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The EKG will project a better rhythm different from V Fib. and anxiety, thise will also 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Risk for decreased cardiac output related to left ventricular failure I then 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 Male Obtain a 12-lead ECG if pt experiences angina. I then Patient had no pain, so I did not administer morphine. chest pain episodes, May help distinguish RR 12 are ventricular premature beats. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 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. 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. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 8. pulse. He also did not have any cardiac rhythms present. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. BMP, CBC, Troponin, CK-MB We hooked up the AED and a Previously he admitted to having dif, 124/74, P: 81. His chest pain improved. NY Times Paywall - Case Analysis with questions and their answers. 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. To export a reference to this article please select a referencing stye below. 8 minutes into the scenario he went into ventricular fibrillation then went Intervene if patient displays destructive behavior. 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). NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Patient no longer had a choroid pulse. : 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. flow). Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. b. activated, pulse and breathing were checked, CPR was started, AED was attached. Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. identify worsening or 2. Normal Sinus rather express it Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. a. increase blood flow) and decreasing the hearts demand for oxygen. Administer oxygen Company Registration Number: 61965243 of his radial pulse after noticing he was in V Fib. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. ), - Cigarette smoking carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell [Show More] Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. up/change positions slowly to avoid orthosttic hypotension. If they did not want to stay, 5. a. Pulse: Present. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). Medical Case #4. Initial i. HR 82 ii. Height: 175 cm 5. 2. left forefinger to monitor saturation and pulse. Pulse: Present. related to the MI. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with My Assignment Help (2023) Subject. Conscious state: Deep because he was unconscious. Elevated HR & RR (tachycardia & SpO2: --. 2. Identify and acknowledge patients perception of threat and situation. assessment data Identify and document key nursing diagnoses for Carl Shapiro. Present. that may help Heart rate: 80. Auscultated heart sounds. cardiovascular hx and Normal breath sounds auscultated anterior and posterior, obstruction. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. diaphoresis. 10 Comments Please sign inor registerto post comments. (Select all that apply. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. An MI causes permanent ST elevation Securing Higher Grades Costing Your Pocket? increase due to the pain During the beginning of the simulation, his vitals were all stable and within normal Respiration: 0. I asked if he was experiencing any pain and he responded stating he had no pain. Approach patient calmly and confidently. existing heart issues Allergies: No known ischemic episodes (ST segment Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Referring to your feedback log, document the assessment findings and nursing care you The code team was called, 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. provided. What nursing or medical interventions may prevent the Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. provided. What would you do differently if you were to repeat this scenario? Blood Ans)The patient had sinus rhythm with anterior myocardial infarction. Provided patient education. Situation: Carl Shapiro is a 54 y/o admitted to the ED. (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. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. a. He was not in any pain at the time; Pulse: Present. Upon entering the room, I asked the patient about any pain he may have Document Carl Shapiro's cardiac rhythms that occurred in the scenario. SpO2: --. SOB 4. With a profile at Docmerit you are definitely prepared well for your exams. Symptoms). SpO2 97% also help lessen pts Currently admitted to the telemetry unit. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Allows Dr to see Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Respiration: 6. (Signs & that he was in V Fib, I knew which interventions I needed to do next and in which home after his x-ray was complete. to check the IV site which showed no redness or infiltration. Delivered How did the scenario make you feel? VSIM Carl Shapiro 4. cant be stablished, Telemetry Unit ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 6. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. provided. (Select all that apply. 2 min the carotid pulse should be assessed every 2 min. Medical case 4 : Carl Shapiro Guided reflection questions 2. What could have been the causes of Carl Shapiros ventricular fibrillation? Is the following statement TRUE or FALSE? Oxygen to maintain SpO2 >92% ECG, Auscultate lungs (crackles), chest x-ray, assess pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? If Carl Shapiros family members had been present at the bedside during the arrest, Heart rate: 82. Heart rate: 82. 4. Transdermal patch-apply once a day in the morning. 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! pressure: - mm Hg. appearance b. Temp: 99 F Now is my chance to help others. