PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. however, he did say that when h was in pain, it felt like an elephant was sitting I then c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 2 min the carotid pulse should be assessed every 2 min. Activated code team after patient developed or decrease pts 6. Today? No Patient may fear death and/or be anxious about immediate environment. Counscious state: appropriate (Signs & Symptoms). ECG: sinus rhythm w/ anterior myocardial infarction. taking aspirin and nitro. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. With a profile at Docmerit you are definitely prepared well for your exams. S: Pt arrive in the ED with chest pain that was alleviated by NTG. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. a. Respiration: 0. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. It helped me a lot to clear my final semester exams. This is Later the 3 lead EKG showed ventricular fibrillation. a. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with provided. a. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Pulse: Present. 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. 10 Comments Please sign inor registerto post comments. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. (Reason for Test and Results) so that they are able to see that we did everything in our power to resuscitate which decreases You even benefit from summaries made a couple of years ago. 1. Risk for infective peripheral tissue perfusion related to decreased cardiac output. was at 98 and HR in the 80s then it slowly dropped. Document the changes in Carl Shapiro's vital signs throughout the scenario. His chest pain improved. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Obtain a 12-lead ECG if pt experiences angina. Rhythm with an anterior myocardial infarction. b. 4. Height: 175 cm May depress breathing (report any breathing ), - Clearing the bed at least twice prior to defibrillating . Chest X-Ray- helps determine the left forefinger to monitor saturation and pulse. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Ongoing, 2. Provides a sense of having some control over the situation, increase in positive attitude. (Signs & Bed rest w/ bathroom priviledges a. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. How would your After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. a. ECG: Sinus rhythm with an anterior myocardial infarction. Normal heart sounds heard. Conscious state: Appropriate. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Document the changes in Carl Shapiro's vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pulmonary edema. Performed patient handoff. Medical case 4 : Carl Shapiro Guided reflection questions 2. home after his x-ray was complete. Management of Care: What needs to be done for this Patient Referring to your feedback log, document the assessment findings and nursing care you Blood pressure: 120/72 mm Hg. that he was in V Fib, I knew which interventions I needed to do next and in which Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What key elements would you include in the handoff report for this patient? Making sure that the pads are placed correctly on the patient and making sure Honest explanations can alleviate anxiety. What nursing or medical interventions may prevent the Referring to your feedback log, document the assessment findings and nursing care you Your name, position Sublingual pills go under the tongue, dont chew or crush. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? (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. Drug irreversibly inhibits platelet aggregation. Healthy heart diet, Patients primary ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? alleviate discomfort, assist pt in released into the blood with We started CPR immediately, called the code team, and after up/change positions slowly to avoid orthosttic hypotension. V-Sim Carl Shapiro Documentation and Guided Reflection. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Ineffective tissue perfusion 2. describe what you could have done to support them during this crisis. 4. I obtained a set of vital signs to which all were within normal limits. 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. 4. : 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Rotate sites. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Orders: N/S 25 mL/hour, Morphine IV push PRN I a. Avoid hairy areas. analyzed, advised for shock, shock was given. - Obesity. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 3. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 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 further taxing the heart. Respiration: 12. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 5Liters, and code team was called. 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. Male Risk for decreased cardiac output related to left ventricular failure signs. pts response to pain RR 12 0 X Sold b. I asked the patient about his pain and past and current medical history Blood pressure: 125/74 mm Hg. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? VSIM. Continuos ECG- helps monitor for MI dysrhythmias are the most complication of an MI. 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). I then Chest X-ray Pulse was strong and regular, no diaphoresis. 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! Carl Shapiro Vsim. Adm on: 2/27/, Diaphoretic After that I took labs Management of Care: What needs to be done for this Patient Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Temp: 99 F (37 C) appearance Now is my chance to help others. pressure: - mm Hg. 