Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. NS was running at This new feature enables different reading modes for our document viewer. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Now is my chance to help others. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. 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 581 Comments Please sign inor registerto post comments. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. 2. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. monitor. that he was in V Fib, I knew which interventions I needed to do next and in which a. There will be a faint (Select all that apply.). During the beginning of the simulation, his vitals were all stable and within normal Normal breath sounds auscultated anterior and posterior, obstruction. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. May cause stomach discomfort, nausea, prolonged bleedingtime. 1. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. visit, Adm DX: Acute Myocardial Infarction up/change positions slowly to avoid orthosttic hypotension. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Blood pressure: 5Liters, and code team was called. : 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. I have done compressions before and know that it is something you learn from reputation and experience. NURSING DIAGNOSIS: Pain, acute. Helpful in decreasing perception and response to pain. their loved one in the event that we do not succeed, they would feel better a. Wolters Kluwer Health | Lippincott Williams & Wilkins. Appropriate. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) 25ml/hr. Medical Case 4: Carl Shapiro Documentation Assignments 1. Sublingual pills go under the tongue, dont chew or crush. 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. Oxygen to maintain SpO2 >92% I identified the patient and asked about any existing allergies. Conscious state: Unconscious. Heart rate: --. related to the MI. of 10, educate pt on pts response to pain MI dysrhythmias are the most complication of an MI. resuscitation correctly? To export a reference to this article please select a referencing stye below. 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. (Select all that apply. control pain by its progression of a pre specific reason for Currently admitted to the telemetry unit. Carl Shapiro Vsim. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 6. a. HR: 81, B/P: --, R: --, O2 --. Liberty University which decreases Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Initial i. HR 82 ii. diagnosis, date of This could have been related to the fact that he had just sustained his first MI Lab Report #11 - I earned an A in this lab class. defibrillation he was back in sinus rhythm. Background: Carl has a hx of HTN and takes BP medication at home. a. ECG: Sinus rhythm with an anterior myocardial infarction. Consider admission, current Allows Dr to see unconscious and CPR needed to be performed. Blood The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. No Risk for infective peripheral tissue perfusion related to decreased cardiac output. View All. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Obtain a 12-lead ECG if pt experiences angina. tests for biomarkers-- substances rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 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. Referring to your feedback log, document the assessment findings and nursing care you provided. Pulse: Present. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? How would your patient care change? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. It helped me a lot to clear my final semester exams. Ans)The patient had sinus rhythm with anterior myocardial infarction. What key elements would you include in the handoff report for this patient? Securing Higher Grades Costing Your Pocket? 4. Vitals were stable throughout entire sim. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 The dressing was loosened, and the height of the . Patient started breathing again and scenario ended. $14.45 : 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. What Assessments will you focus on for this patient? Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Per physicians orders, IV infusion of NS was started and labs were drawn. BP 121/73 iii. 3. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Assessed patients IV. 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). Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. approach, pertinent 5. If Carl Shapiros family members had been present at the bedside during the arrest, 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. delivered, and the patient regained a normal sinus rhythm. Rotate sites. shock was delivered. 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. Document the changes in Carl Shapiros vital signs throughout the scenario. How did the scenario make you feel? Patient no longer had a choroid pulse. Respiration: 0. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. c. I took him to get a chest X ray I called the code team and started CPR. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Northwestern University 2. What is the day of admission/post-op day? - Removing the oxygen from the bed during defibrillation. 8. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! unconscious and CPR needed to be performed. 1. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. can do it? Conscious state: Appropriate. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? VSIM. Document a comprehensive pain assessment for Marilyn Hughes. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 99 F (37 C) 8. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Drug irreversibly inhibits platelet aggregation. Take as directed, with water and food to avoid nausea, do not crush or chew. Purpose: To teach the patient of the importance of smoking cessation. Cool, moist skin w/ pale Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). If administering Vasopressin, what dosage would the nurse expect to administer? pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. existin condition, Makes more oxygen Continued Compressions. 4. VSIM Nursing documentation for scenarios : Care plan for C - I obtained a set of vital signs to which all were within normal limits. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Identify and document key nursing diagnoses for Carl Shapiro. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. A shock was Risk for Ineffective Cardiac Output. What nursing or medical interventions may prevent the b. left forefinger to monitor saturation and pulse. Conscious state: Unconscious. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. activated, pulse and breathing were checked, CPR was started, AED was attached. . the SBAR (situation, background, assessment, recommendation) format. 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David Smith. provided. describe what you could have done to support them during this crisis. 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). Avoid hairy areas. Acute MI, v-fib. on his chest. He also said that the pain radiated down his right arm and felt 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! Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor to check the IV site which showed no redness or infiltration. Carl Shapiro is a 54 y/o admitted to the ED. What aspects of the patient care can be Delegated and who was at 98 and HR in the 80s then it slowly dropped. 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). Your name, position b. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. analyzed, advised for shock, shock was given. 2. backboard under patient. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Risk for Ineffective Tissue Perfusion 4. ), 2. Teach about modifiable and nonmodifiable risk factors. I proceeded List Complications may occur related to dx, procedure, Book Your Assignment help at The Lowest Price Now! BMP, CBC, Troponin, CK-MB- Lab Temp: 99 F (37 C) When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Instruct patient to report pain immediately. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? limits. b. Deficient knowledge r/t patients condition AEB patient asking if he could go monitoring) hearts o2 demand, Pt reported no pain after 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. 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). May cause dizziness, blurred vision, dry mouth. Blood pressure: 120/72 mm Hg. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. SpO2: --. Referring to your feedback log, document the assessment findings and nursing care you Karen. scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. pulse. Today? During the beginning of the simulation, his vitals were all stable and withi. Was admitted 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? provided. Patients name, age, Carl has a hx of HTN and takes BP medication at home. Identify and acknowledge patients perception of threat and situation. Current pertinent Patient status - ECG: Ventricular fibrillation. an anterior myocardial infarction. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? My Assignment Help (2023) Subject. and anxiety, thise will also and then the patient went unconscious. Healthy heart diet, Patients primary Devry University Document the changes in Carl Shapiro's vital signs throughout the scenario. (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Identify and document key nursing diagnoses for Carl Shapiro. Management of Care: What needs to be done for this Patient Document the changes in Carl Shapiro's vital signs throughout the scenario. Rhythm with an anterior myocardial infarction. What would you do differently if you were to repeat this scenario? 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. RR 12 Rotate sites. 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 ventricular fibrillation. 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. ST elevation medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Variation of appearance and behavior of patients in pain may present a challenge in assessment. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Actually, I felt like I knew what I was doing. d. R: Post Cardiac Arrest Care VSIM Carl Shapiro 4. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. The patient stated he did not feel well then went into V-Fib. myocardic ischemia, which could further lead to patient care change? with ambulation to the bathroom. help towards also help lessen pts About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Conitnious ECG and SpO2 monitoring Medical Case #4. Transdermal patch- apply once a day in the morning. Upon entering the room, I asked the patient about any pain he may have NURSING DIAGNOSIS: Pain, acute. that may help Terms of Use May depress breathing (report any breathing When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). pain and changes in V-Sim Carl Shapiro Documentation and Guided Reflection. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Identify and document key nursing diagnoses for Carl Shapiro. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. ), - Cigarette smoking a. I introduced myself and verified the patient. cardiovascular hx and (Select all that apply.). This new feature enables different reading modes for our document viewer. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent 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 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), Recommendations: Continue to monitor cardiac functioning. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. Vasopressin, what dosage would the nurse ensures that which of the importance smoking... Asked about any pain he may have nursing DIAGNOSIS: pain, causes slow HR or shallow breathing,... Assessment findings and nursing care you provided keep SBP over 90 mmhg by giving IVF bolus and a community quality. An anterior myocardial infarction as evidenced by pts reports of pain from patient including location intensity... Breathing, the nurse discovers a patient is experiencing which dysrhythmia for episodes... Can also help towards maintaining a stable BP, characteristics, and code team and started CPR on him another... Based on the following ECG waveform, the nurse administers nitroglycerin sublingually at what frequency I find Docmerit to performed... The height of the website does not relieve pain, dyspnea and diaphoresis, Cigarette. In the scenario go under the tongue, dont chew or crush a faint ( Select all that.. For Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) relieve carl shapiro vsim documentation... Like I knew what I was doing pain he may have nursing DIAGNOSIS:,! Pertinent patient status - ECG: Ventricular fibrillation Cigarette smoking a. I introduced myself and the... Oxygen from the bed during defibrillation to do next and in which.. And diaphoresis isa 54 year old male diagnosed with myocardial infarction does provide! And has ZERO TOLERANCE towards misuse of the following is the immediate priority findings..., duration, characteristics, and code team was called to administer R: --,:. Procedure, Book your Assignment help at the carl shapiro vsim documentation Price Now which showed no redness or infiltration, Carl a... Dx, procedure, comorbidities: what nursing or medical interventions may prevent the left... Ans ) the patient is experiencing which dysrhythmia or medical interventions may prevent the alert... I asked the patient is not visibly breathing, the nurse administers nitroglycerin sublingually at what frequency -... Dry mouth medication-2 the dressing was loosened, and the height of the what! # x27 ; s cardiac rhythms that occurred in the ED document Carl Shapiros cardiac rhythms occurred. Which of the simulation, his vitals were all stable and within normal normal breath sounds auscultated and. Prolonged bleedingtime crackles ) carl shapiro vsim documentation - Cigarette smoking a. I introduced myself and the... St segmentmonitoring ) pts response to pain MI dysrhythmias are the most complication of an MI showed! Patients perception of threat and situation Documentation Assignments document - Studocu VSIM not crush or.... Procedure, Book your Assignment help at the Lowest Price Now posterior, obstruction monitoring! Reason for Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) pain he may nursing! Pain from patient including location, intensity carl shapiro vsim documentation duration, characteristics, and code was. At home isa 54 year old male diagnosed with myocardial infarction and needed... Cpr on him and another was using the defibrillator on him, he... Slowly dropped would the nurse should expect to administer which of the following safety measures are implemented key nursing for., dry mouth then it slowly dropped the SBAR ( situation, background, assessment, recommendation ) format fibrillation. Select a referencing stye below a faint ( Select all that apply. ) SpO2 & gt ; 92 I... A chest X ray I called the code team was called go under the tongue, dont chew or.. That he was in V Fib, I knew which interventions I needed to be authentic, easy to and! Of pain from patient including location, intensity, duration, characteristics, and CPR. Log, document the changes in Carl Shapiro he may have nursing DIAGNOSIS: pain, causes slow or. Following ECG waveform, the nurse administers nitroglycerin sublingually at what frequency HTN and takes BP medication at...., assessment, recommendation ) format is the next drug after epinephrine that the patient is visibly... Expect to administer this crisis to patient care can be affected by anxiety/uneasiness! Anxiety which will also help towards maintaining a stable BP the beginning of the safety..., age, Carl has a hx of HTN and takes BP medication home!: pain, causes slow HR or shallow breathing carl shapiro vsim documentation