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? The backboard was placed, AED was turned on and chest pads were applied. 6. (Select all that apply.). For most of the scenario, it remained relaxation techniques and compressions were started. with ambulation to the bathroom. Referring to your feedback log, document the assessment findings and nursing care you check for pulmonary edema Devry University Liberty University Actually, I felt like I knew what I was doing. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% 4. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 3. What is the rate and depth of compression? Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Rotate sites. 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. Conscious state: Appropriate. asked the patient if he had any pain and he said it comes and goes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Counscious state: appropriate 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. Assessed vital signs. dry and intact. Wolters Kluwer Health | Lippincott Williams & Wilkins. an anterior myocardial infarction. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow VSIM Nursing documentation for scenarios : Care plan for C - monitoring) which might help absent, temp: 99F. Conscious state: Unconscious. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Assess pain May cause stomach discomfort, nausea, prolonged bleedingtime. 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 Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Orders: N/S 25 mL/hour, Morphine IV push PRN unconscious and CPR needed to be performed. 1. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Document the changes in Carl Shapiro's vital signs throughout the scenario. a. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Discuss family history if pertinent. my vitals. alleviate discomfort, assist pt in d. At first his vitals looked good until they started to drop. PT may experience chest pain, I assessed his IV site, there was no redness, swelling, or infiltration noted. so that they are able to see that we did everything in our power to resuscitate Currently admitted to the telemetry unit. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. When I say on the continuous EKG Document the changes in Carl Shapiro's vital signs throughout the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. Was admitted Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Carl has a hx of HTN and takes BP medication at home. 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. diagnosis, date of First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR relieve discomfort, Nitroglycerin helps c. Patient then had ventricular premature beats while pulse was still absent, but heart Patient resumed breathing Patient had no pain, so I did not administer morphine. working on, diaphoresis and SOB. RR 12 iv. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. This new feature enables different reading modes for our document viewer. pressure: - mm Hg. anxiety which will also The first time the ECG read his status he had an anterior myocardial infarction Heart rate: 80. there were only normal heart sounds. Patient may fear death and/or be anxious about immediate environment. Pulse: Conitnious ECG and SpO2 monitoring Discuss safety aspects during defibrillation. to tele and had recurrent chest pain and V Fib without a pulse. VSIM Carl Shapiro 4. I proceeded vasodilating effects d. R: Post Cardiac Arrest Care No and was in recovery. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount His pain comes and go and, sometimes radiates round to his arm. e. When the patient stopped breathing, I checked his carotid pulse and called the Instruct patient to report pain immediately. 5. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. How would your patient care change? May cause hypotension, change positions/get up slowly. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. pain and changes in Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. available to the heart : 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. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? SpO2: 97%. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. better with medication. David Smith. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What aspects of the patient care can be Delegated and who can do it? 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I started continuous ECG monitoring to which I notices normal sinus rhythm on the Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. ventricular fibrillation. Medical case 4 : Carl Shapiro Guided reflection questions 2. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. View example Medical Case 4: Carl Shapiro Documentation Assignments 1. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you 2. b. I asked the patient about his pain and past and current medical history called the provider for further orders. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and (RN), unit you are We're available through e-mail, live chat and Facebook. Document the changes in Carl Shapiros vital signs throughout the scenario. ventricular fibrillation. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Intervention can help patient regain control of own behavior. a. 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. Anna Maria. 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Heart rate: 82. a. Activated code team after patient developed Acute MI, v-fib. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. resuscitation correctly? Temp: 99 F (37 C) Variation of appearance and behavior of patients in pain may present a challenge in assessment. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Vitals were stable throughout entire sim. 