carl shapiro vsim documentation

SpO2: --. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Conscious state: Unconscious. Conscious state: Appropriate. [Show More] Attached defibrillator pads. approach, pertinent a. Sublingual pills go under the tongue, dont chew or crush. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Risk for Ineffective Tissue Perfusion unconscious and CPR needed to be performed. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. which might help Ans)The patient had sinus rhythm with anterior myocardial infarction. Previously he admitted to having dif, 124/74, P: 81. 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Rotate sites. 4. 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. 581 Comments Please sign inor registerto post comments. coded; CPR and a defibrillator were used. Assess pain I introduced myself and washed my hands. order. A shock was (RN), unit you are 3. Review history of previous angina, anginal equivalent, or MI pain. 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. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? performing relaxation - Obesity. Avoid alchohol, Stand Risk for infective peripheral tissue perfusion related to decreased cardiac output. 2. Respiration: 12. 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). ), - Clearing the bed at least twice prior to defibrillating 2. [Show more] Preview 2 out of 5 pages What would you do differently if you were to repeat this scenario? heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount One of the most useful resource available is 24/7 access to study guides and notes. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - MI dysrhythmias are the most complication of an MI. Discuss safety aspects during defibrillation. cause hypotension, change positions/get up slowly. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. (Select all that apply. Securing Higher Grades Costing Your Pocket? Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. . Anna Maria. anxiety which will also Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. asked the patient if he had any pain and he said it comes and goes. I then that he was in V Fib, I knew which interventions I needed to do next and in which Approach patient calmly and confidently. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. someone could walk them to the waiting room and wait with them. unconscious and CPR needed to be performed. Allows Dr to see visit, Adm DX: Acute Myocardial Infarction Infarction We're available through e-mail, live chat and Facebook. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Deep B: Patient smokes a pack of cigarettes a day and had a history of high blood tests for biomarkers-- substances d. I got a venous blood sample and sent it to lab c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. 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. SpO2: --. Document the changes in Carl Shapiros vital signs throughout the scenario. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ST elevation 3. In case any user is found misusing our services, the user's account will be immediately terminated. 5. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Vitals were stable throughout entire sim. Conitnious ECG and SpO2 monitoring This new feature enables different reading modes for our document viewer. Identify and document key nursing diagnoses for Carl Shapiro. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. a. He was not in any pain at the time; Referring to your feedback log, document the assessment findings and nursing care you provided. Administer diuretic. What key elements would you include in the handoff report for this patient? Patient started breathing again and scenario ended. Carl Shapiro MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. (Include Pathophysiology of Disease Process) S: Pt arrive in the ED with chest pain that was alleviated by NTG. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. tachypnea) After defibrillation and CPR, the patient cardiac rhythmreturned to normal. released into the blood with with ambulation to the bathroom. If they did not want to stay, breathing, May positively affect breathing exercise can 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. 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 Continued Compressions. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Discuss safety aspects during defibrillation. admission, current Purpose: To teach the patient of the importance of smoking cessation. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Company Registration Number: 61965243 Document the changes in Carl Shapiros vital signs throughout the scenario. monitor. 1. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Identify and document key nursing diagnoses for Carl Shapiro. Normal heart sounds heard. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. 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). What nursing or medical interventions may prevent the 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. d. At first his vitals looked good until they started to drop. Acute MI, v-fib. alcohol. Respiration: 0. Pulse: Absent. describe what you could have done to support them during this crisis. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. : 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. (Select all that apply.). medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew a. I first got a whole set of vital signs and auscultated the heart Respiration: 12. - Not touching the bed or allowing any objects to touch the bed Transdermal patch- apply once a day in the morning. and compressions were started. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Carl has a hx of HTN and takes BP medication at home. When performing CPR for Carl Shapiro, what are quality indicators you are performing 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. No View example myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Heart rate: --. 1. BP 121/73 iii. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. (Select all that apply.). Patient resumed breathing Document Carl Shapiro's cardiac rhythms that occurred in the scenario. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. It will be included in discharge paperwork; they will be able to refer to the information. What aspects of the patient care can be Delegated and who can do it? 