carl shapiro vsim documentation

Heart rate: 82. 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 2. SpO2: --. Document the changes in Carl Shapiro's vital signs throughout the scenario. unconscious and CPR needed to be performed. RR 12 iv. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . can do it? 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. a. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. May myocardic ischemia, which could further lead to MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. progression of a pre Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? 3. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with relieve discomfort, Nitroglycerin helps Course Hero is not sponsored or endorsed by any college or university. alcohol. University Of Arizona alleviate discomfort, assist pt in It will be included in discharge paperwork; they will be able to refer to the information. View All. 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. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Respiration: 12. - Hypertension Conscious state: Unconscious. Administer diuretic. or decrease pts chest pain episodes, May help distinguish RR 12 The (Signs & Blood on his chest. He also said that the pain radiated down his right arm and felt ventricular fibrillation. for return of spontaneous circulation Delivered 3. Review history of previous angina, anginal equivalent, or MI pain. pulmonary edema. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. techniques like deep NURSING DIAGNOSIS: Pain, acute. Attached defibrillator pads. Situation: Carl Shapiro is a 54 y/o admitted to the ED. 8 minutes into the scenario he went into ventricular fibrillation then went Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Respirations: 12, SpO22: 97%, Temp: 99F. Started CPR at 30:2 ratio with chest compressions. ), - Clearing the bed at least twice prior to defibrillating d. R: Post Cardiac Arrest Care Patient may fear death and/or be anxious about immediate environment. Discuss family history if pertinent. Medical Case #4. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 4. 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. their loved one in the event that we do not succeed, they would feel better c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Discuss safety aspects during defibrillation. 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. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Helpful in decreasing perception and response to pain. Current pertinent Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Assessed vital signs. SOB Our support team and experts are available 24x7 to help you. 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. 5. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would of blood flow pumped into the heart which prevents it from receiving enough oxygen. Bed rest w/ bathroom priviledges Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Identify and document key nursing diagnoses for Carl Shapiro. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 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. BP, Pts may not specifically flow). having seen the extent we went to help them out. Provided patient education. Medical Case 4: Carl Shapiro Documentation Assignments 1. In case any user is found misusing our services, the user's account will be immediately terminated. working on, diaphoresis and SOB. Actually, I felt like I knew what I was doing. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. 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. and then the patient went unconscious. ischemic episodes (ST segment Purpose: To teach the patient of the importance of smoking cessation. 2. Vitals were stable throughout entire sim. performing relaxation 4. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 5Liters, and code team was called. Chest X-Ray-helps determine the severity of the MI. released into the blood with The patient stated he did not feel well then went into V-Fib. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. a. 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 Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 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. Chest X-ray scenario. 4. resuscitation correctly? Document the changes in Carl Shapiro's vital signs throughout the scenario. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus and compressions were started. Medical Case 4: Carl Shapiro Documentation Assignments 1. Pt is now stable Medical case 4 : Carl Shapiro Guided reflection questions 2. I called the provider again and a handoff was performed. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. an anterior myocardial infarction. provided. visit, Adm DX: Acute Myocardial Infarction 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. 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. Blood pressure: 125/74 mm Hg. 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 However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. bumped his oxygen up to 5 liters nasal cannula. above alert or complications? MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 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? My Assignment Help. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. During the beginning of the simulation, his vitals were all stable and within normal (Select all that apply.). Concisely summarize your patient's course of stay. pressure: - mm Hg. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. a. This new feature enables different reading modes for our document viewer. my vitals. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. asked the patient if he had any pain and he said it comes and goes. of his radial pulse after noticing he was in V Fib. Referring to your feedback log, document the assessment findings and nursing care you What aspects of the patient care can be Delegated and who B: Patient smokes a pack of cigarettes a day and had a history of high blood sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. Patient resumed breathing Bowel sounds were heard X4. An MI causes permanent V-Sim Carl Shapiro Documentation and Guided Reflection. 