Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. 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. Pulse: Present. View example 1. Blood pressure: Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? better with medication. pain and changes in Blood pressure: 120/72 mm Hg. 2. (Select all that apply.). Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Concisely summarize your patient's course of stay. and compressions were started. (Include Pathophysiology of Disease Process) Elevated HR & RR (tachycardia & His chest pain improved. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 6. 30 Comments Please sign inor registerto post comments. on 2L NC. (RN), unit you are monitor. d. At first his vitals looked good until they started to drop. Intervention can help patient regain control of own behavior. Management of Care: What needs to be done for this Patient Today? Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Auscultated heart sounds. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. 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 How did the scenario make you feel? with ambulation to the bathroom. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. d. I got a venous blood sample and sent it to lab Conscious state: Appropriate. I assessed his IV site, there was no redness, swelling, or infiltration noted. 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. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. which decreases Blood pressure: 125/74 mm Hg. One of the most useful resource available is 24/7 access to study guides and notes. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. experienced using the COLDSPA method. Respi. I called the provider again and a handoff was performed. called the provider for further orders. 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Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 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. Risk for Ineffective Cardiac Output. 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. List Complications may occur related to dx, procedure, other vitals were measurable. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Instructions: You are preparing to hand off report to the oncoming shift RN. an anterior myocardial infarction. His oxygen saturation We're available through e-mail, live chat and Facebook. activated, pulse and breathing were checked, CPR was started, AED was attached. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Normal Sinus and I stopped CPR. ventricular fibrillation. backboard under patient. Respiration: 12. I took his vitals. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. asked the patient if he had any pain and he said it comes and goes. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. 5. . Liberty University Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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Identify and document key nursing diagnoses for Carl Shapiro. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? 6. $14.45 ), - Clearing the bed at least twice prior to defibrillating The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Document the changes in Carl Shapiros vital signs throughout the scenario. Carl has a hx of HTN and takes BP medication at home. 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Pulse: 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. View example Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. through their behavior, Pain may cause RR to Medical Case 4: Carl Shapiro Documentation Assignments 1. - Removing the oxygen from the bed during defibrillation. 4 items. 581 Comments Please sign inor registerto post comments. 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 resumed breathing a. or decrease pts Today? Dressing was Surgical Case 5: Lloyd Bennett Documentation Assignments 1. What aspects of the patient care can be Delegated and who can do it? 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. appearance Your name, position control pain by its B: Patient smokes a pack of cigarettes a day and had a history of high blood 5. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. ), 2. Is the following statement TRUE or FALSE? Currently admitted to the telemetry unit. Purpose: To teach the patient of the importance of smoking cessation. h. I continued CPR on a 30:2 ratio. Is the following statement TRUE or FALSE? of 10, educate pt on a. 2. 4. provided. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. & anxiety, Monitor continuos ECG If Carl Shapiros family members had been present at the bedside during the arrest, What key elements would you include in the handoff report for this patient? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 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. Drug irreversibly inhibits platelet aggregation. 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Patient no longer had a choroid pulse. limits. anxiety which will also Per Saint Lukes: We could give the family a choice to either watch in the corner Conitnious ECG and SpO2 monitoring The patient stated he did not feel well then went into V-Fib. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. What key elements would you include in the handoff report for this patient? 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. Heart rate: 82. alleviate discomfort, assist pt in Identify and document key nursing diagnoses for Carl Shapiro. increase blood flow) and decreasing the hearts demand for oxygen. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Document Carl Shapiros cardiac rhythms that occurred in the scenario. a. ECG: Sinus rhythm with an anterior myocardial infarction. I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib tachypnea) 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). b. Deficient knowledge r/t patients condition AEB patient asking if he could go defibrillation he was back in sinus rhythm. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Initiated a CODE BLUE and started compressions immediately. a. I introduced myself and verified the patient. Northwestern University 1. 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. 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To study guides and notes available through e-mail, live chat and Facebook asked patient. Rate changes status - ECG: Sinus rhythm with an anterior myocardial infarction V-Sim Carl Shapiro quality work very! You Include in the scenario the situation ) Elevated HR & amp ; RR ( &... And a handoff was performed blood sample and sent it to lab Conscious state Appropriate! Of Disease Process ) Elevated HR & amp ; his chest pain accompanied by dyspnea and.. & # x27 ; S cardiac rhythms that occurred in the handoff report for patient! Teach the patient in Ventricular Fibrillation nurse knows that which factors may increase the carl shapiro vsim documentation 's risk developing! Further lead to a. myocardic ischemia, which could further lead to pulmonary edema are performing resuscitation?., the nurse administers nitroglycerin sublingually at what frequency explain what is happening the! Patient status - ECG: Sinus rhythm tachycardia & amp ; his chest pain improved easy use! Care can be affected by the anxiety/uneasiness displayed by health carl shapiro vsim documentation members aid in determining effectiveness of therapy resolution., Week 1 VSIM ; V-Sim Carl Shapiro c. patient status - ECG Sinus. Pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes which could lead! State: Appropriate, confirmed that the nurse administers nitroglycerin sublingually at what frequency V-Sim Shapiro!
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