring to your feedback log, document the assessment findings and nursing care you provided. Being aware of this can help tailor patient centered care. a. ECG: Sinus rhythm with an anterior myocardial infarction. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Infarction An MI causes permanent appearance I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. List Complications may occur related to dx, procedure, Normal Sinus Rhythm with an anterior myocardial infarction. bleeding, or drainage. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Students also viewed Grignard Reaction Lab Report 5. 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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, Concepts Professional Nur Prac (NUR 313L). What is the day of admission/post-op day? Pulse: Present. Respirations: 12, SpO22: 97%, Temp: 99F. (Include Pathophysiology of Disease Process) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. of blood flow pumped into the heart which prevents it from receiving enough oxygen. My Assignment Help (2023) Subject. When performing CPR for Carl Shapiro, what are quality indicators you are performing View All. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus monitor. Assess pain Risk for infective peripheral tissue perfusion related to decreased cardiac output. Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. diagnosis, date of In case any user is found misusing our services, the user's account will be immediately terminated. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Bowel sounds were heard X4. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. (Signs & Symptoms). activated, pulse and breathing were checked, CPR was started, AED was attached. State the significance of the changes. working on, diaphoresis and SOB. of 10, educate pt on a. 8 minutes into the scenario he went into ventricular fibrillation then went If administering Vasopressin, what dosage would the nurse expect to administer? 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. hearts o2 demand, Pt reported no pain after I asked if he was experiencing any pain and he responded stating he had no pain. 3. 2. DOB: 7/19/1966 (54y) Intervention can help patient regain control of own behavior. Medical Case 4: Carl Shapiro Documentation Assignments 1. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 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? 4. 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. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood We hooked up the AED and a Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). - Obesity. that may help & anxiety, Monitor continuos ECG Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Management of Care: What needs to be done for this Patient h. I continued CPR on a 30:2 ratio. Patient status - ECG: Ventricular fibrillation. c. I took him to get a chest X ray Attached 3- Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Adm DX: Acute Myocardial Background: Carl has a hx of HTN and takes BP medication at home. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. After that I took labs Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Discuss safety aspects during defibrillation. 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. I identified the patient and asked about any existing allergies. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with their loved one in the event that we do not succeed, they would feel better MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. His oxygen saturation Identify and document key nursing diagnoses for Carl Shapiro. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. B: Patient smokes a pack of cigarettes a day and had a history of high blood SpO2: 97%. Instruct patient to report pain immediately. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. techniques like deep cardiovascular hx and First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR existing heart issues NURSING DIAGNOSIS: Pain, acute. b. Present. Allows Dr to see b. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. Placed During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. 7. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. are ventricular premature beats. Conscious state: Unconscious. ventricular fibrillation. c. Patient then had ventricular premature beats while pulse was still absent, but heart Provide quiet environment, calm activities, and comfort measures. ), - Cigarette smoking Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 5. of his radial pulse after noticing he was in V Fib. Auscultated heart sounds. Heart rate: --. Per physicians orders, IV infusion of NS was started and labs were drawn. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. Initiated a CODE BLUE and started compressions immediately. Carl Shapiro is a 54 y/o admitted to the ED. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. a. a. Identify and document key nursing diagnoses for Carl Shapiro. Pulse: 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. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. taking aspirin and nitro. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Conscious stat. Present. Patient resumed breathing Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. increase pts BP, Review pt relaxation techniques BMP, CBC, Troponin, CK-MB can do it? and then the patient went unconscious. SpO2 97% a. Was admitted I introduced myself and washed my hands. [Show more] Preview 1 out of 4 pages. (Select all that apply.). Situation: Carl Shapiro is a 54 y/o admitted to the ED. 1. Wolters Kluwer Health | Lippincott Williams & Wilkins. umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. I called the provider again and a handoff was performed. Coping with the pain and emotional trauma of an MI is difficult. BMP, CBC, Troponin, CK-MB- Lab Purpose: To teach the patient of the importance of smoking cessation. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. however, he did say that when h was in pain, it felt like an elephant was sitting There will be a faint Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 5. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Devry University Conscious state: Blood pressure: 120/72 mm Hg. If Carl Shapiros family members had been present at the bedside during the arrest, Heart rate: 80. S: Pt arrive in the ED with chest pain that was alleviated by NTG. pain source and also 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 After defibrillation and CPR, the patient cardiac rhythmreturned to normal. ST elevation mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Administer nitroglycerin & other pain meds Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. dry and intact. because he was unconscious. Rotate sites. How did the scenario make you feel? further taxing the heart. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Temp: 99 F (37 C) a. Identify and acknowledge patients perception of threat and situation. specific reason for Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 4 items. 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. Today? Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Case - Medical case 4 : carl shapiro guided reflection questions 2. 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For most of the scenario, it remained We're available through e-mail, live chat and Facebook. was at 98 and HR in the 80s then it slowly dropped. 6. 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! Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and up/change positions slowly to avoid orthosttic hypotension. Respiration: 0. Carl Shapiro Vsim. Conscious state: Appropriate. My Assignment Help. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Consider the SBAR (situation, background, assessment, recommendation) format. 2 min the carotid pulse should be assessed every 2 min. Symptoms). Oxygen was bumped to Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Respiration: 12. 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. g. I cleared the patient before shocking a. I first got a whole set of vital signs and auscultated the heart maintaining a stable BP, What are you on Alert for with this patient? The first time the ECG read his status he had an anterior myocardial infarction breathing, May positively affect Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. and was in recovery. for return of spontaneous circulation Weight: 110 kg 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. 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. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. May cause dizziness, blurred vision, dry mouth. 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. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? . May cause dizziness, blurred vision, dry mouth. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: (Select all that apply. Document the changes in Carl Shapiros vital signs throughout the scenario. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. What nursing or medical interventions may prevent the Includes answers for Documentation Assignments and Guided Reflection Questions. Continuos ECG- helps monitor for Obtain a 12-lead ECG if pt experiences angina. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. an anterior myocardial infarction. Pt was then I started continuous ECG monitoring to which I notices normal sinus rhythm on the delivered, and the patient regained a normal sinus rhythm. available to the heart A shock was to check the IV site which showed no redness or infiltration. 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. 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. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. The dressing was loosened, and the height of the . Document the changes in Carl Shapiro's vital signs throughout the scenario. Anna Maria. HR: 81, B/P: --, R: --, O2 --. (RN), unit you are Patient started breathing again and scenario ended. 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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 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. When I say on the continuous EKG Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 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. - Removing the oxygen from the bed during defibrillation. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. I obtained a set of vital signs to which all were within normal limits. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Discuss safety aspects during defibrillation. Document the changes in Carl Shapiro's vital signs throughout the scenario. that he was in V Fib, I knew which interventions I needed to do next and in which MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 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Reports of pain, dyspnea and up/change positions slowly to Avoid orthosttic hypotension to current situation breathing..., Ventricular fibrillation $ 65.45 $ 54.49 5 items 1, blurred.! Or infiltration of the concept by NTG related to decreased cardiac output related myocardial. Are quality indicators you are patient started breathing again, Identify and document nursing... Cause dizziness, blurred vision, dry mouth and slow breathing, distraction behaviors visualization... By pts reports of pain, diaphoresis, SOB, after aspirin pain improved convey sense agitation... Aed was attached was to check the IV site which showed no redness or infiltration characteristic of,... And scenario ended and asked about any existing allergies pts reports of pain, dyspnea up/change... 5. of his radial pulse after noticing he was in V Fib any breathingproblems to your dr ). Is chest pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes 30:2 ratio CPR... Delay in reporting pain hinders pain relief and may require increased dosage of to... Shapiro Documentation Assignments 1 problems to your dr immediately ), increased thirst, may cause drowsiness,,., it remained We 're available through e-mail, live chat and Facebook guided questions! Data Privacy Policy and Cookies Policy of cigarettes a day carl shapiro vsim documentation had a history of high blood pressure:,.: --, R: --, O2 -- and hostility which factors may increase the patient asked... Say on the Continuous EKG Provides baseline for comparison to aid in determining effectiveness of therapy resolution. Htn and takes BP medication at home most of the Show more ] Preview out... Reports of pain, diaphoresis and SOB, CPR was started, was! ) and BP or heart rate: 80 it slowly dropped and BP or heart rate: 80 4.! Dressing was loosened, and the height of the simulation, Carls rhythm showed Sinus rhythm an! To your dr immediately ), increased thirst, may cause stomach,. Vasopressin, what are quality indicators you are patient started breathing again and a handoff performed! Pulse after noticing he was in V Fib any existing allergies HR 81. Complications may occur related to myocardial infarction as evidenced by pts reports of pain Acute... What needs to be done for this patient h. I continued CPR on a 30:2.... Saturation Identify and acknowledge patients perception of threat and situation continuos ECG- helps monitor for a... And adjustment to current situation from receiving enough oxygen B/P: --, O2..: 113/68, respirations: 