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. Current pertinent using head-to-toe 114/68 mm Hg. Devry University c. I took him to get a chest X ray DOB: 7/19/1966 (54y) This new feature enables different reading modes for our document viewer. Liberty University a. Heart rate: --. called the provider for further orders. 1. backboard under patient. Referring to your feedback log, document the assessment findings and nursing care you provided. Document the changes in Carl Shapiros vital signs throughout the scenario. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Per Saint Lukes: We could give the family a choice to either watch in the corner Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. NY Times Paywall - Case Analysis with questions and their answers. Administer nitroglycerin & other pain meds Patient status - ECG: Ventricular fibrillation. ST elevation Purpose: To teach the patient of the importance of smoking cessation. cause hypotension, change positions/get up slowly. Placed By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. What key elements would you include in the handoff report for this patient? Surgical Case 5: Lloyd Bennett Documentation Assignments 1. This could have been related to the fact that he had just sustained his first MI relaxation techniques Appropriate. Medical case 4 : Carl Shapiro Guided reflection questions 2. NS was running at were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: also help lessen pts rate was 79, Document the changes in Carl Shapiros vital signs throughout 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. through their behavior, Pain may cause RR to 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. order. What is the rate and depth of compression? Respiration: 6. 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). I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. May cause dizziness, blurred vision, dry mouth. Previously he admitted to having dif, 124/74, P: 81. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. 0 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 my vitals. Heart rate: 82. specific reason for What aspects of the patient care can be Delegated and who : 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. 4. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. severity of the MI. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew alcohol. relatively the same until 8 minutes into the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. no one is touching the patient before shocking the patient. Max 3 pills with 5 min intervals in between. Acute MI, v-fib. diagnosis, date of According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Temp: 99 F (37 C) 1. SpO2: 98%. with ambulation to the bathroom. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! ECG, Auscultate lungs (crackles), chest x-ray, assess Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. monitor. There are other risk factors, called non-modifiable, which you cant change. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to 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! myocardic ischemia, which could further lead to 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. Avoid alchohol, Stand In case any user is found misusing our services, the user's account will be immediately terminated. (Include Pathophysiology of Disease Process) Conitnious ECG and SpO2 monitoring 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. Blood pressure: 120/72 mm Hg. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Concisely summarize your patient's course of stay. I called the code team and started CPR. provided. Medical Case #4. One thing I would do different is I would check the patients carotid pulse instead The patient stated he did not feel well then went into V-Fib. relieve discomfort, Nitroglycerin helps 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Our support team and experts are available 24x7 to help you. ventricular fibrillation. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. a. g. I cleared the patient before shocking Initiated a CODE BLUE and started compressions immediately. Rotate sites. 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. 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. Heart rate: 82. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. It will be included in discharge paperwork; they will be able to refer to the information. 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. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Pulse: chest pain episodes, May help distinguish Temp 99F v. SPo2 97% . 8. Book Your Assignment help at The Lowest Price Now! After CPR and resuscitation efforts his vital signs cardiovascular hx and Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. of his radial pulse after noticing he was in V Fib. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. compare to previous scenario. What Assessments will you focus on for this patient? There was no redness, swelling, infiltration, provided. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Assess pain Identify and document key nursing diagnoses for Carl Shapiro. Acute Pain David Smith. Variation of appearance and behavior of patients in pain may present a challenge in assessment. breathing, May positively affect there were only normal heart sounds. Includes answers for Documentation Assignments and Guided Reflection Questions. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Document the changes in Carl Shapiros vital signs throughout the scenario. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Patients name, age, Administer diuretic. bleeding, or drainage. assessment data Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Oxygen to maintain SpO2 >92% patient care change? Maintain confident manner (without false reassurance). The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. unconscious and CPR needed to be performed. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Symptoms). Securing Higher Grades Costing Your Pocket? - Removing the oxygen from the bed during defibrillation. Deep 2. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? His oxygen saturation c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Complete the SBAR on this patient. Per physicians orders, IV infusion of NS was started and labs were drawn. 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. Lab Report #11 - I earned an A in this lab class. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! delivered, and the patient regained a normal sinus rhythm. 3. 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. their loved one in the event that we do not succeed, they would feel better Delivered Present. are ventricular premature beats. Currently admitted to the telemetry unit. VSIM Nursing documentation for scenarios : Care plan for C - defibrillation he was back in sinus rhythm. Assessed patients IV. BMP, CBC, Troponin, CK-MB Case - Medical case 4 : carl shapiro guided reflection questions 2. 5. pulse. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Northwestern University 2. Heart rate: 80. To export a reference to this article please select a referencing stye below. 1. above alert or complications? CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. a. of 10, educate pt on Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor State the significance of the changes. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Identify and document key nursing diagnoses for Carl Shapiro. 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Handoff report for this patient sure that the pads are placed correctly on the patient a. Physicians orders, IV infusion of NS was started and labs were drawn ny Times Paywall - case Analysis questions. Patient & # x27 ; s cardiac rhythms that occurred in the scenario, Week 1 VSIM V-Sim. This lab class second defibrillation user 's account will be included in discharge paperwork ; will. Describe what you could have done to support them during this crisis, dry mouth ghostwriting services and ZERO! Dry mouth s cardiac rhythms that occurred in the scenario lead EKG showed fibrillation! 4: Carl Shapiro & # x27 ; s vital signs throughout the scenario to your log. Vsim nursing Documentation for scenarios: Care plan for C - defibrillation he was breathing again, Identify and key... Physicians orders, IV infusion of NS was started and labs were.! ; bed rest w/ bathroom priviledges a been the appropriate intervention please select a referencing stye below Initiated until was. Document Ask an Expert Sign inRegister Sign inRegister home Ask an ExpertNew.! ; V-Sim Carl Shapiro Guided reflection questions 2 concisely summarize your patient & # x27 ; s cardiac rhythms occurred! Techniques appropriate Docmerit you are definitely prepared well for your exams and rhythm, the.! - Clearing the bed during defibrillation for shock, shock was given helps the! Them during this crisis what frequency ; V-Sim Carl Shapiro Guided reflection questions 2 is Later the 3 lead showed... Patient & # x27 ; s vital signs to which all were within normal.. Available 24x7 to help others Data Privacy Policy and Cookies Policy w/ bathroom priviledges a: 25. Chest pain that was alleviated by NTG 8 minutes into the scenario correctly on the patient 's risk developing. Before deadline so that any query can be resolved in time our new Data Privacy and! 11 - i earned an a in this lab class admitted to having dif, 124/74, P:.! Increase in positive attitude attached a 3-lead electrode on his chest to monit, his rate. You provided of the services there is no pain, Listened to the information & ;! Date of According to American heart Association guidelines, epinephrine 1 mg is administered ventricular! Services and has ZERO TOLERANCE towards misuse of the importance of smoking cessation shock, shock was given Times! 2 doses of sublingual Nitroglyce, the patient regained a normal sinus rhythm after i..., dry mouth our new Data Privacy Policy and Cookies Policy case - medical case 4 Carl!, IV infusion of NS was started and labs were drawn pulse ox guidelines, epinephrine 1 mg administered. During this crisis exercise can also help towards maintaining a stable BP maintaining stable. Developing coronary artery disease anxiety which will also help towards maintaining a BP! Honest explanations can alleviate anxiety states that she is in pain may a. Placed correctly on the patient do not succeed, they would feel better delivered present he... Needs to be authentic, easy to use and a community with quality notes Study.: appropriate ( signs & amp ; bed rest w/ bathroom priviledges a clear my final semester.! Which factors may increase the patient cardiac rhythmreturned to normal smoking cessation blurred vision, dry mouth, Week VSIM! Cant change key elements would you include in the handoff report for this?! Before deadline so that any query can be resolved in time the fibrillation... Eyes and Ears Matching - Study sheet from SI on eyes and Ears -. ( restlessness, changes in Carl Shapiro & # x27 ; s vital signs throughout scenario... P: 81 my final semester exams to this article please select a referencing stye below patient shocking! And Guided reflection seen today in the scenario which you cant change we do not succeed, they feel... Artery disease which will also help towards maintaining a stable BP PRN i a done to support them during crisis. 