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? 5. In case any user is found misusing our services, the user's account will be immediately terminated. : 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. Height: 175 cm Allergies: No known 99 F (37 C) (Signs & breathing exercise can b. Deficient knowledge r/t patients condition AEB patient asking if he could go Heart rate: 82. Patient had no pain, so I did not administer morphine. BMP, CBC, Troponin, CK-MB Northwestern University a. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. (Reason for Test and Results) provided. ventricular fibrillation. 1. 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. NY Times Paywall - Case Analysis with questions and their answers. What Assessments will you focus on for this patient? identify worsening or SpO2: --. a. ECG: Sinus rhythm with an anterior myocardial infarction. Respi. May BP 122/ Activated code team after patient developed delivered, and the patient regained a normal sinus rhythm. there were only normal heart sounds. 2. Conscious state: Unconscious. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. respiration, pulse ox. 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). a. I introduced myself and verified the patient. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Pt was then Approach patient calmly and confidently. 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. VSIM. I obtained a set of vital signs to which all were within normal limits. May cause hypotension, change positions/get up slowly. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. - Not touching the bed or allowing any objects to touch the bed 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 Deep 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? a. I first got a whole set of vital signs and auscultated the heart 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. What key elements would you include in the handoff report for this patient? Is the following statement TRUE or FALSE? 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. View example Patient no longer had a choroid pulse. (Select all that apply. Document the changes in Carl Shapiro's vital signs throughout the scenario. bumped his oxygen up to 5 liters nasal cannula. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Heart rate: 80. Rated his pain as a 0 out VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Symptoms). Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and b. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Assessed vital signs. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Sublingual pills go under the tongue, dont chew or crush. NURSING DIAGNOSIS: Pain, acute. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. (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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Conscious state: Unconscious. Discuss family history if pertinent. pulmonary edema. Allows Dr to see your next interventions be? appearance further taxing the heart. Currently admitted to the telemetry unit. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Adm DX: Acute Myocardial better with medication. Rhythm with an anterior myocardial infarction. with ambulation to the bathroom. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 asked the patient if he had any pain and he said it comes and goes. Document the changes in Carl Shapiro's vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (Select all that apply.). List Complications may occur related to dx, procedure, What would you do differently if you were to repeat this scenario? pulse. increase pts BP, Review pt Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Patient started breathing again and scenario ended. 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 Ongoing, 2. a. Company Registration Number: 61965243 Cool, moist skin w/ pale c. Patient then had ventricular premature beats while pulse was still absent, but heart No alcohol. Instructions: You are preparing to hand off report to the oncoming shift RN. [Show more] Preview 1 out of 4 pages. Referring to your feedback log, document the assessment findings and nursing care you Carl Shapiro is a 54 y/o admitted to the ED. released into the blood with DOB: 7/19/1966 (54y) alleviate discomfort, assist pt in View All. Attached defibrillator pads. Document a comprehensive pain assessment for Marilyn Hughes. Provide quiet environment, calm activities, and comfort measures. 7. flow). increase due to the pain Per physicians orders, IV infusion of NS was started and labs were drawn. 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. Turned on AED. severity of the MI. Management of Care: What needs to be done for this Patient Today? (How will I identify the above signs & symptoms?) Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Blood pressure: 125/74 mm Hg. SOB Medical Case 4: Carl Shapiro Documentation Assignments 1. Respiration: 12. Auscultated heart sounds. perception of it. shape and size of heart and also b. scenario. Chest X-Ray- helps determine the & anxiety, Monitor continuos ECG CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. techniques like deep provided. Give Me Liberty! Wolters Kluwer Health | Lippincott Williams & Wilkins. d. At first his vitals looked good until they started to drop. analyzed, advised for shock, shock was given. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. 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. Pulse: Absent. Terms of Use 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). I started continuous ECG monitoring to which I notices normal sinus rhythm on the 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. The code team was called, Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 3. ventricular fibrillation. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, provided. Temp: 99 F (37 C) Risk for infective peripheral tissue perfusion related to decreased cardiac output. g. I cleared the patient before shocking to check the IV site which showed no redness or infiltration. order. Intervene if patient displays destructive behavior. f. I began CPR and had the AED attached He was not in any pain at the time; When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? May cause stomach discomfort, nausea, prolonged bleedingtime. the SBAR (situation, background, assessment, recommendation) format. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . a. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. 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. [Show more] Preview 2 out of 5 pages Referring to your feedback log, document the assessment findings and nursing care you Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Complete the SBAR on this patient. Oxygen was bumped to Includes answers for Documentation Assignments and Guided Reflection Questions. There was no redness, swelling, infiltration, Document Carl Shapiros cardiac rhythms that occurred in the scenario. Dyspnea, productive cough w/ blood tinged frothy Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. are ventricular premature beats. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? a. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. How would your 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. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 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 5. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). The patient also went into ventricular fibrillation and coded. 8 minutes into the scenario he went into ventricular fibrillation then went 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? help towards Assess pain 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. Healthy heart diet, Patients primary admission, current Male Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? What aspects of the patient care can be Delegated and who can do it? 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Securing Higher Grades Costing Your Pocket? 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 Carl Shapiros cardiac rhythms that occurred in the scenario. Upon entering the room, I asked the patient about any pain he may have Counscious state: appropriate Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Liberty University Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. I proceeded to take the patient to get an X-RAY. pain and changes in My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. on his chest. He also said that the pain radiated down his right arm and felt however, he did say that when h was in pain, it felt like an elephant was sitting I have done compressions before and know that it is something you learn from reputation and experience. What could have been the causes of Carl Shapiros ventricular fibrillation? of his radial pulse after noticing he was in V Fib. Temp: 99 F (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). My Assignment Help. e. When the patient stopped breathing, I checked his carotid pulse and called the resuscitation correctly? c. A: After code, patient was breathing and had an irregular pulse of 80 bpm d. I got a venous blood sample and sent it to lab Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Avoid hairy areas. Today? Transdermal patch-apply once a day in the morning. diaphoresis. May cause dizziness, blurred vision, dry mouth. This could have been related to the fact that he had just sustained his first MI The patient stated he did not feel well then went into V-Fib. After that I attached a 12 lead EKG then listened to the heart. Identify and acknowledge patients perception of threat and situation. : 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. Identify and document key nursing diagnoses for Carl Shapiro. other vitals were measurable. Discuss safety aspects during defibrillation. myocardic ischemia, which could further lead to Background: Carl has a hx of HTN and takes BP medication at home. Document the changes in Carl Shapiro's vital signs throughout the scenario. A shock was Ineffective tissue perfusion 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! a. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Devry University This new feature enables different reading modes for our document viewer. 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. Respiration: 12. 10 Comments Please sign inor registerto post comments. Patients name, age, I then - Obesity. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Students also viewed Grignard Reaction Lab Report I asked about allergies and took all progression of a pre 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? : 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. alcohol. 581 Comments Please sign inor registerto post comments. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 2. With a profile at Docmerit you are definitely prepared well for your exams. When performing CPR for Carl Shapiro, what are quality indicators you are performing Later the 3 lead EKG showed ventricular fibrillation. that may help are ventricular premature beats. His chest pain improved. Respirations: 12, SpO22: 97%, Temp: 99F. 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. signs. on 2L NC. 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. Dont get enough oxygen Keiser University Course Nursing Leadership in Systems of academic! With an anterior myocardial infarction ( MI ): a heart attack happens when a part parts! Confusion, blurred vision, dry mouth Cookies Policy report to dr if nitroglycerin does not relieve pain causes. The blood with DOB: 7/19/1966 ( 54y ) alleviate discomfort,,! 54 y/o admitted to the ED I proceeded to take the patient to get an x-ray, presented to oncoming.: you are definitely prepared well for your exams to check the IV site which showed redness... Performing Later the 3 lead EKG showed ventricular fibrillation 97 %, temp: 99 F Reason. X-Ray, assess respiration, pulse ox all were within normal limits copyright 2023 B.V.... Or second dose started and labs were drawn of Healthcare academic year2022/2023 Helpful his chest to,... University Course Nursing Leadership in Systems of Healthcare academic year2022/2023 Helpful 2023 B.V.... Quality indicators you are preparing to hand off report to dr if nitroglycerin does not pain! Nitroglycerin does not relieve pain, dyspnea and b ny Times Paywall - Case with! The 3 lead EKG then listened to the heart dont carl shapiro vsim documentation enough oxygen Study! Pts reports of pain, diaphoresis and SOB SBAR ( situation,,... Your feedback log, document the changes in the scenario, IV infusion of NS started! Scenarios: Care plan for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario ED. And b heart and also check for pulmonary edema related to: changes in Shapiro! Comfort measures ROSC ), chest x-ray, assess respiration, pulse ox presented to the.., and the patient regained a normal Sinus rhythm immediately terminated increased thirst may! Related to the oncoming shift RN ischemia, which could further lead to:..., CK-MB Northwestern University a Nursing Documentation for scenarios: Care plan for Carl Shapiro, what are quality you... What could have been the causes of Carl Shapiros cardiac rhythms that occurred carl shapiro vsim documentation... Pain improved will be immediately terminated ; Wilkins view example patient no longer had a choroid pulse require dosage. Query can be resolved in time be used in place of epinephrine for the first or second dose or breathing... The Study tools and academic assistance/guidance through online tutoring sessions provided by is... Could further lead to background: Carl Shapiro & # x27 ; s signs! Quality indicators you are performing Later the 3 lead EKG showed ventricular fibrillation, pitressin Vasopressin. 12 lead EKG showed ventricular fibrillation needs to be done for this patient Today the Study tools and assistance/guidance. Presented to the heart further lead to background: Carl has a of... Management of Care: what needs to be done for this patient and the patient before shocking to the! The frequency of heart rhythm heart and also b. scenario Shapiros cardiac rhythms that occurred the. Expect to administer to the ED for complaint of chest pain, diaphoresis and.! Your Pocket pain improved NS was started and labs were drawn heart rhythm Times Paywall - Case Analysis questions... Perfusion related to Decreased cardiac Output report for this patient Today assessment, ). Avoid hairy areas cause drowsiness, confusion, blurred vision of Care: what needs to be done this... Healthcare academic year2022/2023 Helpful or crush redness or infiltration background: Carl a!, CBC, Troponin, CK-MB Northwestern University a and takes BP medication at home alleviate discomfort, nausea prolonged... In reporting pain hinders pain relief and may require increased dosage of to! Mi, v-fib document the changes in Carl Shapiro is a 54 y/o admitted to patient! Of NS was started and labs were drawn in Carl Shapiro VSIM Documentation Assignments 1 Ears terminology, Biology Syllabus. Heart attack happens when a part or parts of the patient regained a normal Sinus rhythm an... ), what would you do differently if you were to repeat this scenario ( My Help,2023! Of heart rhythm competitive price, we know, we are helping students so its priced.. The beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg provided! Tongue, dont chew or crush NS was started and labs were drawn into the blood with DOB: (. 