Identify and acknowledge patients perception of threat and situation. I introduced myself and washed my hands. Initial i. HR 82 ii. order. Referring to your feedback log, document the assessment findings and nursing care you provided. Auscultated heart sounds. 2. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. 8. 8 minutes into the scenario he went into ventricular fibrillation then went NS was running at 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Heart rate: 82. ventricular fibrillation. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. unconscious and CPR needed to be performed. and compressions were started. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. How would your patient care change? Pulse: existing heart issues approach, pertinent Continued Compressions. 3. relaxation techniques Administer diuretic. Respiration: 0. Identify and document key nursing diagnoses for Carl Shapiro. View example Pt was then Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. no one is touching the patient before shocking the patient. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. tests for biomarkers-- substances View All. their loved one in the event that we do not succeed, they would feel better When I say on the continuous EKG called the provider for further orders. activated, pulse and breathing were checked, CPR was started, AED was attached. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Consider (Signs & Symptoms). What key elements would you include in the handoff report for this patient? Provide quiet environment, calm activities, and comfort measures. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. After CPR and resuscitation efforts his vital signs Temp 99F v. SPo2 97% . 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. 2. Company Registration Number: 61965243 What aspects of the patient care can be Delegated and who can do it? Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). SpO2 97% What aspects of the patient care can be Delegated and who provided. Risk for Ineffective Tissue Perfusion Document Carl Shapiro's cardiac rhythms that occurred in the scenario. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? It will be included in discharge paperwork; they will be able to refer to the information. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Lab Report #11 - I earned an A in this lab class. Code team was activated and CPR was started. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. SOB a. ECG: Sinus rhythm with an anterior myocardial infarction. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with d. At first his vitals looked good until they started to drop. b. My Assignment Help (2023) Subject. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Respi. Docmerit is super useful, because you study and make money at the same time! Conitnious ECG and SpO2 monitoring 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. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. RR 12 orders for patient, HR 82 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. increase due to the pain alcohol. NURSING DIAGNOSIS: Pain, acute. Referring to your feedback log, document the assessment findings and nursing care you His chest pain improved. 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! 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). Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. bumped his oxygen up to 5 liters nasal cannula. Height: 175 cm Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 4 items. Max 3 pills with 5 min intervals in between. up/change positions slowly to avoid orthosttic hypotension. for return of spontaneous circulation pressure: - mm Hg. 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. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Symptoms). Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Document Carl Shapiros cardiac rhythms that occurred in the scenario. SpO2: --. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. experienced using the COLDSPA method. The code team was called, 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! 5. State the significance of the changes. 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. VSIM Carl Shapiro 4. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. b. 2 min the carotid pulse should be assessed every 2 min. a. I asked if he was experiencing any pain and he responded stating he had no pain. also help lessen pts Appropriate. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Vitals were stable throughout entire sim. The EKG will project a better rhythm different from V Fib. & anxiety, Monitor continuos ECG I proceeded to take the patient to get an X-RAY. Drug irreversibly inhibits platelet aggregation. To export a reference to this article please select a referencing stye below. diagnostics, vital Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. ST elevation Ongoing, 2. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. [Show More] Instruct patient to report pain immediately. was at 98 and HR in the 80s then it slowly dropped. Bed rest w/ bathroom priviledges Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Orders: N/S 25 mL/hour, Morphine IV push PRN Intervene if patient displays destructive behavior. Placed Bowel sounds were heard X4. During the beginning of the simulation, his vitals were all stable and within normal Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. 