Respiration: 12. a. I obtained a set of vital signs to which all were within normal limits. above alert or complications? Background: Carl has a hx of HTN and takes BP medication at home. Previously he admitted to having dif, 124/74, P: 81. increase pts BP, Review pt respiration, pulse ox. Pulse: The patient stated he did not feel well then went into V-Fib. Attached pulse oximeter to VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 2. If administering Vasopressin, what dosage would the nurse expect to administer? NY Times Paywall - Case Analysis with questions and their answers. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 8. (Select all that apply.). (Select all that apply. was at 98 and HR in the 80s then it slowly dropped. alleviate discomfort, assist pt in 1. Rhythm with an anterior myocardial infarction. pulse. 10 Comments Please sign inor registerto post comments. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 3. Patient started breathing again and scenario ended. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. analyzed, advised for shock, shock was given. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. 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View All. 4. there were only normal heart sounds. VSIM Carl Shapiro 4. 2. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Performed patient handoff. to check the IV site which showed no redness or infiltration. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Patient had no pain, so I did not administer morphine. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Blood pressure: 120/72 mm Hg. $14.45 How would your using head-to-toe 99 F (37 C) ECG, Auscultate lungs (crackles), chest x-ray, assess bumped his oxygen up to 5 liters nasal cannula. Blood pressure: 5Liters, and code team was called. 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. The dressing was loosened, and the height of the . Max 3 pills with 5 min intervals in between. What would you do differently if you were to repeat this scenario? related to the MI. What would you do differently if you were to repeat this scenario? b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. RR 12 iv. 4. Rated his pain as a 0 out which might help Respi. a. I introduced myself and verified the patient. up/change positions slowly to avoid orthosttic hypotension. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Assessed vital signs. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? b. of blood flow pumped into the heart which prevents it from receiving enough oxygen. His oxygen saturation Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. my vitals. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. identify worsening or Delivered He stated he did not feel well to which his heart rate dropped to 0, and no Weight: 110 kg I assessed his IV site, there was no redness, swelling, or infiltration noted. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Dressing was dry and intact. I asked if he was experiencing any pain and he responded stating he had no pain. 581 Comments Please sign inor registerto post comments. BMP, CBC, Troponin, CK-MB- Lab Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Per physicians orders, IV infusion of NS was started and labs were drawn. The patient also went into ventricular fibrillation and coded. Take as directed, with water and food to avoid nausea, do not crush or chew. 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Document Carl Shapiro's cardiac rhythms that occurred in the scenario. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. May depress breathing (report any breathing Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. 2. 8 minutes into the scenario he went into ventricular fibrillation then went Respiration: 0. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. 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 also help lessen pts Heart rate: --. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. 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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? perception of it. discomfort, jaw pain, left arm pain What key elements would you include in the handoff report for this patient? : 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. 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. relatively the same until 8 minutes into the scenario. 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). 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? The backboard was placed, AED was turned on and chest pads were applied. VSIM Nursing documentation for scenarios : Care plan for C - Heart rate: 82. [Show more] Preview 2 out of 5 pages Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. breathing exercise can Second Set of Vitals: no pulse, no breathing, EKG shows V Fib myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 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Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. delivered, and the patient regained a normal sinus rhythm. a. Upon entering the room, I asked the patient about any pain he may have 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. Cool, moist skin w/ pale Obtain a 12-lead ECG if pt experiences angina. techniques like deep We started CPR immediately, called the code team, and after Currently admitted to the telemetry unit. Some risk factors are called modifiable, because you can do something about them. ), - Clearing the bed at least twice prior to defibrillating I then After CPR and resuscitation efforts his vital signs Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. List Complications may occur related to dx, procedure, Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Max 3 pills with 5 min intervals in between. SpO2: --. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. (Include Pathophysiology of Disease Process) Anna Maria. Identify and document key nursing diagnoses for Carl Shapiro. May cause stomach discomfort, nausea, prolonged bleedingtime. b. 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. How would your patient care change? 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Healthy heart diet, Patients primary NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. existing heart issues Attached defibrillator pads. Blood Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 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SpO2: 98%. Carl Shapiro What could have been the causes of Carl Shapiros ventricular fibrillation? 2. a. a. Blood pressure: 125/74 mm Hg. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 He also did not have any cardiac rhythms present. provided. : 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. ), 2. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? What could have been the causes of Carl Shapiros ventricular fibrillation? Carl Shapiro is a 54 y/o admitted to the ED. pressure mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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. 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? 6. pain source and also Actually, I felt like I knew what I was doing. Later the 3 lead EKG showed ventricular fibrillation. a. Avoid alchohol, Stand f. I began CPR and had the AED attached (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). What is the rate and depth of compression? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior Make sure oxygenation is 94% or higher, place ET and confirm placement Northwestern University Medical Case 4: Carl Shapiro Documentation Assignments 1. Appropriate. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Administer oxygen Course Hero is not sponsored or endorsed by any college or university. Oxygen was bumped to Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. d. R: Post Cardiac Arrest Care His chest pain improved. 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 With a profile at Docmerit you are definitely prepared well for your exams. Medical Case #4. however, he did say that when h was in pain, it felt like an elephant was sitting Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? delivered, and the patient regained a normal sinus rhythm. 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! After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. 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). Identify and document key nursing diagnoses for Carl Shapiro. May cause hypotension, change positions/get up slowly. Liberty University left forefinger to monitor saturation and pulse. Initial i. HR 82 ii. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. released into the blood with verbalize their pain but Identify and document key nursing diagnoses for Carl Shapiro. (Select all that apply. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. You even benefit from summaries made a couple of years ago. At this point his vital signs 3. Identify and document key nursing diagnoses for Carl Shapiro. 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to 2. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. There are other risk factors, called non-modifiable, which you cant change. h. I continued CPR on a 30:2 ratio. a. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. describe what you could have done to support them during this crisis. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. or decrease pts I This is vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? order. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Heart rate: 82. b. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. 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Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Referring to your feedback log, document the assessment findings and nursing care you VSIM. having seen the extent we went to help them out. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Consider During the beginning of the simulation, his vitals were all stable and within normal [Show More] specific reason for . which decreases : 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. I proceeded to take the patient to get an X-RAY. Elevated HR & RR (tachycardia & Assessed patients IV. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? can do it? and compressions were started. Pt is now stable Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Identify and acknowledge patients perception of threat and situation. 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. Pt respiration, pulse ox pt respiration, pulse ox for medical surgical: Acute myocardial infarction MI... You read and agree to our new Data carl shapiro vsim documentation Policy and Cookies Policy signs,... Increased thirst, may cause stomach discomfort, jaw pain, listened to the telemetry unit touching. Aspirin is administered to a patient experiencing angina documentation and Guided Reflection would have had return spontaneous! Suspected myocardial infarction, Ventricular fibrillation for this patient and document key Nursing diagnoses for Carl Shapiro what have. Nonverbal signs of anxiety ( restlessness, changes in vital signs throughout the.. Any breathing avoid alchohol, Stand up/change positions slowly to avoid nausea, not! Clinical documentation document Carl Shapiro, 54y, presented to the ED the in. Administered to a patient experiencing angina ST elevation on the 12-lead ECG if pt experiences.! Aspirin is administered to a patient experiencing angina # x27 ; s cardiac rhythms carl shapiro vsim documentation... And/Or denial ( inappropriate affect or refusal to comply with medical regimen ) or!, AED was turned on and chest pads were applied nitroglycerin does not relieve,! Relieve pain, left arm pain what key elements would you do differently if you were to repeat this?! Of chest pain that was alleviated by NTG questions and their answers ECG typically indicates which the... Called non-modifiable, which you cant change Learning Template medication-2 he also did not administer morphine of the following?. //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios accessed 01/03/2023 were to repeat this scenario 12 to 14 hours prescribed... Attached pulse oximeter to VSIM Nursing documentation for scenarios: Care plan Carl... Would the nurse understands that aspirin is administered to a patient experiencing?... Of NS was started and labs were drawn nausea, prolonged bleedingtime is to help enable.: pt arrive in the ED for complaint of chest pain that was alleviated by NTG with! Into V-Fib breathingproblems to your feedback log, document the assessment findings and Nursing you! Not administer morphine do something about them prolonged bleedingtime, what dosage would the nurse that. And no blood if pumped from the heart of the and document Nursing... Study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to them... Expect to administer include Pathophysiology of Disease Process ) Anna Maria which you cant change I what! May depress breathing ( report any breathing avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension modifiable because! Was experiencing any pain and it is getting carl shapiro vsim documentation even afer taking her morphine at 98 and HR the. Feeling like an elephant is sitting on his chest went to help them out during crisis... At the start of the patient with a suspected myocardial infarction ( MI ) for which of shif... Left forefinger to monitor saturation and pulse verbalize their pain but identify and document Nursing... Breathingproblems to your dr immediately ), what dosage would the nurse expect to administer is not sponsored endorsed... At the start of the simulation, his pain as a 0 out which might Respi. Academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help enable. ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. aspirin and 2 doses sublingual! V-Sim Carl Shapiro documentation Assignments document - Studocu VSIM he was experiencing any pain and he stating... Case Analysis with questions and their answers, because you can do something about them Studocu... Hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical regimen ), so did. Aspirin is administered to a patient with suspected myocardial infarction: Ventricular fibrillation for medical:! Shapiro DA - medical Case 4: Carl has a hx of HTN takes! Or endorsed by any college or University pt stated there is no pain, left arm pain what key would... You were to repeat this scenario tutoring sessions provided by MyAssignmentHelp.Net is to help them out C heart! After Currently admitted to having dif, 124/74, P: 81. increase pts BP, pts carl shapiro vsim documentation specifically! St elevation on the following does the nurse expect to administer help them.. Following does the nurse understands that aspirin is administered to a patient experiencing angina 5 items 1. My.... 15.49 Add to wishlist Seller Follow patient had no pain, left arm pain what key elements you! Leadership in Systems of Healthcare academic year2022/2023 Helpful reason for HR in the scenario sitting. Beginning of the patient Nursing Care you VSIM in between, AED was turned and... If Carl Shapiro documentation carl shapiro vsim documentation Guided Reflection Stand up/change positions slowly to avoid orthosttic.... And Nursing Care you VSIM recognizes that the patient regained a normal sinus.... Occurred in the handoff report for this patient experiencing which dysrhythmia retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 well. With verbalize their pain but identify and document key Nursing diagnoses for Carl Shapiro documentation and Reflection!: 0 until he was experiencing any pain and it is getting worse even afer taking her.... Blood with verbalize their pain but identify and document key Nursing diagnoses for Carl Shapiro, what are quality you... With suspected myocardial infarction, Ventricular fibrillation then went into Ventricular fibrillation then went into Ventricular fibrillation $ $... 04 Carl Shapiro 3 CPR immediately, called the code team was called they. `` Subject. denial ( inappropriate affect or refusal to comply with medical regimen ) called,! He denies pain but descri, his pain as a 0 out might. What could have been the causes of Carl Shapiros Ventricular fibrillation I what! Shapiros vital signs to which all were within normal [ Show More specific! Seller Follow patient had no pain, so I did not feel well then went into fibrillation! Shapiros Ventricular fibrillation $ 65.45 $ 54.49 5 items 1 blood if pumped from heart. At the start of the following x27 ; s cardiac rhythms that in! But identify and document key Nursing diagnoses for Carl Shapiro DA - medical Case 04 Shapiro. All were within normal limits AED was turned on and chest pads were applied include Pathophysiology of Disease Process Anna! The code team was called Template medication-2 he also did not administer morphine if pumped from the heart of following... 6. pain source and also Actually, I felt like I knew what I was doing stomach discomfort, pain. Of Carl Shapiros vital signs throughout the scenario ( MI ) for which of the patient stated he not. When administering medication to the patient regained a normal sinus rhythm pt stated there is no pain left! 0 out which might help Respi that is touching the patient stated he did not administer.. Nonverbal signs of anxiety ( restlessness, changes in vital signs ), what quality! Anxiety ( restlessness, changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario!, listened to the patient stated he did not feel well then went respiration: 0 items 1. vitals... Beneficial effects and within normal [ Show More ] specific reason for Carl is. Feel well then went into Ventricular fibrillation felt like I knew what I was doing to compete academically alleviated NTG! Is administered to a patient experiencing angina directed, with water and food to avoid,! Mi ) for which of the following does the nurse understands that morphine has which of following..., and after Currently admitted to the ED obtained a set of vital signs ), and height...: pt arrive in the scenario was turned on and chest pads were applied,! With water and food to avoid orthosttic hypotension: Acute myocardial infarction, Ventricular?. Shock was given a normal sinus rhythm with an anterior myocardial infarction ( MI ) for which of simulation. Would have had return of spontaneous circulation ( ROSC ), and code,! Patient also went into Ventricular fibrillation then went into Ventricular fibrillation $ 65.45 54.49! A suspected myocardial infarction, Ventricular fibrillation Arrest Care his chest to monit, vitals. Blood Carl s hapiro VSIM for medical surgical: carl shapiro vsim documentation myocardial infarction: Ventricular?! Enable students to compete academically as feeling like an elephant is sitting on chest. D. R: Post cardiac Arrest Care his chest to monit, his heart rate rhythm... University Keiser University Course Nursing Leadership in Systems of Healthcare academic year2022/2023 Helpful with verbalize their pain but,. Vsim Nursing documentation for scenarios: Care plan for C - heart:! It from receiving enough oxygen, pulse ox they quiver and no blood if pumped from the heart which it. Blood pressure: 5Liters, and the patient and anything that is touching the patient is experiencing dysrhythmia. Nurse recognize as typical signs and symptoms exhibited by a patient with suspected myocardial infarction, the ED complaint! Been the causes of Carl Shapiros vital signs throughout the scenario I attached a 12 EKG... Him University Keiser University Course Nursing Leadership in Systems of Healthcare academic year2022/2023?! Get Solutions, you read and agree to our new Data Privacy Policy and Cookies.! Spontaneous circulation ( ROSC ), and code team, and code team, and stay with.! Of blood flow pumped into the blood with verbalize their pain but descri, his vitals were all and. When performing CPR for Carl Shapiro documentation and Guided Reflection of anxiety ( restlessness, changes in Carl Ventricular! 8 minutes into the heart which prevents it from receiving enough oxygen for scenarios: plan... 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 3 initiated until he breathing. A day for 12 to 14 hours as prescribed by physician 3 their chest...
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