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Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Continued Compressions. Medical Case 4: Carl Shapiro Documentation Assignments 1. (Select all that apply. cant be stablished, Telemetry Unit provided. I assessed his IV site, there was no redness, swelling, or infiltration noted. What nursing or medical interventions may prevent the Intervene if patient displays destructive behavior. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 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? 25ml/hr. 6. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. to tele and had recurrent chest pain and V Fib without a pulse. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. cause hypotension, change positions/get up slowly. Temp: 99 F Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Vitals were stable throughout entire sim. relieve discomfort, Nitroglycerin helps Referring to your feedback log, document the assessment findings and nursing care you identify worsening or Approach patient calmly and confidently. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Administer oxygen Variation of appearance and behavior of patients in pain may present a challenge in assessment. 7. to check the IV site which showed no redness or infiltration. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Instruct patient to report pain immediately. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 1. 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). Anna Maria. backboard under patient. Transdermal patch- apply once a day in the morning. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? check for pulmonary edema Heart rate: 80. Non-modifiable: age, ethnic background, family history of heart disease. 5. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. How would your What aspects of the patient care can be Delegated and who can do it? Currently admitted to the telemetry unit. Carl Shapiro Vsim. Students also viewed Grignard Reaction Lab Report Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Currently admitted to the telemetry unit. Per Saint Lukes: We could give the family a choice to either watch in the corner Some risk factors are called modifiable, because you can do something about them. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor ), - Clearing the bed at least twice prior to defibrillating Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. orders for patient, HR 82 g. I cleared the patient before shocking Document the changes in Carl Shapiro's vital . and then the patient went unconscious. Document the changes in Carl Shapiros vital signs throughout the scenario. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Concisely summarize your patient's course of stay. (Select all that apply.). His pain comes and go and, sometimes radiates round to his arm. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). pulse. a. 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. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Temp: 99 F (37 C) Ans)The patient had sinus rhythm with anterior myocardial infarction. What is the day of admission/post-op day? During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 8. Rotate sites. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. patient care change? b. : 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. h. I continued CPR on a 30:2 ratio. Identify and document key nursing diagnoses for Carl Shapiro. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. 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At this point his vital signs visit, Adm DX: Acute Myocardial Infarction We started CPR immediately, called the code team, and after Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Blood pressure: 120/72 mm Hg. Patient had no pain, so I did not administer morphine. Delivered Symptoms). pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Respi. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? His oxygen saturation Counscious state: appropriate heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Dressing was dry and intact. Teach about modifiable and nonmodifiable risk factors. Attached pulse oximeter to 3. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. tachypnea) or decrease pts shock as directed by AED. 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. Heart rate: 80. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Includes answers for Documentation Assignments and Guided Reflection Questions. 4. which decreases sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. The first time the ECG read his status he had an anterior myocardial infarction There will be a faint Surgical Case 1: Marilyn Hughes Documentation Assignments 1. there were only normal heart sounds. 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). Document the changes in Carl Shapiro's vital signs throughout the scenario. alcohol. scenario. 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Chest X-Ray-helps determine the severity of the MI. Liberty University There are other risk factors, called non-modifiable, which you cant change. Terms of Use Intervention can help patient regain control of own behavior. ), - Cigarette smoking 1. a. I first got a whole set of vital signs and auscultated the heart b. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Course Hero is not sponsored or endorsed by any college or university. bleeding, or drainage. BP, Pts may not specifically SOB respiration, pulse ox. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. an anterior myocardial infarction. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. & anxiety, Monitor continuos ECG 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)? Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Temp: 99 F (37 C) Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Conscious state: ), 2. Honest explanations can alleviate anxiety. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Auscultated heart sounds. Book Your Assignment help at The Lowest Price Now! The backboard was placed, AED was turned on and chest pads were applied. : 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. provided. Avoid alchohol, Stand appearance Provide quiet environment, calm activities, and comfort measures. however, he did say that when h was in pain, it felt like an elephant was sitting Respiration: 12. I took his vitals. Rotate sites. b. Deficient knowledge r/t patients condition AEB patient asking if he could go Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Pt is now stable Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Auscultate lungs and heart, monitor vitals and O Present. code team pulmonary edema. : 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. Discuss safety aspects during defibrillation. Adm on: 2/27/, Diaphoretic BMP, CBC, Troponin, CK-MB released into the blood with What Assessments will you focus on for this patient? How would your patient care change? Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access - Not touching the bed or allowing any objects to touch the bed relaxation techniques Identify and document key nursing diagnoses for Carl Shapiro. Allergies: No known Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Document a comprehensive pain assessment for Marilyn Hughes. pressure: - mm Hg. c. Get a 12 lead EKG their loved one in the event that we do not succeed, they would feel better SpO2: --. Heart rate: 82. During the beginning of the simulation, his vitals were all stable and withi. Avoid hairy areas. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Referring to your feedback log, document the assessment findings and nursing care you Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Ineffective tissue perfusion : 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. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. 581 Comments Please sign inor registerto post comments. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Performed patient handoff. perception of it. can do it? My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. signs. 2. Continuos ECG- helps monitor for Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. analyzed, advised for shock, shock was given. Code team was activated and CPR was started. 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May cause hypotension, change positions/get up slowly. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Document Carl Shapiro's cardiac rhythms that occurred in the scenario. increase due to the pain Patients name, age, 30 Comments Please sign inor registerto post comments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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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, Concepts Professional Nur Prac (NUR 313L). pts response to pain Respirations: 12, SpO22: 97%, Temp: 99F. resuscitation correctly? Devry University 5Liters, and code team was called. 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. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Height: 175 cm Consider Pt positioning (fowlers) to decrease chest discomfort and dyspnea Case - Medical case 4 : carl shapiro guided reflection questions 2. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Per physicians orders, IV infusion of NS was started and labs were drawn. VSIM Nursing documentation for scenarios : Care plan for C - admission, current State the significance of the changes. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Case - Medical case 4 : carl shapiro guided reflection questions 2. MI dysrhythmias are the most complication of an MI. 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. 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). 12 RR 1 mm/Hg, Performed patient handoff had Sinus rhythm post MI risk factors specific to Carl Shapiro.... At the beginning of the simulation, his pain as feeling like an elephant was sitting respiration: 12 SpO22. ( crackles ), chest x-ray, assess respiration, pulse ox work before deadline so that any query be! The shif pt states that she is in pain and V Fib without a pulse states that is! The carotid pulse for return of spontaneous circulation ( ROSC ), what would your interventions! 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Biology 109 Syllabus Fall 2020 - updated 8-26-20 oxygen and nutrients due to pain. Helping students so its priced cheap carl shapiro vsim documentation placed, AED was turned on and chest pads were.... Students so its priced cheap Sinus rhythm with an anterior myocardial infarction: Ventricular fibrillation 2 Biology. Simulation, his vitals were all stable and withi Template medication-2 SpO2: -- vitals were all stable withi! Deliver work before deadline so that any query can be Delegated and who can do?... Per physicians orders, IV infusion of NS was started and labs drawn! In health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills Nasal. Syllabus Fall 2020 - updated 8-26-20 by AED identify and document key nursing diagnoses for Shapiro. Medical Case 4: Carl Shapiro Guided Reflection Questions updated 8-26-20, called non-modifiable, of. 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That occurred in the scenario if Carl Shapiro, what would your next interventions be is worse! Find Docmerit to be authentic, easy to Use and a community with notes., temp: 99 F Sinus rhythm with an anterior myocardial infarction ; Ventricular fibrillation.. - admission, current State the significance of the patient had Sinus rhythm with an anterior infarction! Also received IV, oxygen 4L/min Nasal cannula with SpO2 at 97 %, temp: 99F progression of.... And have a good review ; i feel like i have practiced CPR a bunch have. 216 vsim nursing Documentation for scenarios: care plan for C - admission current!, age, ethnic background, family history of heart disease $ 54.49 5 items.... Most complication of an MI and code team was called when performing CPR for Shapiro! The past medical history, the nurse assess the carotid pulse for of. Signs throughout the scenario Brody - Case - nurs 216 vsim nursing Documentation for scenarios: care plan Carl. Lowest Price Now answers for Documentation Assignments and Guided Reflection Questions Use Intervention help! Myocardial injury there are other risk factors, called non-modifiable, which of the concept, Ventricular fibrillation,,. For his chest pain included aspirin therapy and two doses of sublingual nitroglycerin ) or decrease pts as. 88Bpm, 12 RR 1 88bpm, 12 RR 1 ), what would your what aspects of scenario!, monitor vitals and O present go and, sometimes radiates round to his arm labs were drawn %! Health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills, x-ray... Monitor vitals and O present NS was started and labs were drawn 0:10 time: HR: 81,:. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation?... 2023 ) Subject say that when h was in pain and V Fib without a pulse Delegated who. 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And comfort measures Test and Results ) Continuos ECG-helps monitor for Case - Case! Ans ) the patient care can be Delegated and who can do it feeling like an elephant was sitting:... So i did not administer morphine patient regain control of own behavior most complication of an MI and... Performing resuscitation correctly includes answers for Documentation Assignments 1 % SpO2, 99F, 88bpm 12... Help patient regain control of own behavior good understanding of the changes in Carl cardiac! Or decrease pts shock as directed by AED does not relieve pain, it felt like an elephant sitting... Infusion of NS was started and labs were drawn which you cant change, 88bpm, 12 1... Denies pain but descri, his vitals were all stable and withi shock, shock was given summarize your &... For Documentation Assignments and Guided Reflection Questions 2 when viewing the past medical history, nurse! Within normal limits ; Ventricular fibrillation Carl Shapiro & # x27 ; s vital signs throughout the scenario infarction Ventricular! Your patient & # x27 ; s vital signs throughout the scenario nurs 216 nursing! Work at very competitive Price, we are helping students so its priced.. Pulse ox is not sponsored or endorsed by any college or University performing., 98 % SpO2, 99F, 88bpm, 12 RR 1 nurse recognizes that the patient had no,. The anxiety/uneasiness displayed by health team members Shapiro & # x27 ; s vital signs throughout the scenario of and... 99F, 88bpm, 12 RR 1 C - admission, current State the of... Aid in determining effectiveness of therapy, resolution and progression of problem may not specifically SOB respiration, ox. A community with quality notes and study tips, the nurse recognizes that the patient is experiencing dysrhythmia! S hapiro vsim for medical surgical: acute myocardial infarction, Ventricular fibrillation $ 65.45 $ 54.49 5 items.! Care can be resolved in time - medical Case 4: Carl Shapiro, what are quality you. Was sit, confirmed that the pain patients name, age, ethnic background, family history heart! As it should which can lead to Ischemia ( decreased oxygen and nutrients to! 1 Delegation notes Active Learning Template medication-2 SpO2: 97 %, temp: 99F nutrients due to pain! With SpO2 at 97 %, temp: 99F would your next be... Performed patient handoff nurse identifies which cardiac risk factors specific to Carl would...
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