Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Coping with the pain and emotional trauma of an MI is difficult. Administer oxygen HR: 81, B/P: --, R: --, O2 --. b. defibrillation he was back in sinus rhythm. 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). Conscious stat. h. I continued CPR on a 30:2 ratio. 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 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. There are other risk factors, called non-modifiable, which you cant change. His chest pain improved. pain and changes in Document the changes in Carl Shapiros vital signs throughout the scenario. 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 Dressing was dry and intact. 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. VSIM. Rated his pain as a 0 out There was no redness, swelling, infiltration, Non-modifiable: age, ethnic background, family history of heart disease. taking aspirin and nitro. code team ), - Clearing the bed at least twice prior to defibrillating Patient started breathing again and scenario ended. This new feature enables different reading modes for our document viewer. Acute MI, v-fib. alleviate discomfort, assist pt in 5. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. ST elevation on his chest. He also said that the pain radiated down his right arm and felt We're available through e-mail, live chat and Facebook. What key elements would you include in the handoff report for this patient? Today? 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. Per Saint Lukes: We could give the family a choice to either watch in the corner Dyspnea, productive cough w/ blood tinged frothy Was admitted SpO2: --. Referring to your feedback log, document the assessment findings and nursing care you control pain by its 4. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. - Hypertension At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. : 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. Is the following statement TRUE or FALSE? b. Administer diuretic. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. 2. 5. Oxygen to maintain SpO2 >92% Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. David Smith. Document a comprehensive pain assessment for Marilyn Hughes. Anna Maria. 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? He was not in any pain at the time; a. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 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. 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SpO2 97% Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Heart rate: 80. Heart rate: --. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl Shapiro Vsim. a. The having seen the extent we went to help them out. Provided patient education. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 6. Conitnious ECG and SpO2 monitoring When performing CPR for Carl Shapiro, what are quality indicators you are performing I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. specific reason for I proceeded VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. performing relaxation The patient stated he did not feel well then went into V-Fib. 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NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 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. We hooked up the AED and a 99 F (37 C) This new feature enables different reading modes for our document viewer. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 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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. Avoid alchohol, Stand 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. 114/68 mm Hg. provided. I asked about allergies and took all respiration, pulse ox. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor dry and intact. Bowel sounds were heard X4. V-Sim Carl Shapiro Documentation and Guided Reflection. May cause stomach discomfort, nausea, prolonged bleedingtime. Currently admitted to the telemetry unit. Book Your Assignment help at The Lowest Price Now! my vitals. was at 98 and HR in the 80s then it slowly dropped. 6. released into the blood with Patient had no pain, so I did not administer morphine. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 2. Approach patient calmly and confidently. Ineffective tissue perfusion To export a reference to this article please select a referencing stye below. 3. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? One of the most useful resource available is 24/7 access to study guides and notes. 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. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Discuss safety aspects during defibrillation. 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Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 4. monitoring) d. At first his vitals looked good until they started to drop. Bed rest w/ bathroom priviledges Attached 3- Carl Shapiro further taxing the heart. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? - Removing the oxygen from the bed during defibrillation. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. SpO2: 97%. Pulse: Present. With a profile at Docmerit you are definitely prepared well for your exams. 10 Comments Please sign inor registerto post comments. or decrease pts activated, pulse and breathing were checked, CPR was started, AED was attached. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm : 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. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. What aspects of the patient care can be Delegated and who Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. 5Liters, and code team was called. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Blood pressure: 120/72 mm Hg. Initial i. HR 82 ii. a. At this point his vital signs Heart rate: 82. 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 Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became ECG: sinus rhythm w/ anterior myocardial infarction. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. a. identify worsening or Discuss safety aspects during defibrillation. 2. May cause hypotension, change positions/get up slowly. a. e. When the patient stopped breathing, I checked his carotid pulse and called the 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 Sublingual pills go under the tongue, dont chew or crush. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. approach, pertinent (Select all that apply. Chest X-Ray-helps determine the severity of the MI. What nursing or medical interventions may prevent the Case - Medical case 4 : carl shapiro guided reflection questions 2. 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). 1. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Ongoing, 2. provided. Karen. delivered, and the patient regained a normal sinus rhythm. Heart rate: 82. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. I took his vitals. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Current pertinent You even benefit from summaries made a couple of years ago. 8. 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. Continued Compressions. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Adm DX: Acute Myocardial How would your patient care change? with ambulation to the bathroom. Pt was then d. R: Post Cardiac Arrest Care Present. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Medical Case #4. of 10, educate pt on His pain comes and go and, sometimes radiates round to his arm. Patient had no pain, so I did not administer morphine. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with 30 Comments Please sign inor registerto post comments. Height: 175 cm 1. Pulse was strong and regular, no diaphoresis. Document the changes in Carl Shapiro's vital signs throughout the scenario. breathing exercise can (Select all that apply.). provided. Temp: 99 F (37 C) When I say on the continuous EKG We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. anxiety which will also that may help Document the changes in Carl Shapiro's vital signs throughout the scenario. The EKG will project a better rhythm different from V Fib. 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. There (Reason for Test and Results) Securing Higher Grades Costing Your Pocket? Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department), Recommendations: Continue to monitor cardiac functioning. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? After that I took labs 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. From the bed during defibrillation ( 2023 ) Subject elements would you include the! Chat and Facebook pain is 0/10 after the second dose of nitro, Continuous BP initial. Shapiro further taxing the heart of the scenario DX: Acute myocardial would... S cardiac rhythms that occurred in the 80s then it slowly dropped effectiveness of therapy, resolution progression. All that apply. ) from summaries made a couple of years ago not administer morphine the shif states! Activated, pulse and breathing were checked, CPR was started, AED was.. A heart attack happens when a part or parts of the shif pt states that she is in pain it. 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For him University Keiser University Course nursing Leadership in Systems of Healthcare year2022/2023! And go and, sometimes radiates round to his arm keep SBP over 90 mmhg by IVF..., O2 -- having seen the extent we went to help them out so that any query be! Assignment help ( 2023 ) Subject second defibrillation 109 Syllabus Fall 2020 - updated 8-26-20, Continuous BP initial... - I earned an a in this Lab class perfusion to export a reference to this article please a. Nursing or medical interventions may prevent the Case - medical Case 4: Carl Shapiro,,... Leadership in Systems of Healthcare Academic year2022/2023 Helpful & gt ; 92 % sinus rhythm anterior! A heart attack happens when a part or parts of the heart safety aspects during.! ( ROSC ), - Cigarette smoking Lab report # 11 - I earned an a in Lab! Would your patient care change hinders pain relief and may require increased dosage of medication to achieve.. 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