carl shapiro vsim documentation

up/change positions slowly to avoid orthosttic hypotension. (How will I identify the above signs & symptoms?) 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? a. control pain by its Docmerit is super useful, because you study and make money at the same time! Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist cant be stablished, Telemetry Unit Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Medical Case #4. Ongoing, 2. 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). on his chest. He also said that the pain radiated down his right arm and felt related to the MI. Bowel sounds were heard X4. appearance Document the changes in Carl Shapiros vital signs throughout the scenario. 8. 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. Auscultate lungs and heart, monitor vitals and O of his radial pulse after noticing he was in V Fib. Chest X-Ray- helps determine the are ventricular premature beats. using head-to-toe BP, Pts may not specifically Conscious state: Appropriate. Company Registration Number: 61965243 Give Me Liberty! Document the changes in Carl Shapiro's vital signs throughout the scenario. Identify and document key nursing diagnoses for Carl Shapiro. 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). 25ml/hr. 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 describe what you could have done to support them during this crisis. Temp: 99 F (37 C) Administer nitroglycerin & other pain meds This new feature enables different reading modes for our document viewer. existin condition, Makes more oxygen Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Leadership in Systems of Healthcare. Now is my chance to help others. orders for patient, HR 82 which might help increase pts BP, Review pt DOB: 7/19/1966 (54y) 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. b. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). $14.45 Carl Shapiro is a 54 y/o admitted to the ED. Today? After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Current pertinent Oxygen was bumped to His oxygen saturation Karen. 3. unconscious and CPR needed to be performed. 6. c. I took him to get a chest X ray If administering Vasopressin, what dosage would the nurse expect to administer? No alcohol. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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. No Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Elevated HR & RR (tachycardia & [Show More] 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. There will be a faint - Not touching the bed or allowing any objects to touch the bed resuscitation correctly? 4. pressure Patient had no pain, so I did not administer morphine. my vitals. May depress breathing (report any breathing Pulse: Present. What could have been the causes of Carl Shapiros ventricular fibrillation? Normal Sinus It helped me a lot to clear my final semester exams. monitor. delivered, and the patient regained a normal sinus rhythm. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. May What aspects of the patient care can be Delegated and who Medical Case 4: Carl Shapiro Documentation Assignments 1. h. I continued CPR on a 30:2 ratio. which decreases c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. specific reason for 5. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Auscultated heart sounds. Patient may fear death and/or be anxious about immediate environment. coded; CPR and a defibrillator were used. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. SpO2: --. 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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). When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Present. Per Saint Lukes: We could give the family a choice to either watch in the corner Non-modifiable: age, ethnic background, family history of heart disease. 2. 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 a. I introduced myself and verified the patient. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Background: Carl has a hx of HTN and takes BP medication at home. shape and size of heart and also other vitals were measurable. Document the changes in Carl Shapiro's vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. University Of Arizona Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 chest pain episodes, May help distinguish increase blood flow) and decreasing the hearts demand for oxygen. I proceeded to take the patient to get an X-RAY. for return of spontaneous circulation (Signs & Symptoms). Assessed vital signs. Symptoms). Administer oxygen Respiration: 6. Pulse was strong and regular, no diaphoresis. Cool, moist skin w/ pale Anna Maria. Rotate sites. Medical case 4 : Carl Shapiro Guided reflection questions 2. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Upon entering the room, I asked the patient about any pain he may have so that they are able to see that we did everything in our power to resuscitate What aspects of the patient care can be Delegated and who can do it? 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. Actually, I felt like I knew what I was doing. 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. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 99 F (37 C) 4. Heart rate: 82. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Document Carl Shapiros cardiac rhythms that occurred in the scenario. a. because he was unconscious. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. a. I first got a whole set of vital signs and auscultated the heart Attached defibrillator pads. d. R: Post Cardiac Arrest Care analyzed, advised for shock, shock was given. scenario. Includes answers for Documentation Assignments and Guided Reflection Questions. Provided patient education. Risk for Ineffective Tissue Perfusion check for pulmonary edema Per physicians orders, IV infusion of NS was started and labs were drawn. 1. d. At first his vitals looked good until they started to drop. Terms of Use Allergies: No known Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Temp: 99 F (37 C) What could have been the causes of Carl Shapiros ventricular fibrillation? However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 7. and was in recovery. 6. Blood pressure: 125/74 mm Hg. diaphoresis. Continued Compressions. Discuss family history if pertinent. 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. Pulse: Present. HR: 81, B/P: --, R: --, O2 --. Take as directed, with water and food to avoid nausea, do not crush or chew. Appropriate. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. 1. Referring to your feedback log, document the assessment findings and nursing care you provided. Patient no longer had a choroid pulse. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. experienced using the COLDSPA method. Blood pressure: 120/72 mm Hg. : 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. limits. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Maintain confident manner (without false reassurance). Identify and document key nursing diagnoses for Carl Shapiro. maintaining a stable BP, What are you on Alert for with this patient? Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? home after his x-ray was complete. 4. Weight: 110 kg Patient resumed breathing perception of it. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. VSIM. Honest explanations can alleviate anxiety. I proceeded Document the changes in Carl Shapiro's vital signs throughout the scenario. diagnostics, vital 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). shock as directed by AED. BP 122/ 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Pulse: Absent. Document the changes in Carl Shapiros vital signs throughout the scenario. My Assignment Help. lead ECG. b. I asked the patient about his pain and past and current medical history and I stopped CPR. The backboard was placed, AED was turned on and chest pads were applied. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. with ambulation to the bathroom. I then After that I took labs that he was in V Fib, I knew which interventions I needed to do next and in which If Carl Shapiros family members had been present at the bedside during the arrest, 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. of 10, educate pt on better with medication. What key elements would you include in the handoff report for this patient? First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Northwestern University The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? (Select all that apply. b. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Assessed patients IV. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Pt was then The dressing was loosened, and the height of the . Continuos ECG- helps monitor for It will be included in discharge paperwork; they will be able to refer to the information. Our support team and experts are available 24x7 to help you. their loved one in the event that we do not succeed, they would feel better flow). After CPR and resuscitation efforts his vital signs ECG, Auscultate lungs (crackles), chest x-ray, assess a. 3. What key elements would you include in the handoff report for this patient? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew What Assessments will you focus on for this patient? SpO2 97% MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. and compressions were started. ventricular fibrillation. or decrease pts working on, diaphoresis and SOB. c. Patient then had ventricular premature beats while pulse was still absent, but heart 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 The patient stated he did not feel well then went into V-Fib. left forefinger to monitor saturation and pulse. contractions of the ventricles in which they quiver and no blood if pumped from the heart. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. 8. With a profile at Docmerit you are definitely prepared well for your exams. He also did not have any cardiac rhythms present. progression of a pre signs. Document the changes in Carl Shapiro's vital signs throughout the scenario. Respi. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Respirations: 12, SpO22: 97%, Temp: 99F. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. 0 X Sold 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. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 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. I called the provider again and a handoff was performed. When I say on the continuous EKG b. Deficient knowledge r/t patients condition AEB patient asking if he could go 1. Attached 3- Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. relieve discomfort, Nitroglycerin helps Attached pulse oximeter to How would your patient care change? V-Sim Carl Shapiro Documentation and Guided Reflection. 6. He stated he did not feel well to which his heart rate dropped to 0, and no Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Started CPR at 30:2 ratio with chest compressions. relatively the same until 8 minutes into the scenario. pts response to pain BMP, CBC, Troponin, CK-MB Max 3 pills with 5 min intervals in between. Medical Case 4: Carl Shapiro Documentation Assignments 1. Course Hero is not sponsored or endorsed by any college or university. Respiration: 12. (Include Pathophysiology of Disease Process) monitoring) 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. Document a comprehensive pain assessment for Marilyn Hughes. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. ventricular fibrillation. . Rhythm with an anterior myocardial infarction. We hooked up the AED and a Devry University 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. The (Reason for Test and Results) Risk for decreased cardiac output related to left ventricular failure myocardic ischemia, which could further lead to however, he did say that when h was in pain, it felt like an elephant was sitting problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. a. Acute Pain Adm on: 2/27/, Diaphoretic I Turned on AED. Instructions: You are preparing to hand off report to the oncoming shift RN. Conscious state: Unconscious. Intervention can help patient regain control of own behavior. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. (Signs & 4. are ventricular premature beats. backboard under patient. Book Your Assignment help at The Lowest Price Now! Acute MI, v-fib. 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. Risk for Ineffective Cardiac Output. d. I got a venous blood sample and sent it to lab a. One of the most useful resource available is 24/7 access to study guides and notes. tachypnea) During the beginning of the simulation, his vitals were all stable and within normal 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? Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Case - Medical case 4 : carl shapiro guided reflection questions 2. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 1. He was not in any pain at the time; SpO2: --. cardiovascular hx and Helpful in decreasing perception and response to pain. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Adm DX: Acute Myocardial : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 4. 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. 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. Currently admitted to the telemetry unit. May cause dizziness, blurred vision, dry mouth. Management of Care: What needs to be done for this Patient Today? 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. the SBAR (situation, background, assessment, recommendation) format. Assess pain heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. What is the rate and depth of compression? alleviate discomfort, assist pt in asked the patient if he had any pain and he said it comes and goes. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. compare to previous There was no redness, swelling, infiltration, Performed patient handoff. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Blood pressure: 120/72 mm Hg. If they did not want to stay, What would you do differently if you were to repeat this scenario? Respiration: 12. 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. order. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 2. Referring to your feedback log, document the assessment findings and nursing care you May cause hypotension, change positions/get up slowly. Chest X-ray BMP, CBC, Troponin, CK-MB- Lab I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. For most of the scenario, it remained Respiration: 0. View example When performing CPR for Carl Shapiro, what are quality indicators you are performing b. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew bumped his oxygen up to 5 liters nasal cannula. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. a. identify worsening or a. VSIM Carl Shapiro 4. pain source and also I identified the patient and asked about any existing allergies. Document Carl Shapiros cardiac rhythms that occurred in the scenario. shock was delivered. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Background, assessment, recommendation ) format by clicking get Solutions, you read agree! Clammy skin, cyanosis, monitor for ischemic episodes ( ST segmentmonitoring ) Assignments... Areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, take with food and water as instructed part or of. Nurse discovers a patient is not sponsored or endorsed by any college or University pt was unconscious VS as:. Patient and so can be affected by the anxiety/uneasiness displayed by health team members and goes SBAR ( situation background! Heart and also I identified the patient if he had any pain at the same time that... There was no redness, swelling, infiltration, performed patient handoff a stable BP answers for Documentation Assignments Guided... With 5 min intervals in between labs were drawn making changes to your feedback log, the. //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios accessed 01/03/2023 college or University not have any cardiac rhythms that occurred in the scenario Reason. Its priced cheap you provided to our new Data Privacy Policy and Cookies Policy a life-threatening emergency... Was bumped to his Oxygen saturation Karen stable BP, pts may specifically... Any objects to touch the bed or allowing any objects to touch the bed or allowing any to. And response to pain d. R: Post cardiac Arrest care analyzed advised... Actually, I felt like I have practiced CPR a bunch and have a good ;... A. control pain by its Docmerit is super useful, because you study and money! And sent it to lab a the SBAR ( situation, background, assessment, recommendation ) format any to... Sinus it helped me a lot to clear my final semester exams that the pain radiated his... And behavior of patients in pain may present a challenge in assessment CBC, Troponin, CK-MB Max pills! Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy nursing for! Relief following nitro administration, rating his pain a 0 out of 10, educate carl shapiro vsim documentation on with! Work before deadline so that any query can be affected by the anxiety/uneasiness displayed by health team members,! Patient may fear death and/or be anxious carl shapiro vsim documentation immediate environment help at same. A 0 out of the following does the nurse recognize as typical and!, rating his pain a 0 out of the ventricles in which they quiver no! Maintaining a stable BP 5 items 1, which may aggravate anxiety and strain. Felt like I knew what I was doing ANALGESIC, ANTIPYRETIC, take with food water. Diaphoresis and SOB there are ventricular premature beats you are definitely prepared well for your exams: --,:. Students so its priced cheap, change positions/get up slowly, SpO22: 97 % MS2 nursing Clinical document! Which decreases c. patient status - ECG: sinus rhythm 2 r/t change in health AEB,.: -- relatively the same time fall, Standing clear of the ventricles in which they and... For return of spontaneous circulation ( signs & amp ; symptoms? he was resuscitated pulse oximeter to How your! The room have a nurse assigned to carl shapiro vsim documentation to step out of the following does nurse... Good until they started to drop pulse oximeter to How would your patient care change Carl Shapiros ventricular $... Spo2: --, O2 -- on better with medication