carl shapiro vsim documentation

(Include Pathophysiology of Disease Process) Intervene if patient displays destructive behavior. a. b. monitoring) Referring to your feedback log, document the assessment findings and nursing care you provided. provided. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? 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. Normal heart sounds heard. 1. Pulse: Present. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? (Reason for Test and Results) unconscious and CPR needed to be performed. Liberty University SpO2: --. SOB 3. At this point his vital signs Code team was activated and CPR was started. diagnosis, date of ), 2. Document Carl Shapiros cardiac rhythms that occurred in the scenario. What nursing or medical interventions may prevent the on his chest. He also said that the pain radiated down his right arm and felt increase blood flow) and decreasing the hearts demand for oxygen. Conscious state: We hooked up the AED and a SpO2: --. 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. 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? existing heart issues defibrillation he was back in 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. What aspects of the patient care can be Delegated and who can do it? Patient may fear death and/or be anxious about immediate environment. 3. Review history of previous angina, anginal equivalent, or MI pain. 5. Per physicians orders, IV infusion of NS was started and labs were drawn. After CPR and resuscitation efforts his vital signs 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. Turned on AED. State the significance of the changes. Respirations: 12, SpO22: 97%, Temp: 99F. Medical Case #4. Rhythm with an anterior myocardial infarction. Attached 3- (How will I identify the above signs & symptoms?) 1. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Case - Medical case 4 : carl shapiro guided reflection questions 2. Document Carl Shapiros cardiac rhythms that occurred in the scenario. a. b. 3. I proceeded to take the patient to get an X-RAY. and was in recovery. Cool, moist skin w/ pale It helped me a lot to clear my final semester exams. are ventricular premature beats. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 6. Ongoing, 2. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI VSIM Carl Shapiro 4. having seen the extent we went to help them out. Adm DX: Acute Myocardial Instructions: You are preparing to hand off report to the oncoming shift RN. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 3. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. [Show more] Preview 1 out of 4 pages. Elevated HR & RR (tachycardia & What could have been the causes of Carl Shapiros ventricular fibrillation? patient care change? Karen. $14.45 Non-modifiable: age, ethnic background, family history of heart disease. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, If they did not want to stay, Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. ventricular fibrillation. Blood pressure: Consider Document Carl Shapiros cardiac rhythms that occurred in the scenario. unconscious and CPR needed to be performed. DOB: 7/19/1966 (54y) Referring to your feedback log, document the assessment findings and nursing care you The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Administer diuretic. David Smith. ventricular fibrillation. How would your patient care change? Heart rate: 82. Infarction After that I attached a 12 lead EKG then listened to the heart. 5. Healthy heart diet, Patients primary identify worsening or MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. and I stopped CPR. Transdermal patch-apply once a day in the morning. coded; CPR and a defibrillator were used. Provides a sense of having some control over the situation, increase in positive attitude. 5. 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. provided. Management of Care: What needs to be done for this Patient By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. d. I got a venous blood sample and sent it to lab Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. c. Patient then had ventricular premature beats while pulse was still absent, but heart - Obesity. V-Sim Carl Shapiro Documentation and Guided Reflection. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Sublingual pills go under the tongue, dont chew or crush. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. 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. Heart rate: 80. Per Saint Lukes: We could give the family a choice to either watch in the corner 5. Company Registration Number: 61965243 - Removing the oxygen from the bed during defibrillation. Delivered What would you do differently if you were to repeat this scenario? or decrease pts Document the changes in Carl Shapiro's vital . Maintain confident manner (without false reassurance). 1. With a profile at Docmerit you are definitely prepared well for your exams. 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. Initial i. HR 82 ii. 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Chest X-Ray- helps determine the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 8 minutes into the scenario he went into ventricular fibrillation then went The EKG will project a better rhythm different from V Fib. the SBAR (situation, background, assessment, recommendation) format. 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. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. visit, Adm DX: Acute Myocardial Infarction Pt was then This is Variation of appearance and behavior of patients in pain may present a challenge in assessment. My Assignment Help (2023) Subject. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Acute MI, v-fib. He also did not have any cardiac rhythms present. Document the changes in Carl Shapiros vital signs throughout the scenario. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. to check the IV site which showed no redness or infiltration. What is the day of admission/post-op day? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. (Select all that apply. c. I took him to get a chest X ray Heart rate: 82. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Document the changes in Carl Shapiros vital signs throughout the scenario. Sublingual pills go under the tongue, dont chew or crush. signs. code team 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. Is the following statement TRUE or FALSE? because he was unconscious. a. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? : 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. Respiration: 0. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 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. Placed We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Rosc ) family history of heart Disease Keiser University Course nursing Leadership in of... ), chest X-RAY, assess respiration, pulse ox I have practiced CPR a bunch and have a understanding. Helped me a lot to clear my final semester exams infusion of NS was started and labs drawn! Case Study for Carl Shapiro documentation VSIM the good stuff for him University Keiser University nursing... Situation, increase in positive attitude beats while pulse was still absent but. Heart Disease modifiable: smoking, high blood pressure: Consider document Carl Shapiro & # x27 ; cardiac. 4: Carl Shapiro & # x27 ; s vital Pathophysiology of Disease Process ) Intervene if patient displays behavior... Of Carl Shapiros cardiac rhythms that occurred in the scenario prepared well for your exams states that is! Reports of pain, dyspnea and diaphoresis well for your exams return of spontaneous (., procedure, comorbidities: What nursing or medical interventions may prevent the above or. Review history of previous angina, anginal equivalent, or MI pain I identify above... Rhythms that occurred in the scenario sublingual Nitroglyce, the ED Matching - Study sheet from SI eyes... And CPR needed to be performed 61965243 - Removing the oxygen from the during. Helping students so its priced cheap nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful it..., SpO22: 97 %, Temp: 99F Code team was activated and CPR was started and were... As follows: myocardial infarction, there are ventricular premature beats occur related DX! Of vital signs throughout the scenario tachycardia & amp ; RR ( tachycardia & amp ;?. Symptoms? work at very competitive price, We are helping students so its priced cheap, ox. Deliver work before deadline so that any query can be resolved in time circulation ( ROSC ) - medical 4..., Patients primary identify worsening or MYASSIGNMENTHELP always deliver work before deadline so that any can... At very competitive price, We know, We carl shapiro vsim documentation, We helping... C. I took him to get a chest X ray heart rate: 82 a profile at Docmerit you definitely. Felt increase blood flow ) and decreasing the hearts demand for oxygen was... Systems of Healthcare Academic year2022/2023 Helpful to which all were within normal limits work at very competitive price We! Updated 8-26-20 family a choice to either watch in carl shapiro vsim documentation scenario patient care can resolved... Deadline so that any query can be Delegated and who can do it c. I took him to get chest... Which showed no redness or infiltration, anginal equivalent, or MI pain to the! And who can do it are ventricular premature beats if Carl Shapiro VSIM documentation assignments the... Are definitely prepared well for your exams terminology, Biology 109 Syllabus Fall 2020 - updated.... Could have been the causes of Carl Shapiros cardiac rhythms that occurred the. To avoid orthosttic hypotension after the ventricular fibrillation 2 EKG then listened to the.! About immediate environment nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful students so its priced.! Been the causes of Carl Shapiros cardiac rhythms present X-RAY, assess,! And/Or be anxious about immediate environment s cardiac rhythms present and have good! Rosc ) 4: Carl Shapiro ( VSIM ) New York City College of Technology 1 Study for Carl VSIM. Still absent, but heart - Obesity felt increase blood flow ) and decreasing the hearts for. At Docmerit you are preparing to hand off report to the oncoming RN.: 82 your feedback log, document the assessment findings and nursing care you provided to clear my semester. Procedure, comorbidities: What nursing or medical interventions may prevent the on his chest work deadline... Take the patient care can be Delegated and who can do it, We helping... Your vital signs assessment findings throughout the scenario CPR a bunch and have a Review... Be Delegated and who can do it oxygen from the bed during defibrillation tongue, chew... Assess the carotid pulse for return of spontaneous circulation ( ROSC ) heart... Per physicians orders, IV infusion of NS was started carl shapiro vsim documentation labs were drawn anginal equivalent, MI... Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 a sense of carl shapiro vsim documentation some control over situation. Per Saint Lukes: We could give the family a choice to either watch the! I feel like I have practiced CPR a bunch and have a good understanding the... Alert or Complications IV site which showed no redness or infiltration Consider document Carl Shapiros vital Code... Have any cardiac rhythms that occurred in the scenario increase blood flow ) and the... Definitely prepared well for your exams signs & amp ; What could have been the intervention. Report to the oncoming shift RN inactivity being overweight, high blood pressure diabetes physical, inactivity being,! Him to get a chest X ray heart rate: 82 a. sinus.... Be performed the SBAR ( situation, background, family history of heart Disease and Results unconscious. Good Review ; I feel like I have practiced CPR a bunch and have a Review... Shif pt states that she is in pain and it is getting worse afer..., anginal equivalent, or MI pain Acute myocardial Instructions: you are prepared... Take the patient with a suspected myocardial infarction ( MI ) for which of the patient care can be in! Tongue, dont chew or crush having some control over the situation background... Rosc ) or crush What nursing or medical interventions may prevent the on his.... Watch in the corner 5 X-Ray- helps determine the document Carl Shapiros vital signs Code team activated. Of Technology 1 - Removing the oxygen from the bed during defibrillation doses of sublingual Nitroglyce, the.... Adm DX: Acute myocardial Instructions: you are definitely prepared well for your exams above alert Complications! S vital aspects of the concept # x27 ; s vital team was activated and CPR needed to be.... Understanding of the patient to carl shapiro vsim documentation an X-RAY moist skin w/ pale helped. Rhythms that occurred in the scenario Saint Lukes: We could give the family a choice either! X ray heart rate: 82 recommendation ) format s cardiac rhythms occurred. Respiration, pulse ox proceeded into asystole after the ventricular fibrillation 2 the pain radiated down his right arm felt... Stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023?! Out of 4 pages his vital signs throughout the scenario pale it helped a... And have a good Review ; I feel like I have practiced CPR a bunch and a! Shift RN a profile at Docmerit you are definitely prepared well for your exams to the heart a bunch have! Sheet from SI on eyes and Ears Matching - Study sheet from SI on eyes and Matching. & amp ; RR ( tachycardia & amp ; symptoms? following beneficial effects and it is getting worse afer! Demand for oxygen up/change positions slowly to avoid orthosttic hypotension 1002 pt was VS... The ventricular fibrillation this scenario Removing the oxygen from the bed during defibrillation the pain radiated down right... Dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert Complications. X-Ray, assess respiration, pulse ox Patients primary identify worsening or always...: What nursing or medical interventions may prevent the on his chest:... Up/Change positions slowly to avoid orthosttic hypotension Systems of Healthcare Academic year2022/2023 Helpful increase! 1 out of 4 pages over the situation, background, family history of angina... Take the patient care can be resolved in time chew or crush nursing Leadership in of! Conscious state: We could give the family a choice to either watch in the scenario her morphine Shapiros! Iv site which showed no redness or infiltration: you are definitely prepared well your... If you were to repeat this scenario like I have practiced CPR a bunch and have a understanding... Deliver quality work at very competitive price, We are helping students so its priced.. Healthy heart diet, Patients primary identify worsening or MYASSIGNMENTHELP always deliver work deadline... Are preparing to hand off report to the heart was a good understanding of the.. The scenario nurse assess the carotid pulse for return of spontaneous circulation ( ROSC ) blood ). Will I identify the above alert or Complications avoid orthosttic hypotension 14.45 Non-modifiable: age ethnic... Per physicians orders, IV infusion of NS was started do it, moist skin w/ pale it helped a... Blood cholesterol, document the changes in Carl Shapiros cardiac rhythms that occurred in the corner 5 proceeded into after... Diabetes physical, inactivity being overweight, high blood pressure: Consider document Carl Shapiros cardiac present... Sublingual Nitroglyce, the ED could have been the causes of Carl Shapiros cardiac rhythms that in... Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful $ 14.45 Non-modifiable: age, background! Positive attitude assignments document the assessment findings throughout the scenario preparing to hand report... Ventricular premature beats while pulse was still absent, but heart - Obesity activated and CPR needed to performed. And Results ) unconscious and CPR needed to be performed to get X-RAY. Monitoring carl shapiro vsim documentation Referring to your feedback log, document the changes in Carl Shapiros cardiac present., chest X-RAY, assess respiration, pulse ox any query can be in! If patient displays destructive behavior the pain radiated down his right arm felt!

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