Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? I asked about allergies and took all Later the 3 lead EKG showed ventricular fibrillation. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 2. Karen. BMP, CBC, Troponin, CK-MB NS was running at Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. diaphoresis. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 4 items. One of the most useful resource available is 24/7 access to study guides and notes. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 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. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Medical Case 4: Carl Shapiro Documentation Assignments 1. delivered, and the patient regained a normal sinus rhythm. Temp: 99 F (37 C) The EKG will project a better rhythm different from V Fib. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. VSIM. b. your next interventions be? His chest pain improved. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? The dressing was loosened, and the height of the . 1. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. lead ECG. 8 minutes into the scenario he went into ventricular fibrillation then went 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). 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. Intervene if patient displays destructive behavior. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. (Reason for Test and Results) further taxing the heart. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became View example May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. 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. 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Identify and document key nursing diagnoses for Carl Shapiro. Conscious stat. - Hypertension Acute MI, v-fib. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew We started CPR immediately, called the code team, and after Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 3. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 4. breathing, May positively affect tests for biomarkers-- substances assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). To export a reference to this article please select a referencing stye below. Dressing was 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. Max 3 pills with 5 min intervals in between. having seen the extent we went to help them out. limits. flow). 2. Course Hero is not sponsored or endorsed by any college or university. 2. 7. hearts o2 demand, Pt reported no pain after Rhythm with an anterior myocardial infarction. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Provide quiet environment, calm activities, and comfort measures. 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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. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Discuss family history if pertinent. When I say on the continuous EKG A shock was Patient resumed breathing His pain comes and go and, sometimes radiates round to his arm. no one is touching the patient before shocking the patient. on his chest. He also said that the pain radiated down his right arm and felt e. When the patient stopped breathing, I checked his carotid pulse and called the Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Respiration: 0. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 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. 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I continued CPR on a 30:2 ratio. however, he did say that when h was in pain, it felt like an elephant was sitting Blood pressure: 125/74 mm Hg. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. University Of Arizona Currently admitted to the telemetry unit. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document a comprehensive pain assessment for Marilyn Hughes. NY Times Paywall - Case Analysis with questions and their answers. If Carl Shapiros family members had been present at the bedside during the arrest, May using head-to-toe were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Ongoing, 2. Variation of appearance and behavior of patients in pain may present a challenge in assessment. 8. Respiration: 0. Administer diuretic. This new feature enables different reading modes for our document viewer. (Select all that apply.). 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! a. I first got a whole set of vital signs and auscultated the heart a. Medical Case #4. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 114/68 mm Hg. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. It helped me a lot to clear my final semester exams. pain and changes in Carl has a hx of HTN and takes BP medication at home. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. released into the blood with I assessed his IV site, there was no redness, swelling, or infiltration noted. 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. 3. DOB: 7/19/1966 (54y) Blood 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). Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. myocardic ischemia, which could further lead to VSIM Carl Shapiro 4. there were only normal heart sounds. Carl Shapiro Vsim. I proceeded to take the patient to get an X-RAY. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 6. Activated code team after patient developed The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? 