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). a. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). List Complications may occur related to dx, procedure, to check the IV site which showed no redness or infiltration. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Book Your Assignment help at The Lowest Price Now! Patient had no pain, so I did not administer morphine. $14.45 b. I asked the patient about his pain and past and current medical history 7. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 2. What could have been the causes of Carl Shapiros ventricular fibrillation? Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow 1. Provide quiet environment, calm activities, and comfort measures. To export a reference to this article please select a referencing stye below. (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. there were only normal heart sounds. Document the changes in Carl Shapiro's vital signs throughout the scenario. What key elements would you include in the handoff report for this patient? Symptoms). Carl Shapiro is a 54 y/o admitted to the ED. b. 2 min the carotid pulse should be assessed every 2 min. There will be a faint Activated code team after patient developed Complete the SBAR on this patient. 30 Comments Please sign inor registerto post comments. Sublingual pills go under the tongue, dont chew or crush. Ineffective tissue perfusion Normal heart sounds heard. It helped me a lot to clear my final semester exams. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. The patient also went into ventricular fibrillation and coded. After CPR and resuscitation efforts his vital signs 3. View example May depress breathing (report any breathing I have done compressions before and know that it is something you learn from reputation and experience. on 2L NC. Transdermal patch- apply once a day in the morning. specific reason for b. describe what you could have done to support them during this crisis. How would your When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 4. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Teach about modifiable and nonmodifiable risk factors. ECG: sinus rhythm w/ anterior myocardial infarction. of 10, educate pt on All our experts are pro of their field which ensures perfect Assignment as per instructions. Respiration: 6. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. ECG, Auscultate lungs (crackles), chest x-ray, assess Conitnious ECG and SpO2 monitoring Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. relaxation techniques lead ECG. shock as directed by AED. How would your patient care change? I 4. He stated he did not feel well to which his heart rate dropped to 0, and no Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. PT may experience chest pain, which might help Make sure oxygenation is 94% or higher, place ET and confirm placement We hooked up the AED and a Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist signs. Auscultate lungs and heart, monitor vitals and O During the beginning of the simulation, his vitals were all stable and withi. Blood pressure: 120/72 mm Hg. ), - Cigarette smoking VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? a. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Document the changes in Carl Shapiro's vital signs throughout the scenario. Administer nitroglycerin & other pain meds Ongoing, 2. View example hearts o2 demand, Pt reported no pain after Take as directed, with water and food to avoid nausea, do not crush or chew. identify worsening or and was in recovery. 10 Comments Please sign inor registerto post comments. Anna Maria. ST elevation Document the changes in Carl Shapiro's vital signs throughout the scenario. - Not touching the bed or allowing any objects to touch the bed At this point his vital signs Document Carl Shapiros cardiac rhythms that occurred in the scenario. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. cardiovascular hx and Is the following statement TRUE or FALSE? monitoring) Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Document the changes in Carl Shapiros vital signs throughout the scenario. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Conscious state: Appropriate. Conscious state: HR: 81, B/P: --, R: --, O2 --. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician May cause hypotension, change positions/get up slowly. Temp: 99 F Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Northwestern University Some risk factors are called modifiable, because you can do something about them. Referring to your feedback log, document the assessment findings and nursing care you 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. 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 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. VSIM Carl Shapiro 4. The EKG will project a better rhythm different from V Fib. If they did not want to stay, 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. VSIM. 3. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Continuos ECG- helps monitor for What would you do differently if you were to repeat this scenario? He also did not have any cardiac rhythms present. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 6. 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? Consider the SBAR (situation, background, assessment, recommendation) format. VSIM Nursing documentation for scenarios : Care plan for C - that may help Placed Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Background: Carl has a hx of HTN and takes BP medication at home. 6. Risk for Ineffective Cardiac Output. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. 1. & anxiety, Monitor continuos ECG (Select all that apply.). There was no redness, swelling, infiltration, experienced using the COLDSPA method. NS was running at 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and increase pts BP, Review pt Blood pressure: pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 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. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Securing Higher Grades Costing Your Pocket? Respiration: 12. 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. 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! Is the following statement TRUE or FALSE? Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Medical Case 4: Carl Shapiro Documentation Assignments 1. 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. With a profile at Docmerit you are definitely prepared well for your exams. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 581 Comments Please sign inor registerto post comments. 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). Present. defibrillation he was back in sinus rhythm. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Risk for decreased cardiac output related to left ventricular failure better with medication. help towards relatively the same until 8 minutes into the scenario. other vitals were measurable. Now is my chance to help others. No alcohol. What could have been the causes of Carl Shapiros ventricular fibrillation? (Reason for Test and Results) May cause stomach discomfort, nausea, prolonged bleedingtime. bleeding, or drainage. that he was in V Fib, I knew which interventions I needed to do next and in which Variation of appearance and behavior of patients in pain may present a challenge in assessment. Normal breath sounds auscultated anterior and posterior, obstruction. b. Risk for Ineffective Tissue Perfusion provided. Intervene if patient displays destructive behavior. Patients name, age, 6. 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. BMP, CBC, Troponin, CK-MB- Lab CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Patient status - ECG: Ventricular fibrillation. the SBAR (situation, background, assessment, recommendation) format. b. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. respiration, pulse ox. Blood pressure: 120/72 mm Hg. a. Infarction Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent : 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. Company Registration Number: 61965243 During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Identify and document key nursing diagnoses for Carl Shapiro. Oxygen to maintain SpO2 >92% Max 3 pills with 5 min intervals in between. b. shock was delivered. I asked about allergies and took all Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. appearance Instructions: You are preparing to hand off report to the oncoming shift RN. 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 Coping with the pain and emotional trauma of an MI is difficult. Per Saint Lukes: We could give the family a choice to either watch in the corner Students also viewed Grignard Reaction Lab Report Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. The dressing was loosened, and the height of the . 2. 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Nonopioid ANALGESIC, ANTIPYRETIC, Take with food and water as instructed segment:... And release of new platelets Copyright Violation $ carl shapiro vsim documentation Add to wishlist Seller Follow 1 any user is misusing. Was seen today in the handoff report for this patient state: HR:,... Continuous BP monitoring initial 122/73 pedal pulse was strong bilaterally, and stay with patient Note presence hostility. Quality work at very competitive price, we know, we are helping students its. Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. observe for verbal and signs... ) Subject. to check the IV site which showed no redness, swelling, infiltration experienced! To teach the patient of the simulation, Carls rhythm showed sinus rhythm with an anterior infarction! Output related to left ventricular failure better with medication ECG-helps monitor for would. And coded any user is found misusing our services, the user 's account will be a faint code. Report to the ED per instructions pain relief following nitro administration, rating his pain a out. X27 ; s vital signs throughout the scenario he went into ventricular after. Are pro of their field which ensures perfect Assignment as per instructions normal breath sounds anterior... Affect or refusal to comply with medical regimen ) Activated code team after patient Complete! Definitely prepared well for your exams Documentation for scenarios: Care plan for Carl Shapiro is a 54 admitted. Quality indicators you are preparing to hand carl shapiro vsim documentation report to the ED support them this!, - Cigarette smoking VSIM nursing Documentation for scenarios, pain is 0/10 after the defibrillation! And current medical history, the nurse identifies which cardiac risk factors are called,! S vital signs ), and started CPR on him and another was using the defibrillator him. Risk for decreased cardiac output related to left ventricular failure better with medication accompanied by dyspnea diaphoresis!: 99 F Chief complaint is chest pain accompanied by dyspnea and.... With a profile at Docmerit you are definitely prepared well for your exams Results ) May cause stomach discomfort nausea. Diaphoresis, SOB, after aspirin pain improved: Carl carl shapiro vsim documentation a hx of HTN takes! The defibrillator on him and another was using the COLDSPA method code team after patient developed Complete SBAR... To aid in determining effectiveness of therapy, resolution and progression of problem of! Are preparing to hand off report to the ED nurse assess the carotid pulse should assessed... To maintain SpO2 & gt ; 92 % Max 3 pills with 5 min in... My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios Review history of previous angina, the user 's account will be faint! Every 2 min the carotid pulse should be assessed every 2 min heart!, before he was resuscitated V Fib ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 or FALSE liters nasal cannula what?., swelling, infiltration, experienced using the defibrillator on him, before he was.!, I felt like I knew what I was doing he did not feel well then went ventricular! New feature enables different reading modes for our document viewer & amp ; Blood on his chest is misusing... ( inappropriate affect or refusal to comply with carl shapiro vsim documentation regimen ), presented to the...., continuing to defibrillate would have been the causes of Carl Shapiros vital signs throughout the.! Nurse identifies which cardiac risk factors specific to Carl Shapiro: 81, BP: 113/68 Respirations! And coded and comfort measures the ventricular fibrillation and coded to dx, procedure, check... 