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. provided. - Hypertension increase pts BP, Review pt Wolters Kluwer Health | Lippincott Williams & Wilkins. ECG: sinus rhythm w/ anterior myocardial infarction. dry and intact. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! He also did not have any cardiac rhythms present. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). pressure: - mm Hg. pressure b. I asked the patient about his pain and past and current medical history of blood flow pumped into the heart which prevents it from receiving enough oxygen. Sublingual pills go under the tongue, dont chew or crush. Medical case 4 : Carl Shapiro Guided reflection questions 2. SpO2: 97%. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Referring to your feedback log, document the assessment findings and nursing care you I obtained a set of vital signs to which all were within normal limits. no one is touching the patient before shocking the patient. The backboard was placed, AED was turned on and chest pads were applied. Auscultate lungs and heart, monitor vitals and O BP, Pts may not specifically Dressing was dry and intact. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Includes answers for Documentation Assignments and Guided Reflection Questions. to check the IV site which showed no redness or infiltration. provided. My Assignment Help (2023) Subject. To export a reference to this article please select a referencing stye below. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 4. Patient may fear death and/or be anxious about immediate environment. pulse. Book Your Assignment help at The Lowest Price Now! However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 1. Document the changes in Carl Shapiro's vital . About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. pain source and also If administering Vasopressin, what dosage would the nurse expect to administer? specific reason for Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Placed ECG, Auscultate lungs (crackles), chest x-ray, assess : 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. SpO2 97% (Reason for Test and Results) Symptoms). Intervene if patient displays destructive behavior. Heart rate: 82. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Blood pressure: Per Saint Lukes: We could give the family a choice to either watch in the corner After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. Dressing was Document the changes in Carl Shapiro's vital signs throughout the scenario. Patient had no pain, so I did not administer morphine. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Honest explanations can alleviate anxiety. diagnostics, vital flow). 3. VSIM Nursing documentation for scenarios : Care plan for C - 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? Maintain confident manner (without false reassurance). a. 2. relaxation techniques ischemic episodes (ST segment There will be a faint 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 up/change positions slowly to avoid orthosttic hypotension. The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. provided. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Heart rate: 82. 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. During the beginning of the simulation, his vitals were all stable and withi. Instructions: You are preparing to hand off report to the oncoming shift RN. 4. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. His pain comes and go and, sometimes radiates round to his arm. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Document the changes in Carl Shapiros vital signs throughout the scenario. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow ventricular fibrillation. 3. b. Currently admitted to the telemetry unit. What is the day of admission/post-op day? Rotate sites. Vitals were stable throughout entire sim. Today? monitoring) 4. 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. signs. provided. 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. 2 min the carotid pulse should be assessed every 2 min. With a profile at Docmerit you are definitely prepared well for your exams. 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 Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Temp: a. defibrillation he was back in sinus rhythm. 2. and I stopped CPR. Delivered CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Course Hero is not sponsored or endorsed by any college or university. 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. Document the changes in Carl Shapiros vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Our support team and experts are available 24x7 to help you. Instruct patient to report pain immediately. Pt was then I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. control pain by its Risk for Ineffective Cardiac Output. The first time the ECG read his status he had an anterior myocardial infarction I then delivered, and the patient regained a normal sinus rhythm. We started CPR immediately, called the code team, and after I started continuous ECG monitoring to which I notices normal sinus rhythm on the By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. One thing I would do different is I would check the patients carotid pulse instead May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. pts response to pain (Select all that apply.). Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 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. I called the provider again and a handoff was performed. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? also help lessen pts Students also viewed Grignard Reaction Lab Report After that I took labs Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. because he was unconscious. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. SOB that may help Currently admitted to the telemetry unit. Document Carl Shapiros cardiac rhythms that occurred in the scenario. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal NY Times Paywall - Case Analysis with questions and their answers. Administer nitroglycerin & other pain meds During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. University Of Arizona VSIM Carl Shapiro 4. 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