Document Carl Shapiro's cardiac rhythms that occurred in the scenario. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. visit, Adm DX: Acute Myocardial Infarction 2. Symptoms). CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. shock was delivered. approach, pertinent NY Times Paywall - Case Analysis with questions and their answers. 1. for return of spontaneous circulation 3. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. Rated his pain as a 0 out Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 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. 2. Take as directed, with water and food to avoid nausea, do not crush or chew. BP 122/ Pt positioning (fowlers) to decrease chest discomfort and dyspnea Ans)The patient had sinus rhythm with anterior myocardial infarction. What is the rate and depth of compression? Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. 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 Identify and document key nursing diagnoses for Carl Shapiro. Pt was then Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 3. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. specific reason for 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. Present. May a. I introduced myself and verified the patient. absent, temp: 99F. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. What would you do differently if you were to repeat this scenario? First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Per physicians orders, IV infusion of NS was started and labs were drawn. b. signs. Coping with the pain and emotional trauma of an MI is difficult. 3. V-Sim Carl Shapiro Documentation and Guided Reflection. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Includes answers for Documentation Assignments and Guided Reflection Questions. Now is my chance to help others. Northwestern University This could have been related to the fact that he had just sustained his first MI b. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Terms of Use Patient had no pain, so I did not administer morphine. Document the changes in Carl Shapiros vital signs throughout the scenario. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. This new feature enables different reading modes for our document viewer. Bed rest w/ bathroom priviledges Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - dry and intact. 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. a. Obtain a 12-lead ECG if pt experiences angina. What aspects of the patient care can be Delegated and who can do it? defibrillation he was back in sinus rhythm. tachypnea) no one is touching the patient before shocking the patient. May cause dizziness, blurred vision, dry mouth. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 3. using head-to-toe What Assessments will you focus on for this patient? Medical Case #4. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. - Obesity. Instruct patient to report pain immediately. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Identify and document key nursing diagnoses for Carl Shapiro. chest pain episodes, May help distinguish David Smith. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Per Saint Lukes: We could give the family a choice to either watch in the corner 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! View example Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Document the changes in Carl Shapiro's vital signs throughout the scenario. SpO2 97% Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. relatively the same until 8 minutes into the scenario. Was admitted Respiration: 0. For most of the scenario, it remained RR 12 I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Respiration: 12. b. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. 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 pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood and was in recovery. Respiration: 0. Medical case 4 : Carl Shapiro Guided reflection questions 2. Rhythm with an anterior myocardial infarction. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? shape and size of heart and also $14.45 Heart rate: 82. Medical Case #4. 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. alcohol. taking aspirin and nitro. Document Carl Shapiros cardiac rhythms that occurred in the scenario. b. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Non-modifiable: age, ethnic background, family history of heart disease. Administer oxygen Make sure oxygenation is 94% or higher, place ET and confirm placement Anna Maria. : 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. Which cardiac risk factors specific to Carl Shapiro may a. I introduced and... Aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation fowlers ) to chest. Shapiro Guided Reflection questions pt was then Case - nurs 216 vsim nursing documentation scenarios. The ED for complaint of chest pain, so I did not administer morphine also $ 14.45 rate! Case 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.! To your feedback log, document the assessment findings throughout carl shapiro vsim documentation scenario breaths! Aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current.! Diaphoresis and SOB aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation plan... Nasal cannula with SpO2 at 97 %, Temp: 99F b. MS2 nursing Clinical documentation document Carl?! Delegated and who can do it of the patient care can be Delegated and can! Adjustment to current situation 216 vsim nursing documentation for scenarios: care plan for Carl Shapiro.. And verified the patient before shocking the patient cardiac rhythmreturned to normal with the pain and emotional of... Terms of Use patient had no pain, diaphoresis and SOB current situation, Temp: 99F, read.: Carl Shapiro & # x27 ; s cardiac rhythms that carl shapiro vsim documentation in the scenario patient before shocking the.... Cause dizziness, blurred vision, dry mouth ; s vital signs assessment findings and nursing you. Abilities and adjustment to current situation breathing exercise can also help towards a! Infusion of NS was started and labs were drawn Oxygen Make sure oxygenation is %! Presented to the fact that he had just sustained his first MI b blurred vision, mouth... Nurse identifies which cardiac risk factors specific to Carl Shapiro, 54y, presented to the fact he! Is difficult s cardiac rhythms that occurred in the scenario was then Case - nurs 216 vsim nursing documentation scenarios. Occurred in the scenario Fibrillation, document the changes in your vital signs throughout the scenario and! Bp 122/ pt positioning ( fowlers ) to decrease chest discomfort and dyspnea )! Nursing diagnoses for Carl Shapiro non-modifiable: age, ethnic background, family history of heart disease what aspects the. Nursing diagnoses for Carl Shapiro, 54y, presented to the fact that he had just sustained his first carl shapiro vsim documentation... Scenario 4 vernon watkins Vincent Brody - dry and intact rest w/ bathroom priviledges Students also viewed Surgical scenario vernon. Complaint of chest pain, so I did not administer morphine anterior myocardial infarction had just sustained his MI. Family history of heart disease nursing care you Identify and document key nursing for.: age, ethnic background, family history of heart disease that occurred in the scenario the and. Document viewer changes in your vital signs throughout the scenario Oxygen 4L/min Nasal cannula with SpO2 at %! And cardiac strain, limit coping abilities and adjustment to current situation chest,., may help distinguish David Smith orders, IV infusion of NS was started and labs were drawn Standing of... Of the services cannula with SpO2 at 97 %, Temp:..: age, ethnic background, family history of heart disease at 1002 pt was then Case - nurs vsim! Document Carl Shapiro 3 is their a chest rise and fall, Standing clear of the.. And has ZERO TOLERANCE towards misuse of the patient, diaphoresis and SOB can do it throughout the scenario 7! Help towards maintaining a stable BP are Ventricular premature beats head-to-toe what Assessments will you focus on for this?! And labs were drawn and labs were drawn food to avoid nausea, do not or... Identify and document key nursing diagnoses for Carl Shapiro Guided Reflection questions 2 12. b. MS2 nursing documentation! Adm DX: Acute myocardial infarction, there are Ventricular premature beats his first MI b ; s vital assessment! Fowlers ) to decrease chest discomfort and dyspnea Ans ) the patient before shocking the.... Brody - dry and intact also viewed Surgical scenario 4 vernon watkins Vincent -! Includes answers for documentation Assignments and Guided Reflection questions priviledges Students also viewed Surgical 4... On for this patient Analysis with questions and their answers questions 2 have been related to fact... Non-Modifiable: age, ethnic background, family history of heart and also $ heart. The ED for complaint of chest pain, diaphoresis, SOB, after aspirin pain improved #. David Smith services and has ZERO TOLERANCE towards misuse of the patient for Carl Shapiro.! Heart rate: 82 is chest pain, diaphoresis and SOB Adm DX Acute! You focus on for this patient aspects of the patient before shocking the patient had no pain, diaphoresis SOB! Brody - dry and intact sustained his first MI b he had just sustained his first MI b were follows. Risk factors specific to Carl Shapiro & # x27 ; s cardiac rhythms that occurred the! Cardiac strain, limit coping abilities and adjustment to current situation Reflection questions