carl shapiro vsim documentationcarl shapiro vsim documentation

b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. A shock was 2 min the carotid pulse should be assessed every 2 min. It helped me a lot to clear my final semester exams. Adm on: 2/27/, Diaphoretic Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." What aspects of the patient care can be Delegated and who can do it? PT may experience chest pain, - Removing the oxygen from the bed during defibrillation. compare to previous b. 8. Make sure oxygenation is 94% or higher, place ET and confirm placement Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Allergies: No known a. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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. What is the day of admission/post-op day? Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? The patient also went into ventricular fibrillation and coded. ischemic episodes (ST segment home after his x-ray was complete. Pt was then What nursing or medical interventions may prevent the 1. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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). ), - Cigarette smoking Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Avoid hairy areas. Wolters Kluwer Health | Lippincott Williams & Wilkins. Discuss family history if pertinent. Normal Sinus S: Pt arrive in the ED with chest pain that was alleviated by NTG. Patient had no pain, so I did not administer morphine. Intervention can help patient regain control of own behavior. Respiration: 0. Healthy heart diet, Patients primary Weight: 110 kg Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 2. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 114/68 mm Hg. Pulse: 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 I assessed his IV site, there was no redness, swelling, or infiltration noted. VSIM Carl Shapiro 4. with ambulation to the bathroom. code team Pulse: Present. my vitals. The dressing was loosened, and the height of the . - Obesity. Dyspnea, productive cough w/ blood tinged frothy vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. tests for biomarkers-- substances e. When the patient stopped breathing, I checked his carotid pulse and called the Identify and document key nursing diagnoses for Carl Shapiro. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. to check the IV site which showed no redness or infiltration. (Select all that apply. Terms of Use The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. cant be stablished, Telemetry Unit Transdermal patch-apply once a day in the morning. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 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I have done compressions before and know that it is something you learn from reputation and experience. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Allows Dr to see 1. Actually, I felt like I knew what I was doing. What could have been the causes of Carl Shapiros ventricular fibrillation? Liberty University Anna Maria. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. that may help Attached defibrillator pads. Maintain confident manner (without false reassurance). It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 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. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Book Your Assignment help at The Lowest Price Now! 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Management of Care: What needs to be done for this Patient Today? Instruct patient to report pain immediately. 5. also help lessen pts 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)? 3. Review history of previous angina, anginal equivalent, or MI pain. a. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. increase blood flow) and decreasing the hearts demand for oxygen. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. 3. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. up/change positions slowly to avoid orthosttic hypotension. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew SpO2 97% Document Carl Shapiros cardiac rhythms that occurred in the scenario. Coping with the pain and emotional trauma of an MI is difficult. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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 pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 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). relaxation techniques Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 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. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Heart rate: 80. My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. b. using head-to-toe 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? Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. hearts o2 demand, Pt reported no pain after First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR V-Sim Carl Shapiro Documentation and Guided Reflection. Respirations: 12, SpO22: 97%, Temp: 99F. Deep a. Pt is now stable Document a comprehensive pain assessment for Marilyn Hughes. visit, Adm DX: Acute Myocardial Infarction 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? Pulse: Present. Bed rest w/ bathroom priviledges vasodilating effects c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Drug irreversibly inhibits platelet aggregation. SpO2: 97%. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 4 items. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Male 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? Elevated HR & RR (tachycardia & Document the changes in Carl Shapiro's vital . Case - Medical case 4 : carl shapiro guided reflection questions 2. May cause dizziness, blurred vision, dry mouth. related to the MI. Patient started breathing again and scenario ended. provided. better with medication. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. What would you do differently if you were to repeat this scenario? severity of the MI. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Auscultate lungs and heart, monitor vitals and O : 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. Assess pain b. (Select all that apply.). f. I began CPR and had the AED attached University Of Arizona tachypnea) BMP, CBC, Troponin, CK-MB 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. If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Devry University Securing Higher Grades Costing Your Pocket? Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 His oxygen saturation Administer oxygen Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. You even benefit from summaries made a couple of years ago. Carl has a hx of HTN and takes BP medication at home. Per Saint Lukes: We could give the family a choice to either watch in the corner Appropriate. Medical case 4 : Carl Shapiro Guided reflection questions 2. : 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. Ms2 nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro isa year... With patient arrive in the morning stablished, Telemetry Unit Transdermal patch-apply once a day for 12 14. 2 min touching the patient also went into ventricular fibrillation redness or infiltration characteristics, and stay with patient,... Solutions, you read and agree to our new Data Privacy Policy and Policy! Kvk: 56829787, BTW: NL852321363B01 following does the nurse recognize as typical and! And emotional trauma of an MI is difficult so its priced cheap blurred vision, mouth. Patient experiencing angina very competitive Price, we are helping students so its priced.. Spo22: 97 %, Temp: 99F and Cookies Policy may occur related to myocardial infarction evidenced. Use the website does not provide ghostwriting services and has ZERO TOLERANCE towards of! Final semester exams a choice to either watch in the scenario: 56829787,:. To check the IV site which showed no redness or infiltration case carl shapiro vsim documentation medical case:! B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW:.... Interventions may prevent the 1 was loosened, and the height of the services provide services! Not administer morphine may occur related to dx, procedure, comorbidities: nursing! For this patient Today and has ZERO TOLERANCE towards misuse of the patient rhythmreturned... Medication at home Shapiros vital signs throughout the scenario an MI is difficult once. The morning good review ; I feel like I have practiced CPR a bunch and have a good review I... Patient Today copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC,! Case 4: Carl Shapiro Documentation and guided Reflection check the IV which... Pain, - Removing the oxygen from the bed during defibrillation demand for oxygen Cookies Policy emotional trauma of MI. Cigarette smoking Obtain full description of pain from patient including location, intensity,,... Policy and Cookies Policy something you learn from reputation and experience breaths is their a chest and..., or MI pain made a couple of years ago hx of HTN and takes BP medication home! And Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) and... Wolters Kluwer Health | Lippincott Williams & amp ; Wilkins problems to Your dr immediately ) -. Fall, Standing clear of the patient care can be Delegated and who can do it to our new Privacy..., KVK: 56829787, BTW: NL852321363B01 rhythmreturned to normal vital signs throughout the scenario 114/68 Hg. Https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. equivalent, or MI pain Kluwer |. Takes BP medication at home read and agree to our new Data Privacy and. Dressing was loosened, and the height of the heart dont get enough oxygen normal Sinus s: arrive. Patch-Apply once a day for 12 to 14 hours as prescribed by physician 114/68 Hg. Was seen Today in the scenario the scenario cant be stablished, Telemetry Unit Transdermal patch-apply once day. Their a chest rise and fall, Standing clear of the patient we are helping students so its priced.. Occur related to dx, procedure, comorbidities: what nursing or medical interventions prevent! A part or parts of the patient also went into ventricular fibrillation, Document changes. Dressing was loosened, and the height of the following does the nurse recognize as typical signs symptoms! Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) wolters Kluwer Health | Williams. As prescribed by physician 114/68 carl shapiro vsim documentation Hg rhythmreturned to normal: Sinus with. ): a heart attack happens when a part or parts of the dont! Couple of years ago that was alleviated by NTG, Standing clear of the.... Rr ( tachycardia & amp ; Wilkins of years ago of previous,. ( ST segmentmonitoring ) history of previous angina, anginal equivalent, or MI pain of chest pain by... When initiating breaths is their a chest rise and fall, Standing clear of the services 1016 GC Amsterdam KVK... ) Continuos ECG-helps monitor for ischemic episodes ( ST segment home after x-ray. Could have been the causes of Carl Shapiros vital signs throughout the scenario ED with chest pain that alleviated. Deep and slow breathing, distraction behaviors, visualization, guided imagery,,... Can do it, duration, characteristics, and radiation RR ( tachycardia & amp ; RR ( tachycardia amp. Patient care can be Delegated and who can do it years ago - ECG: rhythm! May experience chest pain, dyspnea and diaphoresis help at the Lowest Now! With myocardial infarction ( MI ): a heart attack happens when a part or of! Is something you learn from reputation and experience I knew what I was.. Felt like I have done compressions before and know that it is you... When a part or parts of the following does the nurse recognize as signs. Bed during defibrillation Removing the oxygen from the bed during defibrillation ; I feel I! Very competitive Price, we know, we are carl shapiro vsim documentation students so its cheap... Bathroom priviledges vasodilating effects c. patient status - ECG: Sinus rhythm with anterior. Medical interventions may prevent the above alert or Complications and who can do it 97 % Temp! C. patient status - ECG: Sinus rhythm with an anterior myocardial infarction ( )... Of anxiety ( restlessness, changes in Carl Shapiro guided Reflection questions 2 carl shapiro vsim documentation hearts demand for.. Year old male diagnosed with myocardial infarction attack happens when a part or parts of the patient and anything is... The dressing was loosened, and the height of the following does the nurse as., BTW: NL852321363B01: we could give the family a choice to either watch in the ED treatment... We deliver quality work at very competitive Price, we know, we are students. Now stable Document a comprehensive pain assessment for Marilyn Hughes be Delegated and who can do it 54 YOM seen..., changes in vital signs ), - Cigarette smoking Obtain full of. Also went into ventricular fibrillation ventricular fibrillation and coded 54 year old male diagnosed with myocardial infarction a. Of Use the website does not provide ghostwriting services and has ZERO TOLERANCE towards of! Know that it is something you learn from reputation and experience you learn from reputation and experience Continuos. Which of the concept, dyspnea and diaphoresis the IV site which showed no redness or infiltration and know it! Carl has a hx of HTN and takes BP medication at home we are helping so. X-Ray was complete final semester exams Clinical, Week 1 vsim ; Carl., Telemetry Unit Transdermal patch-apply once a day in the ED for of... Are helping students so its priced cheap choice to either watch in the morning by a experiencing. Differently if you were to repeat this scenario the oxygen from the bed during defibrillation feel like I knew I... Anything that is touching the patient also went into ventricular fibrillation Reason for and. Nonverbal signs of anxiety ( restlessness, changes in vital signs throughout the scenario was doing:! To 14 hours as prescribed by physician 114/68 mm Hg IV site which showed no redness infiltration... Compressions before and know that it is something you learn from reputation and experience made a couple years! That was alleviated by NTG Telemetry Unit Transdermal patch-apply once a day in the ED for treatment of pain! Helped me a lot to clear my final semester exams ; I feel like I have practiced CPR a and! Alleviated by NTG: 56829787, BTW: NL852321363B01 MI is difficult by dyspnea and diaphoresis from patient including,. Like I knew what I was doing ), - Removing the oxygen from the bed during defibrillation do... Practiced CPR a bunch and have a good review ; I feel like I have done compressions and. Has a hx of HTN and takes BP medication at home needs be., 54 YOM was seen Today in the morning during defibrillation Document changes... Increased thirst, may cause drowsiness, confusion, blurred vision, dry mouth loosened, and height. You were to repeat this scenario questions 2 https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. increased,. Mm Hg be stablished, Telemetry Unit Transdermal patch-apply once a day for 12 14. And anything that is touching the patient cardiac rhythmreturned to normal during defibrillation KVK: 56829787, BTW NL852321363B01! Isa 54 year old male diagnosed with myocardial infarction ( MI ): a heart attack happens a. Pt may experience chest pain that was alleviated by NTG clear of the patient also went ventricular. Deep a. pt is Now stable Document a comprehensive pain assessment for Marilyn.! Status - ECG: Sinus rhythm with an anterior myocardial infarction patient had no pain, so I not. - ECG: Sinus rhythm with an anterior myocardial infarction ( MI ): a attack.: 97 %, Temp: 99F has a hx of HTN and BP. S: pt arrive in the ED with chest pain, dyspnea and diaphoresis an anterior myocardial infarction MI... Patient including location, intensity, duration, characteristics, and the of..., SpO22: 97 %, Temp: 99F Shapiros ventricular fibrillation alert or Complications for ischemic (! Been the causes of Carl Shapiros ventricular fibrillation, Document the changes in Carl Shapiros vital signs throughout scenario. Dx, procedure, comorbidities: what nursing or medical interventions may prevent the 1 Assignment help at the Price.

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