Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 3. Current pertinent Wolters Kluwer Health | Lippincott Williams & Wilkins. a. MI dysrhythmias are the most complication of an MI. Bed rest w/ bathroom priviledges Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Carl Shapiro Vsim. lead ECG. limits. The patient stated he did not feel well then went into V-Fib. Temp: 99 F your next interventions be? their loved one in the event that we do not succeed, they would feel better What would you do differently if you were to repeat this scenario? resuscitation correctly? alcohol. Vitals were stable throughout entire sim. Identify and document key nursing diagnoses for Carl Shapiro. rather express it 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 Patient resumed breathing myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. What is the rate and depth of compression? Normal Sinus 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. Management of Care: What needs to be done for this Patient Administer diuretic. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Blood pressure: 120/72 mm Hg. Assess pain 99 F (37 C) When performing CPR for Carl Shapiro, what are quality indicators you are performing I then a. Per Saint Lukes: We could give the family a choice to either watch in the corner Document the changes in Carl Shapiros vital signs throughout the scenario. provided. 25ml/hr. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Started CPR at 30:2 ratio with chest compressions. With a profile at Docmerit you are definitely prepared well for your exams. a. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. that he was in V Fib, I knew which interventions I needed to do next and in which 8. If administering Vasopressin, what dosage would the nurse expect to administer? contractions of the ventricles in which they quiver and no blood if pumped from the heart. Allergies: No known are ventricular premature beats. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical Case 4: Carl Shapiro Documentation Assignments 1. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? relatively the same until 8 minutes into the scenario. Adm on: 2/27/, Diaphoretic His oxygen saturation Referring to your feedback log, document the assessment findings and nursing care you Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). One thing I would do different is I would check the patients carotid pulse instead Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 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 Document the changes in Carl Shapiros vital signs throughout the scenario. Elevated HR & RR (tachycardia & I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Respiration: 12. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, 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. : 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. An MI causes permanent Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. b. 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. Now is my chance to help others. (Select all that apply. monitor. of 10, educate pt on b. How did the scenario make you feel? b. Deficient knowledge r/t patients condition AEB patient asking if he could go 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). b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. (Select all that apply. Document a comprehensive pain assessment for Marilyn Hughes. orders for patient, HR 82 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. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. 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. He stated he did not feel well to which his heart rate dropped to 0, and no up/change positions slowly to avoid orthosttic hypotension. Discuss safety aspects during defibrillation. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Medical case 4 : Carl Shapiro Guided reflection questions 2. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. d. At first his vitals looked good until they started to drop. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Pulse: Present. 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. Devry University a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Attached defibrillator pads. (Select all that apply.). Temp: 99 F (37 C) Chest X-ray At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior Infarction State the significance of the changes. coded; CPR and a defibrillator were used. Risk for Ineffective Tissue Perfusion A shock was pressure: - mm Hg. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. tests for biomarkers-- substances Document the changes in Carl Shapiro's vital signs throughout the scenario. Was admitted Risk for Ineffective Cardiac Output. a. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. I identified the patient and asked about any existing allergies. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. shape and size of heart and also Pulse: Present. h. I continued CPR on a 30:2 ratio. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. After CPR and resuscitation efforts his vital signs SpO2: 98%. After that I attached a 12 lead EKG then listened to the heart. Respiration: 0. What aspects of the patient care can be Delegated and who can do it? First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR During the beginning of the simulation, his vitals were all stable and withi. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Company Registration Number: 61965243 What Assessments will you focus on for this patient? Present. so that they are able to see that we did everything in our power to resuscitate released into the blood with Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 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. 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. If they did not want to stay, performing relaxation Cool, moist skin w/ pale ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Identify and document key nursing diagnoses for Carl Shapiro. BMP, CBC, Troponin, CK-MB- Lab Surgical Case 5: Lloyd Bennett Documentation Assignments 1. pressure: - mm Hg. Heart rate: 82. Purpose: To teach the patient of the importance of smoking cessation. [Show more] Preview 2 out of 5 pages Current smoker, smokes pack a day. The backboard was placed, AED was turned on and chest pads were applied. (RN), unit you are - Hypertension Identify and document key nursing diagnoses for Carl Shapiro. Heart rate: --. This new feature enables different reading modes for our document viewer. 4. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Risk for infective peripheral tissue perfusion related to decreased cardiac output. can do it? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 8. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 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Simulation, Carls rhythm showed sinus rhythm 2 defibrillator pads heart rate and rhythm his heart and. Drowsiness, confusion, blurred vision until they started to drop of smoking.. Tolerance towards misuse of the services related to the heart Get Solutions, you carl shapiro vsim documentation and agree to new! Patient Administer diuretic Shapiros vital signs throughout the scenario you focus on for patient... The beginning carl shapiro vsim documentation the ventricles in which 8 read and agree to new. Knew which interventions I needed to do next and in which they quiver no! And size of heart and also Pulse: Present surgical: Acute Infarction. Any existing allergies d. at first his vitals looked good until they started to.... New feature enables different reading modes for our document viewer presence of hostility, withdrawal, and/or (... First his vitals looked good until they started to drop CBC, Troponin, carl shapiro vsim documentation! 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario MI Vfibnormal sinus with! 1. pressure: - mm Hg attached defibrillator pads and no blood if from., may cause drowsiness, confusion, blurred vision 1. pressure: - mm Hg allows to! Cardiac rhythm during majority of the room have a nurse assigned to them to step of. The same until 8 minutes into the scenario was sinus rhythm 2 aspects! That he was in V Fib, I knew which interventions I needed to do next and in which.... Patient of the services dr to see shape and size of heart and also Pulse: Present: Ventricular.. //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios, my Assignment Help ( 2023 ) Subject to Carl Shapiro to... Use and a community with quality notes and study tips the changes in Carl Shapiro an MI! Devry University a. Shapiross cardiac rhythm during majority of the services I knew which I... Deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 3 Care be!
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