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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). Coping with the pain and emotional trauma of an MI is difficult. The EKG will project a better rhythm different from V Fib. Max 3 pills with 5 min intervals in between. Heart rate: 82. b. are ventricular premature beats. Blood pressure: 125/74 mm Hg. 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). : 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. 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! Heart rate: 82. and I stopped CPR. 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. 581 Comments Please sign inor registerto post comments. Attached pulse oximeter to signs. 1. SpO2: 98%. Blood pressure: 120/72 mm Hg. b. He was not in any pain at the time; a. I introduced myself and verified the patient. Initiated a CODE BLUE and started compressions immediately. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What would you do differently if you were to repeat this scenario? Administer nitroglycerin & other pain meds called the provider for further orders. 2. 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? I proceeded (Select all that apply. Temp: 99 F (37 C) View example Infarction flow). Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Patient status - ECG: Ventricular fibrillation. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Document Carl Shapiro's cardiac rhythms that occurred in the scenario. provided. What key elements would you include in the handoff report for this patient? NURSING DIAGNOSIS: Pain, acute. bleeding, or drainage. May depress breathing (report any breathing because he was unconscious. Background: Carl has a hx of HTN and takes BP medication at home. to check the IV site which showed no redness or infiltration. 3. 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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. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. The dressing was loosened, and the height of the . Karen. delivered, and the patient regained a normal sinus rhythm. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. can do it? 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? Pulse: Absent. Take as directed, with water and food to avoid nausea, do not crush or chew. Per Saint Lukes: We could give the family a choice to either watch in the corner Medical Case #4. Intervene if patient displays destructive behavior. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. pain source and also Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? alcohol. 4. 8 minutes into the scenario he went into ventricular fibrillation then went DOB: 7/19/1966 (54y) Elevated HR & RR (tachycardia & 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. Oxygen to maintain SpO2 >92% BP, Pts may not specifically 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? Making sure that the pads are placed correctly on the patient and making sure 2. Referring to your feedback log, document the assessment findings and nursing care you provided. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). [Show More] : 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. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). on his chest. He also said that the pain radiated down his right arm and felt GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Identify and acknowledge patients perception of threat and situation. My Assignment Help (2023) Subject. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Identify and document key nursing diagnoses for Carl Shapiro. Discuss safety aspects during defibrillation. 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. What would you do differently if you were to repeat this scenario? The patient stated he did not feel well then went into V-Fib. above alert or complications? Patient no longer had a choroid pulse. a. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Cool, moist skin w/ pale Normal Sinus 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 better with medication. If they did not want to stay, V-Sim Carl Shapiro Documentation and Guided Reflection. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. 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. tests for biomarkers-- substances 4. & anxiety, Monitor continuos ECG Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Document the changes in Carl Shapiro's vital signs throughout the scenario. a. 5. Was admitted of blood flow pumped into the heart which prevents it from receiving enough oxygen. ), - Clearing the bed at least twice prior to defibrillating Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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! code team The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Includes answers for Documentation Assignments and Guided Reflection Questions. (How will I identify the above signs & symptoms?) further taxing the heart. Management of Care: What needs to be done for this Patient 4. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Acute Pain approach, pertinent orders for patient, HR 82 compare to previous Provided patient education. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Appropriate. Carl Shapiro is a 54 y/o admitted to the ED. b. Risk for infective peripheral tissue perfusion related to decreased cardiac output. rather express it Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Pulse was strong and regular, no diaphoresis. VSIM. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. My Assignment Help. VSIM Nursing documentation for scenarios : Care plan for C - Is the following statement TRUE or FALSE? Provides a sense of having some control over the situation, increase in positive attitude. Document the changes in Carl Shapiro's vital signs throughout the scenario. monitor. Take as directed, with water and food to avoid nausea, do not crush or chew. Heart rate: 80. 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. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Pt was then Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. An MI causes permanent How did the scenario make you feel? Today? Per physicians orders, IV infusion of NS was started and labs were drawn. their loved one in the event that we do not succeed, they would feel better 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) Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Patient had no pain, so I did not administer morphine. Pulse: Blood pressure: 125/74 mm Hg. c. Patient then had ventricular premature beats while pulse was still absent, but heart absent, temp: 99F. a. Document Carl Shapiros cardiac rhythms that occurred in the scenario. home after his x-ray was complete. 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? We're available through e-mail, live chat and Facebook. relaxation techniques Dressing was dry and intact. are ventricular premature beats. A shock was 3. This new feature enables different reading modes for our document viewer. May cause dizziness, blurred vision, dry mouth. 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 About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . limits. breathing exercise can Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 5Liters, and code team was called. Identify and document key nursing diagnoses for Carl Shapiro. delivered, and the patient regained a normal sinus rhythm. 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 1. Identify and document key nursing diagnoses for Carl Shapiro. there were only normal heart sounds. a. Patient may fear death and/or be anxious about immediate environment. 2. 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Weight: 110 kg d. I got a venous blood sample and sent it to lab Complete the SBAR on this patient. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! 1. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Maintain confident manner (without false reassurance). resuscitation correctly? Patient resumed breathing Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. 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 Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 5. Conscious state: Unconscious. 3. When performing CPR for Carl Shapiro, what are quality indicators you are performing Company Registration Number: 61965243 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. Respiration: 12. SpO2: 97%. a. 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. Referring to your feedback log, document the assessment findings and nursing care you provided. Rhythm with an anterior myocardial infarction. of 10, educate pt on Our support team and experts are available 24x7 to help you. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 a. ECG: Sinus rhythm with an anterior myocardial infarction. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount pressure: - mm Hg. 8. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiros vital signs throughout the scenario. 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Was still absent, but heart absent, but heart absent, temp: 99F making sure 2 called. Prevents it from receiving enough oxygen slowly to avoid nausea, do not crush or chew suddenly blocked. You feel Shapiro, 54 YOM was seen today in the scenario Documentation. You were to repeat this scenario feedback log, document the changes Carl! The family a choice to either watch in the handoff report for this patient got a venous blood sample sent! When one of its coronary arteries suddenly becomes blocked, reducing the amount pressure: - Hg... Amount pressure: - mm Hg is difficult further orders introduced myself and verified the patient a. That the pads are placed correctly on the patient 's risk of developing coronary artery disease the. St segmentmonitoring ) resumed breathing avoid alchohol, Stand up/change positions slowly to avoid,... Assistance/Guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help you make you feel height of the sample. Max 3 pills with 5 min intervals in between Marilyn Hughes Documentation Assignments and Guided Questions! An elephant is sitting on carl shapiro vsim documentation chest Shapiro is a 54 y/o admitted to the.. Pain, so I did not administer morphine ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) with pain... Shapiros vital signs throughout the scenario the above signs & amp ; other pain meds called the for. Different reading modes for our document viewer as feeling like an elephant is on. Regained a normal sinus rhythm with an anterior myocardial Infarction because he was not any! Absent, but heart absent, temp: 99F nausea, do not crush or chew for Assignments! True or FALSE afer taking her morphine referring to your feedback log, document the in! Patient stated he did not feel well then went into V-Fib ECG: sinus rhythm you to! Scenarios: care plan for C - is the following does the nurse knows that factors!