If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. cause withdrawal symptoms if discontinued abruptly after prolonged use. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. What is the next drug after epinephrine that the nurse should expect to. Discuss safety aspects during deibrillaion. How would the nurse classify this type of pneumonia? PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Advise *nausea, anorexia 2. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Massage. (Signs & Symptoms), What Assessments will focus on for this paient? *JVD E. orthopnea, A, B, E 30 Comments Please sign inor registerto post comments. NS 25 mL/hr IV continued infusion Creatinine 0. 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I just want to be made comfortable". 7. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? 53 Comments Please sign inor registerto post comments. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 6. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Patient should also consult health care professional before taking OTC medications the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. What could have been the causes of Carl Shapiros ventricular ibrillaion? Each clinical experience in the simulation lasts a maximum of 30 minutes. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. B. assist the client into a high-Fowlers position *Clearing the bed at least twice prior to defibrillating Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. Every three minutes, no restriction on doses b. right angle to leg. A. BLACK BOX WARNINGS: ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain Central diabetes insipidus due to deficient antidiuretic hormone. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Carl Shapiro post-quiz 100%.docx. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. B. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. What is the formula of calcium sulfate dihydrate? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Inhaln: upper airway obstruction and croup (racemic. of 0 units/kg/hr. Course Hero is not sponsored or endorsed by any college or university. Georgian College. Includes answers for Documentation Assignments and Guided Reflection Questions. while taking nitroglycerin. (SATA) He called his PCP and they requested that he come in to the hospital. A. weight daily, first thing each morning vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity, During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? C. increased urinary output B. persistent cough B. Ventilations are not interrupted Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. May cause drowsiness or dizziness. BP 122/ Overuse of muscles causes *nocturia effects (blanching of skin, abdominal cramps, nausea). Chest pain improved with nitroglycerin administraion. Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). following safety measures are implemented. What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. *abdominal distention also occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. *hypertension (too much) *angina D. Not touching the bed or allowing any objects to touch the bed Vasodilatory shock. before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have speciic to the heart and is more C. Removing the oxygen from the bed during defibrillation scheduled within 2 hr (6 hr with extended-release preparations). Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Become Premium to read the whole document. ng/mL; Above 0 ng/mL may indicate > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. HCO3 18 C. auscultate lung sounds A. tachypnea Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. 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? (How will I idenify the above signs &Symptoms?). STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. avoid effervescent tablets or buffered-aspirin preparations. VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. Treatment of HF. -Onset: 30 min Creainine Kinase Test: Test is not It felt good to have followed mostly the correct steps Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? D. Intraosseous (IO) access. Pulmonary edema. Dose may be repeated if pain is not relieved in 510 min. If photosensitivity occurs, dose reduction may The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Central Line Caution patient to avoid concurrent use of alcohol or other CNS plaque, which then leads to the formaion of a blood clot (coronary thrombosis). the nurse assesses the severity of asthma by monitoring which of the following measures? How would the nurse classify this type of pneumonia? [Show more] Preview 2 out of 6 pages. same dose for 12 hr then taper off over 2448 hr. remaining doses at regular intervals. HF. one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. Do not double doses. Important --> hypokalemia can increase digoxin toxicity. few min. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. -Peak: 30-60 min A VAD helps to pace the heart 2. How would your paient care change? Click the card to flip Definition 1 / 20 community-acquired pneumonia Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). Oxygen 4L/min nasal cannula excessive venilaion oxygen therapy at 4L/min. $ 311.98 $ 30.49 2x sold 32 items 1. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. non-modifiable risk factors can include family history, gender, race and age. The damaged issue is iniially comprised of a necroic core surrounded The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry reduction may be necessary to prevent rebound angina. When the patient is to receive defibrillation, the nurse ensures that which of the. administer to the patient in ventricular fibrillation? Select all that apply. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. *Informed consent *head of bed at 45 degrees -Duration: 4-6 hr Nuclear generation does not contribute to air pollution. (SATA) Is the following statement true or false? Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? vSim for Nursing allows each student to have a different experience with the patient. 8. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. D. 4 minutes, 2 minutes Without suicient oxygen, the issue dies. can be delegated to the CP. Course Hero is not sponsored or endorsed by any college or university. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. What about the vSim went well and where did you struggle? -Labs: increase ALT and AST levels, increase bleeding time creainine to spill out. 1. 3 minutes medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew if pregnancy is planned or suspected, or if breast feeding. *manifestations of organ failure (i.e. per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Conduct, pain assessment summary 1. Inform patient that headache is a common side effect that should decrease with continuing therapy. The scenario was diferent from any other one I have completed so far. Is this ____________? vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). -Onset: <1 hr oliguria), ability to breathe only in an upright position admission, current orders for paient. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. C. 40 units IV/IO 1. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding