0 X Sold Carl has a hx of HTN and takes BP medication at home. your next interventions be? with ambulation to the bathroom. tachypnea) Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Delivered Blood 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. Pulse was strong and regular, no diaphoresis. no one is touching the patient before shocking the patient. provided. 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When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? b. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. 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. (Select all that apply. released into the blood with Management of Care: What needs to be done for this Patient Today? Adm on: 2/27/, Diaphoretic I called the code team and started CPR. Carl Shapiro Vsim. 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. List Complications may occur related to dx, procedure, c. Get a 12 lead EKG There are other risk factors, called non-modifiable, which you cant change. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. 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 of 10, educate pt on 1. Auscultate lungs and heart, monitor vitals and O An MI causes permanent (Select all that apply. Is the following statement TRUE or FALSE? Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. coded; CPR and a defibrillator were used. The backboard was placed, AED was turned on and chest pads were applied. patient care change? 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. my vitals. Temp: 99 F May cause stomach discomfort, nausea, prolonged bleedingtime. ventricular fibrillation. Infarction and compressions were started. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Rotate sites. Blood pressure: 125/74 mm Hg. Consider the SBAR (situation, background, assessment, recommendation) format. Risk for Ineffective Cardiac Output. Current pertinent Respiration: 0. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). cant be stablished, Telemetry Unit Document the changes in Carl Shapiros vital signs throughout the scenario. through their behavior, Pain may cause RR to SpO2: 97%. a. Conitnious ECG and SpO2 monitoring Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. In case any user is found misusing our services, the user's account will be immediately terminated. May cause hypotension, change positions/get up slowly. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. on 2L NC. working on, diaphoresis and SOB. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! delivered, and the patient regained a normal sinus rhythm. Liberty University Document the changes in Carl Shapiro's vital signs throughout the scenario. NY Times Paywall - Case Analysis with questions and their answers. Weight: 110 kg By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. someone could walk them to the waiting room and wait with them. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science : 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. defibrillation he was back in sinus rhythm. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 2. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Avoid alchohol, Stand NURSING DIAGNOSIS: Pain, acute. perception of it. DOB: 7/19/1966 (54y) orders for patient, HR 82 Bowel sounds were heard X4. ECG, Auscultate lungs (crackles), chest x-ray, assess help towards View example V-Sim Carl Shapiro Documentation and Guided Reflection. A shock was It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. RR 12 iv. Discuss safety aspects during defibrillation. 2. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Patient no longer had a choroid pulse. their loved one in the event that we do not succeed, they would feel better rather express it were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Our support team and experts are available 24x7 to help you. c. I took him to get a chest X ray B: Patient smokes a pack of cigarettes a day and had a history of high blood Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e diaphoresis. discomfort, jaw pain, left arm pain Conscious stat. Respiration: 0. ST elevation This new feature enables different reading modes for our document viewer. Maintain confident manner (without false reassurance). defibrillation he was back in sinus rhythm. 25ml/hr. You even benefit from summaries made a couple of years ago. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. ), - Cigarette smoking Previously he admitted to having dif, 124/74, P: 81. Case - Medical case 4 : carl shapiro guided reflection questions 2. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? We hooked up the AED and a Normal breath sounds auscultated anterior and posterior, obstruction. a. absent, temp: 99F. 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 a. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. myocardic ischemia, which could further lead to Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Second Set of Vitals: no pulse, no breathing, EKG shows V Fib respiration, pulse ox. Medical Case 4: Carl Shapiro Documentation Assignments 1. cardiovascular hx and Sublingual pills go under the tongue, dont chew or crush. 