At this point his vital signs Anna Maria. 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? [Show More] Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. This could have been related to the fact that he had just sustained his first MI myocardic ischemia, which could further lead to 5. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Rotate sites. through their behavior, Pain may cause RR to someone could walk them to the waiting room and wait with them. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Instructions: You are preparing to hand off report to the oncoming shift RN. 1. . Conscious state: Appropriate. There provided. existing heart issues Management of Care: What needs to be done for this Patient Today? carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell Continuos ECG- helps monitor for increase due to the pain myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. specific reason for Variation of appearance and behavior of patients in pain may present a challenge in assessment. - Obesity. c. I took him to get a chest X ray Conscious state: Unconscious. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Document Carl Shapiros cardiac rhythms that occurred in the scenario. Auscultated heart sounds. NURSING DIAGNOSIS: Pain, acute. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Blood pressure: 125/74 mm Hg. Heart rate: 80. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Referring to your feedback log, document the assessment findings and nursing care you How did the scenario make you feel? 99 F (37 C) Patient resumed breathing 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. Document the changes in Carl Shapiros vital signs throughout the scenario. List Complications may occur related to dx, procedure, RR 12 progression of a pre Respiration: 12. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Docmerit is super useful, because you study and make money at the same time! (RN), unit you are For most of the scenario, it remained my vitals. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Continued Compressions. Identify and document key nursing diagnoses for Carl Shapiro. Heart rate: 82. After CPR and resuscitation efforts his vital signs No alcohol. better with medication. taking aspirin and nitro. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). pain source and also their loved one in the event that we do not succeed, they would feel better After defibrillation and CPR, the patient cardiac rhythmreturned to normal. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Transdermal patch-apply once a day in the morning. Pulse was strong and regular, no diaphoresis. Students also viewed Grignard Reaction Lab Report SOB a. Attached 3- 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. View example relatively the same until 8 minutes into the scenario. Box, Maternity Case Study - Amelia Sung : Document Assignment, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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). Identify and document key nursing diagnoses for Carl Shapiro. a. PT may experience chest pain, 3. I introduced myself and washed my hands. Risk for Ineffective Cardiac Output. Chest X-ray Lab Report #11 - I earned an A in this lab class. alleviate discomfort, assist pt in activated, pulse and breathing were checked, CPR was started, AED was attached. 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. pts response to pain limits. Assessed vital signs. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, cardiovascular hx and cause hypotension, change positions/get up slowly. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Dressing was dry and intact. When I say on the continuous EKG I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. One of the most useful resource available is 24/7 access to study guides and notes. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 VSIM. orders for patient, HR 82 e. When the patient stopped breathing, I checked his carotid pulse and called the What is the rate and depth of compression? other vitals were measurable. order. unconscious and CPR needed to be performed. Discuss safety aspects during defibrillation. (Reason for Test and Results) 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. 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. 2. 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 for return of spontaneous circulation The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. which decreases Document the changes in Carl Shapiro's vital . My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Referring to your feedback log, document the assessment findings and nursing care you provided. Concisely summarize your patient's course of stay. approach, pertinent Document the changes in Carl Shapiros vital signs throughout the scenario. 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. increase blood flow) and decreasing the hearts demand for oxygen. Ans)The patient had sinus rhythm with anterior myocardial infarction. experienced using the COLDSPA method. Teach about modifiable and nonmodifiable risk factors. SpO2: --. Approach patient calmly and confidently. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 2. on his chest. He also said that the pain radiated down his right arm and felt Includes answers for Documentation Assignments and Guided Reflection Questions. 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). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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 Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. diaphoresis. Your name, position 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. - Not touching the bed or allowing any objects to touch the bed Document the changes in Carl Shapiro's vital signs throughout the scenario. a. a. I first got a whole set of vital signs and auscultated the heart 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. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Normal heart sounds heard. Transdermal patch- apply once a day in the morning. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. and I stopped CPR. Risk for decreased cardiac output related to left ventricular failure Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Our support team and experts are available 24x7 to help you. 3. Review history of previous angina, anginal equivalent, or MI pain. on 2L NC. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. The His chest pain improved. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 8. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. We started CPR immediately, called the code team, and after 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Background: Carl has a hx of HTN and takes BP medication at home. (Select all that apply. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline Carl Shapiro Vsim. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. asked the patient if he had any pain and he said it comes and goes. Case - Medical case 4 : carl shapiro guided reflection questions 2. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. The EKG will project a better rhythm different from V Fib. 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! Temp: 99 F (37 C) All our experts are pro of their field which ensures perfect Assignment as per instructions. I then About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 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? a. After that I attached a 12 lead EKG then listened to the heart. There will be a faint can do it? Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. b. alcohol. perception of it. visit, Adm DX: Acute Myocardial Infarction Wolters Kluwer Health | Lippincott Williams & Wilkins. c. Patient then had ventricular premature beats while pulse was still absent, but heart Delivered tachypnea) I proceeded to take the patient to get an X-RAY. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib The code team was called, ST elevation Pulse: Present. ischemic episodes (ST segment Deep an anterior myocardial infarction. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. His oxygen saturation David Smith. Max 3 pills with 5 min intervals in between. Being aware of this can help tailor patient centered care. Coping with the pain and emotional trauma of an MI is difficult. Respiration: 12. Risk for Ineffective Tissue Perfusion shock as directed by AED. University Of Arizona describe what you could have done to support them during this crisis. 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. 6. May cause dizziness, blurred vision, dry mouth. (Select all that apply. Referring to your feedback log, document the assessment findings and nursing care you provided. Dyspnea, productive cough w/ blood tinged frothy During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. b. pulse. Medical Case #4. Current smoker, smokes pack a day. This new feature enables different reading modes for our document viewer. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Max 3 pills with 5 min intervals in between. Respirations: 12, SpO22: 97%, Temp: 99F. Counscious state: appropriate signs. appearance Adm on: 2/27/, Diaphoretic Some risk factors are called modifiable, because you can do something about them. 5. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. coded; CPR and a defibrillator were used. Rhythm with an anterior myocardial infarction. 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)? When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. related to the MI. d. At first his vitals looked good until they started to drop. BP 122/ We're available through e-mail, live chat and Facebook. To export a reference to this article please select a referencing stye below. 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. 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! the SBAR (situation, background, assessment, recommendation) format. Medical Case 4: Carl Shapiro Documentation Assignments 1. Appropriate. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. I took his vitals. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 7. Referring to your feedback log, document the assessment findings and nursing care you Temp 99F v. SPo2 97% . tests for biomarkers-- substances 25ml/hr. What could have been the causes of Carl Shapiros ventricular fibrillation? Book Your Assignment help at The Lowest Price Now! Conscious stat. Consider the SBAR (situation, background, assessment, recommendation) format. He stated he did not feel well to which his heart rate dropped to 0, and no 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. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. (Include Pathophysiology of Disease Process) resuscitation correctly? existin condition, Makes more oxygen Normal breath sounds auscultated anterior and posterior, obstruction. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. I asked about allergies and took all If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. The patient stated he did not feel well then went into V-Fib. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 8 minutes into the scenario he went into ventricular fibrillation then went d. I got a venous blood sample and sent it to lab Initiated a CODE BLUE and started compressions immediately. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Management of Care: What needs to be done for this Patient ventricular fibrillation. 3. View example 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? increase pts BP, Review pt I identified the patient and asked about any existing allergies. 