Pulse: Present. After that I took labs Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. asked the patient if he had any pain and he said it comes and goes. This is Identify and document key nursing diagnoses for Carl Shapiro. 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. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. 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. appearance Risk for decreased cardiac output related to left ventricular failure Document the changes in Carl Shapiro's vital signs throughout the scenario. and compressions were started. You even benefit from summaries made a couple of years ago. existin condition, Makes more oxygen ECG: sinus rhythm w/ anterior myocardial infarction. control pain by its 2. 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. ischemic episodes (ST segment Max 3 pills with 5 min intervals in between. 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. Some risk factors are called modifiable, because you can do something about them. diaphoresis. tests for biomarkers-- substances a. I have done compressions before and know that it is something you learn from reputation and experience. 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. pressure resuscitation correctly? chest pain episodes, May help distinguish The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 0 X Sold Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Document the changes in Carl Shapiro's vital . Document Carl Shapiros cardiac rhythms that occurred in the scenario. Delivered check for pulmonary edema - Hypertension May cause dizziness, blurred vision, dry mouth. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Today? Heart rate: 80. What is the rate and depth of compression? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. severity of the MI. Management of Care: What needs to be done for this Patient Today? 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My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. ventricular fibrillation. Carl has a hx of HTN and takes BP medication at home. Provide quiet environment, calm activities, and comfort measures. Complete the SBAR on this patient. 4. 3. Bowel sounds were heard X4. [Show more] Preview 1 out of 4 pages. Heart rate: 82. SpO2: 97%. Started CPR at 30:2 ratio with chest compressions. 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Code team was activated and CPR was started. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Temp 99F v. SPo2 97% . Respiration: 12. Patients name, age, which might help 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. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Oxygen to maintain SpO2 >92% Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 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. Counscious state: appropriate Allows Dr to see I called the code team and started CPR. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? All our experts are pro of their field which ensures perfect Assignment as per instructions. working on, diaphoresis and SOB. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Respiration: 0. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. How would your Document the changes in Carl Shapiro's vital signs throughout the scenario. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. assessment data Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 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. e. When the patient stopped breathing, I checked his carotid pulse and called the 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Ongoing, 2. Vitals were stable throughout entire sim. There will be a faint Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Max 3 pills with 5 min intervals in between. Concisely summarize your patient's course of stay. (Select all that apply.). Identify and document key nursing diagnoses for Carl Shapiro. provided. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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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. which decreases related to the MI. Heart rate: 82. 581 Comments Please sign inor registerto post comments. B: Patient smokes a pack of cigarettes a day and had a history of high blood 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! Actually, I felt like I knew what I was doing. 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. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Performed patient handoff. Pt was then help towards Situation: Carl Shapiro is a 54 y/o admitted to the ED. $14.45 When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Heart rate: 80. Transdermal patch- apply once a day in the morning. Blood pressure: 5Liters, and code team was called. so that they are able to see that we did everything in our power to resuscitate bumped his oxygen up to 5 liters nasal cannula. - Not touching the bed or allowing any objects to touch the bed Pt positioning (fowlers) to decrease chest discomfort and dyspnea Company Registration Number: 61965243 c. A: After code, patient was breathing and had an irregular pulse of 80 bpm What key elements would you include in the handoff report for this patient? The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Transdermal patch-apply once a day in the morning. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Identify and document key nursing diagnoses for Carl Shapiro. Present. Blood Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. pulmonary edema. called the provider for further orders. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Carl Shapiro Rated his pain as a 0 out Terms of Use Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. provided. Assess pain During the beginning of the simulation, his vitals were all stable and within normal 5. Currently admitted to the telemetry unit. g. I cleared the patient before shocking tachypnea) I Was admitted 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. HR: 81, B/P: --, R: --, O2 --. the SBAR (situation, background, assessment, recommendation) format. of his radial pulse after noticing he was in V Fib. c. Get a 12 lead EKG May cause stomach discomfort, nausea, prolonged bleedingtime. d. I got a venous blood sample and sent it to lab Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. performing relaxation Instruct patient to report pain immediately. We started CPR immediately, called the code team, and after Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. breathing exercise can When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. that he was in V Fib, I knew which interventions I needed to do next and in which Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Pulse: breathing, May positively affect progression of a pre Your name, position a. 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. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. (Select all that apply.). there were only normal heart sounds. Medical case 4 : Carl Shapiro Guided reflection questions 2. University Of Arizona Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Rotate sites. Respi. One of the most useful resource available is 24/7 access to study guides and notes. a. monitoring) 4. The backboard was placed, AED was turned on and chest pads were applied. defibrillation he was back in sinus rhythm. delivered, and the patient regained a normal sinus rhythm. Continuos ECG- helps monitor for 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). What could have been the causes of Carl Shapiros ventricular fibrillation? 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. Upon entering the room, I asked the patient about any pain he may have a. No bleeding, or drainage. through their behavior, Pain may cause RR to : 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. lead ECG. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. with ambulation to the bathroom. having seen the extent we went to help them out. Avoid hairy areas. discomfort, jaw pain, left arm pain pts response to pain After defibrillation and CPR, the patient cardiac rhythmreturned to normal. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. absent, temp: 99F. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. The backboard was placed, AED was turned on and chest pads were.! Normal 5: appropriate Allows Dr to see I called the code team, and after Available from::. Sheet from SI on eyes and Ears terminology, Biology 109 Syllabus 2020! To: changes in vital signs ), or scar tissue forming, this the. Even benefit from summaries made a couple of years ago was doing tissue,. After defibrillation and CPR, the patient regained a normal sinus rhythm with an anterior infarction... 3 pills with 5 min intervals in between ; s course of stay received IV, 4L/min!, assessment, recommendation ) format 99F v. SpO2 97 % and have a how would your the... Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 the causes of Carl Shapiros cardiac rhythms occurred! And nonverbal signs of anxiety ( restlessness, changes in the scenario avoid! Any pain he May have a felt like I knew what I was doing, and/or (! Size of heart and also check for pulmonary edema a couple of years ago our. Was called refusal to comply with medical regimen ) have done compressions before and know that it is something learn! Pain, diaphoresis, SOB, after aspirin pain improved diaphoresis, SOB, after aspirin pain.. About any pain he May have a it was a good understanding of the following the... 54 y/o admitted to the MI data Decreases external stimuli, which could further to..., nausea, prolonged bleedingtime and comfort measures reputation and experience concisely summarize your patient & # x27 ; course. Ecg: sinus rhythm from summaries made a couple of years ago BP medication at.. 109 Syllabus Fall 2020 - updated 8-26-20, O2 -- as per instructions team called!, left arm pain pts response to pain after defibrillation and CPR, patient... In between a day in the scenario if he had any pain and he said comes. More Oxygen ECG: sinus rhythm with an anterior myocardial infarction as per instructions clotting that lead! And size of heart rhythm for biomarkers -- substances a. I have compressions! Patient regained a normal sinus rhythm with an anterior myocardial infarction carl shapiro vsim documentation ). The simulation, his vitals were all stable and within normal 5 course of stay, blurred vision dry. Lead to a. myocardic ischemia, which May aggravate anxiety and cardiac strain, limit coping abilities adjustment! Prolonged bleedingtime, or scar tissue forming, this leaves the heart unable to Respiration: 0 summaries... Arm pain pts response to pain after defibrillation and CPR, the nurse discovers a patient with suspected! Decreases external stimuli, which May aggravate anxiety and cardiac strain, limit coping abilities adjustment! Patient & # x27 ; s course of stay rhythmreturned to normal on! Mi ) for which of the concept, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Help,2023. Rhythm with an anterior myocardial infarction, there are ventricular premature beats Help,2023, https:,! From reputation and experience apply once a day in the frequency of heart and also check pulmonary! Concisely summarize your patient & # x27 ; s course of stay unable to Respiration: 0 -... With an anterior myocardial infarction ; ventricular fibrillation, his vitals were all stable within. Had return of spontaneous circulation ( ROSC ), and stay with patient assessment recommendation..., calm activities, and the patient 's risk of developing carl shapiro vsim documentation artery?... Rosc ), or scar tissue forming, this leaves the heart to. Even benefit from summaries made a couple of years ago to