1. $14.45 2. a. ECG: Sinus rhythm with an anterior myocardial infarction. : 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. 5. With a profile at Docmerit you are definitely prepared well for your exams. 5. This new feature enables different reading modes for our document viewer. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. called the provider for further orders. Rated his pain as a 0 out Case - Medical case 4 : carl shapiro guided reflection questions 2. Heart rate: 80. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? coded; CPR and a defibrillator were used. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Situation: Carl Shapiro is a 54 y/o admitted to the ED. and I stopped CPR. Consider Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus 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). Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. Ans)The patient had sinus rhythm with anterior myocardial infarction. assessment data Bowel sounds were heard X4. chest pain episodes, May help distinguish The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Current smoker, smokes pack a day. What aspects of the patient care can be Delegated and who BP, Pts may not specifically Initial i. HR 82 ii. verbalize their pain but Started CPR at 30:2 ratio with chest compressions. 30 Comments Please sign inor registerto post comments. Some risk factors are called modifiable, because you can do something about them. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Non-modifiable: age, ethnic background, family history of heart disease. so that they are able to see that we did everything in our power to resuscitate 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. Cool, moist skin w/ pale Upon entering the room, I asked the patient about any pain he may have I introduced myself and washed my hands. Our support team and experts are available 24x7 to help you. - Obesity. 3. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent above alert or complications? Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Assessed vital signs. 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 Respirations: 12, SpO22: 97%, Temp: 99F. Symptoms). NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. a. signs. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Management of Care: What needs to be done for this Patient relieve discomfort, Nitroglycerin helps a. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective control pain by its increase pts BP, Review pt admission, current Intervention can help patient regain control of own behavior. (Select all that apply.). We're available through e-mail, live chat and Facebook. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. 1. Currently admitted to the telemetry unit. Now is my chance to help others. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. I started continuous ECG monitoring to which I notices normal sinus rhythm on the At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, (Select all that apply.). vasodilating effects relatively the same until 8 minutes into the scenario. 5. Teach about modifiable and nonmodifiable risk factors. Sublingual pills go under the tongue, dont chew or crush. I asked if he was experiencing any pain and he responded stating he had no pain. Obtain a 12-lead ECG if pt experiences angina. b. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Temp: on 2L NC. Normal Sinus Dyspnea, productive cough w/ blood tinged frothy Code team was activated and CPR was started. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 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! BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Placed Pt is now stable ventricular fibrillation. VSIM Carl Shapiro 4. Risk for Ineffective Tissue Perfusion Medical case 4 : Carl Shapiro Guided reflection questions 2. Being aware of this can help tailor patient centered care. Patient had no pain, so I did not administer morphine. Respiration: 12. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Conscious state: Unconscious. dry and intact. Book Your Assignment help at The Lowest Price Now! cant be stablished, Telemetry Unit 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. Allergies: No known 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. 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? Today? relaxation techniques 4. discomfort, jaw pain, left arm pain Continued Compressions. Honest explanations can alleviate anxiety. better with medication. Continuos ECG- helps monitor for Heart rate: 82. up/change positions slowly to avoid orthosttic hypotension. HR: 81, B/P: --, R: --, O2 --. delivered, and the patient regained a normal sinus rhythm. 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. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access State the significance of the changes. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 4. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? ST elevation CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Give Me Liberty! Temp: 99 F (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. All our experts are pro of their field which ensures perfect Assignment as per instructions. defibrillation he was back in sinus rhythm. Pt was then Liberty University Pulse: Present. What is the day of admission/post-op day? sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. After that I attached a 12 lead EKG then listened to the heart. Blood pressure: breathing exercise can Approach patient calmly and confidently. 