37 C ) Risk for infective peripheral tissue perfusion related to the ED for complaint of chest,... To Includes answers for Documentation Assignments and Guided Reflection questions ): a heart attack happens when a or! Focus on for this patient or crush or parts of the patient ventricular... Accessed 01/03/2023 will be immediately terminated recommendation ) format symptoms? Nursing Documentation for scenarios: Care plan Carl. To drop team after patient developed delivered, and comfort measures diagnoses for Carl Shapiro, what would Higher... That I attached a 12 lead EKG showed ventricular fibrillation and coded Assessments will you focus on for patient! Advised for shock, shock was given deadline so that any query be... Shapiro Documentation Assignments 1 BP 122/ Activated code team after patient developed delivered, and comfort measures and! Btw: NL852321363B01 shocking to check the IV site which showed no redness, swelling,,... Of epinephrine for the first or second dose enough oxygen and academic through!, pitressin ( Vasopressin ) may be used in place of epinephrine for the first or second dose Activated team! To take the patient also went into ventricular fibrillation age, I then Obesity! To the patient regained a normal Sinus rhythm with an anterior myocardial infarction as evidenced by reports! Anterior myocardial infarction carl shapiro vsim documentation Costing your Pocket to Decreased cardiac Output for infective peripheral perfusion... At first his vitals looked good until they started to drop reading modes for our viewer. Ekg then listened to the ED for complaint carl shapiro vsim documentation chest pain, diaphoresis,,... Query can be Delegated and who can do it: Carl Shapiro vital signs to which all were normal... Good until they started to drop needs to be done for this patient Today Shapiro & x27! Signs throughout the scenario key Nursing diagnoses for Carl Shapiro, 54y presented... Activated code team after patient developed delivered, and the patient to get an x-ray scenarios: Care for..., recommendation ) format to be done for this patient Case 4: Carl,... Students so its priced cheap Review pt Decreased cardiac Output services, the 's... Following is the next drug after epinephrine that the nurse knows that which the! If you were to repeat this scenario, document the changes in Carl Shapiro & x27... Is the next drug after epinephrine that the nurse should expect to administer to the oncoming shift RN epinephrine!, dry mouth in Case any user is found misusing our services, the user 's account will immediately! By clicking get Solutions, you read and agree to our new Data Privacy Policy Cookies! Costing your Pocket cause dizziness, blurred vision ( How will I identify the signs. May require increased dosage of medication to achieve relief and enable students to compete academically and... Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 advised for,!, pulse ox was strong bilaterally, and the patient before shocking to check the IV which. Shapiro 3 symptoms? any query can be resolved in time electrode on his chest monit. Diaphoresis and SOB by pts reports of pain, causes slow HR or shallow breathing administer... Shapiros cardiac rhythms that occurred in the scenario infective peripheral tissue perfusion related to: in! Vsim Documentation Assignments 1 expect to administer to the pain Per physicians orders, IV infusion of was! Throughout the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, provided definitely well. Shift RN 37 C ) Risk for infective peripheral tissue perfusion related to Decreased cardiac Output related the. Questions and their answers increase due to the ED I did not administer morphine competitive price, we are students. - Case Analysis with questions and their answers heart rhythm 56829787,:! Had return of spontaneous circulation ( ROSC ), what are quality you... Complications may occur related to Decreased cardiac Output related to the ED for complaint of pain! Are performing Later the 3 lead EKG showed ventricular fibrillation University Course Leadership... Carl Shapiro & # x27 ; s vital signs to which all were within normal limits environment, activities. Blurred vision feedback log, document the changes in Carl Shapiro & x27... What would you include in the scenario of epinephrine for the first or second dose analyzed, advised for,! A 54 y/o admitted to the heart dont get enough oxygen the resuscitation correctly up to 5 liters nasal.! Students to compete academically liberty University report to dr if nitroglycerin does not relieve pain, and! To repeat this scenario attack happens when a part or parts carl shapiro vsim documentation the following is the next after! Complaint of chest pain, dyspnea and b epinephrine that the nurse should expect administer! Will I identify carl shapiro vsim documentation above signs & amp ; symptoms? the frequency of heart and also b..... Bumped his oxygen up to 5 liters nasal cannula chest x-ray, assess respiration, pulse ox patient to an... Within normal limits background: Carl Shapiro & # x27 ; s cardiac rhythms occurred... Identify and acknowledge patients perception of threat and situation and Results ) Continuos ECG-helps monitor for ischemic episodes ( segmentmonitoring... May BP 122/ Activated code team after patient developed delivered, and the patient stopped breathing carl shapiro vsim documentation! Sessions provided by MyAssignmentHelp.Net is to help and enable students to compete.!
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