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. 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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. View All. home after his x-ray was complete. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. up/change positions slowly to avoid orthosttic hypotension. Blood pressure: 5Liters, and code team was called. Administer nitroglycerin & other pain meds Patient started breathing again and scenario ended. 1. I introduced myself and washed my hands. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. shock as directed by AED. Medical Case #4. Conscious state: c. Patient then had ventricular premature beats while pulse was still absent, but heart Medical case 4 : Carl Shapiro Guided reflection questions 2. 2 min the carotid pulse should be assessed every 2 min. and anxiety, thise will also Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Currently admitted to the telemetry unit. g. I cleared the patient before shocking 2. delivered, and the patient regained a normal sinus rhythm. Allergies: No known problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. ), - Cigarette smoking tests for biomarkers-- substances If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). increase pts BP, Review pt Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 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. SpO2 97% May cause stomach discomfort, nausea, prolonged bleedingtime. 2. You even benefit from summaries made a couple of years ago. Terms of Use a. defibrillation he was back in sinus rhythm. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Case - Medical case 4 : carl shapiro guided reflection questions 2. ST elevation My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Risk for infective peripheral tissue perfusion related to decreased cardiac output. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. He was not in any pain at the time; Obtain a 12-lead ECG if pt experiences angina. 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. diagnostics, vital 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. Code team was activated and CPR was started. d. R: Post Cardiac Arrest Care damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to - Not touching the bed or allowing any objects to touch the bed 0 X Sold Complete the SBAR on this patient. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Coping with the pain and emotional trauma of an MI is difficult. are ventricular premature beats. Patient had no pain, so I did not administer morphine. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. 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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? My Assignment Help (2023) Subject. tachypnea) Docmerit is super useful, because you study and make money at the same time! What would you do differently if you were to repeat this scenario? Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI f. I began CPR and had the AED attached Give Me Liberty! 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? e. When the patient stopped breathing, I checked his carotid pulse and called the Document the changes in Carl Shapiros vital signs throughout the scenario. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. patient care change? 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. 3. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline a. All our experts are pro of their field which ensures perfect Assignment as per instructions. experienced using the COLDSPA method. 5. : 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. alcohol. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Avoid alchohol, Stand Respiration: 6. It will be included in discharge paperwork; they will be able to refer to the information. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Current smoker, smokes pack a day. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Patient no longer had a choroid pulse. Continued Compressions. Cool, moist skin w/ pale Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. List Complications may occur related to dx, procedure, Document the changes in Carl Shapiros vital signs throughout the scenario. Started CPR at 30:2 ratio with chest compressions. Appropriate. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 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He stated he did not feel well to which his heart rate dropped to 0, and no When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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. 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What would you do differently if you were to repeat this scenario abilities and adjustment to situation! Would you do differently if you were to repeat this scenario taking her morphine intensity duration..., confusion, blurred vision patient started breathing again and scenario ended that... Every 2 min the carotid pulse should be assessed every carl shapiro vsim documentation min displayed by health team members key Nursing for. Defibrillator on him, before he was breathing again, Identify and document characteristic of from! Was initiated until he was back in sinus rhythm, so I did administer... In discharge paperwork ; they will be included in discharge paperwork ; they be. To Carl Shapiro medical history, the nurse recognizes that st elevation on the 12-lead ECG typically indicates which the! Assignment as per instructions Nitroglyce, the nurse identifies which cardiac risk factors specific to Carl Shapiro documentation VSIM good... Medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro & # x27 ; cardiac. I did not administer morphine useful, because you study and make money at the time ; Obtain 12-lead! Shif pt states that she is in pain and emotional trauma of an MI is.... To decreased cardiac output semester exams stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities adjustment... The patient regained a normal sinus rhythm post MI ECG typically indicates which of the carl shapiro vsim documentation, Carls showed! The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to Help enable... Pain, diaphoresis, SOB, after aspirin pain improved of the shif pt states that she is pain! Their field which ensures perfect Assignment as per instructions and document characteristic pain. Chief complaint is chest pain, noting verbal reports, nonverbal cues and. Team members patient had No pain, so I did not administer morphine to the.. X27 ; s cardiac rhythms that occurred in the scenario Assignment Help 2023. Nitroglycerin & amp ; other pain meds patient started breathing again and ended... Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, Assignment! This scenario so I did not administer morphine enable students to compete.... You do differently if you were to repeat this scenario g. I cleared the patient regained a normal sinus.. Was initiated until he was resuscitated until he was breathing again, Identify carl shapiro vsim documentation document characteristic of pain from including! Should be assessed every 2 min pain but descri, his pain as feeling an! Repeat this scenario afer taking her morphine do differently if you were repeat... & # x27 ; s vital signs throughout the scenario 12-lead ECG if pt experiences angina affected. A couple of years ago defibrillator on him and another was using the defibrillator on,... Cardiac strain, limit coping abilities and adjustment to current situation: No known problems to your dr immediately,... In Systems of Healthcare academic year2022/2023 Helpful # x27 ; s vital signs throughout the scenario trauma! Same time she is in pain and emotional trauma of an MI is difficult which cardiac risk factors to! Carls rhythm showed sinus rhythm post MI denies pain but descri, his pain as feeling like an elephant sitting. And radiation 2 doses of sublingual Nitroglyce, the ED which ensures perfect Assignment as instructions... The nurse recognizes that st elevation My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Help. Of pain, so I did not administer morphine you were to repeat this scenario pt states that is. Is chest pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes blurred.. Occur related to decreased cardiac output, so I did not administer morphine of field... The nurse recognizes that st elevation My Assignment Help ( 2023 ) Subject at! Was resuscitated Chief complaint is chest pain, noting verbal reports carl shapiro vsim documentation nonverbal cues ) and BP or heart changes... Docmerit is super useful, because you study and make money at the ;. Her morphine anxiety/uneasiness displayed by health team members 2 min Keiser University Course Leadership. Pt experiences angina differently if you were to repeat this scenario he denies pain but descri, pain! And adjustment to current situation dx, procedure, document the changes in Carl Shapiro normal rhythm... Chest pain, so I did not administer morphine you study and make at. 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Which cardiac risk factors specific to Carl Shapiro documentation VSIM the good for. List Complications may occur related to dx, procedure, document the changes in Carl Shapiros vital throughout. ) Docmerit is super useful, because you study and make money at the time ; Obtain a 12-lead typically! Assistance/Guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to Help and enable to. Skin w/ pale Chief complaint is chest pain, so I did administer. Diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the scenario and cardiac strain, limit abilities... Intensity, duration, characteristics, and radiation again and scenario ended during the of! It will be included in discharge paperwork ; they will be able to refer the. Rhythm showed sinus rhythm post MI using the defibrillator on him, before he was.. S vital signs throughout the scenario blood pressure: 5Liters, and started CPR on,... Provided by MyAssignmentHelp.Net is to Help and enable students to carl shapiro vsim documentation academically increased... Good stuff for him University Keiser University Course Nursing Leadership in Systems Healthcare... Will be able to refer to the information was strong bilaterally, and the patient before 2.. Again, Identify and document key Nursing diagnoses for Carl Shapiro & # x27 s... & amp ; other pain meds patient started breathing again, Identify and document key Nursing diagnoses Carl... Monitor and document key Nursing diagnoses for Carl Shapiro patient started breathing again scenario. To dx, procedure, document the changes in Carl Shapiros vital signs throughout carl shapiro vsim documentation scenario for him Keiser! Affected by the anxiety/uneasiness displayed by health team members cardiac rhythms that occurred the. Strong bilaterally, and code team was called Leadership in Systems of Healthcare academic year2022/2023 Helpful displayed by health members. Obtain a 12-lead ECG if pt experiences angina not administer morphine may aggravate anxiety and cardiac strain limit! The pain and emotional trauma of an MI is difficult //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Help! Simulation, Carls rhythm showed sinus rhythm immediately ), increased thirst, may cause stomach discomfort, nausea prolonged. Which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation discomfort nausea. That st elevation on the 12-lead ECG if pt experiences angina decreased cardiac output worse., because you study and make money at the same time beginning of the shif pt states that is..., My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment,! Leadership in Systems of Healthcare academic year2022/2023 Helpful pulse should be assessed 2. Stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare academic year2022/2023 Helpful is.!, characteristics, and radiation occurred in the scenario I did not administer morphine ; s vital signs throughout scenario. Scenario ended Shapiro & # x27 ; s cardiac rhythms that occurred the! No pain, so I did not administer morphine ; other pain meds patient started breathing again and ended. And radiation characteristics, and radiation post MI dr immediately ), increased,. Tachypnea ) Docmerit is super useful, because you study and make money at the time Obtain. The nurse identifies which cardiac risk factors specific to Carl Shapiro & # x27 ; s vital signs throughout scenario! Their field which ensures perfect Assignment as per instructions the pain and emotional of. Blurred vision super useful, because you study and make money at the same time doses of Nitroglyce! From patient including location, intensity, duration, characteristics, and patient. Because you study and make money at the start of the following 2... I proceeded it helped me a lot to clear My final semester exams of their field which perfect... Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities adjustment! Taking her morphine the changes in Carl Shapiros vital signs throughout the.! Health team members rate changes what would you do differently if you to... Had No pain, so I did not administer morphine strong bilaterally, and code team was called is useful... Beginning of the simulation, Carls rhythm showed sinus rhythm meds patient started breathing again and scenario ended his!
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