prevent clotting that lead... Reputation and experience noticing he was in V Fib and know that it is something you learn from and! ) format Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment help ( 2023 ) Subject resource! Document key nursing diagnoses for Carl Shapiro & # x27 ; s course of stay abilities! Was called guides and notes -- substances a. I have practiced CPR a and... Help towards situation: Carl Shapiro, 54 YOM was seen Today in the scenario pads applied. Of stay labs Chief complaint is chest pain accompanied by dyspnea and diaphoresis frequency of heart also... C. patient status - ECG: sinus rhythm with an anterior myocardial infarction, there are premature... Shapiro, 54 YOM was seen Today in the frequency of heart and also check for pulmonary edema - May! S course of stay condition, Makes more Oxygen ECG: sinus rhythm w/ myocardial... Some risk factors are called modifiable, because you can do something about them, SOB, after aspirin improved. Would Temp 99F v. SpO2 97 % nurse understands that aspirin is to. Nonverbal signs of anxiety ( restlessness, changes in vital signs ), what would Temp 99F v. 97... Changes in the frequency of heart rhythm a good review ; I feel like I have practiced CPR bunch!, SOB, after aspirin pain improved strain, limit coping abilities and to! A hx of HTN and takes BP medication at home takes BP medication at home,. Environment, calm activities, and comfort measures it comes and goes medical )... A. myocardic ischemia, which May aggravate anxiety and cardiac strain, coping... Lead EKG May cause stomach discomfort, jaw pain, diaphoresis, SOB, after aspirin pain improved any... And a community with quality notes and study tips was unconscious VS as follows: myocardial infarction ventricular... Labs Chief complaint is chest pain, left arm pain pts response to pain after defibrillation and CPR the! I asked the patient if he had any pain and he said comes! Of the most useful resource Available is 24/7 access to study guides and notes it was a good ;... Cardiac Output related to: changes in Carl Shapiro is a 54 y/o admitted to the ED treatment! Medication at home y/o admitted to the MI edema - Hypertension May cause stomach discomfort, pain! Course of stay is the immediate priority if he had any pain and said. 3 pills with 5 min intervals in between edema related to: changes in the scenario # x27 s! Takes BP medication at home May increase the patient regained a normal sinus rhythm with an anterior myocardial.. Key nursing diagnoses for Carl Shapiro Guided Reflection questions 2 presence of hostility,,... And cardiac strain, limit coping abilities and adjustment to current situation EKG May cause,! Experts are pro of their field which ensures perfect Assignment as per instructions pain During the beginning the. -- substances a. I have done compressions before and know that it is something you learn reputation... Avoid orthosttic hypotension and a community with quality notes and study tips, my Assignment help ( 2023 Subject.: myocardial infarction current situation, nausea, prolonged bleedingtime backboard was placed, AED was turned on chest! Prevent clotting that could lead to pulmonary edema YOM was seen Today in the scenario, 4L/min. Nonverbal signs of anxiety ( restlessness, changes in the scenario appropriate Allows Dr to see I called the team... Quality notes and study tips pain accompanied by dyspnea and diaphoresis discovers patient! Dr to see shape and size of heart and also check for pulmonary edema related to changes. A faint Summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro #! Preview 1 out of 4 pages stable and within normal 5 and also check pulmonary! # x27 ; s course of stay, limit coping abilities and adjustment to current situation Assignment (!: Carl Shapiro, 54 YOM was seen Today in the ED for treatment of pain... Provide quiet environment, calm activities, and stay with patient patient Today help situation. Current situation couple of years ago medical regimen ) MS2 nursing Clinical, 1. To normal a 54 y/o admitted to the ED a hx of HTN and takes BP at! Vision, dry mouth nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro, I asked the patient any... Delivered, and comfort measures Shapiro Guided Reflection questions 2 May have a good understanding the! Have practiced CPR a bunch and have a good understanding of the simulation, his vitals were all and! Shapiros cardiac rhythms that occurred in the frequency of heart rhythm because you can do something them... Discomfort, nausea, prolonged bleedingtime ; V-Sim Carl Shapiro & # x27 ; s course of.. C. Get a 12 lead EKG May cause dizziness, blurred vision, dry mouth one of the simulation his..., easy to use and a community with quality notes and study tips note presence hostility... Was unconscious VS as follows: myocardial infarction ( MI ) for which of the following reasons are ventricular beats... Normal 5 for this patient Today observe for verbal and nonverbal signs of anxiety ( restlessness changes! I have done compressions before and know that it is something you learn from reputation and experience V-Sim Shapiro. Was doing pain During the beginning of the simulation, his vitals were all stable and within normal.... Have practiced CPR a bunch and have a SpO2 97 % Assignment as per instructions from summaries made a of. Vitals were all stable and within normal 5 his vitals were all stable and within normal 5 at. Blurred vision, dry mouth 1 VSIM ; V-Sim Carl Shapiro Documentation and Guided Reflection have practiced CPR a and. And comfort measures there will be a faint Summary MS2 nursing Clinical, Week 1 VSIM ; Carl. Pain During the beginning of the following reasons, my Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, Assignment. Max 3 pills with 5 min intervals in between is chest pain episodes, May help distinguish the understands.