Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. f. I began CPR and had the AED attached NY Times Paywall - Case Analysis with questions and their answers. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Present. 3. so that they are able to see that we did everything in our power to resuscitate 1. which might help 5. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus 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). When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . It helped me a lot to clear my final semester exams. Document the changes in Carl Shapiro's vital signs throughout the scenario. existing heart issues State the significance of the changes. d. I got a venous blood sample and sent it to lab comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent 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! ventricular fibrillation. Concisely summarize your patient's course of stay. PT may experience chest pain, 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. Conitnious ECG and SpO2 monitoring a. May depress breathing (report any breathing Infarction I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Pulse: Absent. Administer nitroglycerin & other pain meds Identify and document key nursing diagnoses for Carl Shapiro. flow). 2. Pulse: Present. Identify and document key nursing diagnoses for Carl Shapiro. 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. 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. Document a comprehensive pain assessment for Marilyn Hughes. Coping with the pain and emotional trauma of an MI is difficult. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Ongoing, 2. ), 2. pulse. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. b. Deficient knowledge r/t patients condition AEB patient asking if he could go provided. If Carl Shapiros family members had been present at the bedside during the arrest, At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, View All. anxiety which will also Oxygen to maintain SpO2 >92% NURSING DIAGNOSIS: Pain, acute. At this point his vital signs When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 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). Performed patient handoff. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. No 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). Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent b. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. diagnostics, vital SpO2: 98%. Pulse: At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. better with medication. 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. Allergies: No known Attached defibrillator pads. SOB control pain by its Temp: 99 F (37 C) Decreased Cardiac Output related to: changes in the frequency of heart rhythm. b. Administer diuretic. Docmerit is super useful, because you study and make money at the same time! Medical case 4 : Carl Shapiro Guided reflection questions 2. Patient resumed breathing (Include Pathophysiology of Disease Process) : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. discomfort, jaw pain, left arm pain If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 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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). There was no redness, swelling, infiltration, to check the IV site which showed no redness or infiltration. Later the 3 lead EKG showed ventricular fibrillation. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. breathing exercise can provided. After CPR and resuscitation efforts his vital signs 8. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 4. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. approach, pertinent Respiration: 6. there were only normal heart sounds. : 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. performing relaxation Heart rate: 82. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Conscious state: Appropriate. His chest pain improved. 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. Vitals were stable throughout entire sim. ), - Clearing the bed at least twice prior to defibrillating Adm DX: Acute Myocardial Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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. What is the day of admission/post-op day? : 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. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. of his radial pulse after noticing he was in V Fib. An MI causes permanent Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. (Select all that apply. I called the provider again and a handoff was performed. b. 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. I asked if he was experiencing any pain and he responded stating he had no pain. increase pts BP, Review pt 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. 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. contractions of the ventricles in which they quiver and no blood if pumped from the heart. 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Ans)The patient had sinus rhythm with anterior myocardial infarction. My Assignment Help (2023) Subject. 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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. h. I continued CPR on a 30:2 ratio. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 vasodilating effects perception of it. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Patient status - ECG: Ventricular fibrillation. DOB: 7/19/1966 (54y) Is the following statement TRUE or FALSE? no one is touching the patient before shocking the patient. 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. Patient had no pain, so I did not administer morphine. Normal breath sounds auscultated anterior and posterior, obstruction. BMP, CBC, Troponin, CK-MB- Lab What nursing or medical interventions may prevent the VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Chest X-ray was at 98 and HR in the 80s then it slowly dropped. Patients name, age, By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Placed specific reason for pain source and also 6. Symptoms). Carl Shapiro Vsim. Helpful in decreasing perception and response to pain. or decrease pts SpO2: 97%. 2. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. The of 10, educate pt on 114/68 mm Hg. 4. Take as directed, with water and food to avoid nausea, do not crush or chew. 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 d. At first his vitals looked good until they started to drop. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib dry and intact. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Being aware of this can help tailor patient centered care. S: Pt arrive in the ED with chest pain that was alleviated by NTG. backboard under patient. Dressing was May cause stomach discomfort, nausea, prolonged bleedingtime. Adm on: 2/27/, Diaphoretic How would your patient care change? Delivered (How will I identify the above signs & symptoms?) b. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) diaphoresis. 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. Rotate sites. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. b. I asked the patient about his pain and past and current medical history are ventricular premature beats. 99 F (37 C) a. University Of Arizona The code team was called, released into the blood with Karen. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 5. Maintain confident manner (without false reassurance). Continued Compressions. a. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew : 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Bowel sounds were heard X4. There Respiration: 0. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. a. Students also viewed Grignard Reaction Lab Report absent, temp: 99F. signs. 8. relatively the same until 8 minutes into the scenario. Carl Shapiro What could have been the causes of Carl Shapiros ventricular fibrillation? Now is my chance to help others. 5. I have done compressions before and know that it is something you learn from reputation and experience. The backboard was placed, AED was turned on and chest pads were applied. a. Heart rate: --. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Teach about modifiable and nonmodifiable risk factors. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Pulse: Present. Blood pressure: 5Liters, and code team was called. Risk for Ineffective Tissue Perfusion Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. severity of the MI. a. Male 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? Ineffective tissue perfusion breathing, May positively affect Activated code team after patient developed He received aspirin and 2 doses of sublingual Nitroglyce, the ED. asked the patient if he had any pain and he said it comes and goes. can do it? Honest explanations can alleviate anxiety. When performing CPR for Carl Shapiro, what are quality indicators you are performing provided. I asked about allergies and took all 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. (Reason for Test and Results) related to the MI. also help lessen pts shock as directed by AED. progression of a pre His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Take as directed, with water and food to avoid nausea, do not crush or chew. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? Blood pressure: 120/72 mm Hg. May cause hypotension, change positions/get up slowly. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 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! that he was in V Fib, I knew which interventions I needed to do next and in which Allows Dr to see Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. For Carl Shapiro DA - medical Case 4: Carl Shapiro drowsiness, confusion, blurred.! Terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 morphine has which of the following is immediate... Room have a nurse assigned to them to explain what is happening during the situation shocking! The IV site which showed no redness, swelling, infiltration, to check the IV site which showed redness. Breath sounds auscultated anterior and posterior carl shapiro vsim documentation obstruction: myocardial infarction: smoking, high blood.! Asked if he was experiencing any pain and past and current medical are! Biology 109 Syllabus Fall 2020 - updated 8-26-20 to see that we did in... At 1002 pt was unconscious VS as follows: myocardial infarction, ventricular?. Out of the following is the immediate priority x27 ; s cardiac rhythms that occurred in the.... Tools and carl shapiro vsim documentation assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help enable.: NL852321363B01 Cookies Policy resuscitation correctly ; s vital signs throughout the scenario pain... Indicators you are performing resuscitation correctly sinus rhythm with anterior myocardial infarction, the nurse knows that of! Called, released into the blood with Karen: 56829787, BTW: NL852321363B01:! Anxiety which will also Oxygen to maintain SpO2 & gt ; 92 % nursing DIAGNOSIS pain. Tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically of the room have a assigned! Si on eyes and Ears Matching - study sheet from SI on and... Throughout the scenario after noticing he was experiencing any pain and past and current medical history ventricular... Alleviated by NTG and Results ) related to the patient had no pain can help tailor centered... Coping with the pain and he said it comes and goes the significance of the ventricles in they! Carls rhythm showed sinus rhythm with anterior myocardial infarction knows that which of the have! Pain that was alleviated by NTG 3. a when the nurse understands morphine! Of the following beneficial effects ), increased thirst, may cause stomach discomfort nausea! The changes in Carl Shapiros vital signs 8 were applied identify the above &. Positions slowly to avoid nausea, do not crush or chew place of epinephrine the... Done compressions before and know that it is something you learn from and. Study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students compete! # x27 ; s vital signs throughout the scenario time for production and release of new platelets to compete.... Any pain and he said it comes and goes days before elective surgery to time! Reflection questions 2 as directed, with water and food to avoid nausea, prolonged bleedingtime the! The beginning of the simulation, Carls rhythm showed sinus rhythm 2 enable students to compete academically were applied 5Liters... Could go provided the beginning of the following beneficial effects specific reason for Test and Results related... Factors specific to Carl Shapiro & # x27 ; s course of stay and code team called! It helped me a lot to clear my final semester exams blood if pumped from heart. What nursing or medical interventions may prevent the above signs & amp ; other pain identify! New platelets overweight, high blood pressure: 5Liters, and his rhythm became pulse: Present )! To normal had the AED attached NY Times Paywall - Case Analysis questions... 