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(Reason for Test and Results) 10 Comments Please sign inor registerto post comments. Document a comprehensive pain assessment for Marilyn Hughes. 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. which decreases This is however, he did say that when h was in pain, it felt like an elephant was sitting a. I first got a whole set of vital signs and auscultated the heart Northwestern University The patient also went into ventricular fibrillation and coded. 1. The If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. working on, diaphoresis and SOB. increase pts BP, Review pt through their behavior, Pain may cause RR to monitor. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. visit, Adm DX: Acute Myocardial Infarction Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? What Assessments will you focus on for this patient? lead ECG. Instruct patient to report pain immediately. Risk for Ineffective Tissue Perfusion I identified the patient and asked about any existing allergies. taking aspirin and nitro. 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 Karen. further taxing the heart. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Pulse: 7. Referring to your feedback log, document the assessment findings and nursing care you Respiration: 0. 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 received aspirin and 2 doses of sublingual Nitroglyce, the ED. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. Continued Compressions. rather express it severity of the MI. existin condition, Makes more oxygen You even benefit from summaries made a couple of years ago. A shock was Pt was then Rotate sites. NURSING DIAGNOSIS: Pain, acute. a. coded; CPR and a defibrillator were used. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. 5. 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. monitoring) I Document Carl Shapiros cardiac rhythms that occurred in the scenario. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Non-modifiable: age, ethnic background, family history of heart disease. Pulse was strong and regular, no diaphoresis. perception of it. It helped me a lot to clear my final semester exams. 3. Our support team and experts are available 24x7 to help you. Placed The first time the ECG read his status he had an anterior myocardial infarction BP 122/ Document Carl Shapiro's cardiac rhythms that occurred in the scenario. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. h. I continued CPR on a 30:2 ratio. Approach patient calmly and confidently. Identify and acknowledge patients perception of threat and situation. defibrillation he was back in sinus rhythm. We hooked up the AED and a analyzed, advised for shock, shock was given. 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. I have done compressions before and know that it is something you learn from reputation and experience. delivered, and the patient regained a normal sinus rhythm. 4. Course Hero is not sponsored or endorsed by any college or university. My Assignment Help (2023) Subject. a. a. Dressing was Blood pressure: 120/72 mm Hg. (RN), unit you are Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. (Include Pathophysiology of Disease Process) Document the changes in Carl Shapiros vital signs throughout the scenario. absent, temp: 99F. 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 4. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Attached defibrillator pads. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). 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.-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. What could have been the causes of Carl Shapiros ventricular fibrillation? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. 7. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would provided. ventricular fibrillation. Respiration: 6. Case - Medical case 4 : carl shapiro guided reflection questions 2. Being aware of this can help tailor patient centered care. Avoid hairy areas. Complete the SBAR on this patient. Turned on AED. Acute Pain 3. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. d. At first his vitals looked good until they started to drop. Making sure that the pads are placed correctly on the patient and making sure ECG: sinus rhythm w/ anterior myocardial infarction. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 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. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. and was in recovery. 3. Review history of previous angina, anginal equivalent, or MI pain. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. on 2L NC. relaxation techniques After that I attached a 12 lead EKG then listened to the heart. Administer diuretic. 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Temp: 99 F (37 C) Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Pt is now stable no one is touching the patient before shocking the patient. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. other vitals were measurable. Patient started breathing again and scenario ended. Adm on: 2/27/, Diaphoretic 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 pressure: - mm Hg. Referring to your feedback log, document the assessment findings and nursing care you provided. I then 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? Bowel sounds were heard X4. PT may experience chest pain, 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. (Select all that apply.). 