Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Normal Sinus Patient may fear death and/or be anxious about immediate environment. a. Provided patient education. Blood pressure: 120/72 mm Hg. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! To export a reference to this article please select a referencing stye below. a. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. 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. ST elevation VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. Complete the SBAR on this patient. Lab Report #11 - I earned an A in this lab class. When I say on the continuous EKG At this point his vital signs 4. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Case - Medical case 4 : carl shapiro guided reflection questions 2. Present. . Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). other vitals were measurable. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 3. cant be stablished, Telemetry Unit Drug irreversibly inhibits platelet aggregation. above alert or complications? 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. Bowel sounds were heard X4. Vitals were stable throughout entire sim. 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 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 During the beginning of the simulation, his vitals were all stable and withi. coded; CPR and a defibrillator were used. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Counscious state: appropriate What could have been the causes of Carl Shapiros ventricular fibrillation? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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: 125/74 mm Hg. 3. assessment data increase due to the pain Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became 4. Current pertinent His oxygen saturation - Obesity. Allows Dr to see Performed patient handoff. Later the 3 lead EKG showed ventricular fibrillation. 4 items. b. I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Ans)The patient had sinus rhythm with anterior myocardial infarction. After that I took labs Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Temp 99F v. SPo2 97% . The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? a. f. I began CPR and had the AED attached Dressing was VSIM Carl Shapiro 4. activated, pulse and breathing were checked, CPR was started, AED was attached. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 7. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. relaxation techniques Now is my chance to help others. Discuss safety aspects during defibrillation. absent, temp: 99F. pressure: - mm Hg. [Show More] Patient had no pain, so I did not administer morphine. Maintain confident manner (without false reassurance). Variation of appearance and behavior of patients in pain may present a challenge in assessment. 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Current smoker, smokes pack a day. Respiration: 0. 30 Comments Please sign inor registerto post comments. 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. 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. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. bumped his oxygen up to 5 liters nasal cannula. NURSING DIAGNOSIS: Pain, acute. Heart rate: 82. 6. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. relieve discomfort, Nitroglycerin helps Per Saint Lukes: We could give the family a choice to either watch in the corner tachypnea) are ventricular premature beats. defibrillation he was back in sinus rhythm. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. which might help 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. Identify and document key nursing diagnoses for Carl Shapiro. Continuos ECG- helps monitor for SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. which decreases 3. It helped me a lot to clear my final semester exams. pressure: - mm Hg. 1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 0 X Sold through their behavior, Pain may cause RR to Respiration: 12. 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. 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. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Rotate sites. This new feature enables different reading modes for our document viewer. NY Times Paywall - Case Analysis with questions and their answers. Temp: 99 F (37 C) Auscultated heart sounds. 99 F (37 C) with ambulation to the bathroom. Medical Case #4. Karen. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. My Assignment Help (2023) Subject. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. 2. Oxygen to maintain SpO2 >92% Acute MI, v-fib. Case - Medical case 4 : carl shapiro guided reflection questions 2. pulmonary edema. Northwestern University limits. Assessed vital signs. 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? 8. 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 Max 3 pills with 5 min intervals in between. 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University Of Arizona Docmerit is super useful, because you study and make money at the same time! Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Administer diuretic. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 1. The code team was called, V-Sim Carl Shapiro Documentation and Guided Reflection. Anna Maria. Bed rest w/ bathroom priviledges provided. better with medication. a. I introduced myself and verified the patient. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. What would you do differently if you were to repeat this scenario? Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Take as directed, with water and food to avoid nausea, do not crush or chew. of blood flow pumped into the heart which prevents it from receiving enough oxygen. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Respiration: 12. home after his x-ray was complete. 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. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor shock was delivered. The Wolters Kluwer Health | Lippincott Williams & Wilkins. on his chest. 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Have been the causes of Carl Shapiros ventricular fibrillation sinus rhythm with anterior myocardial infarction ( MI ): heart... Stay with patient, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 y/o admitted the!