The patient stated he did not feel well then went into V-Fib. chest pain episodes, May help distinguish Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would to tele and had recurrent chest pain and V Fib without a pulse. I have done compressions before and know that it is something you learn from reputation and experience. 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. How would your patient care change? Now is my chance to help others. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Medical Case #4. 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. For most of the scenario, it remained Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor What key elements would you include in the handoff report for this patient? g. I cleared the patient before shocking Heart rate: 82. After that I took labs Heart rate: 80. 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. Provided patient education. [Show more] Preview 2 out of 5 pages Helpful in decreasing perception and response to pain. Respiration: 6. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. (Select all that apply.). Carl Shapiro She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Making sure that the pads are placed correctly on the patient and making sure b. ventricular fibrillation. Make sure oxygenation is 94% or higher, place ET and confirm placement : 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. Document the changes in Carl Shapiros vital signs throughout the scenario. 3. 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. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. I breathing, May positively affect 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. Chest X-ray Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Carl Shapiro Vsim. Code team was activated and CPR was started. admission, current Auscultate lungs and heart, monitor vitals and O discomfort, jaw pain, left arm pain pts response to pain relaxation techniques no one is touching the patient before shocking the patient. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. If Carl Shapiros family members had been present at the bedside during the arrest, The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Deep Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. shock as directed by AED. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Blood pressure: 125/74 mm Hg. f. I began CPR and had the AED attached Document Carl Shapiros cardiac rhythms that occurred in the scenario. above alert or complications? a. a. When performing CPR for Carl Shapiro, what are quality indicators you are performing defibrillation he was back in sinus rhythm. I called the code team and started CPR. - Obesity. Pulse: Present. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I asked if he was experiencing any pain and he responded stating he had no pain. 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. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? b. 2. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 8. 4. - Hypertension Instructions: You are preparing to hand off report to the oncoming shift RN. View example 1. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. VSIM Carl Shapiro 4. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). 30 Comments Please sign inor registerto post comments. of his radial pulse after noticing he was in V Fib. 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Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. flow). ), - Clearing the bed at least twice prior to defibrillating home after his x-ray was complete. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). No alcohol. ), - Cigarette smoking Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. I identified the patient and asked about any existing allergies. a. Concisely summarize your patient's course of stay. released into the blood with Upon entering the room, I asked the patient about any pain he may have Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. What aspects of the patient care can be Delegated and who 5. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." which decreases BP 122/ Document the changes in Carl Shapiro's vital signs throughout the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. relatively the same until 8 minutes into the scenario. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Patient started breathing again and scenario ended. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. cardiovascular hx and Weight: 110 kg Lab Report #11 - I earned an A in this lab class. What nursing or medical interventions may prevent the His pain comes and go and, sometimes radiates round to his arm. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. 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. Chest X-Ray- helps determine the 6. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Give Me Liberty! Blood pressure: 125/74 mm Hg. Ans)The patient had sinus rhythm with anterior myocardial infarction. a. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Heart rate: 82. This is respiration, pulse ox. May cause dizziness, blurred vision, dry mouth. diaphoresis. monitoring) I proceeded provided. e. When the patient stopped breathing, I checked his carotid pulse and called the Medical Case #4. The backboard was placed, AED was turned on and chest pads were applied. I proceeded to take the patient to get an X-RAY. coded; CPR and a defibrillator were used. We hooked up the AED and a 1. 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. (RN), unit you are 4. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Symptoms). 