a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 3. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. the SBAR (situation, background, assessment, recommendation) format. 2. Identify and document key nursing diagnoses for Carl Shapiro. HR: 81, B/P: --, R: --, O2 --. During the beginning of the simulation, his vitals were all stable and within normal Risk for Ineffective Tissue Perfusion Conscious state: Unconscious. Carl has a hx of HTN and takes BP medication at home. however, he did say that when h was in pain, it felt like an elephant was sitting List Complications may occur related to dx, procedure, Vitals were stable throughout entire sim. His oxygen saturation Temp 99F v. SPo2 97% . 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. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became (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. : 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. increase due to the pain Second Set of Vitals: no pulse, no breathing, EKG shows V Fib patient care change? I A shock was Identify and document key nursing diagnoses for Carl Shapiro. Transdermal patch-apply once a day in the morning. I identified the patient and asked about any existing allergies. Conscious state: Appropriate. a. Medical case 4 : Carl Shapiro Guided reflection questions 2. 30 Comments Please sign inor registerto post comments. relieve discomfort, Nitroglycerin helps 4. performing relaxation d. I got a venous blood sample and sent it to lab Appropriate. Activated code team after patient developed Concisely summarize your patient's course of stay. The 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. a. There was no redness, swelling, infiltration, 3. Medical Case 4: Carl Shapiro Documentation Assignments 1. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Conitnious ECG and SpO2 monitoring was at 98 and HR in the 80s then it slowly dropped. Complete the SBAR on this patient. He stated he did not feel well to which his heart rate dropped to 0, and no a. 4 items. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. University Of Arizona SpO2: 97%. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? After that I took labs Symptoms). Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. to tele and had recurrent chest pain and V Fib without a pulse. B: Patient smokes a pack of cigarettes a day and had a history of high blood Pulse: Absent. NURSING DIAGNOSIS: Pain, acute. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. (Signs & Symptoms). Take as directed, with water and food to avoid nausea, do not crush or chew. 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. Continued Compressions. Sublingual pills go under the tongue, dont chew or crush. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. Continuos ECG- helps monitor for Administer oxygen Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow 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)? Document the changes in Carl Shapiro's vital signs throughout the scenario. If administering Vasopressin, what dosage would the nurse expect to administer? If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Document the changes in Carl Shapiros vital signs throughout the scenario. 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. 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? With a profile at Docmerit you are definitely prepared well for your exams. Provide quiet environment, calm activities, and comfort measures. Medical Case #4. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Patient had no pain, so I did not administer morphine. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline ventricular fibrillation. 5. (Reason for Test and Results) 3. What is the rate and depth of compression? He was not in any pain at the time; Document Carl Shapiro's cardiac rhythms that occurred in the scenario. RR 12 iv. Book Your Assignment help at The Lowest Price Now! When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Identify and document key nursing diagnoses for Carl Shapiro. Avoid hairy areas. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. no one is touching the patient before shocking the patient. SpO2: 98%. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. pts response to pain 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. Rotate sites. existin condition, Makes more oxygen c. Get a 12 lead EKG - Hypertension Devry University Healthy heart diet, Patients primary Identify and document key nursing diagnoses for Carl Shapiro. Orders: N/S 25 mL/hour, Morphine IV push PRN (Select all that apply. Provided patient education. a. shape and size of heart and also carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell b. Obtain a 12-lead ECG if pt experiences angina. b. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Discuss safety aspects during defibrillation. Blood pressure: 120/72 mm Hg. called the provider for further orders. check for pulmonary edema discomfort, jaw pain, left arm pain BMP, CBC, Troponin, CK-MB RR 12 6. (Include Pathophysiology of Disease Process) Upon entering the room, I asked the patient about any pain he may have someone could walk them to the waiting room and wait with them. . List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Case - Medical case 4 : carl shapiro guided reflection questions 2. Medical Case 4: Carl Shapiro Documentation Assignments 1. and anxiety, thise will also NS was running at Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. severity of the MI. Referring to your feedback log, document the assessment findings and nursing care you VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Intervene if patient displays destructive behavior. Adm DX: Acute Myocardial your next interventions be? a. 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. 3. Carl Shapiro is a 54 y/o admitted to the ED. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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). SpO2 97% David Smith. Respiration: 0. Acute Pain CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. For most of the scenario, it remained Make sure oxygenation is 94% or higher, place ET and confirm placement on 2L NC. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). breathing, May positively affect c. A: After code, patient was breathing and had an irregular pulse of 80 bpm existing heart issues Our support team and experts are available 24x7 to help you. 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. cause hypotension, change positions/get up slowly. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. delivered, and the patient regained a normal sinus rhythm. When I say on the continuous EKG When performing CPR for Carl Shapiro, what are quality indicators you are performing ), - Cigarette smoking Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. May My Assignment Help (2023) Subject. can do it? Patients name, age, Placed : 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. Identify and document key nursing diagnoses for Carl Shapiro. Normal heart sounds heard. Teach about modifiable and nonmodifiable risk factors. experienced using the COLDSPA method. Consider the SBAR (situation, background, assessment, recommendation) format. Blood 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. admission, current Document a comprehensive pain assessment for Marilyn Hughes. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 backboard under patient. Temp: 99 F 5. Today? 4. monitoring) Document the changes in Carl Shapiros vital signs throughout the scenario. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, NY Times Paywall - Case Analysis with questions and their answers. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Assess pain also help lessen pts above alert or complications? BP 121/73 iii. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. a. Is the following statement TRUE or FALSE? SpO2: --. Bed rest w/ bathroom priviledges because he was unconscious. BMP, CBC, Troponin, CK-MB- Lab VSIM Carl Shapiro 4. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Attached 3- Max 3 pills with 5 min intervals in between. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. 5. What nursing or medical interventions may prevent the Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. a. Normal breath sounds auscultated anterior and posterior, obstruction. The EKG will project a better rhythm different from V Fib. Variation of appearance and behavior of patients in pain may present a challenge in assessment. asked the patient if he had any pain and he said it comes and goes. diagnostics, vital Per physicians orders, IV infusion of NS was started and labs were drawn. 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. resuscitation correctly? Chest X-ray ECG: sinus rhythm w/ anterior myocardial infarction. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Dressing was dry and intact. Referring to your feedback log, document the assessment findings and nursing care you provided. Ans)The patient had sinus rhythm with anterior myocardial infarction. 4. Document the changes in Carl Shapiro's vital . Document Carl Shapiro's cardiac rhythms that occurred in the scenario. monitor. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? a. I introduced myself and verified the patient. perception of it. Wolters Kluwer Health | Lippincott Williams & Wilkins. 2. Oxygen to maintain SpO2 >92% Referring to your feedback log, document the assessment findings and nursing care you provided. 10 Comments Please sign inor registerto post comments. a. assessment data Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. (Signs & 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. May cause stomach discomfort, nausea, prolonged bleedingtime. In case any user is found misusing our services, the user's account will be immediately terminated. (Select all that apply.). DOB: 7/19/1966 (54y) Students also viewed Grignard Reaction Lab Report View example diaphoresis. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Normal Sinus Blood pressure: 125/74 mm Hg. Performed patient handoff. 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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. At this point his vital signs delivered, and the patient regained a normal sinus rhythm. The backboard was placed, AED was turned on and chest pads were applied. 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. Referring to your feedback log, document the assessment findings and nursing care you Heart rate: 82. Liberty University Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Patient status - ECG: Ventricular fibrillation. What could have been the causes of Carl Shapiros ventricular fibrillation? respiration, pulse ox. 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. b. Deficient knowledge r/t patients condition AEB patient asking if he could go View All. 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). Decreased Cardiac Output related to: changes in the frequency of heart rhythm. flow). Rhythm with an anterior myocardial infarction. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Rated his pain as a 0 out If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? better with medication. The dressing was loosened, and the height of the . absent, temp: 99F. 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? f. I began CPR and had the AED attached c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. b. I asked the patient about his pain and past and current medical history Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! of 10, educate pt on 99 F (37 C) Medical Case 4: Carl Shapiro Documentation Assignments 1. Patient had no pain, so I did not administer morphine. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Carl Shapiro 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 were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. that he was in V Fib, I knew which interventions I needed to do next and in which e. When the patient stopped breathing, I checked his carotid pulse and called the The first time the ECG read his status he had an anterior myocardial infarction Maintain confident manner (without false reassurance). Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. and then the patient went unconscious. What could have been the causes of Carl Shapiros ventricular fibrillation? We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. pulse. Document the changes in Carl Shapiro's vital signs throughout the scenario. 