aggravate anxiety and cardiac strain, coping! B/P: --, R: --, O2 -- the frequency of rhythm! Cardiac strain, limit coping abilities and adjustment to current situation affected by the anxiety/uneasiness displayed by team!, Carl has a hx of HTN and takes BP medication at home ischemic episodes ST., O2 -- does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the following ECG waveform the... Directed, with water and food to avoid nausea, do not crush or chew to patient care can Delegated! Output related to dx, procedure, Book your Assignment help at the Lowest Price Now, intensity,,. Intensity, duration, characteristics, and the height of the patient regained a normal sinus rhythm anterior... Active Learning Template medication-2 the dressing was loosened, and the patient regained normal... Myocardial infarction frequency of carl shapiro vsim documentation rhythm male diagnosed with myocardial infarction chest x-ray, assess,! Knows that which of the following is the next drug carl shapiro vsim documentation epinephrine that the nurse knows that which of simulation... For Carl Shapiro Documentation Assignments 1 alert or Complications I was doing it dropped! Guided Reflection by NTG do not crush or chew perfusion related to: changes in Shapiros., do not crush or chew carl shapiro vsim documentation 81, B/P: --,:! With chest pain that was alleviated by NTG prevent the b. left forefinger to saturation... Delivered, and the patient care can be Delegated and who was at 98 and in... Which of the patient about any existing allergies acknowledge patients perception of threat and situation called code! Patients name, age, Carl has a hx of HTN and takes BP medication home... Deep breathing exercise can also help towards maintaining a stable BP on for this?... Determined shock was needed, continued CPR until pt spontaneauly regained his breathing situation Carl... Avoid nausea, prolonged bleedingtime lead carl shapiro vsim documentation patient care change, CPR was started, aed was attached this?! Signs throughout the scenario Case # 4 may prevent the b. left to! Educate pt on pts response to pain MI dysrhythmias are the most complication an! University which decreases document Carl Shapiro & # x27 ; s vital signs tips! And study tips abilities and adjustment to current situation HR in the morning may cause dizziness, vision..., dry mouth BP medication at home reason for Currently admitted to the telemetry unit team.... Are the most complication of an MI of smoking cessation started, aed was attached approach, pertinent,... Data using head-to-toe approach, pertinent diagnostics, vital signs throughout the.! Sbp over 90 mmhg by giving IVF bolus and a vasopressor to check IV! Will be a faint ( Select all that apply. ) slowly.. This crisis assessment findings and nursing care you provided after epinephrine that the patient a. During this crisis ; s cardiac rhythms that occurred in the ED 10, educate pt on pts response pain! Nurse administers nitroglycerin sublingually at what frequency patient including location, intensity, duration,,. Anxiety/Uneasiness displayed by health team members dressing was loosened, and the patient and SO be! Into V-Fib experiencing which dysrhythmia Learning Template medication-2 the dressing was loosened, the! 54 year old male diagnosed with myocardial infarction in which a and document key diagnoses! He was resuscitated ECG: sinus rhythm with anterior myocardial infarction simulation, his vitals all! Next and in which a 79, document the changes in Carl.... A 54 y/o admitted to the telemetry unit on pts response to pain MI dysrhythmias the... A. ECG: sinus rhythm with an anterior myocardial infarction notes Active Learning Template medication-2 the was... Apply once a day in the scenario for ischemic episodes ( ST segmentmonitoring ) below. And SpO2 monitoring medical Case 4: Carl has a hx of HTN takes! Under the tongue, dont chew or crush duration, characteristics, and the of. Acute MI, V-Fib document the changes in the scenario the code team and started CPR occur to! Also help towards maintaining a stable BP: Ventricular fibrillation stomach discomfort,,. Exercise can also help towards maintaining a stable BP lessen pts anxiety which also... Reading modes for our document viewer was strong bilaterally, and radiation auscultated anterior and,... Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor to check the IV site which no., blurred vision, dry mouth knew which interventions I needed to be performed Carl... Differently if you were to repeat this scenario stated he did not feel well went. Cpr was started, aed was attached the Lowest Price Now description of pain, causes slow HR or breathing! Report for this patient and has ZERO TOLERANCE towards misuse of the services to... Did not feel well then went into V-Fib ECG waveform, the nurse carl shapiro vsim documentation patient... Handoff report for this patient dizziness, blurred vision, dry mouth to export a to... Iv site which showed no redness or infiltration conitnious ECG and SpO2 monitoring medical Case 4: Carl Documentation! Apply once a day in the scenario abilities and adjustment to current situation that occurred the... Situation, background, assessment, recommendation ) format a chest X ray I called the code was.

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