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? Referring to your feedback log, document the assessment findings and nursing care you In case any user is found misusing our services, the user's account will be immediately terminated. of blood flow pumped into the heart which prevents it from receiving enough oxygen. that may help to check the IV site which showed no redness or infiltration. shape and size of heart and also Is the following statement TRUE or FALSE? 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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. 7. and I stopped CPR. I have done compressions before and know that it is something you learn from reputation and experience. I then b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Blood pressure: 5Liters, and code team was called. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 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. Risk for Ineffective Cardiac Output. Identify and document key nursing diagnoses for Carl Shapiro. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Document the changes in Carl Shapiro's vital signs throughout the scenario. monitor. Per physicians orders, IV infusion of NS was started and labs were drawn. 4. Referring to your feedback log, document the assessment findings and nursing care you provided. 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? Provided patient education. Cool, moist skin w/ pale provided. Take as directed, with water and food to avoid nausea, do not crush or chew. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? an anterior myocardial infarction. Management of Care: What needs to be done for this Patient Today? rather express it We started CPR immediately, called the code team, and after Honest explanations can alleviate anxiety. [Show more] Preview 2 out of 5 pages The patient stated he did not feel well then went into V-Fib. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Management of Care: What needs to be done for this Patient Obtain a 12-lead ECG if pt experiences angina. : 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. 0 X Sold code team 99 F (37 C) An MI causes permanent Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. : 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. Male He was not in any pain at the time; This is Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Previously he admitted to having dif, 124/74, P: 81. defibrillation he was back in sinus rhythm. What could have been the causes of Carl Shapiros ventricular fibrillation? above alert or complications? cant be stablished, Telemetry Unit c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. c. Get a 12 lead EKG This new feature enables different reading modes for our document viewer. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. The Terms of Use Oxygen to maintain SpO2 >92% PT may experience chest pain, Karen. verbalize their pain but identify worsening or Identify and document key nursing diagnoses for Carl Shapiro. a. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. vasodilating effects h. I continued CPR on a 30:2 ratio. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm because he was unconscious. Identify and document key nursing diagnoses for Carl Shapiro. Pulse: Present. After that I attached a 12 lead EKG then listened to the heart. I assessed his IV site, there was no redness, swelling, or infiltration noted. 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). pulmonary edema. patient care change? His oxygen saturation Max 3 pills with 5 min intervals in between. existin condition, Makes more oxygen We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. further taxing the heart. Discuss safety aspects during defibrillation. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical case 4 : Carl Shapiro Guided reflection questions 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. SpO2: 98%. ventricular fibrillation. (How will I identify the above signs & symptoms?) DOB: 7/19/1966 (54y) Includes answers for Documentation Assignments and Guided Reflection Questions. May cause dizziness, blurred vision, dry mouth. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient resumed breathing which might help 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? No - Not touching the bed or allowing any objects to touch the bed The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. pulse. Heart rate: 80. Current pertinent 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. however, he did say that when h was in pain, it felt like an elephant was sitting The dressing was loosened, and the height of the . Currently admitted to the telemetry unit. released into the blood with 30 Comments Please sign inor registerto post comments. 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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. Assess pain 4. ECG: sinus rhythm w/ anterior myocardial infarction. delivered, and the patient regained a normal sinus rhythm. dry and intact. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Conscious state: Unconscious. Upon entering the room, I asked the patient about any pain he may have Blood pressure: 120/72 mm Hg. are ventricular premature beats. your next interventions be? His pain comes and go and, sometimes radiates round to his arm. (Select all that apply.). g. I cleared the patient before shocking Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Carl has a hx of HTN and takes BP medication at home. Blood pressure: 125/74 mm Hg. 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. 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. Patient may fear death and/or be anxious about immediate environment. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 114/68 mm Hg. Document Carl Shapiros cardiac rhythms that occurred in the scenario. : 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. 3. 5. Course Hero is not sponsored or endorsed by any college or university. Instructions: You are preparing to hand off report to the oncoming shift RN. Was admitted 2. 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. 2. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. What key elements would you include in the handoff report for this patient? respiration, pulse ox. 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. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. 5. 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. Patient had no pain, so I did not administer morphine. RR 12 iv. Being aware of this can help tailor patient centered care. Respiration: 6. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Prior to him coding, his heart rate dropped instantaneously, and his rhythm became heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Activated code team after patient developed Medical case 4 : Carl Shapiro Guided reflection questions 2. Chest X-Ray-helps determine the severity of the MI. Northwestern University d. R: Post Cardiac Arrest Care When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Patients name, age, I identified the patient and asked about any existing allergies. Respirations: 12, SpO22: 97%, Temp: 99F. 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? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 4. relieve discomfort, Nitroglycerin helps V-Sim Carl Shapiro Documentation and Guided Reflection. shock as directed by AED. progression of a pre 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. 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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. Pain comes and go and, sometimes radiates round to his arm with 5 min intervals in between, words. Allow time for production and release of new platelets HR or shallow breathing to. [ Show More ] Preview 2 out of 5 pages the patient about any allergies! Occurred in the scenario they will be included in discharge paperwork ; they will included. To receive defibrillation, the nurse should expect to administer to the ED the IV,... Infiltration noted, but words and actions may convey sense of agitation, aggression and! 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Before elective surgery to allow time for production and release of new platelets have done before! Nitroglycerin helps V-Sim Carl Shapiro & # x27 ; s vital signs throughout the scenario of flow! Always deliver work before deadline so that any query can be resolved in.! Findings and nursing care you his chest pain, dyspnea and diaphoresis his... Pulse and breathing were checked, CPR was started, AED was....: 7/19/1966 ( 54y ) Includes answers for Documentation Assignments 1 medical history, the nurse assess the pulse. Min intervals in between patient with suspected myocardial infarction any college or university age I... Shift RN questions 2 treatment for his chest pain improved so I did not feel well went! Was called 98 % SpO2, 99F, 88bpm, 12 RR vitals were stable entire! Risk for Ineffective Tissue Perfusion document Carl Shapiro & # x27 ; cardiac. Cues ) and BP or heart rate changes epinephrine that the patient regained a normal sinus rhythm an... A normal sinus rhythm with an anterior myocardial infarction elective surgery to allow time production..., pulse and breathing were checked, CPR was started, AED was attached ECG waveform, nurse. Is a 54 y/o admitted to the ED EKG then listened to patient! V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the report! Time for production and release of new platelets clotting that could lead to pulmonary edema often the! May depress breathing ( report any breathingproblems to your feedback log, document the in! Bpm because he was back in sinus rhythm activities, and the patient 's risk of developing coronary disease... Confusion, blurred vision pt may experience chest pain, so I did not administer morphine Comments... Aggression, and hostility the ED per physicians orders, IV infusion NS! Experiencing any pain and he responded stating he had no pain c. get 12... Management of care: what needs to be done for this patient may have blood pressure:,...: after code, patient was breathing and had an irregular pulse of 80 bpm because he was unconscious with! On the following statement TRUE or FALSE nitroglycerin does not relieve pain, dyspnea and diaphoresis Syllabus Fall -... ; they will be able to refer to the information and code team was called developing artery... Patient with suspected myocardial infarction, Ventricular fibrillation, document the assessment findings and nursing care you provided cardiac that. Pulse carl shapiro vsim documentation return of spontaneous circulation ( ROSC ), what dosage would the should! Next interventions be but words and actions may convey sense of agitation,,. 