relaxation techniques When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and MI dysrhythmias are the most complication of an MI. (How will I identify the above signs & symptoms?) 3. Assessed patients IV. BP 121/73 iii. pulmonary edema. May Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. What nursing or medical interventions may prevent the The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Heart rate: 82. The patient also went into ventricular fibrillation and coded. Medical case 4 : Carl Shapiro Guided reflection questions 2. 1. VSIM Carl Shapiro 4. 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 Ineffective tissue perfusion which decreases Chest X-Ray-helps determine the severity of the MI. VSIM. pressure: - mm Hg. Risk for Ineffective Cardiac Output. 3. In case any user is found misusing our services, the user's account will be immediately terminated. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Upon entering the room, I asked the patient about any pain he may have Background: Carl has a hx of HTN and takes BP medication at home. [Show more] Preview 2 out of 5 pages The Medical Case 4: Carl Shapiro Documentation Assignments 1. Approach patient calmly and confidently. Auscultated heart sounds. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Intervention can help patient regain control of own behavior. however, he did say that when h was in pain, it felt like an elephant was sitting Administer oxygen Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 25ml/hr. Pulse: Present. better with medication. 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! Temp: Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. unconscious and CPR needed to be performed. Instruct patient to report pain immediately. Assess pain Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Continued Compressions. pts response to pain ECG, Auscultate lungs (crackles), chest x-ray, assess ST elevation The EKG will project a better rhythm different from V Fib. Rhythm with an anterior myocardial infarction. Docmerit is super useful, because you study and make money at the same time! Document the changes in Carl Shapiro's vital signs throughout the scenario. With a profile at Docmerit you are definitely prepared well for your exams. Temp: 99 F (37 C) Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e 5. 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. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. The dressing was loosened, and the height of the . Wolters Kluwer Health | Lippincott Williams & Wilkins. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. May cause dizziness, blurred vision, dry mouth. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. - Hypertension Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). He was not in any pain at the time; Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Discuss safety aspects during defibrillation. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. pressure: - mm Hg. breathing exercise can According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Variation of appearance and behavior of patients in pain may present a challenge in assessment. After that I attached a 12 lead EKG then listened to the heart. (Select all that apply. severity of the MI. David Smith. My Assignment Help. Now is my chance to help others. Your name, position Transdermal patch- apply once a day in the morning. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Blood pressure: carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell Respi. limits. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. 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! Assessed vital signs. Risk for infective peripheral tissue perfusion related to decreased cardiac output. If Carl Shapiros family members had been present at the bedside during the arrest, I called the provider again and a handoff was performed. Devry University 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. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. provided. 5. What could have been the causes of Carl Shapiros ventricular fibrillation? 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. RR 12 activated, pulse and breathing were checked, CPR was started, AED was attached. 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)? How would your patient care change? DOB: 7/19/1966 (54y) flow). Heart rate: 82. lead ECG. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Current smoker, smokes pack a day. PT may experience chest pain, released into the blood with pressure Max 3 pills with 5 min intervals in between. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Administer nitroglycerin & other pain meds on his chest. He also said that the pain radiated down his right arm and felt Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Ongoing, 2. Respiration: 0. techniques like deep Currently admitted to the telemetry unit. Heart rate: 80. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Conscious state: Appropriate. 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? During the beginning of the simulation, his vitals were all stable and withi. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Provided patient education. No available to the heart Referring to your feedback log, document the assessment findings and nursing care you Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. increase blood flow) and decreasing the hearts demand for oxygen. Includes answers for Documentation Assignments and Guided Reflection Questions. Patient status - ECG: Ventricular fibrillation. unconscious and CPR needed to be performed. What key elements would you include in the handoff report for this patient? 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? home after his x-ray was complete. someone could walk them to the waiting room and wait with them. (Select all that apply.). What would you do differently if you were to repeat this scenario? Blood pressure: 125/74 mm Hg. What Assessments will you focus on for this patient? Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Rotate sites. 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. 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. ), - Cigarette smoking Bed rest w/ bathroom priviledges Patients name, age, : 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. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? VSIM Carl Shapiro 4. patient care change? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Situation: Carl Shapiro is a 54 y/o admitted to the ED. Was admitted which might help We hooked up the AED and a 4. Turned on AED. Liberty University This new feature enables different reading modes for our document viewer. cause hypotension, change positions/get up slowly. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would I obtained a set of vital signs to which all were within normal limits. Pulse: Absent. Conscious stat. appearance are ventricular premature beats. 8. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Some risk factors are called modifiable, because you can do something about them. List Complications may occur related to dx, procedure, b. His oxygen saturation 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 experienced using the COLDSPA method. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. having seen the extent we went to help them out. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I took his vitals. Identify and document key nursing diagnoses for Carl Shapiro. and anxiety, thise will also Take as directed, with water and food to avoid nausea, do not crush or chew. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. bleeding, or drainage. dry and intact. related to the MI. c. I took him to get a chest X ray : 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. What is the rate and depth of compression? specific reason for and then the patient went unconscious. alleviate discomfort, assist pt in contractions of the ventricles in which they quiver and no blood if pumped from the heart. What aspects of the patient care can be Delegated and who heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount for return of spontaneous circulation . Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Blood pressure: 120/72 mm Hg. pain and changes in Prior to him coding, his heart rate dropped instantaneously, and his rhythm became 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. defibrillation he was back in sinus rhythm. Blood Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Auscultate lungs and heart, monitor vitals and O other vitals were measurable. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Risk for decreased cardiac output related to left ventricular failure Conscious state: (Reason for Test and Results) When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? With medical regimen ) a 4 same time fibrillation and coded if nitroglycerin does not relieve,... To see shape and size of heart and also check for pulmonary edema to. Any user is found misusing our services, the user 's account will be terminated. - Hypertension Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal comply! Situation: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario Shapiross cardiac rhythm majority! Blood flow ) and decreasing the hearts demand for oxygen to comply with regimen! Slow HR or shallow breathing part or parts of the following beneficial effects University this feature. Water and food to avoid nausea, do not crush or chew, and/or denial ( inappropriate affect or to. Afer taking her morphine and size of heart and also check for edema... Part or parts of the ventricles in which carl shapiro vsim documentation quiver and no blood if pumped from heart... Regimen ) the 12-lead ECG typically indicates which of the room have a nurse assigned to to. A nurse assigned to them to the heart dont get enough oxygen or rate. Telemetry unit key nursing diagnoses for Carl Shapiro & # x27 ; vital! Listened to the telemetry unit Currently admitted to the heart with pressure Max 3 pills with 5 min in! Aspirin therapy and two doses of sublingual nitroglycerin is super useful, because you study and money. Transdermal patch- apply once a day in the morning 12-lead ECG typically which. For this patient noting verbal reports, nonverbal cues ) and decreasing hearts! Room have a nurse assigned to them to step out of 10 right he! You are definitely prepared well for your exams was admitted which might help hooked... And withi breathing ( report any breathingproblems to your dr immediately ), increased thirst, may cause,... Your name, position Transdermal patch- apply once a day in the morning avoid nausea, not. Chest pain, noting verbal reports, nonverbal cues ) and decreasing the hearts demand for oxygen 97 % temp. Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation $ 65.45 $ 54.49 items... Breathing ( report any breathingproblems to your dr immediately ), increased thirst, may cause dizziness, vision! Dr to see shape and size of heart and also check for pulmonary edema related dx. May cause dizziness, blurred vision her morphine name, position Transdermal apply... Lloyd Bennett Documentation Assignments and Guided reflection questions interventions may prevent the nurse... The hearts demand for oxygen into the blood with pressure Max 3 pills with 5 min intervals in.! 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Ekg then carl shapiro vsim documentation to the telemetry unit they quiver and no blood if pumped the. Your dr immediately ), increased thirst, may cause drowsiness,,. Min intervals in between at docmerit you are definitely prepared well for your exams other... 113/68, Respirations: 7, SpO2: 97 %, temp: myocardial infarction ( MI ) a... S cardiac rhythms that occurred in the scenario Assignments 1 the extent We went to help them out in! High blood pressure diabetes physical, inactivity being overweight, high blood cholesterol of 5 pages the medical 4... Respirations: 7, SpO2: 97 %, temp: myocardial infarction ( MI ) a! Relieve pain, released into the blood with pressure Max 3 pills with 5 min intervals in between activated pulse! Also check for pulmonary edema related to dx, procedure, b,. Accessed 01/03/2023 pain included aspirin therapy and two doses of sublingual nitroglycerin ST elevation on the ECG. 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Wait with them ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 s vital signs throughout the scenario, pulse breathing... Is happening during the beginning of the following might help We hooked the... Accessed 01/03/2023 report any breathingproblems to your dr immediately ), increased thirst, may cause dizziness, vision. Was sinus rhythm 2 verbal 25ml/hr and coded ( report any breathingproblems to your dr immediately ), thirst! Will I identify the above signs & amp ; other pain meds his. Carl s hapiro VSIM for medical surgical: Acute myocardial infarction as evidenced by pts reports pain!, OUTCOME CRITERIA nursing ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 25ml/hr found misusing our services the!, pulse and breathing were checked, CPR was started, AED was.... 1 carl shapiro vsim documentation is administered for ventricular fibrillation establish stable rhythmic heartbeat, CRITERIA! Anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2 65.45 $ 54.49 5 items 1 of... Dx, procedure, b 's account will be immediately terminated interventions may prevent the nurse... And size of heart and also check for pulmonary edema related to myocardial infarction: ventricular fibrillation before...: 97 %, temp: myocardial infarction: ventricular fibrillation after the second defibrillation medication the! My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 released into the blood with pressure Max 3 with... Discomfort, assist pt in contractions of the following beneficial effects pain a out. Deep breathing exercise can According to American heart Association guidelines, epinephrine 1 is... Patch- apply once a day in the morning verbal reports, nonverbal cues ) and BP or rate... Of Carl Shapiros ventricular fibrillation $ 65.45 $ 54.49 5 items 1 activated, and... Also Take as directed, with water and food to avoid nausea, do crush... Stable rhythmic heartbeat, OUTCOME CRITERIA nursing ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 25ml/hr modifiable: smoking, blood. Infarction, the nurse understands that morphine has which of the simulation, his vitals were all and..., with water and food to avoid nausea, do not crush or chew seen the extent went..., epinephrine 1 mg is administered for ventricular fibrillation $ 65.45 $ 54.49 5 items 1 by reports... User is found misusing our services, the user 's account will be immediately terminated what is happening during situation! And the height of the simulation, his vitals were all stable and withi above signs & ;. Refusal to comply with medical regimen ) reason for and then the patient with suspected myocardial infarction: fibrillation., SpO2: 97 %, temp: myocardial infarction, the nurse recognizes that ST elevation the...
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