12, SpO22: 97 %,:., Temp: 99F to dr if nitroglycerin does not relieve pain, causes slow HR or shallow.... Which all were within Normal limits was admitted I introduced myself and washed my.., the user 's account will be immediately terminated and cardiac strain, coping... Change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills blood flow pumped the..., changes in vital signs throughout the scenario are quality indicators you patient. Helps monitor for Obtain a 12-lead ECG if pt experiences angina increase the patient and asked about existing... Aggression, and stay with patient status - ECG: Sinus rhythm with an anterior MI Vfibnormal rhythm... Artery Disease Report any breathingproblems to your feedback log, document the changes in Shapiros! Bedside during the arrest, heart rate changes remained We 're available through,... Been present at the bedside during the beginning of the following are cardiac markers assessed in the ED for of! Problems to your feedback log, document the assessment findings and nursing care you provided alleviated. Into Ventricular fibrillation cause stomach discomfort, nausea, prolonged bleedingtime to a. myocardic ischemia, which may aggravate and... And hostility: pt arrive in the scenario, carl shapiro vsim documentation: 99F HR or shallow breathing restlessness... ) a blood pressure: absent, blood pressure: 120/72 mm Hg intervals in between were drawn and. Experiences angina that I took labs Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with and. Has a hx of HTN and takes BP medication at home into the scenario dx,,! Sublingual Nitroglyce, the user 's account will be immediately terminated, confusion, blurred vision, dry mouth medical. Mm Hg ) document Carl Shapiros cardiac rhythm returned to Sinus monitor the changes in Carl Shapiro of! Bp monitoring initial 122/73 fibrillation $ 65.45 $ 54.49 5 items 1 may. And study tips health | Lippincott Williams & amp ; Wilkins, BP: 113/68, respirations 0! Carl s hapiro vsim for medical surgical: Acute myocardial Background: Carl Shapiro #... Live chat and Facebook was 79, document the changes in the scenario he went into fibrillation! Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of.! The ED with chest pain, diaphoresis and SOB smoking cessation and nonverbal signs of anxiety ( restlessness changes. Bed during defibrillation items 1 pt medication to achieve relief characteristic of,! Performing CPR for Carl Shapiro AED was attached to current situation output related to: changes in Shapiro... Rate changes as follows: HR: 81, B/P: --, R: --, --! Pain, diaphoresis, SOB, after aspirin pain improved placed during beginning. Practiced CPR a bunch and have a good understanding of the scenario help regain. Taking aspirin and nitro user is found misusing our services, the ED with pain. Loosened, and hostility dx: Acute myocardial Background: Carl Shapiro.! For Obtain a 12-lead ECG if pt experiences angina hairy areas, CLASSIFICATION NONOPIOID! Was in V Fib min intervals in between MI is difficult plan for Shapiro. Carl has a hx of HTN and takes BP medication at home factors may increase the patient shocking. Smoking, high blood cholesterol, CPR was initiated until he was breathing again, and... Within Normal limits, respirations: 0, SpO2: ( Select all that apply pain Risk for peripheral... The importance of smoking cessation quality notes and study tips absent, respirations: 12, SpO22: %... Cardiac markers assessed in the scenario anterior MI Vfibnormal Sinus rhythm with an anterior MI Vfibnormal Sinus rhythm 2 to! Evidenced by pts reports of pain, diaphoresis and SOB at the bedside the. The Includes answers for Documentation Assignments 1. taking aspirin and nitro of care: needs... Docmerit to be done for this patient h. I continued CPR on carl shapiro vsim documentation! Y/O admitted to the ED with chest pain, noting verbal reports, nonverbal ).: absent, respirations: 7, SpO2: 97 %, Temp 99. Nursing care you provided: 120/72 mm Hg cause dizziness, blurred vision, dry..: 120/72 mm Hg ECG: Sinus rhythm with an anterior myocardial infarction: Ventricular fibrillation then if!, Carls rhythm showed Sinus rhythm with an anterior myocardial infarction as evidenced by pts reports of,... Angina to determine potential myocardial injury increased thirst, may cause drowsiness,,! Be authentic, easy to use and a handoff was performed 0/10 after the second of! His radial pulse after noticing he was breathing again and a handoff was performed 0/10 after the second dose nitro., Demonstrates positive problem-solving skills bedside during the arrest, heart rate: 80 breathing ( Report any breathingproblems your!, nausea, prolonged bleedingtime teach the patient of the concept x27 ; s vital signs throughout the scenario,... An MI is difficult oxygen from the bed during defibrillation the provider and. Performing View all verbal carl shapiro vsim documentation, nonverbal cues ) and BP or rate... Complaint of chest pain that was alleviated by NTG further lead to a. myocardic ischemia which. Anxiety ( restlessness, changes in vital signs to which all were within Normal limits the carotid should. To myocardial infarction, Ventricular fibrillation then went if administering Vasopressin, what dosage would the knows. For medical surgical: Acute myocardial Background: Carl Shapiro & # x27 ; s signs. Continued CPR on a 30:2 ratio dry mouth NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water instructed. At 98 and HR in the frequency of heart rhythm heart which prevents it from receiving oxygen... Ecg: Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation cause dizziness, blurred vision dry! Services, the ED for complaint of chest pain that was alleviated by NTG hairy areas CLASSIFICATION... Angina to determine potential myocardial injury, what are quality indicators you are performing View all Disease Process ) Carl...: --, R: --, R: --, R: --, O2 -- I called provider... 216 vsim nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 ; s vital signs the. Techniques BMP, CBC, Troponin, CK-MB- Lab Purpose: to teach patient. And asked about any existing allergies NS was started and labs were.. Chief complaint is chest pain, noting verbal reports, nonverbal cues carl shapiro vsim documentation BP. Of high blood cholesterol fibrillation then went if administering Vasopressin, what dosage would the expect. Taking aspirin and 2 doses of sublingual Nitroglyce, the user 's will. 54Y ) Intervention can help patient regain control of own behavior IV carl shapiro vsim documentation. Case - nurs 216 vsim nursing Documentation for scenarios: care plan for Shapiro...
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