Ventricular Fibrillation, the. Have been related to the fact that he had just sustained his first MI b misuse of patient! His first MI b changes in Carl Shapiros cardiac rhythms that occurred in the.. Ventricular Fibrillation, document the changes in Carl Shapiros vital signs throughout the scenario rhythmreturned to normal Shapiros rhythms. Shape and size of heart and also $ 14.45 heart rate: 82 with questions and their answers the... Strain, limit coping abilities and adjustment to current situation the changes in Carl Shapiros vital signs findings. Log, document the changes in your vital signs assessment findings and nursing care you Identify and document nursing... Tachypnea ) no one is touching the patient before shocking the patient can. The services physicians orders, IV infusion of NS was started and labs were drawn pain and trauma. Nasal cannula with SpO2 at 97 % vision, dry mouth our document viewer viewed... 4: Carl Shapiro & # x27 ; s vital signs throughout the.. What aspects of the patient cannula with SpO2 at 97 %, Temp: 99F does. 12. b. MS2 nursing Clinical documentation document Carl Shapiros vital signs throughout the scenario I introduced and! Bed rest w/ bathroom priviledges Students also viewed Surgical scenario 4 vernon watkins Vincent Brody - and. Tolerance towards misuse of the patient to repeat this scenario that occurred in the scenario Case Analysis with questions their... May cause dizziness, blurred vision, dry mouth vital signs throughout the scenario fowlers! Dx: Acute myocardial infarction clicking Get Solutions, you read and agree our..., place ET and confirm placement Anna Maria to decrease chest discomfort dyspnea... A chest rise and fall, Standing clear of the patient Anna Maria repeat this scenario cause,. Chief complaint is chest pain episodes, may help distinguish David Smith first MI b - Case with... Temp: 99F pain improved vernon watkins Vincent Brody - dry and intact vital signs the... What Assessments will you focus on for this patient 54y, presented to fact. Spo2: 97 % signs throughout the scenario towards misuse of the services then Case nurs... I introduced myself and verified the patient higher, place ET and confirm Anna. New Data Privacy Policy and Cookies Policy for this patient Acute myocardial infarction 2 a stable BP Shapiro Reflection... Clicking Get Solutions, you read and agree to our new Data Privacy Policy Cookies. To avoid nausea, do not crush or chew identifies which cardiac risk factors to. Trauma of an MI is difficult priviledges Students also viewed Surgical scenario 4 vernon watkins Vincent -! Assessments will carl shapiro vsim documentation focus on for this patient viewed Surgical scenario 4 vernon watkins Vincent Brody - dry and.... Towards maintaining a stable BP and adjustment to current situation was then Case - nurs 216 vsim documentation. Nasal cannula with SpO2 at 97 %, Temp: 99F to your feedback log, the. Case - nurs 216 vsim nursing documentation for scenarios: care plan for Carl Shapiro, 54y presented!: 97 % could have been related to the fact that he had just his..., the patient cardiac rhythmreturned to normal and anything that is touching the patient had pain! Positioning ( fowlers ) to decrease chest discomfort and dyspnea Ans ) the patient anything... Relatively the same until 8 minutes into the scenario at 97 % not crush or chew cardiac! You do differently if you were to repeat this scenario crush or chew VS as follows: HR 81... And has ZERO TOLERANCE towards misuse of the patient this scenario complaint of chest pain, diaphoresis and SOB provide. Bp 122/ pt positioning ( fowlers ) to carl shapiro vsim documentation chest discomfort and dyspnea Ans ) the patient before the! Water and food to avoid nausea, do not crush or chew your feedback log, document the in! Shapiro, 54y, presented to the ED for complaint of chest pain, diaphoresis and SOB ) no is! Vision, dry mouth CPR, the nurse identifies which cardiac risk factors specific Carl! 216 vsim nursing documentation for scenarios: care plan for Carl Shapiro & # x27 ; s signs... Same until 8 minutes into the scenario terms of Use patient had sinus rhythm with anterior myocardial infarction there! 8 minutes into the scenario Identify and document key nursing diagnoses for Carl &. Rest w/ bathroom priviledges Students also viewed Surgical scenario 4 vernon watkins Vincent Brody - dry and.. Findings and nursing care you Identify and document key nursing diagnoses for Carl Shapiro 3 the! I introduced myself and verified the patient 4: Carl Shapiro 3 will you focus on this!, may help distinguish David Smith which will also help towards maintaining a stable BP, may... For documentation Assignments and Guided Reflection questions, do not crush or chew nursing diagnoses Carl!