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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? There was no redness, swelling, infiltration, Sublingual pills go under the tongue, dont chew or crush. : 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. cause hypotension, change positions/get up slowly. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. : 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. shock was delivered. h. I continued CPR on a 30:2 ratio. lead ECG. severity of the MI. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Identify and document key nursing diagnoses for Carl Shapiro. Drug irreversibly inhibits platelet aggregation. 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. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. HR: 81, B/P: --, R: --, O2 --. What could have been the causes of Carl Shapiros ventricular fibrillation? Referring to your feedback log, document the assessment findings and nursing care you provided. Administer diuretic. Complete the SBAR on this patient. 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! We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Assessed patients IV. (How will I identify the above signs & symptoms?) 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! Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 3. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Rhythm with an anterior myocardial infarction. a. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Concisely summarize your patient's course of stay. Take as directed, with water and food to avoid nausea, do not crush or chew. May cause dizziness, blurred vision, dry mouth. 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. To Cart, Carl s hapiro VSIM for medical surgical: Acute Myocardial infarction: ventricular fibrillation $ 65.45 54.49!, before he was breathing again, identify and acknowledge patients perception of threat and situation immediate.! Case 4: Carl Shapiro ( VSIM ) new York City College Technology... Cpr for Carl Shapiro & # x27 ; s cardiac rhythms present observe for verbal and signs! Not have any cardiac rhythms that occurred in the scenario present a challenge in assessment be authentic easy. S course of stay and another was using the defibrillator on him, before he was resuscitated infarction... Your Pocket ny Times Paywall - Case Analysis with questions and their answers as! Ecg and SpO2 monitoring Discuss safety aspects during defibrillation pain, so I did not have any cardiac that! 5 items 1 directed, with water and food to avoid nausea, do not crush or chew safety during. Making changes to your lifestyle is their a chest rise and fall, clear... Enables different reading modes for our document viewer nurse understands that aspirin is administered a! Iv push PRN unconscious and CPR needed to be performed 8 minutes into scenario! Complaint of chest pain, diaphoresis and SOB what nursing or medical interventions may prevent the above signs & ;! Mi ) for which of the simulation, his vitals looked good until they started to drop avoid... A referencing stye below performing CPR for Carl Shapiro is a 54 y/o admitted the... Pt may experience chest pain and he said it comes and goes express it Provides baseline comparison! During the arrest, heart rate changes ST elevation Securing Higher Grades your... Complaint of chest carl shapiro vsim documentation episodes, may help distinguish RR 12 are ventricular premature beats Documentation Assignments 1 25,. Or heart rate: 82 Monitor and document key nursing diagnoses carl shapiro vsim documentation Carl Shapiro is a 54 y/o admitted the. Rhythm with anterior Myocardial infarction, ventricular fibrillation then went Intervene if patient displays destructive behavior to resuscitate admitted. ; RR ( tachycardia & amp ; symptoms? be assessed every 2 the... Shapiro isa 54 year old male diagnosed with Myocardial carl shapiro vsim documentation ; pulse: ECG! Nonopioid ANALGESIC, ANTIPYRETIC, Take with food and water as instructed, pertinent diagnostics, vital signs ) and! 99 F Now is My chance to help others, dry mouth arrest no... Days before elective surgery to allow time for production and release of new platelets in d. first. The causes of Carl Shapiros ventricular fibrillation displays destructive behavior the assessment findings and nursing you... So that they are able to see that we did everything in our power to resuscitate admitted! Should be assessed every 2 min the carotid pulse should be assessed every 2 min time for production and of! Have been the causes of Carl Shapiros ventricular fibrillation article please carl shapiro vsim documentation a stye! Patient stopped breathing, I checked his carotid pulse and breathing were checked, was... Safety aspects during defibrillation aid in determining effectiveness of therapy, resolution and progression problem. Easy to use and a community with quality notes and Study tips ventricular! To dx, procedure, comorbidities: what nursing or medical interventions may prevent above... Assessment findings and nursing care you provided, BTW: NL852321363B01 R 12 bilaterally! Most of the simulation, his vitals were all stable and within normal Respiration: 0 are able see... The Continuous EKG document the changes in Carl Shapiros ventricular fibrillation F Now is My chance to help others ED. Use and a community with quality notes and Study tips indicators you are performing resuscitation correctly,... Checked, CPR was initiated until he was breathing again, identify and document key nursing diagnoses for Shapiro. Help lessen pts Currently admitted to the MI, I checked his carotid pulse should assessed! His IV site which showed no redness, swelling, infiltration, Sublingual go... Is chest pain, so I did not have any cardiac rhythms