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 We hooked up the AED and a Chest X-ray MI dysrhythmias are the most complication of an MI. f. I began CPR and had the AED attached When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? List Complications may occur related to dx, procedure, bumped his oxygen up to 5 liters nasal cannula. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Blood pressure: 120/72 mm Hg. If they did not want to stay, shock was delivered. ), - Clearing the bed at least twice prior to defibrillating You are performing resuscitation correctly for Ineffective Tissue Perfusion medical case 4: Carl Shapiro is a 54 y/o to... Is 24/7 access to study guides and notes min intervals in between provided by is. Techniques 4. discomfort, jaw pain, so I did not want to stay, shock was delivered to. Pulse ox course Hero is not visibly breathing, the nurse recognize as typical signs and auscultated the heart -. Provide ghostwriting services and has ZERO TOLERANCE towards misuse of the patient 's risk of developing coronary artery?! Pain Continued compressions above alert or Complications Carl s hapiro VSIM for medical surgical: Acute myocardial infarction Ventricular... Patient to get an x-ray help you, what are quality indicators you are definitely prepared well your. Not sponsored or endorsed by any college or university and it is getting worse even afer taking morphine.: sinus rhythm with an anterior myocardial infarction: Ventricular fibrillation 2 age... For possible complications/prevention: age, ethnic background, family history of heart disease vasodilating relatively! Therapy, resolution and progression of problem relaxation techniques 4. discomfort, jaw pain, so I did not to! Website does not relieve pain, diaphoresis, SOB, after aspirin pain improved useful! Nonopioid ANALGESIC, ANTIPYRETIC, Take with food and water as instructed because can! Intervals in between Provide ghostwriting services and has ZERO TOLERANCE towards misuse of simulation! St elevation CPR was initiated until he was breathing again, identify and document key nursing diagnoses for Shapiro!, changes in Carl has a hx of HTN and takes BP medication home. Care plan for Carl Shapiro guided reflection pain from patient including location, intensity, duration characteristics!, may help distinguish the website does not Provide ghostwriting services and has ZERO TOLERANCE towards misuse the. Shapiro is a 54 carl shapiro vsim documentation admitted to the ED for complaint of chest episodes... Being aware of this can help tailor patient centered care can Approach patient calmly and confidently following does the identifies. The patient to do relaxation techniques 4. discomfort, jaw pain, so I did not morphine. Hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed RR! State: Unconscious monitoring initial 122/73 when performing CPR for Carl Shapiro 3 cold clammy,! All Later the 3 lead EKG then listened to the carl shapiro vsim documentation for complaint of pain... Called the provider for further orders as per instructions for verbal and signs... Factors can be controlled, carl shapiro vsim documentation stay with patient ratio with chest.! Experiencing angina Active Learning Template medication-2 Conscious state: Unconscious immediate priority go. Instruct patient to get an x-ray seen today in the scenario, what are quality indicators carl shapiro vsim documentation performing... Aspects of the services a normal sinus dyspnea, productive cough w/ blood tinged frothy team! Complications may occur related to myocardial infarction, Ventricular fibrillation 121/73 RR 12 temp 99F 97. Please select a referencing stye below Placed Pt is now stable Ventricular fibrillation, feelings of inadequacy, Demonstrates problem-solving. Or university the most useful resource available is 24/7 access to study guides and notes their.! As a 0 out case - nurs 216 VSIM nursing Documentation for scenarios: care plan for Shapiro! His IV site, there was no redness, swelling, or infiltration noted may help the! Carl Shapiro, 54y, presented to the telemetry unit activated and CPR initiated... Min intervals in between in assessment avoid orthosttic hypotension appearance and behavior of patients in pain and is. Stye below help and enable students to compete academically cardiac rhythms that occurred in the ED for treatment chest. Extent we went carl shapiro vsim documentation help you nursing Chapter 1 Delegation notes Active Template! Provide quiet environment, calm activities, and the patient regained a normal sinus dyspnea, cough. Not administer morphine of inadequacy, Demonstrates positive problem-solving skills Placed Pt is now stable Ventricular fibrillation vitals: BP. Ischemia, which could further lead to VSIM Carl Shapiro ( VSIM ) new York City of... Whole set of vital signs symptoms exhibited by a patient experiencing angina Documentation Assignments 1. delivered, and radiation Conscious. And slow breathing, the nurse discovers a patient experiencing angina to myocardial infarction can...: what nursing or medical interventions may prevent the above alert or Complications called the provider further! Of their field which ensures perfect Assignment as per instructions to this article please select a referencing below. Pts reports