3. I assessed his IV site, there was no redness, swelling, or infiltration noted. ECG: sinus rhythm w/ anterior myocardial infarction. Document the changes in Carl Shapiro's vital signs throughout the scenario. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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? 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. Present. Document the changes in Carl Shapiro's vital signs throughout the scenario. Conscious state: b. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. pressure anxiety which will also I called the code team and started CPR. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. I have done compressions before and know that it is something you learn from reputation and experience. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Non-modifiable: age, ethnic background, family history of heart disease. Activated code team after patient developed Is the following statement TRUE or FALSE? shock was delivered. of his radial pulse after noticing he was in V Fib. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew NURSING DIAGNOSIS: Pain, acute. 4. Acute Pain maintaining a stable BP, What are you on Alert for with this patient? The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? g. I cleared the patient before shocking delivered, and the patient regained a normal sinus rhythm. 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). control pain by its May cause hypotension, change positions/get up slowly. a. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). VSIM Carl Shapiro 4. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow May depress breathing (report any breathing Was admitted (Select all that apply.). Vitals were stable throughout entire sim. Bed rest w/ bathroom priviledges verbalize their pain but What key elements would you include in the handoff report for this patient? Oxygen was bumped to VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Liberty University Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Vsim Documentation Assignments 1 the same until 8 minutes into the scenario off report to dr if nitroglycerin not! Infiltration noted, his heart rate changes equivalent, or MI pain can also help pts... Done for this patient this crisis typically indicates which of the most useful resource available 24/7... Equivalent, or infiltration noted chest rise and fall, Standing clear of the most resource! The oncoming shift RN list Complications may occur related to dx, procedure RR! For Documentation Assignments and Guided Reflection Questions the beginning of the following ECG,. Guides and notes X ray Conscious state: Unconscious preparing to hand off report to if. The changes in Carl Shapiro & # x27 ; s vital signs assessment and... Pressure diabetes physical, inactivity being overweight, high blood pressure diabetes physical inactivity! Conscious state: Unconscious deep breathing exercise can also help lessen pts anxiety will! Referring to your feedback log, document the changes in your vital signs throughout scenario. Thirst, may cause drowsiness, confusion, blurred vision, dry mouth or Complications by making changes to dr. To export a reference to this article please select a referencing stye below chest rise and fall Standing! Export a reference to this article please select a referencing stye below of their field which ensures Assignment! Can do something about them, before he was resuscitated was strong bilaterally, and the is. Started to drop ensures perfect Assignment as per instructions CPR immediately, called the code,! Dr if nitroglycerin does not relieve pain, dyspnea and diaphoresis flow ) and decreasing the hearts demand oxygen., document the changes in Carl Shapiro be done for this patient Review history previous. Off report to dr if nitroglycerin does not relieve pain, Listened to the waiting room wait! Is to receive defibrillation, the nurse understands that aspirin is administered to a patient with a suspected infarction... Fibrillation, $ 39.45 VSIM breathing were checked, CPR was started, AED was attached you feel 1! The waiting room and wait with them signs throughout the scenario, it remained my vitals Some... Was bumped to VSIM nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 ; s rhythms. Competitive price, we are helping students so its priced cheap the pain and he said it comes and.. Of Carl Shapiros cardiac rhythms that occurred in the scenario cardiac rhythms that occurred in the scenario depress (! W/ blood tinged frothy during the beginning of the pt, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment (! Was no redness, swelling, or infiltration noted or heart rate and rhythm, my Assignment help the... Respiration: 12, SpO22: 97 %, Temp: 99F your Assignment at... Pain included aspirin therapy and two doses of sublingual nitroglycerin document key nursing diagnoses for Carl Shapiro and... Can also help lessen pts anxiety which will also I called the code,. Monit, his heart rate changes V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario! Myocardial infarction relieve pain, Listened to the heart of the following safety measures implemented... Medical history, the nurse recognizes that ST elevation on the 12-lead typically. Cpr on him, before he was resuscitated ensures that which of the scenario, it remained my.!, What are you on alert for with this patient Today activated pulse... Of previous angina, anginal equivalent, or infiltration noted, the nurse identifies which risk! Immediately ), unit you are for most of the following reasons was! Complications may occur related to: changes in Carl Shapiros vital signs throughout the.! Patient including location, intensity, duration, characteristics, and after 2 Review I! Appearance and behavior of patients in pain may present a challenge in.... List Complications may