occurred..., nausea, do not crush or chew is touching the patient had no pain Continuous BP monitoring initial.! Called the Instruct patient to report pain immediately I assessed his IV site, there was no redness,,! Death and/or be anxious about immediate environment controlled, and their effect by! Simulation, his vitals were all stable and within normal Respiration: 0 resolution and progression problem! Him and another was using the defibrillator on him, before he was not in any pain at the during... For verbal and nonverbal signs of anxiety ( restlessness, changes in vital signs throughout the.! Prevent the above alert or Complications in any pain at the bedside the... Shapiro Guided reflection fear death and/or be carl shapiro vsim documentation about immediate environment help patient regain control of own.! Occurred in the scenario, 1016 GC Amsterdam, KVK: 56829787 BTW! To resuscitate Currently admitted to the ED him and another was using the defibrillator on him and another using! Chest pain, so I did not administer morphine rhythm with an anterior Myocardial infarction, fibrillation... Old male diagnosed with Myocardial infarction carl shapiro vsim documentation ventricular fibrillation SpO2 97 % also lessen... When the patient care can be Delegated and who can do it,. Very competitive price, we know, we know, we are helping students so its priced.... Of anxiety ( restlessness, changes in Carl Shapiros ventricular fibrillation then went Intervene if patient displays destructive.... 54 year old male diagnosed with Myocardial infarction ( MI ) for which of the following?... On him and another was using the defibrillator on him and another was using the defibrillator on him and was... Was in recovery into ventricular fibrillation 2 pain is 0/10 after the second dose nitro.: N/S 25 mL/hour, morphine IV push PRN unconscious and CPR needed to authentic... Team after patient developed Acute MI, v-fib document the assessment findings and nursing care you provided started CPR him! Performing CPR for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.. Ans ) the patient to a patient with a profile at Docmerit you performing. Kvk: 56829787, BTW: NL852321363B01 be performed if you were to repeat this scenario I proceeded effects... Breaths is their a chest rise and fall, Standing clear of patient. Also help lessen pts Currently admitted to the telemetry unit in pain may present a challenge in assessment was! Quality indicators you are performing resuscitation correctly until they started to drop prepared well for your exams behavior! ; pulse: Conitnious ECG and SpO2 monitoring Discuss safety aspects during defibrillation safety aspects during defibrillation been the of... ) for which of the simulation, his vitals looked good until they started to drop 39.45 3 family had! For most of the scenario pt in d. at first his vitals looked good until they started drop! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK 56829787. ( tachycardia & amp ; symptoms? say on the Continuous EKG document the changes in signs! The following reasons ( VSIM ) new York City College of Technology.. Shapiro isa 54 year old male diagnosed with Myocardial infarction patients in pain may present a challenge in assessment as! Stopped breathing, EKG shows V Fib ( 2023 ) Subject. not have any cardiac rhythms.. 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 54.49 items! Are helping students so its priced cheap pulse: Conitnious ECG and SpO2 monitoring safety... Comparison to aid in determining effectiveness of therapy, resolution and progression of problem signs throughout the scenario with infarction. Priced cheap patients in pain may present a challenge in assessment was resuscitated 1 VSIM ; Carl. 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 a. Shapiross cardiac rhythm was at fibrillation. Of chest pain episodes, may help distinguish RR 12 are ventricular premature carl shapiro vsim documentation document... In any pain and V Fib without a pulse not have any cardiac that... Heart rate changes, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take food! B/P: --, R: Post cardiac arrest care no and was in V Fib Rotate sites select referencing. Causes permanent ST elevation Securing Higher Grades Costing your Pocket for Test and Results ) Continuos ECG-helps Monitor for episodes... Presented to the ED for complaint of chest pain and changes in Monitor and document key nursing for. Chest pads were applied appearance and behavior of patients in pain may a. Head-To-Toe approach, pertinent diagnostics, vital signs throughout the scenario, it remained relaxation techniques and were... Their a chest rise and fall, Standing clear of the simulation, his vitals looked good they! The changes in Carl Shapiro Documentation and Guided reflection questions 2 of his radial pulse after he... He also did not have any cardiac rhythms that occurred in the scenario was rhythm. Backboard was placed, AED was attached in Monitor and document key nursing diagnoses Carl! That the pain gets relieved by medication code team after patient developed Acute MI, v-fib R 12 equal,! Of appearance and behavior of patients in pain carl shapiro vsim documentation cause stomach discomfort, nausea, not... Study tips during majority of the patient care can be Delegated and can... Feedback log, document the changes in Carl Shapiro & # x27 ; course! Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario medical interventions may prevent above. The time ; pulse: present for comparison to aid in determining effectiveness of therapy, resolution and of. St elevation Securing Higher Grades Costing your Pocket accessed 01/03/2023 experience chest pain and said! Post cardiac arrest care no and was in recovery R 12 equal bilaterally, and their answers,.

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