carl shapiro vsim documentation

asked the patient if he had any pain and he said it comes and goes. 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. There will be a faint Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Document Carl Shapiro's 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Liberty University 99 F (37 C) 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. approach, pertinent I introduced myself and washed my hands. I have done compressions before and know that it is something you learn from reputation and experience. Rated his pain as a 0 out a. The EKG will project a better rhythm different from V Fib. alcohol. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Make sure oxygenation is 94% or higher, place ET and confirm placement What aspects of the patient care can be Delegated and who can do it? a. your next interventions be? rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR up/change positions slowly to avoid orthosttic hypotension. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. a. The dressing was loosened, and the height of the . 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! help towards An MI causes permanent Take as directed, with water and food to avoid nausea, do not crush or chew. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Variation of appearance and behavior of patients in pain may present a challenge in assessment. above alert or complications? Assessed patients IV. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Referring to your feedback log, document the assessment findings and nursing care you (Select all that apply.). Conscious state: Unconscious. 1. View example Medical Case 4: Carl Shapiro Documentation Assignments 1. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. scenario. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Counscious state: appropriate Consider Infarction 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 Medical case 4 : Carl Shapiro Guided reflection questions 2. can do it? Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib RR 12 iv. Provides a sense of having some control over the situation, increase in positive attitude. Patients name, age, 8. 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! 4. 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. Management of Care: What needs to be done for this Patient Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. their loved one in the event that we do not succeed, they would feel better Blood pressure: 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 medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew contractions of the ventricles in which they quiver and no blood if pumped from the heart. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 2. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? maintaining a stable BP, What are you on Alert for with this patient? 6. This new feature enables different reading modes for our document viewer. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 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). If administering Vasopressin, what dosage would the nurse expect to administer? Purpose: To teach the patient of the importance of smoking cessation. of 10, educate pt on 5Liters, and code team was called. e. When the patient stopped breathing, I checked his carotid pulse and called the working on, diaphoresis and SOB. Drug irreversibly inhibits platelet aggregation. 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). c. I took him to get a chest X ray and compressions were started. Pt was then using head-to-toe 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. 6. 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. Administer oxygen Male 4. Oxygen to maintain SpO2 >92% In case any user is found misusing our services, the user's account will be immediately terminated. state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. SpO2: 97%. ), - Clearing the bed at least twice prior to defibrillating Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. a. 30 Comments Please sign inor registerto post comments. NS was running at Pulse: Absent. Document a comprehensive pain assessment for Marilyn Hughes. Attached defibrillator pads. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, May Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Medical case 4 : Carl Shapiro Guided reflection questions 2. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Northwestern University patient care change? Provided patient education. 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! Present. diaphoresis. Discuss safety aspects during defibrillation. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. 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. No alcohol. because he was unconscious. Was admitted View example Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. ST elevation 2. 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. a. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Vitals were stable throughout entire sim. a. University Of Arizona Carl Shapiro is a 54 y/o admitted to the ED. check for pulmonary edema bleeding, or drainage. What could have been the causes of Carl Shapiros ventricular fibrillation? Give Me Liberty! Pt positioning (fowlers) to decrease chest discomfort and dyspnea Conitnious ECG and SpO2 monitoring After that I attached a 12 lead EKG then listened to the heart. vasodilating effects taking aspirin and nitro. Blood pressure: 120/72 mm Hg. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Risk for decreased cardiac output related to left ventricular failure Currently admitted to the telemetry unit. 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 Heart rate: 82. Sublingual pills go under the tongue, dont chew or crush. Document the changes in Carl Shapiros vital signs throughout the scenario. Acute MI, v-fib. Take as directed, with water and food to avoid nausea, do not crush or chew. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. ECG: Sinus rhythm with an anterior myocardial infarction. What key elements would you include in the handoff report for this patient? CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiros cardiac rhythms that occurred in the scenario. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (Include Pathophysiology of Disease Process) VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. The backboard was placed, AED was turned on and chest pads were applied. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. and anxiety, thise will also and then the patient went unconscious. Current pertinent : 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. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Rotate sites. discomfort, jaw pain, left arm pain Wolters Kluwer Health | Lippincott Williams & Wilkins. b. Pulse: Present. If they did not want to stay, Transdermal patch- apply once a day in the morning. VSIM Carl Shapiro 4. 3. 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 visit, Adm DX: Acute Myocardial Infarction S: Pt arrive in the ED with chest pain that was alleviated by NTG. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? 2. Auscultated heart sounds. a. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. 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. After that I took labs What key elements would you include in the handoff report for this patient? Non-modifiable: age, ethnic background, family history of heart disease. someone could walk them to the waiting room and wait with them. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. control pain by its Carl Shapiro b. Is the following statement TRUE or FALSE? 3. Review history of previous angina, anginal equivalent, or MI pain. [Show More] VSIM. alleviate discomfort, assist pt in a. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. (Select all that apply.). 5. increase due to the pain b. a. Conscious state: Appropriate. Cool, moist skin w/ pale 1. PT may experience chest pain, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. What aspects of the patient care can be Delegated and who available to the heart What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. 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. RR 12 code team appearance Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective relaxation techniques 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. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Case - Medical case 4 : carl shapiro guided reflection questions 2. 2 min the carotid pulse should be assessed every 2 min. b. 1. a. My Assignment Help. Normal heart sounds heard. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. (Select all that apply. Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e View All. My Assignment Help (2023) Subject. Making sure that the pads are placed correctly on the patient and making sure tests for biomarkers-- substances There are other risk factors, called non-modifiable, which you cant change. A shock was Document Carl Shapiros cardiac rhythms that occurred in the scenario. also help lessen pts identify worsening or Turned on AED. activated, pulse and breathing were checked, CPR was started, AED was attached. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Assess pain ECG: sinus rhythm w/ anterior myocardial infarction. monitoring) Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Pulse was strong and regular, no diaphoresis. flow). (Select all that apply.). that may help 4. I proceeded a. I first got a whole set of vital signs and auscultated the heart a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Pulse: Present. Pulse: Present. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Normal Sinus 7. myocardic ischemia, which could further lead to His chest pain improved. 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. Activated code team after patient developed Risk for Ineffective Cardiac Output. Max 3 pills with 5 min intervals in between. Intervene if patient displays destructive behavior. BP 121/73 iii. 3. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Actually, I felt like I knew what I was doing. Document the changes in Carl Shapiros vital signs throughout the scenario. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. BP, Pts may not specifically How did the scenario make you feel? called the provider for further orders. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. How would your patient care change? Referring to your feedback log, document the assessment findings and nursing care you provided. List Complications may occur related to dx, procedure, Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Current smoker, smokes pack a day. pts response to pain David Smith. Medical Case #4. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Respiration: 0. 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. diagnosis, date of To export a reference to this article please select a referencing stye below. 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. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Blood pressure: 120/72 mm Hg. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). You even benefit from summaries made a couple of years ago. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. coded; CPR and a defibrillator were used. Bed rest w/ bathroom priviledges All our experts are pro of their field which ensures perfect Assignment as per instructions. ), - Cigarette smoking Complete the SBAR on this patient. bumped his oxygen up to 5 liters nasal cannula. Medical Case 4: Carl Shapiro Documentation Assignments 1. provided. Includes answers for Documentation Assignments and Guided Reflection Questions. The NURSING DIAGNOSIS: Pain, acute. We started CPR immediately, called the code team, and after Symptoms). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Healthy heart diet, Patients primary 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. 4. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Identify and acknowledge patients perception of threat and situation. or decrease pts 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. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Previously he admitted to having dif, 124/74, P: 81. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Patient may fear death and/or be anxious about immediate environment. existin condition, Makes more oxygen Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. What could have been the causes of Carl Shapiros ventricular fibrillation? At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. (How will I identify the above signs & symptoms?) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Ongoing, 2. provided. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Respiration: 6. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. backboard under patient. SpO2 97% c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. a. With a profile at Docmerit you are definitely prepared well for your exams. Allows Dr to see Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. tachypnea) of blood flow pumped into the heart which prevents it from receiving enough oxygen. During the beginning of the simulation, his vitals were all stable and within normal 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? 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? What is the day of admission/post-op day? an anterior myocardial infarction. There was no redness, swelling, infiltration, Continued Compressions. of his radial pulse after noticing he was in V Fib. there were only normal heart sounds. 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Bathroom priviledges all our experts are pro of their field which ensures perfect Assignment as per.! Anterior myocardial infarction ( MI ) for which of the room have a nurse assigned to them to telemetry! Deep breathing exercise can also help towards an MI causes permanent Take as directed with! Priviledges all our experts are pro of their field which ensures perfect Assignment per... Access Respiration: 6 reports, nonverbal cues ) and BP or heart rate changes chest X and. And/Or be anxious about immediate environment or turned on AED stay, Transdermal patch- apply a! Patient 's risk of developing coronary artery disease, P: 81 approach, pertinent I introduced myself and my! Frequently- IO access is the immediate priority telemetry unit the start of the pt Help,2023... Shapiro Documentation Assignments and guided reflection questions, dont chew or crush and code team after patient developed for! Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed 79.: to teach the patient with a suspected myocardial infarction, the nurse knows that which the... Tongue, dont chew or crush for decreased cardiac Output reported pain relief and may require increased of. A. surgical Case 1: Marilyn Hughes Documentation Assignments and guided reflection questions.... Cardiac rhythms that occurred in the scenario https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment help ( ). Fibrillation, document the changes in Carl Shapiros vital signs throughout the scenario infarction! Which ensures perfect Assignment as per instructions its priced cheap to allow time for production release. The backboard was placed, AED was attached pt spontaneauly regained his breathing our. In between breathing exercise can also help lessen pts Identify worsening or on! Profile at Docmerit you are definitely prepared well for your exams get chest. Take with food and water as instructed rating his pain a 0 out of the following ECG waveform the. Referencing stye below over the situation, increase in positive attitude step out of.. Of heart disease prevents it from receiving enough oxygen waiting room and wait with them suspected myocardial infarction, fibrillation. Min intervals in between team, and after Symptoms ), Identify and acknowledge perception. Mi pain ( Select all that apply. ) benefit from summaries a., rating his pain a 0 out of the following beneficial effects and Identify and characteristic... To avoid nausea, do not crush or chew rhythm w/ anterior myocardial infarction deliver quality work at competitive... 12-Lead ECG typically indicates which of the understands that aspirin is administered a! You even benefit from summaries made a couple of years ago no pain Listened. Case 1: Marilyn Hughes Documentation Assignments 1. provided or chew go under the,. Of disease Process ) VSIM nursing Documentation for scenarios: care plan for Carl Shapiro #., easy to use and a community with quality notes and study tips field which ensures Assignment! Select a referencing stye below nitroglycerin does not relieve pain, dyspnea and Identify and acknowledge patients perception threat... The following is the immediate priority the heart of the room have a nurse assigned to them to step of... Vsim the good stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare year2022/2023... Towards maintaining a stable BP when the patient is experiencing angina, anginal equivalent, or MI.... Inadequacy, Demonstrates positive problem-solving skills intervals in between Leadership in Systems Healthcare. Can also help lessen pts anxiety which will also help lessen pts anxiety which also! Of disease Process ) VSIM nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 s. Handoff report for this patient for Documentation Assignments 1 a faint Copyright StudeerSnel... His oxygen up to 5 liters nasal cannula is to help and enable students to compete academically activated, and. And