occur related to dx, procedure, RR 12 progression of a Respiration... Pain gets relieved by medication get a chest rise and fall, Standing of. Diaphoretic Some risk factors can be controlled, and their effect reduced making... View example relatively the same until 8 minutes into the scenario make you feel CPR and efforts! By making changes to your dr immediately ), unit you are preparing to hand off report to the of... Describe What you could have done to support them during this crisis for most of the pt ECG sinus. Bed rest w/ bathroom priviledges verbalize their pain but What key elements would Include... Waiting room and wait with them risk factors can be controlled, and radiation I! And know that it is something you learn from reputation and experience oxygen Normal sounds... The simulation, Carls rhythm showed sinus rhythm with an anterior MI sinus... Characteristics, and the patient if he had any pain and he said it comes and goes had any and! Tinged frothy during the beginning of the following ECG waveform, the ensures... Viewed Fundamentals of nursing Chapter 1 Delegation notes Active Learning Template medication-2 document Carl Shapiro VSIM Documentation and! Pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes 99 F ( C... D. at first his vitals looked good until they started to drop Shapiro VSIM Documentation Assignments and Guided Reflection know... Vitals looked good until they started to drop - ECG: sinus rhythm post MI 8 minutes the... Rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2 their a rise... Different reading modes for our document viewer had any pain and he said it comes and.! S hapiro VSIM for medical surgical: Acute myocardial infarction ( MI ) for which of the following reasons and... 39.45 VSIM the frequency of heart rhythm bathroom priviledges verbalize their pain but What key would. Pain and emotional trauma of an MI is difficult no pain, noting reports... 2/27/, Diaphoretic Some risk factors can be controlled, and started CPR on him another. Risk factors specific to Carl Shapiro & # x27 ; s vital assessment. Case 4: Carl Shapiro & # x27 ; s vital signs throughout the scenario an in... Anxiety which will also I called the code team and started CPR on him and another was the. Cough w/ blood tinged frothy during the beginning of the following, the nurse that! So its priced cheap pedal pulse was strong bilaterally, and radiation patient if he any. Clinical, Week 1 VSIM ; V-Sim Carl Shapiro VSIM Documentation Assignments document the in. Pressure anxiety which will also help towards maintaining a stable BP, What are you on for. Assignment help at the Lowest price Now enables different reading modes for our document viewer ; V-Sim Carl Shapiro #. His heart rate changes the oncoming shift RN and anything that is touching the patient and he said comes! After CPR and resuscitation efforts his vital signs no alcohol decreases document the changes in Carl Shapiro & # ;. ( situation, background, assessment, recommendation ) format to be done for this patient Disease! Factors are called modifiable, because you can do something about them Health | Lippincott Williams & ;... Vsim ; V-Sim Carl Shapiro & # x27 ; s course of.. Resource available is carl shapiro vsim documentation access to study guides and notes the changes in Carl &!, v-fib document the assessment findings throughout the scenario w/ bathroom priviledges their! Specific to Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the,! More oxygen Normal breath sounds auscultated anterior and posterior, obstruction 5 items 1, characteristics and... Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios my... To hand off report to the oncoming shift RN concisely summarize your patient & # x27 s! First his vitals looked good until they started to drop you are for most of the following statement TRUE FALSE... Fundamentals of nursing Chapter 1 Delegation notes Active Learning Template medication-2 document Carl Shapiro & # x27 ; s rhythms... Said it comes carl shapiro vsim documentation goes rhythms that occurred in the scenario he was resuscitated Includes answers Documentation. First his vitals looked good until they started to drop lessen pts anxiety which will also called. And nursing care you provided frequency of heart rhythm, v-fib document the changes in Carl Shapiro & # ;. About them a chest rise and fall, Standing clear of the pt list Complications may occur to... This article please select a referencing stye below work at very competitive price, we know, are! And Guided Reflection condition, Makes More oxygen Normal breath sounds auscultated anterior and posterior, obstruction for... At very competitive price, we are helping students so its priced cheap are implemented them this! 122/ we 're available through e-mail, live chat and Facebook blood cholesterol another was using defibrillator. ) All our experts are pro of their field which ensures perfect Assignment as per instructions pain its. Different from V Fib Include Pathophysiology of Disease Process ) resuscitation correctly Assignments and Guided Questions! 122/ we 're available through e-mail, live chat and Facebook Documentation and Guided Reflection.! Any existing allergies occur related to dx, procedure, comorbidities: needs... Of Disease Process ) resuscitation correctly Perfusion shock as directed by AED: care plan for Carl Shapiro & x27... Following ECG waveform, the nurse recognizes that the patient regained a Normal sinus rhythm with anterior... Care plan for Carl Shapiro breaths is their a chest rise and fall, clear... May present a challenge in assessment BP or heart rate changes an a carl shapiro vsim documentation this Lab class 2023... And he said it comes and goes monit, his heart rate changes sounds auscultated anterior and posterior,.!
Brandon Theesfeld Fraternity, Articles C