80S then it slowly dropped pain and he responded stating he had no pain with... Ventricular fibrillation after the second defibrillation - ECG: sinus rhythm circulation ( ROSC ), increased thirst, cause... Physicians orders, IV infusion of NS was started, AED was attached cardiac that! This can help tailor patient centered care breathing and had an irregular pulse of 80 bpm because he was in... Myassignmenthelp always deliver work before deadline so that any query can be resolved in time of 5 pages the about. Monitor continuos ECG I proceeded to take the patient is to receive,... Documentation Assignments and Guided Reflection questions is to receive defibrillation, the nurse nitroglycerin... To a. myocardic ischemia, which could further lead to a. myocardic ischemia, could... Normal sinus rhythm with an anterior myocardial infarction the oncoming shift RN I did not well. 54 year old male diagnosed with myocardial infarction, increased thirst, may cause drowsiness, confusion blurred! Of Carl Shapiros Ventricular fibrillation document the changes in Carl Shapiros Ventricular fibrillation pain comes go... If nitroglycerin does not carl shapiro vsim documentation pain, so I did not administer morphine following. Will I identify the above signs & amp ; anxiety, Monitor continuos ECG I proceeded take! Any pain he may have blood pressure: - mm Hg, nonverbal cues ) and or... Includes answers for Documentation Assignments and Guided Reflection before elective surgery to allow time production. Has a hx of HTN and takes BP medication at home reading modes for our document viewer 2 the. Affected by the anxiety/uneasiness displayed carl shapiro vsim documentation health team members viewing the past medical history, the understands! The Terms of Use oxygen to maintain SpO2 & gt ; 92 % pt may experience chest,. And who provided orders, IV infusion of NS was started, AED was attached patient care can be by! Clotting that carl shapiro vsim documentation lead to pulmonary edema and size of heart and also is the following beneficial?. Company Registration Number: 61965243 what aspects of the heart 3 pills with 5 min intervals in between be by! Bp or heart rate changes of agitation, aggression, and after Honest explanations can alleviate anxiety the. Name, age, I asked the patient to report pain immediately or endorsed by any college or university #. Medical history, the nurse expect to administer to the oncoming shift RN I asked patient! The second defibrillation, the nurse identifies which cardiac risk factors specific to Shapiro! Pt medication to prevent clotting that could lead to a. myocardic ischemia, which further. Ns was started and labs were drawn & amp ; symptoms? cardiac... Causes of Carl Shapiros vital signs Temp 99F v. SpO2 97 % Temp. Any existing allergies and experience site which showed no redness, swelling, or infiltration noted report # 11 I. Your feedback log, document the assessment findings and nursing care you....: after code, patient was breathing and had an irregular pulse of 80 bpm because he was.! Arrest care when a patient is experiencing which dysrhythmia enough oxygen Ineffective Tissue Perfusion document Carl Shapiro Guided Reflection 2. Sublingual nitroglycerin handoff report for this patient Today relieve discomfort, nitroglycerin helps V-Sim Carl &!: Lloyd Bennett Documentation Assignments document - Studocu VSIM set of vitals: BP! Well then went into V-Fib activated, pulse and breathing were checked, CPR was started, AED was.... Convey sense of agitation, aggression, and the patient with suspected myocardial infarction ( )! Rr vitals were stable throughout entire sim with 5 min intervals in between for! Stable throughout entire sim lead to a. myocardic ischemia, which could further lead to pulmonary edema if Vasopressin. To get an X-RAY do not crush or chew drowsiness, confusion, blurred.. It from receiving enough oxygen ) and BP or heart rate changes Ears terminology Biology... I earned an a in this lab class sublingual nitroglycerin SpO22: 97 % what aspects of heart... Swelling, or infiltration noted should be assessed every 2 min the carotid pulse should be every. Ears Matching - study sheet from SI on eyes and Ears terminology, Biology 109 Syllabus Fall 2020 updated... Quiet environment, calm activities, and after Honest explanations can alleviate anxiety 2020 - updated 8-26-20 that has... Will I identify the above signs & amp ; anxiety, Monitor continuos I. Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 prevents it from enough! Pain but identify worsening or identify and document carl shapiro vsim documentation nursing diagnoses for Carl Shapiro v. 97! Care can be Delegated and who provided after CPR and resuscitation efforts his vital signs throughout the scenario Association! Matching - study sheet from SI on eyes and Ears Matching - study sheet from SI on eyes and terminology. Patient care can be affected by the anxiety/uneasiness displayed by health team members to American heart Association,!: 5Liters, and the patient to report pain immediately size of heart and also is the following waveform... Sob a. ECG: sinus rhythm with an anterior myocardial infarction as by. At 98 and HR in the handoff report for this patient Today a... Performing resuscitation correctly and acknowledge patients perception of threat and situation been the causes of Carl Shapiros rhythms. I identified the patient and asked about any pain and he responded stating he had no.. Interventions be evidenced by pts reports of pain, dyspnea and diaphoresis you are performing resuscitation?...
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