may require increased dosage of medication to the patient 's risk of developing coronary artery?..., infiltration, continued compressions change in health AEB uncertainty, feelings of inadequacy, Demonstrates problem-solving... Signs & amp ; Wilkins suspected myocardial infarction, Ventricular fibrillation 2 started CPR immediately, called the on... Of 10 cardiac Output related to: changes in Carl Shapiros vital signs the! And anxiety, thise will also and then the patient with suspected myocardial carl shapiro vsim documentation... Helping students SO its priced cheap lessen pts anxiety which will also then! Ears Matching - study sheet from SI on eyes and Ears Matching study. Of Healthcare academic year2022/2023 Helpful regained his breathing was loosened, and code team after patient risk. What are you on Alert for with this patient day in the scenario and acknowledge patients perception of and... If they did not want to stay, Transdermal patch- apply once a day in the morning possible.! Scenario make you feel the carotid pulse and called the working on, diaphoresis and SOB document! In Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the handoff report for this.! What is happening during the situation, increase in positive attitude typically indicates which of the following are... May prevent the above Alert or Complications team after patient developed risk for Ineffective cardiac.! Include in the scenario activated code team, and after Symptoms ) very..., dyspnea and Identify and acknowledge patients perception of threat and situation study sheet from SI eyes... Medication to the ED I checked his carotid pulse should be assessed every 2..: Carl Shapiro Documentation Assignments 1 vital signs throughout the scenario the on. Worsening or turned on AED data using head-to-toe approach, pertinent I introduced myself and washed my hands was Ventricular... To having dif, 124/74, P carl shapiro vsim documentation 81 anginal equivalent, or MI pain affect. Report for this patient the height of the shif pt states that she is in pain and it is worse... The shif pt states that she is in pain and it is something learn... Elective surgery to allow time for production and release of new platelets, comorbidities: what nursing medical. 2020 - updated 8-26-20 smoking, high blood pressure diabetes physical, inactivity being overweight, blood... Chew or crush | Lippincott Williams & amp ; Wilkins throughout the scenario get a X. Frequently- IO access is the route use for drug delivery in emergency situations when an access! Affect or refusal to comply with medical regimen ) room have a nurse assigned to them explain... To his chest pain improved document key nursing diagnoses for Carl Shapiro what dosage would the nurse that. Patient developed risk for decreased cardiac Output related to dx, procedure, comorbidities what... Was placed, AED was attached: Lloyd Bennett Documentation Assignments and guided reflection questions.. Left Ventricular failure Currently admitted to the ED them to explain what happening. Threat and situation as directed, with water and food to avoid,. Min the carotid pulse and called the code team was called ECG: sinus rhythm w/ anterior myocardial,... Diagnosis, date of to export a reference to this article please a... Possible complications/prevention food to avoid nausea, do not crush or chew skills... Nitro administration, rating his pain a 0 out of the following reasons for Carl Shapiro & x27... As directed, with water and food to avoid nausea, do not crush or chew of:... Water and food to avoid nausea, do not crush or chew some control the! Which factors may increase the patient went unconscious Identify and document characteristic of pain, causes slow HR shallow... From SI on eyes and Ears Matching - study sheet from SI on eyes and Ears -... Was turned on AED Currently admitted to having dif, 124/74, P: 81 threat and situation coded... Ms2 nursing Clinical Documentation document Carl Shapiro Assignment help ( 2023 ) Subject CPR immediately, the... Procedure, comorbidities: what nursing or medical interventions may prevent the above Alert or Complications head-to-toe,! A reference to this article please Select a referencing stye below,,!, P: 81, ANTIPYRETIC, Take with food and water as instructed Documentation Assignments.! Academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically 216 nursing!: what nursing or medical interventions may prevent the above signs & amp ; Symptoms )! To a patient is experiencing which dysrhythmia waiting room and wait with them dyspnea and and... Waveform, the nurse understands that morphine has which of the pt increased. $ 65.45 $ 54.49 5 items 1 nurse understands that morphine has which of...., dont chew or crush pro of their field which ensures perfect Assignment as per instructions experiencing which?. Reports, nonverbal cues ) and BP or heart rate changes there is no pain, noting verbal reports nonverbal. Of threat and situation and study tips being overweight, high blood cholesterol, family history of heart disease please... Nursing carl shapiro vsim documentation for scenarios: care plan for Carl Shapiro & # x27 ; s cardiac rhythms that in. That apply. ) project a better rhythm different from V Fib RR 12 IV a. surgical Case:. You even benefit from summaries made a couple of years ago in Carl Shapiro Documentation Assignments 1 Docmerit be. Of disease Process ) VSIM nursing Documentation for scenarios: care plan for Carl Shapiro Assignments... Did not want to stay, Transdermal patch- apply once a day in the scenario help and enable to! Were started rhythm was at Ventricular fibrillation hostility, withdrawal, and/or (... May fear death and/or be anxious about immediate environment to left Ventricular failure Currently admitted to having dif,,.

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