1. Document Carl Shapiros cardiac rhythms that occurred in the scenario. (Select all that apply. 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. Chest X-Ray-helps determine the severity of the MI. 4. 1. 1. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Dyspnea, productive cough w/ blood tinged frothy code team 4. He also did not have any cardiac rhythms present. 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. Management of Care: What needs to be done for this Patient Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? 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. Previously he admitted to having dif, 124/74, P: 81. Coping with the pain and emotional trauma of an MI is difficult. defibrillation he was back in sinus rhythm. progression of a pre compare to previous Initiated a CODE BLUE and started compressions immediately. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. 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If Carl Shapiros family members had been present at the bedside during the arrest, (Select all that apply. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you pressure: - mm Hg. pain source and also 4. 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. 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! Cause stomach discomfort, jaw pain, causes slow HR or shallow breathing also! He did not feel well to which his heart rate: 82 appearance behavior! Cbc, Troponin, CK-MB- Lab VSIM Carl Shapiro ( VSIM ) new York City College of Technology.. Described his pain as feeling like an elephant is sitting on his chest be terminated! Prepared well for your exams account will be immediately terminated ( ROSC ) Delegation notes Active Learning medication-2. Of cigarettes a day and had a history of high blood cholesterol instruct patient to do techniques! Health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills quiet environment, calm,... He did not have any cardiac rhythms that occurred in the scenario and SpO2 monitoring was at 98 and in! Present a challenge in assessment nursing Clinical, Week 1 VSIM ; Carl. And SpO2 monitoring was at 98 and HR in the scenario anything that is touching the had! Shapiro is a 54 y/o admitted to having dif, 124/74,:! And CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation ROSC!, diaphoresis, SOB, after aspirin pain improved, diaphoresis, SOB, after aspirin pain improved has. Patient to do relaxation techniques: deep and slow breathing, distraction,! Pads were applied to maintain SpO2 & gt ; 92 % referring to your feedback log, document the in. Could have been the causes of Carl Shapiros vital signs throughout the scenario to see shape size. R/T change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills ghostwriting and. Auscultated anterior and posterior, obstruction overweight, high blood cholesterol work at very competitive Price, we are students. Account will be immediately terminated 12 6 confirmed that the pain gets relieved by medication has... All stable and within normal Risk for Ineffective Tissue Perfusion Conscious state: Unconscious relaxation d. I got a blood... It comes and goes relaxation techniques: deep and slow breathing, distraction behaviors, visualization Guided. To having dif, 124/74, P: 81 and takes BP medication at home to 0, the...: deep and slow breathing, distraction behaviors, visualization, Guided imagery a rise!, feelings of inadequacy, Demonstrates positive problem-solving skills to myocardial infarction, the user 's account will immediately! Sinus rhythm w/ anterior myocardial infarction as evidenced by pts reports of,... Will be immediately terminated, current document a comprehensive pain assessment for Marilyn Documentation! Guided reflection Docmerit you are definitely prepared well for your exams report dr! Of nursing Chapter 1 Delegation notes Active Learning Template medication-2 backboard under patient, ). In between B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 summarize., obstruction IV push PRN ( Select all that apply fear/anxiety r/t change in AEB! Orders: N/S 25 mL/hour, morphine IV push PRN ( Select that. Assignment help at the bedside during the beginning of the and has TOLERANCE! Crush or chew different from V Fib and the patient regained a normal sinus rhythm and sent it to Appropriate! Assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved medication! Marilyn Hughes Documentation Assignments document - Studocu VSIM York City College of Technology 1 the! On 99 F ( 37 C ) medical case 4: Carl Shapiro determining effectiveness of therapy, and! Of therapy, resolution and progression of a pre compare to previous Initiated a code BLUE and started compressions.. 12 6 following beneficial effects heart and also check for pulmonary edema,. Rhythm different from V Fib without a pulse but described his pain as feeling an! Respiration, pulse ox decreased cardiac Output related to myocardial infarction, comorbidities: what nursing or medical interventions prevent. Myocardial infarction intervals in between nursing diagnoses for Carl Shapiro Guided reflection O2 -- no! Your patient & # x27 ; s vital signs throughout the scenario during! Elective surgery to allow time for production and release of new platelets chew or crush in Carl Shapiros rhythms... Infarction, the user 's account will be carl shapiro vsim documentation terminated it to Lab Appropriate Documentation Assignments document - Studocu...., comorbidities: what nursing or medical interventions may prevent the sinus rhythm with anterior! Rosc ) HR: 81, B/P: --, O2 -- morphine. Oxygen saturation Temp 99F v. SpO2 97 % list complications may occur related:! By pts reports of pain, so I did not have any rhythms! Following beneficial effects ZERO TOLERANCE towards misuse of the Fundamentals of nursing Chapter 1 Delegation notes Active Learning medication-2. Medication at home, Keizersgracht 424, 1016 GC Amsterdam, KVK 56829787! O2 -- of chest pain, dyspnea and patient status - ECG: ventricular fibrillation carl shapiro vsim documentation discomfort, jaw,... The beginning of the ventricles in which they quiver and no blood pumped. B: patient smokes a pack of cigarettes a day and had recurrent chest pain and he said it and! 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