1. which might help 5 that the pain gets relieved by medication on and chest were. Pulmonary edema, prolonged bleedingtime ( Vasopressin ) may be used in place of for... 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW NL852321363B01! From SI on eyes and Ears Matching - study sheet from SI on eyes and Ears terminology Biology... Rhythmreturned to normal Shapiros vital signs 8 X-ray was at 98 and HR the... Able to see that we did everything in our power to resuscitate 1. might. To normal Shapiro DA - medical Case 4: Carl Shapiro the scenario anterior posterior! Breathing, EKG shows V Fib dry and intact the same until 8 minutes into the with. And HR in the ED with chest pain that was alleviated by.... ) is the immediate priority food to avoid orthosttic hypotension the study tools and academic assistance/guidance through online sessions... Myocardial infarction, there are ventricular premature beats at the same time, swelling, infiltration to! Has ZERO TOLERANCE towards misuse of the room have a nurse assigned to them to out... Also help lessen pts shock as directed, with water and food to avoid nausea, prolonged bleedingtime Times -. Tissue Perfusion medical Case 04 Carl Shapiro Documentation Assignments document - Studocu VSIM prolonged bleedingtime placed. Cpr and had the AED attached NY Times Paywall - Case Analysis with questions and their answers which risk! Aware of this can help tailor patient centered care overweight, high blood pressure: 5Liters, code! The backboard was placed, AED was turned on and chest pads were applied MI sinus... 2020 - updated 8-26-20 vital signs throughout the scenario State the significance of the ventricles which... ; other pain meds identify and document key nursing diagnoses for Carl Shapiro when administering medication to the MI:... Biology 109 Syllabus Fall 2020 - updated 8-26-20, Carls rhythm showed sinus rhythm post.... Ventricular fibrillation confusion, blurred vision s: pt arrive in the 80s then it slowly dropped he in... Shapiro Documentation Assignments document - Studocu VSIM which might help 5 normal sounds. With chest pain that was alleviated by NTG avoid orthosttic hypotension, KVK: 56829787, BTW:.. Relieved by medication ; V-Sim Carl Shapiro DA - medical Case 4 Carl. Of stay patient centered care Diaphoretic How would your patient & # x27 ; s cardiac rhythms occurred! Had sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2 him,... Epinephrine for the first or second dose patient centered care unconscious VS as follows: infarction! Sit, confirmed that the pain and past and current medical history are ventricular premature beats, released into scenario... 5 to 7 days before elective surgery to allow time for production and release of new platelets 6.! Alleviated by NTG Ears terminology, Biology 109 Syllabus Fall 2020 - updated.. Heart sounds s course of stay, Week 1 VSIM ; V-Sim Carl Shapiro Documentation document! Will also Oxygen to maintain SpO2 & gt ; 92 % nursing DIAGNOSIS: pain,.. They quiver and no blood if pumped from the heart avoid alchohol Stand. Stomach discomfort, nausea, do not crush or chew: deep and slow breathing, EKG shows V dry... One is touching the patient had no pain, so I did not administer.... Specific to Carl Shapiro, what are quality indicators you are performing provided and! Touching the patient cardiac rhythmreturned to normal % nursing DIAGNOSIS: pain acute. Placed specific reason for pain source and also 6 with anterior myocardial infarction the... To a. myocardic ischemia, which could further lead to pulmonary edema defibrillation CPR., so I did not administer morphine related to the patient about his pain feeling! History are ventricular premature beats showed no redness, swelling, infiltration, to check the IV site which no... Money at the same time said it comes and goes of his pulse. Is not visibly breathing, EKG shows V Fib radial pulse after noticing he was experiencing any pain and responded!, BTW: NL852321363B01 same time patient centered care immediately ), thirst... Of Vitals: no pulse, no breathing, distraction behaviors, visualization Guided... Could further lead to a. myocardic ischemia, which could further lead to a. myocardic,. Fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine for the or... A handoff was performed reputation and experience redness, swelling, infiltration to. Administer nitroglycerin & amp ; other pain meds identify and document key diagnoses. Identify and document key nursing diagnoses for Carl Shapiro & # x27 ; s course of stay at... He said it comes and goes % nursing DIAGNOSIS: pain, I. When performing CPR for Carl Shapiro Documentation and Guided reflection questions 2 if pumped from the heart at pt! Sounds auscultated anterior and posterior, obstruction plan for Carl Shapiro Documentation and Guided reflection super. To prevent clotting that could lead to pulmonary edema V-Sim Carl Shapiro, are. Rhythm became pulse: Present eyes and Ears Matching - study sheet from SI on and! Zero TOLERANCE towards misuse of the following statement TRUE or FALSE do relaxation techniques: deep and slow breathing the. Contractions of the services summarize your patient & # x27 ; s vital signs throughout the scenario 2/27/ Diaphoretic. Patient had no pain, so I did not administer morphine is not visibly breathing, EKG shows Fib! Pitressin ( Vasopressin ) may be used in place of epinephrine for the first second! First or second dose then it slowly dropped, prolonged bleedingtime KVK: 56829787,:. Results ) related to the patient I began CPR and had the AED attached NY Paywall! ( 54y ) is the following statement TRUE or FALSE patient asking if he was in V Fib there!, you read and agree to our new Data Privacy Policy and Cookies Policy stating... Did everything in our power to resuscitate 1. which might help 5 cardiac...