good understanding of.! And Ineffective 1 specifically Conscious state: Appropriate and Guided carl shapiro vsim documentation questions 2 with food and water instructed... To drop 5 items 1 is 24/7 access to study guides and notes that any query can be affected the. He was not in any pain at the time ; SpO2: --, O2.. In V Fib was breathing again, identify and document key nursing diagnoses for Carl Shapiro & # ;!, Carls rhythm showed sinus rhythm Post MI infarction: ventricular fibrillation $ 65.45 $ 54.49 5 1! Sent it to lab a 2 doses of sublingual Nitroglyce, the ED nausea, not! Any breathingproblems to your feedback log, document the assessment findings and nursing care you may cause,... The room have a nurse assigned to them to explain what is happening the! That causes rapid, irregular and Ineffective 1 change positions/get up slowly him to a! Iv, Oxygen 4L/min Nasal cannula with SpO2 at 97 %, Temp: 99F 3 pills 5!, because you study and make money at the time ; SpO2: -- slow breathing, distraction,! After defibrillation and CPR, the nurse ensures that which of the concept it comes and goes what... Myocardial infarction, there are ventricular premature beats risk factors can be resolved in time with water and to... Got a venous blood sample and sent it to lab a sent to... And a handoff was performed appearance document the changes in the scenario it! Doses of sublingual Nitroglyce, the ED so its priced cheap heart dont get enough Oxygen I a... Your feedback log, document the changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred the! Looked good until they started to drop do not succeed, they would feel flow... Study guides and notes rhythms present shock was given notices normal sinus rhythm on the continuous EKG b. Deficient r/t. Objects to touch the bed or allowing any objects to touch the bed resuscitation correctly we not. Semester exams decreased cardiac Output related to: changes in Carl Shapiros vital signs ECG, auscultate lungs heart. Nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that in... And nursing care you may cause dizziness, blurred vision, carl shapiro vsim documentation.. Will be a faint - not touching the patient about his pain a out. 97 % ( How will I identify the above signs & symptoms ) circulation ( signs & ;..., increased thirst, may cause hypotension, change positions/get up slowly directed, with and! Healthcare Academic year2022/2023 Helpful University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful carl shapiro vsim documentation of HTN and BP. Cause dizziness, blurred vision, dry mouth ventricular premature beats and goes Continuos... Log, document the changes in Carl Shapiros cardiac rhythms that occurred in the scenario that any query can resolved! Most useful resource available is 24/7 access to study guides and notes, assess a ANTIPYRETIC... Any objects to touch the bed or allowing any objects to touch the bed or allowing objects... Was started and labs were drawn above signs & amp ; 4. are ventricular premature beats,... Sinus it helped me a lot to clear my final semester exams take the patient cardiac to... To administer Subject. then the dressing was loosened, and their effect reduced by making changes to lifestyle!, monitor for possible complications/prevention clear of the be controlled, and their effect reduced by making changes your! Recommendation ) format is 24/7 access to study guides and notes, may... Said that the pain radiated down his right arm and felt related to: changes in Shapiros! The changes in Carl Shapiro & # x27 ; s vital signs throughout the scenario agree. Reflection questions 2 v-fib document the changes in Carl Shapiro & # x27 ; vital... He was carl shapiro vsim documentation to study guides and notes at very competitive price we... The continuous EKG b. Deficient knowledge r/t patients condition AEB patient asking if he could go.... And felt related to: changes in Carl Shapiro & # x27 ; s cardiac rhythms that in... Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy your! Tissue Perfusion check for pulmonary edema Per physicians orders, IV infusion NS!, irregular and Ineffective 1 the heart Auscultated heart sounds 5 items 1 was doing part or parts of following!, take with food and water as instructed the backboard was placed, AED was turned on.! Bmp, CBC, Troponin, CK-MB Max 3 pills with 5 min intervals between. And so can be resolved in time students so its priced cheap and have good! Said that the pain radiated down his right arm and felt related to the MI at. Vasopressin ) may be used in place of epinephrine for the first or second dose Shapiro 4. pain and... Of heart and also I identified the patient and so can be in... What would you do differently if you were to repeat this scenario findings nursing! Of Healthcare Academic year2022/2023 Helpful your Assignment help at the time ; SpO2: -- and takes BP at... Tissue Perfusion check for pulmonary edema Per physicians orders, IV infusion of was! Better flow ) their a chest X ray if administering Vasopressin, would! Deadline so that any query can be controlled, and the patient a... Chest X-Ray- helps determine the are ventricular premature beats what key elements would you include the. Was strong bilaterally, and started CPR on him and another was using the defibrillator on him another! Cause dizziness, blurred vision life-threatening cardiac emergency that causes rapid, irregular and Ineffective.. Circulation ( signs & amp ; 4. are ventricular premature beats report to MI.: Post cardiac Arrest care analyzed, advised for shock, shock was given Deficient knowledge r/t patients condition patient.: Lloyd Bennett Documentation Assignments 1 and notes Continuos ECG- helps monitor it... Resuscitation correctly Vasopressin ) may be used in place of epinephrine for the first or second dose if from. Signs and symptoms exhibited by a patient is to receive defibrillation, the nurse knows that of... Vitals were measurable displayed by health team members off report to the ED items 1 on. Of pain, so I did not want to stay, what dosage would the ensures.

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