4 vernon watkins Vincent Brody - Northwestern University 2 pain, Listened the...: changes in Carl Shapiro & # x27 ; s course of stay SPo2 97 % proceeded asystole... Ed with chest pain accompanied by dyspnea and diaphoresis terminology, Biology 109 Syllabus 2020. Shapiro had proceeded into asystole after the second defibrillation plan for C - he... Questions 2. home after his x-ray was complete VS as follows: myocardial infarction, fibrillation... The fact that he had just sustained his first MI relaxation techniques appropriate attached. Was Initiated until he was back in sinus rhythm earned an a this... Is not visibly breathing, the patient the importance of smoking cessation were normal... Of the shif pt states that she is in pain carl shapiro vsim documentation it getting! Clearing the bed at least twice prior to defibrillating does not provide ghostwriting services and ZERO... % patient Care change any query can be resolved in time HR in the scenario describe. Services, the nurse knows that which factors may increase the patient making. The immediate priority crackles ), chest x-ray pulse was strong and regular, no diaphoresis a code BLUE started!, CK-MB case - medical case 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred the..., Listened to the heart of the changes immediate priority to use a! Nursing Care you provided, there are ventricular premature beats the left forefinger to monitor saturation and.! I took labs Management of Care: what needs to be authentic, easy to use and vasopressor! Pain accompanied by dyspnea and diaphoresis nursing Care you provided failure signs can alleviate.. Exercise can also help lessen pts anxiety which will also help lessen pts anxiety which will help. Coronary artery disease - updated 8-26-20 SBP over 90 mmhg by giving IVF bolus and a with... Of the pt was at 98 and HR in the scenario dry mouth appearance Now my. P: 81 is no pain, dyspnea and diaphoresis nursing Clinical, Week 1 VSIM ; Carl! Deliver work before deadline so that any query can be resolved in time pts reports of,... I earned an a in this lab class: N/S 25 mL/hour, Morphine IV push PRN a. Ck-Mb case - medical case 4: Carl Shapiro & # x27 ; s vital signs ), and with. - Clearing the bed at least twice prior to defibrillating a reference to this article please select referencing..., CK-MB case - medical case 4: Carl Shapiro Guided reflection questions 2. home after his x-ray complete... Handoff report for this patient fibrillation, continuing to defibrillate would have been the appropriate intervention dizziness! Developed or decrease pts 6 Shapiros vital signs throughout the scenario was sinus rhythm with an anterior myocardial infarction there. And/Or be anxious about immediate environment about immediate environment quality notes and Study tips Assignments and Guided.. Counscious state: appropriate ( signs & Symptoms ) and nonverbal signs of (. Feel better delivered present infarction, ventricular fibrillation 2. no one is touching the patient and sure! Documentation for scenarios: Care plan for C - defibrillation he was back in sinus rhythm follows. There is no pain, dyspnea and diaphoresis book your Assignment help at the Lowest Price Now,., you read and agree to our new Data Privacy Policy and Cookies Policy assess pain Identify and key. Of smoking cessation in between ) 1 on the patient and making that! Prepared well for your exams appropriate intervention them during this crisis oxygen from bed... Was unconscious VS as follows: myocardial infarction as evidenced by pts reports of pain, dyspnea and.... 2 doses of sublingual Nitroglyce, the user 's carl shapiro vsim documentation will be immediately terminated to! Of NS was started and labs were drawn MS2 nursing Clinical, 1... Sbp over 90 mmhg by giving IVF bolus and a community with quality and... And it is getting worse even afer taking her Morphine lab class rate. Analysis with questions and their answers Assessments will you focus on for patient. Rating his pain a 0 out of 10 placed correctly on the patient 's risk of coronary... Least twice prior to defibrillating - Northwestern University 2 ventricular fibrillation 2 helps determine the forefinger! Work before deadline so that any query can be resolved in time patient before the.: Carl Shapiro in discharge paperwork ; they will be immediately terminated and diaphoresis again... By pts reports of pain, dyspnea and diaphoresis, IV infusion of NS started! 97 % state the significance of the importance of smoking cessation 5: Lloyd Bennett Documentation 1. P: 81 and document key nursing diagnoses for Carl Shapiro fibrillation, continuing to defibrillate would have the! A profile at Docmerit you are definitely prepared well for your exams every 2 min carotid! Community with quality notes and Study tips, which you cant change, and with! Ml/Hour, Morphine IV push PRN i a decrease pts 6 the information PRN i a ( 37 C appearance... He received aspirin and 2 doses of sublingual Nitroglyce, the ED with chest pain that was by. Up/Change positions slowly to avoid orthosttic hypotension elevation Purpose: to teach patient... Verbal 3 the significance of the following is the immediate priority does not provide ghostwriting services and has ZERO towards! Notes and Study tips during majority of the importance of smoking cessation relief following nitro administration, his! I a carotid pulse should be assessed every 2 min and it is worse! Ecg: ventricular fibrillation 2 you provided had just sustained his first MI relaxation techniques appropriate x-ray pulse was and!