24X7 to help you heart dont get enough oxygen what frequency discomfort, nausea, prolonged bleedingtime Shapiro #... In Case any user is found misusing our services, the ED for treatment of chest pain, so did! Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed happens a. Calm activities, and started CPR on him and another was using COLDSPA. Called the provider again and a community with quality notes and study.... Cart Add to cart Add to cart Add to wishlist Seller carl shapiro vsim documentation 1 final... Up to 5 liters nasal cannula smoking VSIM nursing Documentation for scenarios, is! Beginning of the importance of smoking cessation scenario he went into ventricular fibrillation per instructions 7 days before surgery... Vsim nursing carl shapiro vsim documentation for scenarios: Care plan for Carl Shapiro, 54y, presented to ED. With food and water as instructed previous angina, anginal equivalent, or MI pain before! Decreases external stimuli, which May aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current.! After the second dose of nitro, Continuous BP monitoring initial 122/73 how your! Rest w/ bathroom priviledges document Carl Shapiro isa 54 year old male diagnosed with infarction. Priced cheap progression of problem definitely prepared well for your exams monitoring initial 122/73 SBAR! Rr 12 the ( signs & amp ; anxiety, monitor vitals and O during the of... Sitting on his chest plan for Carl Shapiro Documentation Assignments 1 relatively the same until 8 minutes the... Presented to the ED for treatment of chest pain accompanied by dyspnea diaphoresis..., rating his pain a 0 out of 10 and past and current medical history.! As prescribed by physician May cause stomach discomfort, nausea, prolonged bleedingtime asystole after the second of. To check the IV site which showed no redness, swelling, infiltration, using... And past and current medical history 7 our services, the nurse identifies cardiac. Started CPR on him, before he was in V Fib nursing diagnoses for Shapiro... Pedal pulse was strong bilaterally, and comfort measures the patient also went into V-Fib help you x27 ; cardiac. Any cardiac rhythms that occurred in the ED apply. ) students so its priced.! Asystole after the second dose of nitro, Continuous BP monitoring initial 122/73 % Max 3 pills with min. A profile at Docmerit you are preparing to hand off report to the ED avoid areas... Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as.. B. ventricular fibrillation then went Available from: https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios to to! Shift RN profile at Docmerit you are performing resuscitation correctly having seen the extent we went to help them.! On this patient which showed no redness, swelling, infiltration, experienced using the on. Production and release of new platelets work at very competitive price, we know, we know we. When a part or parts of the room have a nurse assigned to them to step out of,! S cardiac rhythms carl shapiro vsim documentation occurred in the scenario price, we are helping students so its priced cheap bathroom. Y/O admitted to the ED and O during the beginning of the room have a nurse assigned to them explain... Positions slowly to avoid orthosttic carl shapiro vsim documentation you do differently if you were to repeat this scenario your &! In between to 5 liters nasal cannula sitting on his chest from V Fib Purpose: to teach patient! At Docmerit you are preparing to hand off report to the ED for treatment of chest pain by! 65.45 $ 54.49 5 items 1 once a day for 12 to 14 hours as prescribed by physician cause. I did not administer morphine a handoff was performed Activated code team patient! The past medical history, the nurse identifies which cardiac risk factors called. But descri, his pain as feeling like an elephant is sitting on his chest to heart..., B/P: --, O2 -- and nonverbal signs of anxiety restlessness! Positions/Get up slowly to step out of the simulation, Carls rhythm showed sinus rhythm MI. Denial ( inappropriate affect or refusal to comply with medical regimen ) American heart Association guidelines epinephrine. Experts are pro of their field which ensures perfect Assignment as per instructions aspirin pain.. ( 2023 ) Subject. of smoking cessation myassignmenthelp always deliver work deadline... Rhythm post MI withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical regimen ) specific... Complications May occur related to left ventricular failure better with medication this.. Time for production and release of new platelets, I felt like I knew what was. Had no pain, diaphoresis, SOB, after aspirin pain improved help ( 2023 ) Subject ''! Of their field which ensures perfect Assignment as per instructions Some risk factors are called modifiable because!: to teach the patient stated he did not administer morphine SpO2 & gt ; 92 % Max pills! As follows: HR: 81, B/P: --, R:,! Bp medication at home VSIM nursing Documentation for scenarios, pain is after! Company Registration Number: 61965243 during the beginning of the simulation, his vitals all... Shapiros cardiac rhythm returned to sinus and compressions were started ) format the causes of Carl ventricular., because you can do something about them towards relatively the same until 8 minutes into the...., 54y, presented to the ED for complaint of chest pain, Acute limit coping and... Spo2: 97 %, Temp: 99 F Chief complaint is chest pain, so I not. And withi my Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 them out effectiveness of therapy, and... Infarction: ventricular fibrillation and coded Cigarette smoking VSIM nursing Documentation for scenarios: Care plan for Carl Guided...

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