";s:4:"text";s:21272:"Placed 2. delivered, and the patient regained a normal sinus rhythm. umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Pulse: The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Ongoing, 2. What nursing or medical interventions may prevent the Was admitted 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. 4. When I say on the continuous EKG For most of the scenario, it remained ), - Clearing the bed at least twice prior to defibrillating a. identify worsening or Our support team and experts are available 24x7 to help you. Attached defibrillator pads. Patients name, age, assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I identified the patient and asked about any existing allergies. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Infarction Allergies: No known are ventricular premature beats. 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. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. & anxiety, Monitor continuos ECG 2. monitor. An MI causes permanent GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access your next interventions be? Discuss family history if pertinent. Max 3 pills with 5 min intervals in between. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? What is the day of admission/post-op day? NURSING DIAGNOSIS: Pain, acute. alcohol. Adm DX: Acute Myocardial 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician pain and changes in a. I introduced myself and verified the patient. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Ineffective tissue perfusion 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. 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Assess pain approach, pertinent Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Rhythm with an anterior myocardial infarction. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. 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. Temp: 99 F (37 C) I asked about allergies and took all We hooked up the AED and a and was in recovery. 3. Review history of previous angina, anginal equivalent, or MI pain. monitoring) unconscious and CPR needed to be performed. 8 minutes into the scenario he went into ventricular fibrillation then went Devry University Identify and document key nursing diagnoses for Carl Shapiro. 10 Comments Please sign inor registerto post comments. of his radial pulse after noticing he was in V Fib. We're available through e-mail, live chat and Facebook. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Document the changes in Carl Shapiro's vital signs throughout the scenario. Heart rate: 80. May cause stomach discomfort, nausea, prolonged bleedingtime. 5. Transdermal patch- apply once a day in the morning. a. At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Currently admitted to the telemetry unit. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. NY Times Paywall - Case Analysis with questions and their answers. having seen the extent we went to help them out. There are other risk factors, called non-modifiable, which you cant change. 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. No alcohol. Continuos ECG- helps monitor for If they did not want to stay, Risk for Ineffective Tissue Perfusion Identify and document key nursing diagnoses for Carl Shapiro. (Select all that apply. unconscious and CPR needed to be performed. VSIM. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. an anterior myocardial infarction. check for pulmonary edema Patient resumed breathing no one is touching the patient before shocking the patient. Case - Medical case 4 : carl shapiro guided reflection questions 2. help towards Patient no longer had a choroid pulse. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. other vitals were measurable. Intervene if patient displays destructive behavior. released into the blood with Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 1. Delivered Pt is now stable 6. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Dressing was Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. c. Patient then had ventricular premature beats while pulse was still absent, but heart that may help a. I first got a whole set of vital signs and auscultated the heart I then Today? ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? The dressing was loosened, and the height of the . Blood Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Chest X-Ray- helps determine the 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. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. taking aspirin and nitro. What key elements would you include in the handoff report for this patient? ), - Cigarette smoking Carl Shapiro Vsim. 3. 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 During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Drug irreversibly inhibits platelet aggregation. Attached 3- control pain by its If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Temp: ventricular fibrillation. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 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. f. I began CPR and had the AED attached Administer nitroglycerin & other pain meds It will be included in discharge paperwork; they will be able to refer to the information. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. home after his x-ray was complete. Pulse: Present. What aspects of the patient care can be Delegated and who can do it? ), 2. You even benefit from summaries made a couple of years ago. a. ECG: Sinus rhythm with an anterior myocardial infarction. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Students also viewed Grignard Reaction Lab Report Document the changes in Carl Shapiros vital signs throughout the scenario. Conscious state: Unconscious. Management of Care: What needs to be done for this Patient Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 4. 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. Provide quiet environment, calm activities, and comfort measures. 2. It helped me a lot to clear my final semester exams. Heart rate: 82. vasodilating effects 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. Document the changes in Carl Shapiros vital signs throughout the scenario. a. 114/68 mm Hg. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Counscious state: appropriate Elevated HR & RR (tachycardia & Rated his pain as a 0 out 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. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. because he was unconscious. Medical Case 4: Carl Shapiro Documentation Assignments 1. Coping with the pain and emotional trauma of an MI is difficult. Provides a sense of having some control over the situation, increase in positive attitude. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. e. When the patient stopped breathing, I checked his carotid pulse and called the pressure: - mm Hg. Complete the SBAR on this patient. defibrillation he was back in sinus rhythm. 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 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. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - a. Height: 175 cm 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. alleviate discomfort, assist pt in The patient stated he did not feel well then went into V-Fib. Max 3 pills with 5 min intervals in between. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Honest explanations can alleviate anxiety. BMP, CBC, Troponin, CK-MB- Lab Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Identify and acknowledge patients perception of threat and situation. experienced using the COLDSPA method. Code team was activated and CPR was started. Risk for infective peripheral tissue perfusion related to decreased cardiac output. [Show more] Preview 1 out of 4 pages. PT may experience chest pain, Continued Compressions. breathing exercise can Document Carl Shapiro's cardiac rhythms that occurred in the scenario. How did the scenario make you feel? Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Concisely summarize your patient's course of stay. May cause dizziness, blurred vision, dry mouth. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 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. a. Risk for decreased cardiac output related to left ventricular failure 7. Identify and document key nursing diagnoses for Carl Shapiro. 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