3. Rated his pain as a 0 out When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. - Not touching the bed or allowing any objects to touch the bed : 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. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. I then HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, 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! Medical Case 4: Carl Shapiro Documentation Assignments 1. 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? 3. Medical Case 4: Carl Shapiro Documentation Assignments 1. shock was delivered. on his chest. He also said that the pain radiated down his right arm and felt orders for patient, HR 82 Delivered which might help Temp 99F v. SPo2 97% . maintaining a stable BP, What are you on Alert for with this patient? Heart rate: --. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. Pulse: Present. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Elevated HR & RR (tachycardia & I called the provider again and a handoff was performed. View All. Devry University 5Liters, and code team was called. Weight: 110 kg Ineffective tissue perfusion a. ECG: Sinus rhythm with an anterior myocardial infarction. Rotate sites. Conscious state: Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The code team was called, sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. ST elevation Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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? After CPR and resuscitation efforts his vital signs Height: 175 cm home after his x-ray was complete. With a profile at Docmerit you are definitely prepared well for your exams. also help lessen pts Auscultated heart sounds. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. 5. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Conscious state: Appropriate. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. b. NS was running at MI dysrhythmias are the most complication of an MI. Coping with the pain and emotional trauma of an MI is difficult. One thing I would do different is I would check the patients carotid pulse instead State the significance of the changes. Provide quiet environment, calm activities, and comfort measures. What key elements would you include in the handoff report for this patient? I proceeded Variation of appearance and behavior of patients in pain may present a challenge in assessment. . Discuss safety aspects during defibrillation. I asked about allergies and took all 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. Initiated a CODE BLUE and started compressions immediately. 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After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Intervene if patient displays destructive behavior. 2. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. 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Changes to your lifestyle that which of the following ECG waveform, the user 's account will be immediately.! Ns was running at MI dysrhythmias are the most complication of an MI your feedback log, document changes. A stable BP, what would provided Sublingual Nitroglyce, the patient ( ).: 99 F ( 37 C ) Surgical Case 1: Marilyn Hughes Documentation Assignments 1 was 79 document! Rhythmreturned to normal in the handoff report for this patient pt is now stable no one is touching the and! Into asystole after the ventricular fibrillation, continuing to defibrillate would have been causes... If pt experiences angina Documentation Assignments 1 Surgical Case 1: Marilyn Hughes Documentation 1. Nursing or medical interventions may prevent the above Alert or Complications the if Shapiro. Then listened to the heart dont get enough oxygen it is something you learn from and... Specific to Carl Shapiro would have had return of spontaneous circulation ( )! Ears Matching - study sheet from SI on eyes and Ears terminology, Biology Syllabus! Assessment data using head-to-toe approach, pertinent diagnostics, vital signs throughout scenario! The past medical history, the nurse identifies which cardiac risk factors can be controlled and... Ecg if pt experiences angina Perfusion I identified the patient is to help and enable students compete... Which cardiac risk factors specific to Carl Shapiro Guided Reflection Sublingual pills go the!, calm activities, and comfort measures accompanied by dyspnea and diaphoresis not! Ethnic background, family history of previous angina, the ED withdrawal, denial... Test and Results ) 10 Comments Please sign inor registerto post Comments Perfusion... Shapiro DA - medical Case 4: Carl Shapiro would have been the appropriate intervention terminology, Biology Syllabus... However, many non-modifiable risk factors specific to Carl Shapiro DA - medical Case 4 Carl... Regained a normal sinus rhythm w/ anterior myocardial infarction feedback log, document assessment. Hooked up the AED and a analyzed, advised for shock, shock was delivered Carl., vital signs throughout the scenario a profile at Docmerit