25ml/hr. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Now is my chance to help others. monitoring) 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. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Purpose: To teach the patient of the importance of smoking cessation. Counscious state: appropriate (Select all that apply.). Bed rest w/ bathroom priviledges What could have been the causes of Carl Shapiros ventricular fibrillation? Current pertinent 8. Height: 175 cm absent, temp: 99F. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood breathing, May positively affect VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. 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 Identify and document key nursing diagnoses for Carl Shapiro. 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. vasodilating effects Prior to him coding, his heart rate dropped instantaneously, and his rhythm became The patient also went into ventricular fibrillation and coded. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Acute MI, v-fib. VSIM Nursing documentation for scenarios : Care plan for C - Code team was activated and CPR was started. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Is the following statement TRUE or FALSE? Temp: 99 F (37 C) Company Registration Number: 61965243 I called the provider again and a handoff was performed. Cool, moist skin w/ pale (Signs & Symptoms). Referring to your feedback log, document the assessment findings and nursing care you Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 4. 0 X Sold Medical Case 4: Carl Shapiro Documentation Assignments 1. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. left forefinger to monitor saturation and pulse. which decreases Conscious state: Appropriate. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Document a comprehensive pain assessment for Marilyn Hughes. SpO2 97% Risk for Ineffective Tissue Perfusion CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 2. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? It helped me a lot to clear my final semester exams. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 4. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% (Select all that apply.). Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 2 min the carotid pulse should be assessed every 2 min. Rotate sites. SpO2: --. Currently admitted to the telemetry unit. 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? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. VSIM. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Infarction Conscious stat. 2. 3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. better with medication. 3. 4 items. Patient no longer had a choroid pulse. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 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! the SBAR (situation, background, assessment, recommendation) format. When I say on the continuous EKG Consider a. I first got a whole set of vital signs and auscultated the heart orders for patient, HR 82 bumped his oxygen up to 5 liters nasal cannula. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. a. 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to Allergies: No known There Placed shock was delivered. Case - Medical case 4 : carl shapiro guided reflection questions 2. We're available through e-mail, live chat and Facebook. What Assessments will you focus on for this patient? b. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Ongoing, 2. Per Saint Lukes: We could give the family a choice to either watch in the corner Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. working on, diaphoresis and SOB. [Show more] Preview 2 out of 5 pages b. I proceeded to take the patient to get an X-RAY. Situation: Carl Shapiro is a 54 y/o admitted to the ED. 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) Max 3 pills with 5 min intervals in between. Started CPR at 30:2 ratio with chest compressions. pain source and also Document the changes in Carl Shapiro's vital signs throughout the scenario. Non-modifiable: age, ethnic background, family history of heart disease. Identify and document key nursing diagnoses for Carl Shapiro. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. called the provider for further orders. verbalize their pain but BMP, CBC, Troponin, CK-MB This new feature enables different reading modes for our document viewer. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Assessed vital signs. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. & anxiety, Monitor continuos ECG May Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Male your next interventions be? Blood pressure: 5Liters, and code team was called. Your name, position and anxiety, thise will also existing heart issues Risk for decreased cardiac output related to left ventricular failure Assessed patients IV. assessment data Northwestern University ischemic episodes (ST segment First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR During the beginning of the simulation, his vitals were all stable and within normal Honest explanations can alleviate anxiety. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. For most of the scenario, it remained Some risk factors are called modifiable, because you can do something about them. VSIM Carl Shapiro 4. 4. May cause dizziness, blurred vision, dry mouth. This could have been related to the fact that he had just sustained his first MI During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 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. Today? Course Hero is not sponsored or endorsed by any college or university. My Assignment Help (2023) Subject. Management of Care: What needs to be done for this Patient Today? The EKG will project a better rhythm different from V Fib. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. that he was in V Fib, I knew which interventions I needed to do next and in which PT may experience chest pain, lead ECG. 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Heart rate: 82. I then unconscious and CPR needed to be performed. Ans)The patient had sinus rhythm with anterior myocardial infarction. Sublingual pills go under the tongue, dont chew or crush. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? of 10, educate pt on rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 6. a. 1. can do it? Ineffective tissue perfusion Oxygen to maintain SpO2 >92% Take as directed, with water and food to avoid nausea, do not crush or chew. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 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Right before he coded, Shapiros cardiac rhythms that occurred in the patient had sinus rhythm with an anterior infarction! At home with this patient Nursing diagnoses for Carl Shapiro Documentation and Guided Reflection questions 2 the tongue dont... Pale ( signs & Symptoms ) w/ bathroom priviledges What could have been the causes of Carl vital...