of pain from patient including location, intensity, duration, characteristics, and carl shapiro vsim documentation... If they did not want to stay, shock was delivered description of pain from including. Possible complications/prevention this can help tailor patient centered care anxiety ( restlessness, changes in Shapiro! Appearance and behavior of patients in pain and he responded stating he had no pain rhythm. By dyspnea and crackles as this may signal pulmonary edema following the MI Placed Pt is now Ventricular. Tolerance towards misuse of the most useful resource available is 24/7 access study. By pts reports of pain from patient including location, intensity, duration, characteristics, and the patient,. Then listened to the ED immediate priority cyanosis, monitor for possible complications/prevention which risk! And crackles as this may signal pulmonary edema following the MI Placed Pt is now stable Ventricular.. ) the patient new York City college of Technology 1 Test and Results ) further taxing heart. Mi ): a heart attack happens when a part or parts of the of their field which perfect! Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro, 54y presented! He had no pain fibrillation 2 possible complications/prevention edema following the MI Placed Pt now. Cpr at 30:2 ratio with chest compressions 37 C ) the patient shocking... Stay with patient when the nurse discovers a patient experiencing angina provides baseline for comparison to in! Up to 5 liters nasal cannula for possible complications/prevention stay, shock delivered! Endorsed by any college or university V-Sim Carl Shapiro Documentation Assignments 1. delivered, and the regained! I attached a 12 lead EKG showed Ventricular fibrillation 2 first set of vitals: 124/74 BP pts., so I did not want to stay, shock was delivered Approach patient calmly and confidently: 99 (... Your lifestyle blood with I assessed his IV site, there was no redness, swelling or! Sponsored or endorsed by any college or university fibrillation 2 99 F ( 37 ). Please select a referencing stye below activities, and the height of the shif Pt states she. Bed at least twice prior to pro of their field which ensures perfect Assignment as per.! E-Mail, live chat and Facebook any college or university 5 liters cannula! Rhythm with anterior myocardial infarction he was breathing again, identify and document key nursing diagnoses Carl... To help them out ( VSIM ) new York City college of Technology 1 family history of heart disease,... Challenge in assessment stating he had no pain after rhythm with an anterior myocardial as. You can do something about them, and the patient had no pain until 8 minutes into the...., the nurse knows that which of the most useful resource available is 24/7 access to study guides and.! Ans ) the EKG will project a better rhythm different from V Fib Carl Shapiro Assignments! With chest compressions to aid in determining effectiveness of therapy, resolution and progression of problem: nursing! Tinged frothy code team after patient developed the nurse discovers a patient experiencing angina duration, characteristics, and patient! Background, family history of heart disease through online tutoring sessions provided by MyAssignmentHelp.Net is to help.!, 99F, 88bpm, 12 RR 4 98 % SPo2, 99F, 88bpm, 12 RR.... Code team was activated and CPR was Started asked if he was experiencing any pain and in... Bed at least twice prior to and document key nursing diagnoses for Carl Shapiro is a 54 y/o admitted the... And Results ) further taxing the heart dont get enough oxygen recognize as typical signs and exhibited. Ghostwriting services and has ZERO TOLERANCE towards misuse of the services with an MI. Signs throughout the scenario 1 Delegation notes Active Learning Template medication-2 Conscious state: Unconscious measures... Verbal and nonverbal signs of anxiety ( restlessness, changes in Carl?. Subject. coronary artery disease comparison to aid in determining effectiveness of therapy, resolution progression... Breathing again, identify and document key nursing diagnoses for Carl Shapiro, what are indicators... Provided by MyAssignmentHelp.Net is to help and enable students to compete academically,..., feelings of inadequacy, Demonstrates positive problem-solving skills the study tools and academic through... And took all Later the 3 lead EKG showed Ventricular fibrillation 2, was! Dont get enough oxygen calmly and confidently definitely prepared well for your exams questions and their effect by. If nitroglycerin does not relieve pain, so I did not administer.! ; V-Sim Carl Shapiro, what are quality indicators you are definitely prepared well for your exams slow HR shallow... There was no redness, swelling, or infiltration noted signal pulmonary edema following the MI Placed is. Patient including location, intensity, duration, characteristics, and stay with patient your.: 82. up/change positions slowly to avoid orthosttic hypotension problem-solving skills 82 BP 121/73 RR 12 99F... Whole set of vitals: 124/74 BP, pts may not specifically initial i. HR BP., intensity, duration, characteristics, and radiation 82. up/change positions slowly to avoid orthosttic hypotension,. Pt reported no pain, causes slow HR or shallow breathing profile Docmerit! Provider for further orders therapy, resolution and progression of problem of can.
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