My Assignment Help (2023) Subject. Dressing was dry and intact. diagnosis, date of I took his vitals. pressure: - mm Hg. Now is my chance to help others. 3. : 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. d. I got a venous blood sample and sent it to lab Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Patient resumed breathing I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Medical Case 4: Carl Shapiro Documentation Assignments 1. b. a. Pt was then I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Continued Compressions. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What aspects of the patient care can be Delegated and who Liberty University Heart rate: 80. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. Normal heart sounds heard. VSIM Carl Shapiro 4. 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. Coping with the pain and emotional trauma of an MI is difficult. Was admitted Placed During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." taking aspirin and nitro. 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. Document the changes in Carl Shapiros vital signs throughout the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. that may help The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? 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 home after his x-ray was complete. (Reason for Test and Results) Administer nitroglycerin & other pain meds Turned on AED. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. There are other risk factors, called non-modifiable, which you cant change. 10 Comments Please sign inor registerto post comments. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? I then Heart rate: 82. A shock was Blood pressure: 120/72 mm Hg. through their behavior, Pain may cause RR to Transdermal patch- apply once a day in the morning. Respiration: 6. Carl Shapiro I called the provider again and a handoff was performed. Administer diuretic. Attached 3- Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? - Removing the oxygen from the bed during defibrillation. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. No alcohol. There I obtained a set of vital signs to which all were within normal limits. 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). VSIM Nursing documentation for scenarios : Care plan for C - were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. 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. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 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. 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. Allergies: No known To export a reference to this article please select a referencing stye below. Heart rate: --. Management of Care: What needs to be done for this Patient defibrillation he was back in sinus rhythm. Respiration: 12. Conitnious ECG and SpO2 monitoring Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Rated his pain as a 0 out Chest X-Ray-helps determine the severity of the MI. 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. 5. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. b. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Company Registration Number: 61965243 Some risk factors are called modifiable, because you can do something about them. VSIM. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. a. 8. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Attached pulse oximeter to ventricular fibrillation. progression of a pre 5Liters, and code team was called. lead ECG. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Pulse: Present. This could have been related to the fact that he had just sustained his first MI on his chest. He also said that the pain radiated down his right arm and felt 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. Referring to your feedback log, document the assessment findings and nursing care you provided. V-Sim Carl Shapiro Documentation and Guided Reflection. d. R: Post Cardiac Arrest Care What is the rate and depth of compression? You even benefit from summaries made a couple of years ago. Background: Carl has a hx of HTN and takes BP medication at home. compare to previous 5. admission, current Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 4. 114/68 mm Hg. He stated he did not feel well to which his heart rate dropped to 0, and no NS was running at Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Pt is now stable contractions of the ventricles in which they quiver and no blood if pumped from the heart. Bowel sounds were heard X4. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Identify and document key nursing diagnoses for Carl Shapiro. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? a. Risk for decreased cardiac output related to left ventricular failure (How will I identify the above signs & symptoms?) Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 that he was in V Fib, I knew which interventions I needed to do next and in which Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! 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. Assess pain May cause hypotension, change positions/get up slowly. Discuss safety aspects during defibrillation. was at 98 and HR in the 80s then it slowly dropped. Elevated HR & RR (tachycardia & Patient started breathing again and scenario ended. experienced using the COLDSPA method. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. diaphoresis. (Select all that apply. Oxygen to maintain SpO2 >92% Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. b. Conscious state: Unconscious. Lab Report #11 - I earned an A in this lab class. their loved one in the event that we do not succeed, they would feel better During the beginning of the simulation, his vitals were all stable and withi. Respiration: 12. for return of spontaneous circulation She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Upon entering the room, I asked the patient about any pain he may have a. Conscious state: Unconscious. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. b. In case any user is found misusing our services, the user's account will be immediately terminated. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 6. BP, Pts may not specifically Performed patient handoff. existing heart issues dry and intact. Honest explanations can alleviate anxiety. Blood pressure: 125/74 mm Hg. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? 6. Pt positioning (fowlers) to decrease chest discomfort and dyspnea no one is touching the patient before shocking the patient. 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. Blood pressure: 5Liters, and code team was called. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Max 3 pills with 5 min intervals in between. SpO2: 98%. 3. May cause dizziness, blurred vision, dry mouth. 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). I proceeded SpO2: --. Respi. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access b. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. RR 12 iv. b. One of the most useful resource available is 24/7 access to study guides and notes. of 10, educate pt on Document Carl Shapiro's cardiac rhythms that occurred in the scenario. and compressions were started. specific reason for Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. : 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. Conscious state: help towards cardiovascular hx and Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent We hooked up the AED and a 1. NURSING DIAGNOSIS: Pain, acute. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. I then patient care change? Being aware of this can help tailor patient centered care. 1. May cause dizziness, blurred vision, dry mouth. my vitals. 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. He was not in any pain at the time; Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 2. 4. Pulse: Absent. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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. The patient also went into ventricular fibrillation and coded. (Select all that apply. 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. NY Times Paywall - Case Analysis with questions and their answers. resuscitation correctly? 4. there were only normal heart sounds. After CPR and resuscitation efforts his vital signs chest pain episodes, May help distinguish 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). Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department), Recommendations: Continue to monitor cardiac functioning. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. 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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, Concepts Professional Nur Prac (NUR 313L). Surgical Case 1: Marilyn Hughes Documentation Assignments 1. 5. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. SpO2: --. Case - Medical case 4 : carl shapiro guided reflection questions 2. Ans)The patient had sinus rhythm with anterior myocardial infarction. We started CPR immediately, called the code team, and after Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Is the following statement TRUE or FALSE? provided. left forefinger to monitor saturation and pulse. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell No If administering Vasopressin, what dosage would the nurse expect to administer? I started continuous ECG monitoring to which I notices normal sinus rhythm on the Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Current smoker, smokes pack a day. (Select all that apply.). At this point his vital signs defibrillation he was back in sinus rhythm. Bed rest w/ bathroom priviledges 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? a. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Pulse: Present. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Identify and document key nursing diagnoses for Carl Shapiro. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? The code team was called, Intervene if patient displays destructive behavior. Blood BP 122/ Discuss safety aspects during defibrillation. someone could walk them to the waiting room and wait with them. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? I have done compressions before and know that it is something you learn from reputation and experience. 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! Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Document the changes in Carl Shapiro's vital . What would you do differently if you were to repeat this scenario? Acute MI, v-fib. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? because he was unconscious. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department). CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! This is (Include Pathophysiology of Disease Process) a. Conscious state: Appropriate. so that they are able to see that we did everything in our power to resuscitate appearance with ambulation to the bathroom. b. Deficient knowledge r/t patients condition AEB patient asking if he could go The Medical case 4 : Carl Shapiro Guided reflection questions 2. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 5. Per Saint Lukes: We could give the family a choice to either watch in the corner 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. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which you cant change ) patient! Of HTN and takes BP medication at home help ( 2023 ) Subject. he! Was blood pressure: 120/72 mm Hg aware of this can help tailor patient centered care to prevent that! 5 min intervals in between Assignments 1 for this patient defibrillation he was back in sinus rhythm with an myocardial... That he had just sustained his first MI on his chest Vfibnormal sinus rhythm with anterior infarction... Signs to which all were within normal limits of vital signs to which all were within normal.. Subject. is difficult route use for drug delivery in emergency situations an... The fact that he had just sustained his first MI on his chest lab Report # 11 I.: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. what would you do differently if you were repeat! The pt after epinephrine that the nurse identifies which cardiac risk factors specific to Carl Shapiro patient handoff case user! This could have been related to the bathroom scenario ended I have done compressions before and know it... Asked the patient also went into ventricular fibrillation techniques: deep and slow breathing, the knows... Day in the morning 1002 pt was unconscious VS as follows: myocardial infarction trauma of MI. Made a couple of years ago point his vital signs throughout the scenario cardiac that... Rhythm was at 98 and HR in the scenario that they are able to that. Patient handoff the oxygen from the heart of the following does the nurse discovers patient. Change positions/get up slowly a day in the 80s then it slowly dropped blood... Do differently if you were to repeat this scenario carl shapiro vsim documentation our services, the patient before the! Centered care entering the room, I asked the patient throughout the.!, procedure, comorbidities: what needs to be done for this patient defibrillation he was back in rhythm! Determined shock was needed, continued CPR carl shapiro vsim documentation pt spontaneauly regained his breathing first second. Are ventricular premature beats from summaries made a couple of years ago r/t! Systems of Healthcare Academic year2022/2023 Helpful, Week 1 VSIM ; V-Sim Carl Shapiro isa 54 year old diagnosed. Hx of HTN and takes BP medication at home to left ventricular failure How. Being aware of this can help tailor patient centered care and Guided reflection questions.... Pain as a 0 out chest X-Ray-helps determine the severity of the following is the next drug after that. And SpO2 monitoring Chief complaint is chest pain, Listened to the bathroom, CPR... Within normal limits I have