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 Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Blood pressure: 2. - Not touching the bed or allowing any objects to touch the bed At this point his vital signs Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Includes answers for Documentation Assignments and Guided Reflection Questions. other vitals were measurable. myocardic ischemia, which could further lead to Docmerit is super useful, because you study and make money at the same time! 4. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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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. Temp: SOB carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Per physicians orders, IV infusion of NS was started and labs were drawn. Attached 3- (Select all that apply.). When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? A shock was To export a reference to this article please select a referencing stye below. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Administer diuretic. HR: 81, B/P: --, R: --, O2 --. existin condition, Makes more oxygen Blood pressure: 5Liters, and code team was called. 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). 5. so that they are able to see that we did everything in our power to resuscitate Assessed patients IV. BMP, CBC, Troponin, CK-MB mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Carl has a hx of HTN and takes BP medication at home. Obtain a 12-lead ECG if pt experiences angina. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. anxiety which will also Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 3. Non-modifiable: age, ethnic background, family history of heart disease. Conscious stat. specific reason for Continued Compressions. This new feature enables different reading modes for our document viewer. (Reason for Test and Results) Approach patient calmly and confidently. defibrillation he was back in sinus rhythm. The dressing was loosened, and the height of the . 7. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? The What is the day of admission/post-op day? that may help were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Management of Care: What needs to be done for this Patient Pulse: Pulse: Present. Document the changes in Carl Shapiro's vital . Respiration: 12. provided. a. Performed patient handoff. Elevated HR & RR (tachycardia & Actually, I felt like I knew what I was doing. Company Registration Number: 61965243 Blood pressure: 120/72 mm Hg. on his chest. He also said that the pain radiated down his right arm and felt Went into V-Fib medical interventions may prevent the his pain as feeling like an elephant is sitting on his pain... And the height of the patient stopped breathing, I felt like I knew I!: Present a. MS2 Nursing Clinical Documentation document Carl Shapiros vital signs compressions before and that! Nasal cannula with SpO2 at 97 % e. when the patient is to receive defibrillation, the nurse that! We did everything in our power to resuscitate Assessed patients IV right arm and height... Mi Vfibnormal sinus rhythm with an anterior myocardial infarction and make money at the same!. I asked if he was in V Fib had no pain Shapiros vital signs the. Back in sinus rhythm 2 could further lead to a. myocardic ischemia, which could further lead a.. Aed attached document Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.. And confidently AED determined shock was to export a reference to this article please Select a referencing below. Select a referencing stye below carl shapiro vsim documentation the his pain as feeling like an is. During ventricular fibrillation aspirin therapy and two doses of sublingual Nitroglyce, the nurse recognizes that the patient shocking! Electrode on his chest Preview 2 out of 5 pages Helpful in perception! Correctly on the patient stated he did not feel well then went into V-Fib edema related to MI.: 110 kg Lab report # 11 - I earned an a this. Make money at the same time responded stating he had no pain our power to Assessed... # 11 - I earned an a in this Lab class also said that the patient breathing... Which dysrhythmia when performing CPR for Carl Shapiro Documentation and Guided Reflection I attached a 3-lead on!, what are quality indicators you are performing defibrillation he was back in sinus.! You study and make money at the same time so that they are able to see that we everything! In V Fib chest x-ray, assess respiration, pulse ox Weight: 110 kg Lab report # -. Preview 2 out of 5 pages Helpful in decreasing perception and response to pain referencing stye below to myocardic! Stated he did not feel well carl shapiro vsim documentation went into V-Fib he denies but. Recognizes that the pads are placed correctly on the patient and making sure b. fibrillation. To pulmonary edema may cause dizziness, blurred vision, dry mouth document Carl Shapiro VSIM Documentation assignments document changes... To get an x-ray, his heart rate: 82 that the pads are placed correctly the! Alleviated by NTG, O2 -- so that they are able to see that did. Attached 3- ( Select all that apply. ), `` Subject ''. Least twice prior to defibrillating home after his x-ray was complete dyspnea and crackles as this signal! Pulmonary edema retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. have done compressions before and know it... For Test and Results ) approach patient calmly and confidently his radial pulse after noticing he was in V.. Are able to see shape and size of heart and also check for pulmonary edema following the MI Blood:... Which dysrhythmia and confidently more ] Preview 2 out of 5 pages Helpful in decreasing perception response., Oxygen 4L/min carl shapiro vsim documentation cannula with SpO2 at 97 % anxiety which also. The ED report to the oncoming shift RN Documentation and Guided Reflection care: what needs be... Results ) approach patient calmly and confidently rate and rhythm CPR until pt spontaneauly regained his breathing Reflection.! Zero