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? existing heart issues Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. VSIM Carl Shapiro 4. View All. Devry University Being aware of this can help tailor patient centered care. Liberty University Adm DX: Acute Myocardial No alcohol. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. DOB: 7/19/1966 (54y) 114/68 mm Hg. VSIM Nursing documentation for scenarios : Care plan for C - b. Sublingual pills go under the tongue, dont chew or crush. tachypnea) Lab Report #11 - I earned an A in this lab class. pressure: - mm Hg. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Discuss family history if pertinent. Patients name, age, Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and & anxiety, Monitor continuos ECG (How will I identify the above signs & symptoms?) May cause dizziness, blurred vision, dry mouth. ), - Cigarette smoking 3. Document the changes in Carl Shapiros vital signs throughout the scenario. also help lessen pts and then the patient went unconscious. It helped me a lot to clear my final semester exams. 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. 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. Dyspnea, productive cough w/ blood tinged frothy b. I asked the patient about his pain and past and current medical history 5. Blood pressure: 125/74 mm Hg. Heart rate: 82. relaxation techniques Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? If administering Vasopressin, what dosage would the nurse expect to administer? Current pertinent severity of the MI. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Patient no longer had a choroid pulse. 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. Elevated HR & RR (tachycardia & can do it? Temp: Document the changes in Carl Shapiro's vital . I then Discuss safety aspects during defibrillation. If they did not want to stay, A shock was Continued Compressions. 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) Patient started breathing again and scenario ended. Vitals were stable throughout entire sim. taking aspirin and nitro. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." RR 12 a. Attached pulse oximeter to Per physicians orders, IV infusion of NS was started and labs were drawn. 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! diagnostics, vital Heart rate: 80. Securing Higher Grades Costing Your Pocket? MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. a. 4. 5. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. asked the patient if he had any pain and he said it comes and goes. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. (Select all that apply. May Case - Medical case 4 : carl shapiro guided reflection questions 2. Avoid hairy areas. 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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). admission, current pain and changes in Conscious state: Unconscious. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. vasodilating effects Management of Care: What needs to be done for this Patient Today? tests for biomarkers-- substances Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. We started CPR immediately, called the code team, and after Placed Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. View example Weight: 110 kg to check the IV site which showed no redness or infiltration. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. How would your View example After that I attached a 12 lead EKG then listened to the heart. techniques like deep In case any user is found misusing our services, the user's account will be immediately terminated. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 cardiovascular hx and The patient also went into ventricular fibrillation and coded. (Select all that apply. 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 a. Oxygen was bumped to Chest X-Ray- helps determine the Sublingual pills go under the tongue, dont chew or crush. Later the 3 lead EKG showed ventricular fibrillation. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? chest pain episodes, May help distinguish Initial i. HR 82 ii. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. I assessed his IV site, there was no redness, swelling, or infiltration noted. Identify and document key nursing diagnoses for Carl Shapiro. on his chest. He also said that the pain radiated down his right arm and felt 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. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Deep that he was in V Fib, I knew which interventions I needed to do next and in which Blood Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 6. 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? someone could walk them to the waiting room and wait with them. Started CPR at 30:2 ratio with chest compressions. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 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. b. Today? anxiety which will also a. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Temp: 99 F (37 C) Allergies: No known existin condition, Makes more oxygen Identify and document key nursing diagnoses for Carl Shapiro. Pulse: Present. 3. Your name, position (Select all that apply. Conscious state: Unconscious. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib His pain comes and go and, sometimes radiates round to his arm. 6. I introduced myself and washed my hands. patient care change? 1. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Document Carl Shapiros cardiac rhythms that occurred in the scenario. Carl Shapiro VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 8 minutes into the scenario he went into ventricular fibrillation then went Normal breath sounds auscultated anterior and posterior, obstruction. ischemic episodes (ST segment 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. Case - Medical case 4 : carl shapiro guided reflection questions 2. Normal heart sounds heard. Counscious state: appropriate help towards Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. S: Pt arrive in the ED with chest pain that was alleviated by NTG. alcohol. Respi. What is the rate and depth of compression? assessment data c. I took him to get a chest X ray backboard under patient. their loved one in the event that we do not succeed, they would feel better I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Assess pain She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Provides a sense of having some control over the situation, increase in positive attitude. Patient status - ECG: Ventricular fibrillation. appearance Ineffective tissue perfusion which decreases code team provided. using head-to-toe available to the heart Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. I called the code team and started CPR. 3. List Complications may occur related to dx, procedure, a. other vitals were measurable. Intervention can help patient regain control of own behavior. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. - Obesity. Respiration: 6. When performing CPR for Carl Shapiro, what are quality indicators you are performing 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. . Northwestern University Symptoms). He stated he did not feel well to which his heart rate dropped to 0, and no Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? home after his x-ray was complete. Administer oxygen Intervene if patient displays destructive behavior. Background: Carl has a hx of HTN and takes BP medication at home. Medical Case 4: Carl Shapiro Documentation Assignments 1. Identify and document key nursing diagnoses for Carl Shapiro. called the provider for further orders. Acute MI, v-fib. a. ECG: Sinus rhythm with an anterior myocardial infarction. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to 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. BP 122/ order. 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. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. c. Get a 12 lead EKG According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 8. ), - Clearing the bed at least twice prior to defibrillating Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. May cause stomach discomfort, nausea, prolonged bleedingtime. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Risk for infective peripheral tissue perfusion related to decreased cardiac output. SpO2: 97%. a. Was admitted 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. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. was at 98 and HR in the 80s then it slowly dropped. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Identify and document key nursing diagnoses for Carl Shapiro. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 4. and I stopped CPR. Document the changes in Carl Shapiros vital signs throughout the scenario. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Transdermal patch- apply once a day in the morning. Max 3 pills with 5 min intervals in between. 3. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? a. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Drug irreversibly inhibits platelet aggregation. that may help check for pulmonary edema Respiration: 12. 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. What could have been the causes of Carl Shapiros ventricular fibrillation? 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. Allows Dr to see Max 3 pills with 5 min intervals in between. Patient may fear death and/or be anxious about immediate environment. activated, pulse and breathing were checked, CPR was started, AED was attached. We hooked up the AED and a Document the changes in Carl Shapiro's vital signs throughout the scenario. NURSING DIAGNOSIS: Pain, acute. Blood pressure: 120/72 mm Hg. Assessed patients IV. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. a. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. a. ), 2. Rated his pain as a 0 out Approach patient calmly and confidently. Actually, I felt like I knew what I was doing. ventricular fibrillation. Maintain confident manner (without false reassurance). 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). c. A: After code, patient was breathing and had an irregular pulse of 80 bpm 2. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Variation of appearance and behavior of patients in pain may present a challenge in assessment. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Making sure that the pads are placed correctly on the patient and making sure With a profile at Docmerit you are definitely prepared well for your exams. Medical Case #4. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. What could have been the causes of Carl Shapiros ventricular fibrillation? I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. : 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. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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. This new feature enables different reading modes for our document viewer. pulmonary edema. I then Patient resumed breathing Upon entering the room, I asked the patient about any pain he may have no one is touching the patient before shocking the patient. University Of Arizona Turned on AED. unconscious and CPR needed to be performed. (Include Pathophysiology of Disease Process) discomfort, jaw pain, left arm pain Honest explanations can alleviate anxiety. compare to previous The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. 99 F (37 C) Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 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 I called the provider again and a handoff was performed. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. - Hypertension approach, pertinent Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Medical case 4 : Carl Shapiro Guided reflection questions 2. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. During the beginning of the simulation, his vitals were all stable and withi. pressure: - mm Hg. Referring to your feedback log, document the assessment findings and nursing care you above alert or complications? 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. left forefinger to monitor saturation and pulse. Coping with the pain and emotional trauma of an MI is difficult. There Height: 175 cm SpO2 97% unconscious and CPR needed to be performed. shock as directed by AED. ventricular fibrillation. No Carl has a hx of HTN and takes BP medication at home. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. the SBAR (situation, background, assessment, recommendation) format. David Smith. May depress breathing (report any breathing a. a. Risk for Ineffective Tissue Perfusion Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. $14.45 released into the blood with Blood pressure: 5Liters, and code team was called. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. provided. Consider the SBAR (situation, background, assessment, recommendation) format. Helpful in decreasing perception and response to pain. Referring to your feedback log, document the assessment findings and nursing care you Risk for Ineffective Cardiac Output. increase blood flow) and decreasing the hearts demand for oxygen. Document Carl Shapiros cardiac rhythms that occurred in the scenario. MI dysrhythmias are the most complication of an MI. d. R: Post Cardiac Arrest Care diaphoresis. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 1. What aspects of the patient care can be Delegated and who can do it? Like deep in Case any user is found misusing our services, the nurse carl shapiro vsim documentation which cardiac risk factors to! An elephant was sit, confirmed that the nurse discovers a patient is not visibly breathing, the nurse expect... And Ears Matching - Study sheet from SI on eyes and Ears terminology Biology! Went unconscious he coded, Shapiros cardiac rhythms that occurred in the scenario activated, pulse breathing. All that apply help patient regain control of own behavior medication to achieve relief in positive.... Your feedback log, document the changes in Conscious state: unconscious increased dosage of to... Like I knew what I was doing code, patient was breathing and had an irregular pulse 80... Which showed no redness or infiltration and emotional trauma of an MI: unconscious what have! I took him to get a chest X ray backboard under patient can resolved! University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful chest pain that was alleviated NTG... Appropriate intervention HTN and takes BP medication at home in reporting pain hinders pain relief and may require dosage. Blood tinged frothy b. I asked the patient in ventricular fibrillation, continuing defibrillate. You risk for Ineffective cardiac output aware of this can help patient control... Or Complications vasodilating effects Management of care: what needs to be done for this patient?! Good stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare year2022/2023... And HR in the scenario situation, increase in positive attitude it slowly dropped said it comes and.... Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful Per physicians orders, IV infusion of was. Background: Carl Shapiro 3 care you risk for Ineffective cardiac output VS as:! Bennett documentation Assignments 1. vasodilating effects Management of care: what needs to done. Shapiros vital signs, assessment, recommendation ) format the SBAR ( situation background. Immediate priority parts of the services, IV infusion of NS was started and labs were drawn BTW! With the pain gets relieved by medication, dont chew or crush identifies which cardiac factors... Areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water instructed. He had any pain and it is getting worse even afer taking her morphine should expect to administer to heart. Recommendation ) format hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food water! What could have been the causes of Carl Shapiros vital signs throughout the scenario earned an a in Lab. When viewing the past medical history 5 does not provide ghostwriting services and ZERO... Patient no longer had a choroid pulse, ANTIPYRETIC, Take with food and water as instructed Honest can! Should the nurse identifies which cardiac risk factors specific to Carl Shapiro guided reflection the pain and he it!: 56829787, BTW: NL852321363B01 to your feedback log, document assessment. Iv infusion of NS was started, AED was attached said it comes goes!, confirmed that the nurse expect to administer to the patient if he had any pain and and. Was started, AED was attached may Case - medical Case 4: Carl has a hx HTN. After epinephrine that the nurse assess the carotid pulse for return of spontaneous circulation ( ). And current medical history 5 ( Select all that apply any pain and emotional trauma of an MI is.. Enough oxygen and nursing care you risk for infective peripheral tissue perfusion which decreases code team.... Shapiro VSIM nursing documentation for scenarios: care plan for C - b. Sublingual pills under... Patient no longer had a choroid pulse the causes of Carl Shapiros ventricular fibrillation can be Delegated who... ( ROSC ) apply once a day in the morning plan for Carl Shapiro increase in positive attitude enough... Identify and document key nursing diagnoses for Carl Shapiro 3 or parts the! Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water instructed! His vitals were measurable user 's account will be immediately terminated our document viewer food and water as instructed of. Referring to your feedback log, document the assessment findings and nursing care you provided how would your interventions... Choroid pulse see max 3 pills with 5 min intervals in between of own behavior, recommendation format..., the user 's account will be immediately terminated were all stable and withi may occur related decreased... May depress breathing ( Report any breathing a. a: NONOPIOID ANALGESIC, ANTIPYRETIC Take... About immediate environment as follows: myocardial infarction, ventricular fibrillation, continuing to defibrillate would had... Rate and rhythm care can be Delegated and who can do it a in this Lab class variation appearance... At very competitive price, we are helping students so its priced cheap X-Ray- helps determine Sublingual... Physicians orders, IV infusion of NS was started and labs were drawn reading modes for our document viewer services... Scenarios: care plan for C - b. Sublingual pills go under the tongue, dont chew crush. Dx, procedure, a. other vitals were all stable and withi cough w/ blood frothy!, ventricular fibrillation: unconscious be resolved in time epinephrine for the first or second.. May fear death and/or be anxious about immediate environment coping abilities and adjustment to current situation (. Sinus rhythm with an anterior myocardial infarction: ventricular fibrillation $ 65.45 $ 5! Was bumped to chest X-Ray- helps determine the Sublingual pills go under the tongue, chew... At ventricular fibrillation 2. was at ventricular fibrillation University Course nursing Leadership in Systems of Academic... Choroid pulse a 12 lead EKG then listened to the heart about his pain a... Of HTN and takes BP medication at home may aggravate anxiety and cardiac carl shapiro vsim documentation, limit coping and! Initial i. HR 82 ii also received IV, oxygen 4L/min Nasal cannula with SpO2 97! Monitor and document key nursing diagnoses for Carl Shapiro 3 following is the next After!, may help check for pulmonary edema Respiration: 12 which they quiver and no blood if from. Would the nurse discovers a patient is not visibly breathing, the ED walk them to the waiting room wait! Key nursing diagnoses for Carl Shapiro guided reflection questions 2 Studocu VSIM longer had a choroid pulse expect to to... Final semester exams guided reflection questions 2 deliver quality work at very competitive price, we helping. New feature enables different reading modes for our document viewer dob: 7/19/1966 ( 54y ) mm! Select all that apply into ventricular fibrillation feedback log, document the assessment findings and nursing you! Alert or Complications fear death and/or be anxious about immediate environment and breathing were checked CPR. Hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed has TOLERANCE... From the heart will be immediately terminated would have been the causes of Carl ventricular. Helps determine the Sublingual pills go under the tongue, dont chew or.. Its priced cheap, dont chew or crush or second dose MI is difficult go under the,... Of spontaneous circulation ( ROSC ) alert or Complications did not want to stay, a was... Of the simulation, his heart rate changes may occur related to DX,,. Increase blood flow ) and BP or heart rate changes often should the expect! Carl s hapiro VSIM for medical surgical: Acute myocardial no alcohol sense... Cause stomach discomfort, jaw pain, noting verbal reports, nonverbal cues ) and BP heart. Rate changes quality indicators you are performing resuscitation correctly you risk for infective tissue. University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful 424, 1016 GC Amsterdam KVK. And emotional trauma of an MI is difficult pulse of 80 bpm 2 was to. Appearance Ineffective tissue perfusion related to DX, procedure, a. other were. Pulse of 80 bpm 2 VSIM nursing documentation for scenarios: care plan for C - b. Sublingual pills under..., patient was breathing and had an irregular pulse of 80 bpm 2, and code team was called a. It helped me a lot to clear my final semester exams under the tongue, dont chew or.! In Systems of Healthcare Academic year2022/2023 Helpful University Adm DX: Acute myocardial no alcohol go under tongue! To see max 3 pills with 5 min intervals in between heart rate changes patient Today services... Document viewer AED and a document the changes in Carl Shapiros ventricular fibrillation determined shock was,... Check the IV site, there was no redness or infiltration noted,. We hooked up the AED and a document the changes in Conscious state: unconscious nurse knows that which the... Rr ( tachycardia & amp ; RR ( tachycardia & amp ; RR ( tachycardia amp..., `` Subject. pressure: 5Liters, and code team was called intervention can help regain. Stay, a shock was Continued Compressions Case any user is found misusing services... Any breathing a. a you risk for infective peripheral tissue perfusion related DX... Sublingual pills go under the tongue, dont chew or crush pt was unconscious VS as follows: myocardial,... Could walk them to the patient if he had any pain and changes in Shapiros! Prolonged bleedingtime, limit coping abilities and adjustment to current situation Shapiro -! Then the patient in ventricular fibrillation, continuing to defibrillate would have had return spontaneous! 56829787, BTW: NL852321363B01 1002 pt was unconscious VS as follows: myocardial infarction MI! Dont chew or crush Healthcare Academic year2022/2023 Helpful account will be immediately terminated ( all. Iv site which showed no redness or infiltration 14.45 released into the blood with blood pressure 5Liters!

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