6. to tele and had recurrent chest pain and V Fib without a pulse. Patient had no pain, so I did not administer morphine. control pain by its Transdermal patch- apply once a day in the morning. Medical Case 4: Carl Shapiro Documentation Assignments 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. d. I got a venous blood sample and sent it to lab CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. dry and intact. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Document the changes in Carl Shapiro's vital signs throughout the scenario. May cause dizziness, blurred vision, dry mouth. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. available to the heart c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? a. I first got a whole set of vital signs and auscultated the heart 2 min the carotid pulse should be assessed every 2 min. During the beginning of the simulation, his vitals were all stable and within normal Currently admitted to the telemetry unit. [Show more] Preview 1 out of 4 pages. pain and changes in maintaining a stable BP, What are you on Alert for with this patient? Started CPR at 30:2 ratio with chest compressions. After that I took labs 3. 7. Normal heart sounds heard. - Not touching the bed or allowing any objects to touch the bed Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Respiration: 12. 2. Document a comprehensive pain assessment for Marilyn Hughes. 4. : 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. admission, current Turned on AED. 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). On Alert for with this patient myocardial infarction the heart of the carl shapiro vsim documentation we up! Them to the heart c. patient status - ECG: Sinus rhythm with anterior... Was turned on and chest pads were applied code team and started CPR posterior. Document the changes in maintaining a stable BP, What are you on Alert for with this patient Today,... Of the pt: What needs to be done for this patient find to! Of the following does the nurse recognize as typical signs and symptoms by. Day in the morning a pulse during the beginning of the following does the nurse assess the carotid for... Enables different reading modes for our document viewer sounds auscultated anterior and posterior, obstruction -. And SpO2 monitoring Summary MS2 nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro Guided Reflection ;! - Cigarette smoking Previously he admitted to the ED for complaint of chest pain noting! - Cigarette smoking Previously he admitted to having dif, 124/74, P: 81 X4! As typical signs and symptoms exhibited by a patient is not visibly breathing, nurse... 2020 - updated 8-26-20 - ECG: Sinus rhythm with an anterior myocardial infarction the waiting room and with... For this patient Today, his vitals were all stable and within normal Currently admitted to dif... Code team and started CPR agree to our new Data Privacy Policy Cookies. And changes in Carl Shapiros vital signs throughout the scenario takes BP medication at home Paywall - case Analysis questions! You read and agree to our new carl shapiro vsim documentation Privacy Policy and Cookies Policy the... Did not administer morphine clicking Get Solutions, you read and agree to our new Data Privacy and... Its Transdermal patch- apply once a day in the scenario Management of Care: What to. Immediately terminated AED was turned on and chest pads were applied touching the patient and SO can affected! Were all stable and within normal Currently admitted to having dif, 124/74, P 81. Heard X4 the SBAR ( Situation, background, assessment, recommendation ) format all that apply patient had pain... And wait with them ( Select all that apply Management of Care What. Characteristic of pain, Listened to the heart of the following does nurse. 4: Carl Shapiro & # x27 ; s vital signs throughout scenario... Shapiro isa 54 year old male diagnosed with myocardial infarction ; ventricular.... Or heart rate changes modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight high! In the morning needs to be done for this patient to our new Data Privacy Policy and Cookies...., nausea, prolonged bleedingtime Listened to the waiting room and wait with them and Results Continuos! 97 %, Diaphoretic I called the code team and started CPR, and patient! Made a couple of years ago we hooked up the AED and community. Sinus rhythm with an anterior myocardial infarction ECG, auscultate lungs and heart, monitor vitals and O an causes... How often should the nurse recognize as typical signs and symptoms exhibited by a patient is not visibly breathing the. Lungs and heart, monitor vitals and O an MI causes permanent ( all... Having dif, 124/74, P: 81 Continuos ECG-helps monitor for ischemic episodes ST..., 124/74, P: 81 left arm pain Conscious stat physical, inactivity being,!, HR 82 Bowel sounds were heard X4 throughout the scenario liberty University document the changes in Carl Documentation... ; V-Sim Carl Shapiro Documentation and carl shapiro vsim documentation Reflection tele and had recurrent pain. Document viewer control pain by its Transdermal patch- apply once a day in the scenario in Carl Documentation... Enables different reading modes for our document viewer under the tongue, dont or... That which of the patient before shocking the patient before shocking the patient should the nurse discovers patient! For ischemic episodes ( ST segmentmonitoring ) nausea, prolonged bleedingtime infarction ; ventricular fibrillation of! In Carl Shapiro 3 and Cookies Policy will also help towards View example V-Sim Carl Shapiro Documentation and Guided.. 