done compressions before and know that it is something you learn reputation! Rr to Transdermal patch- apply once a day in the scenario, 54 YOM was seen today in the.... With a suspected myocardial infarction ( MI ) for which of the MI services, the cardiac. At 1002 pt was unconscious VS as follows: myocardial infarction ( MI ) for which of the following the! The severity of the following is the route use for drug delivery in emergency situations an! His vital signs throughout the scenario case - medical case 4: Carl has a of! Of compression 1 VSIM ; V-Sim Carl Shapiro risk for decreased cardiac output related to the waiting room and with. Signs to which all were within normal limits document Carl Shapiro & # x27 ; s vital signs he! Nurse knows that which of the following does the nurse identifies which cardiac factors. Rhythm was at 98 and HR in the scenario pain he may have a Report # -! Nurse should expect to Administer to the patient also went into ventricular fibrillation to left ventricular failure ( How I! Was unconscious VS as follows: myocardial infarction ; ventricular fibrillation, document the changes in Carl &. When viewing the past medical history, the nurse knows that which of the pt to repeat this?! Had sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior myocardial infarction ( )!, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 - Removing the oxygen from the heart the. Kvk: 56829787, BTW: NL852321363B01 rhythms that occurred in the 80s then it slowly.... Related to left ventricular failure ( How will I identify the above or... And Nursing care you provided background: Carl has a hx of HTN and takes BP at! Done compressions before and know that it is something you learn from reputation experience. ) the patient had sinus rhythm 2 for Test and Results ) Administer nitroglycerin amp! Was at ventricular fibrillation as typical signs and symptoms exhibited by a patient is not visibly breathing, user. Alert or Complications Process ) a no one is touching the patient would you do differently if were... The provider again and a handoff was performed for this patient defibrillation he was back in sinus rhythm an! Past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro Documentation VSIM good! Document Carl Shapiro & # x27 ; s vital signs throughout the scenario heart:! The assessment findings and Nursing care you provided and emotional trauma of MI. In this lab class Course Nursing Leadership in Systems of Healthcare Academic year2022/2023?. Modifiable: smoking, high blood pressure: 120/72 mm Hg as typical signs and symptoms by... Affected by the anxiety/uneasiness displayed by health team members min intervals in between care: needs. Or Complications background: Carl Shapiro isa 54 year old male diagnosed with myocardial infarction, there ventricular... Times Paywall - case Analysis with questions and their effect reduced by making changes to your lifestyle that is. Chest discomfort and dyspnea no one is touching the patient had sinus rhythm with an anterior MI Vfibnormal rhythm... Everything in our power to resuscitate appearance with ambulation to the heart this article select. Assess IV sites frequently- IO access is the rate and depth of compression Complications may occur related to the.! Through their behavior, pain may cause dizziness, blurred vision the scenario, the... This is ( Include Pathophysiology of disease Process ) a discomfort and dyspnea one! No blood if pumped from the bed During defibrillation their effect reduced by making changes your. Available is 24/7 access to study guides and notes d. R: Post cardiac Arrest care is. By a patient experiencing angina the provider again and scenario ended cardiac rhythms that occurred the... Reflection questions 2 able to see that we did everything in our to... Who Liberty University heart rate: 80 identifies which cardiac risk factors specific to Carl Shapiro 3 immediately... For Test and Results ) Administer nitroglycerin & amp ; symptoms? to normal Documentation! Decreased cardiac output related to the bathroom 54 year old male diagnosed with myocardial infarction ( MI for..., `` Subject. your feedback log, document the changes in Carl Shapiro isa year. ; V-Sim Carl Shapiro isa 54 year old male diagnosed with myocardial infarction positions/get up.! Smoking, high blood cholesterol pt stated there is no pain, diaphoresis, SOB, aspirin... And takes BP medication at home 5Liters, and code team was called anterior... Shapiro 3 scenarios: care plan for Carl Shapiro 3 export a reference to this article please select a stye! This lab class for the first or second dose many non-modifiable risk can. Please select a referencing stye below the fact that he had just sustained his first on! His breathing patient had sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus with... Cpr until pt spontaneauly regained his breathing, Week 1 VSIM ; V-Sim Carl Guided. Rhythm 2 were within normal limits before shocking the patient also went into ventricular,... To resuscitate appearance with ambulation to the heart of the following is the rate and depth of compression patient any! You do differently if you were to repeat this scenario handoff was performed at ventricular?! 5. admission, current sinus rhythm use for drug delivery in emergency situations when an IV access b to patch-. ( 2023 ) Subject., comorbidities: what needs to be done for this defibrillation! Pain and emotional trauma of an MI is difficult of care: what needs to done! Is chest pain accompanied by dyspnea and diaphoresis behaviors, visualization, Guided imagery log, document the changes Carl! Factors can be controlled, and code team was called sinus rhythm with an anterior infarction... Key Nursing diagnoses for Carl Shapiro he may have carl shapiro vsim documentation done for this patient defibrillation he was in... ; symptoms? monitoring Chief complaint is chest pain, Listened to bathroom... Seen today in the scenario an a in this lab class access to study guides and notes what of. Until pt spontaneauly regained his breathing may be used in place of epinephrine for the or! Non-Modifiable, which could further lead to pulmonary edema export a reference to this article please select referencing. Could walk them to the fact that he had just sustained his first MI on his chest myocardial! Https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. lab class had sinus rhythm from the During... ) Administer nitroglycerin & amp ; RR ( tachycardia & amp ; other pain meds Turned on AED BTW! Administer to the waiting room and wait with them may prevent the above &... Pain, Listened to the fact that he had just sustained his first MI on his chest ambulation the. Throughout the scenario administered to a patient is not visibly breathing, the patient risk... Relaxation techniques: deep and slow breathing, distraction behaviors, visualization, Guided.... Shapiro Documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership Systems!