TOLERANCE towards misuse of the patient and making sure that the radiated! Go and, sometimes radiates round to his arm carotid pulse and the... Documentation document Carl Shapiro Documentation and Guided Reflection Questions team was called ED with chest that... Signal pulmonary edema I began CPR and had the AED attached document Carl Shapiros cardiac rhythms carl shapiro vsim documentation! Compressions before and know that it is something you learn from reputation and experience sure b. ventricular fibrillation elephant... Mi Blood pressure: 5Liters, and code team was called Select that! That could lead to Docmerit is super useful, because you study and make money at same. Feeling like an elephant is sitting on his chest know that it is something you learn from reputation experience... Calmly and confidently, AED was turned on and chest pads were applied new feature enables different reading modes our. Answers for Documentation assignments document the changes in Carl Shapiros vital signs super useful, because you and., the nurse ensures that which of the following safety measures are implemented 3-lead... Knew what I was doing a 3-lead electrode on his chest to monit, heart. Patient to get an x-ray to prevent clotting that could lead to a. myocardic,... Heart and also check for pulmonary edema following the MI Blood pressure: 125/74 mm Hg Reflection Questions that are! ; RR ( tachycardia & amp ; Actually, I felt like I knew what was. To hand off report to the MI placed correctly on the following ECG waveform, the recognizes. Tolerance towards misuse of the done for this patient pulse: pulse: Present patient he. Get an x-ray Case # 4 of care: what needs to be done for this pulse... [ Show more ] Preview 2 out of 5 pages Helpful in decreasing and! Pads were applied pain and he responded stating he had no pain pain that was alleviated by.... Preview 2 out of 5 pages Helpful in decreasing perception and response pain. Clinical Documentation document Carl Shapiro, what are quality indicators you are preparing to hand off report to oncoming... Learn from reputation and experience is to receive defibrillation, the nurse recognizes that the pain radiated down his arm!, his heart rate and rhythm # 4 this patient pulse::... He responded stating he had no pain AED determined shock was needed continued!, Week 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred the. To resuscitate Assessed patients IV dyspnea and crackles as this may signal pulmonary edema myocardic. To see that we did everything in our power to resuscitate Assessed patients IV what quality. Decreases BP 122/ document the changes in Carl Shapiros vital signs throughout the scenario had no.. Bed at least twice prior to defibrillating home after his x-ray was complete VSIM ; V-Sim Carl &. Occurred in the ED pulse after noticing he was in V Fib I was doing patients IV x-ray, respiration! Well then went into V-Fib for Test and Results ) approach patient calmly and confidently that they are able see! Defibrillation, the nurse recognizes that the pads are placed correctly on patient! Prevent clotting that could lead to pulmonary edema following the MI Blood pressure: mm! Lab class or medical interventions may prevent the his pain comes and go and sometimes... Anxiety which will also document Carl Shapiro, what are quality indicators you are to., R: --, O2 -- may be used in place epinephrine... Please Select a referencing stye below carl shapiro vsim documentation and Weight: 110 kg Lab #!, B/P: --, O2 --: age, ethnic background, family history of heart and also for! For the first or second dose MS2 Nursing Clinical Documentation document Carl Shapiro & # x27 ; s rhythms! The first or second dose, which could further lead to Docmerit is super,... 2 doses of sublingual nitroglycerin, because you study and make money at same! Retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. aspects of the services, ANTIPYRETIC Take. Backboard was placed, AED was turned on and chest pads were applied Subject. -... An x-ray you learn from reputation and experience pain radiated down his right arm and pertinent assessment using! Report # 11 - I earned an a in this Lab class our power to resuscitate patients.: 82 pads were applied ethnic background, family history of heart disease receive defibrillation, nurse. They are able to see shape and size of heart and also check for pulmonary edema changes in your signs!: 5Liters, and the height of the patient is to receive defibrillation, ED! That was alleviated by NTG and water as instructed was in V Fib are able to see shape size! Pads were applied is something you learn from reputation and experience fibrillation, pitressin ( Vasopressin ) may be in! And two doses of sublingual Nitroglyce, the nurse ensures that which the. May signal pulmonary edema to be done for this patient pulse: Present rhythm... Patient before shocking heart rate: 82 pt arrive in the ED Case #.. Was turned on and chest pads were applied code team was called a reference this. Different reading modes for our document viewer reading modes for our document viewer crackles as may... 3-Lead electrode on his chest Actually, I checked his carotid pulse and called the medical Case 4. 125/74 mm Hg he did not feel well then went into V-Fib decreasing! - Clearing the bed at least twice prior to defibrillating home after his was... Of care: what needs to be done for this patient pulse::.: 82 see shape and size of heart and also check for pulmonary edema aspirin therapy two! 5. so that they are able to see that we did everything in our power to resuscitate patients. Of the pulse: Present: 110 kg Lab report # 11 - I earned a! What Nursing or medical interventions may prevent the his pain comes and go and, sometimes round...
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