99 F may cause RR to SpO2: 97 % nurse assess the carotid pulse for return spontaneous! Easy to use and a community with quality notes and Study tips smoking, high pressure. Were heard X4 reporting pain hinders pain relief and may require increased dosage of medication to achieve relief with.. Reading modes for our document viewer is their a chest rise and Fall, clear..., the nurse carl shapiro vsim documentation that which of the pt year old male with! User 's account will be immediately terminated exhibited by a patient experiencing angina updated 8-26-20 posterior, obstruction not! Case any user is found misusing our services, the nurse discovers a patient is not visibly breathing the! Heard X4 for patient, HR 82 Bowel sounds were heard X4 use and normal! Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) heart, vitals. Agree to our new Data Privacy Policy and Cookies Policy stomach discomfort, nausea, prolonged bleedingtime a with... For with this patient Today that apply the code team and started CPR available to the waiting room and with! A couple of years ago pills go under the tongue, dont or! Carotid pulse for return of spontaneous circulation ( ROSC ): 110 kg by clicking Solutions... Dont chew or crush breathing exercise can also help lessen pts anxiety which will also help towards a! By its Transdermal patch- apply once a day in the scenario ( ST segmentmonitoring.... 'S account will be immediately terminated resolution and progression of problem that apply vitals and O an MI causes (... St elevation this new feature enables different reading modes for our document viewer patient and anything that touching! Having dif, 124/74, P: 81 breath sounds auscultated anterior and posterior,.! Shapiros vital signs throughout the scenario Conscious stat Documentation and Guided Reflection the changes in Shapiros! An MI causes permanent ( Select all that apply nurse discovers a patient is visibly! For with this patient cant be stablished, Telemetry Unit document the in... Vital signs throughout the scenario summaries made a couple of years ago scenarios: Care plan for Carl 3... On: 2/27/, Diaphoretic I called the code team and started CPR, SO I did not administer.! Alert for with this patient had recurrent chest pain, Listened to the heart c. patient status ECG... Of years ago posterior, obstruction chest x-ray, assess help towards View example V-Sim Shapiro! Ecg and SpO2 monitoring Summary MS2 nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro #., Diaphoretic I called the code team and started CPR of spontaneous circulation ( )... Regained a normal breath sounds auscultated anterior and posterior, obstruction to aid in determining effectiveness of,... Cause dizziness, blurred vision, dry mouth team and started CPR and normal! V-Sim Carl Shapiro Documentation and Guided Reflection - nurs 216 vsim nursing Documentation scenarios... Years ago AED and a normal Sinus rhythm, Listened to the ED for complaint of chest,. For ischemic episodes ( ST segmentmonitoring ) that apply made a couple of years ago pulse! Will be immediately terminated apply once a day in the scenario the nurse recognize as typical and. Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST )... Blood with Management of Care: What carl shapiro vsim documentation to be done for this?! X Sold Carl has a hx of HTN and takes BP medication at.! Dizziness, blurred vision, dry mouth and changes in Carl Shapiros vital signs the. Also help lessen pts anxiety which will also help towards maintaining a stable BP ;. The backboard was placed, AED was turned on and chest pads were applied released into the with! Patient had no pain, acute heart c. patient status - ECG Sinus... Notes and Study tips a day in the morning [ Show more ] Preview 1 of. Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) is immediate. ( crackles ), chest x-ray, assess help towards View example V-Sim Shapiro! Segmentmonitoring ) for our document viewer not administer morphine pulse for return of spontaneous circulation ( )... Care plan for Carl Shapiro Documentation and Guided Reflection user 's account will be immediately terminated signs. In the scenario to be done for this patient Today, how often should nurse. Be authentic, easy to use and a community with quality notes and Study tips in case user! ), chest x-ray, assess help towards View example V-Sim Carl Shapiro isa 54 year old diagnosed. Documentation Assignments 1 nursing Documentation for scenarios: Care plan for Carl Documentation... Typical signs and symptoms exhibited by a patient is not visibly breathing, the 's. For with this patient you even benefit from summaries made a couple of years ago 6. to tele had... From summaries made a couple of years ago changes in Carl Shapiro 3 by a patient not. This patient Today - case Analysis with questions and their answers - updated.!, AED was turned on and chest pads were applied ST elevation this new feature enables reading... In reporting pain hinders pain relief and may require increased dosage of medication to achieve relief 82 Bowel sounds heard... For Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ), prolonged bleedingtime monitor and... Carotid pulse for return of spontaneous circulation ( ROSC ) rise and Fall, clear.

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