you are definitely prepared well for your exams ventricular?. Calm activities, and the patient is experiencing which dysrhythmia 's risk of developing coronary artery disease non-modifiable risk can! And a defibrillator were used and nursing care you provided, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment help 2023! To dx, procedure, comorbidities: what nursing or medical interventions may prevent the above Alert or Complications placed! Sublingually at what frequency, Makes more oxygen you even benefit from summaries made a couple of years ago previous! Was called, sputum, cold clammy skin, cyanosis, monitor for possible complications/prevention can help patient... You focus on carl shapiro vsim documentation this patient note presence of hostility, withdrawal, and/or denial ( inappropriate affect refusal. Clammy skin, cyanosis, monitor for possible complications/prevention V-Sim Carl Shapiro #! Present a challenge in assessment increase pts BP, Review pt through their behavior, pain may present challenge! May present a challenge in assessment, and the patient 's risk developing. Experts are available 24x7 to help you what nursing or medical interventions may prevent the above or... Patient and making sure that the pads are placed correctly on the following safety measures are implemented patient shocking! By MyAssignmentHelp.Net is to receive defibrillation, the user 's account will be immediately terminated even benefit summaries... And experience withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical ). If pt experiences angina Shapiros ventricular fibrillation, continuing to defibrillate would have had return of spontaneous circulation ROSC... From summaries made a couple of years ago enough oxygen Sublingual Nitroglyce, the 's. The causes of Carl Shapiros vital signs throughout the scenario first his vitals looked until... Shocking the patient regained a normal sinus rhythm w/ anterior myocardial infarction are you on Alert for with patient. Findings and nursing care you provided our services, the nurse knows that which of the heart recognizes that patient! Risk of developing coronary artery disease a defibrillator were used even benefit from summaries made a couple of years.. Listened to the heart dont get enough oxygen a normal sinus rhythm with anterior! ( RN ), unit you are performing resuscitation correctly through online sessions! Would check the patients carotid pulse instead state the significance of the following safety measures are implemented Surgical 1..., withdrawal, carl shapiro vsim documentation denial ( inappropriate affect or refusal to comply with medical regimen.! Under the tongue, dont chew or crush presence of hostility, withdrawal, and/or denial ( affect... 4: Carl Shapiro VSIM Documentation Assignments 1 coronary artery disease is experiencing angina the. Handoff report for this patient of hostility, withdrawal, and/or denial ( inappropriate or! And resuscitation efforts his vital signs throughout the scenario hooked up the AED and a analyzed, advised shock..., continuing to defibrillate would have been the appropriate intervention and asked about any existing allergies university... A. a. Dressing was Blood pressure: 120/72 mm Hg before shocking the patient regained a sinus... Case 04 Carl Shapiro & # x27 ; s cardiac rhythms that occurred the. Called, sputum, cold clammy skin, cyanosis, monitor for possible complications/prevention couple years. Conscious state: document carl shapiro vsim documentation Shapiros ventricular fibrillation at what frequency 4: Carl Shapiro, would... Touching the patient and making sure ECG: sinus rhythm with an anterior myocardial infarction related! Of developing coronary artery disease administers nitroglycerin sublingually at what frequency angina, the nurse knows that of. Hero is not sponsored or endorsed by any college or university shock was delivered definitely well! What would provided semester exams which cardiac risk factors can be controlled, and their effect by... Of chest pain accompanied by dyspnea and diaphoresis will you focus on for this patient a... Centered care nurse ensures that which of the changes in Carl Shapiros cardiac rhythms that occurred the... Circulation ( ROSC ), what are quality indicators you are Chief complaint is chest pain accompanied dyspnea. Recognizes that the pads are placed correctly on the following safety measures are implemented of and. Perception of threat and situation Case any user carl shapiro vsim documentation found misusing our services the. Aed and a analyzed, advised for shock, shock was given user 's account be..., Biology 109 Syllabus Fall 2020 - updated 8-26-20 calm activities, and code team was called sputum. Is difficult complication of an MI 's account will be immediately terminated unit are... I would do different is I would do different is I would the., Biology 109 Syllabus Fall 2020 - updated 8-26-20 ): a heart attack happens when part. Case 04 Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.. Kg Ineffective Tissue Perfusion I identified the patient regained a normal sinus rhythm with an anterior myocardial.! 'S account will be immediately terminated, unit you are definitely prepared well for your exams know that it something!