carl shapiro vsim documentation

Identify and document key nursing diagnoses for Carl Shapiro. bumped his oxygen up to 5 liters nasal cannula. 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Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI NURSING DIAGNOSIS: Pain, acute. alleviate discomfort, assist pt in Sublingual pills go under the tongue, dont chew or crush. For most of the scenario, it remained MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. pulmonary edema. Chest X-ray d. R: Post Cardiac Arrest Care 3. Attached defibrillator pads. BMP, CBC, Troponin, CK-MB- Lab Book Your Assignment help at The Lowest Price Now! Drug irreversibly inhibits platelet aggregation. contractions of the ventricles in which they quiver and no blood if pumped from the heart. There was no redness, swelling, infiltration, further taxing the heart. Cool, moist skin w/ pale The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? VSIM Carl Shapiro 4. 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(Select all that apply.). 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. Symptoms). Discuss safety aspects during defibrillation. I Identify and document key nursing diagnoses for Carl Shapiro. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Blood pressure: 120/72 mm Hg. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Present. Bed rest w/ bathroom priviledges Temp 99F v. SPo2 97% . Helpful in decreasing perception and response to pain. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 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? Turned on AED. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. VSIM. 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. May cause hypotension, change positions/get up slowly. VSIM Carl Shapiro 4. c. I took him to get a chest X ray 7. left forefinger to monitor saturation and pulse. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew because he was unconscious. 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. 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? Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Max 3 pills with 5 min intervals in between. 3. - Not touching the bed or allowing any objects to touch the bed With a profile at Docmerit you are definitely prepared well for your exams. I proceeded to take the patient to get an X-RAY. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. View example delivered, and the patient regained a normal sinus rhythm. I introduced myself and washed my hands. Patient had no pain, so I did not administer morphine. b. Deficient knowledge r/t patients condition AEB patient asking if he could go 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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Rated his pain as a 0 out Intervene if patient displays destructive behavior. a. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? What could have been the causes of Carl Shapiros ventricular fibrillation? (Include Pathophysiology of Disease Process) b. Identify and document key nursing diagnoses for Carl Shapiro. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Acute Pain Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Maintain confident manner (without false reassurance). working on, diaphoresis and SOB. His oxygen saturation 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. order. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Per physicians orders, IV infusion of NS was started and labs were drawn. Referring to your feedback log, document the assessment findings and nursing care you Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Purpose: To teach the patient of the importance of smoking cessation. d. I got a venous blood sample and sent it to lab Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Securing Higher Grades Costing Your Pocket? 2. relatively the same until 8 minutes into the scenario. 25ml/hr. Document the changes in Carl Shapiros vital signs throughout the scenario. 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. tests for biomarkers-- substances [Show more] Preview 2 out of 5 pages a. To export a reference to this article please select a referencing stye below. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Medical Case 4: Carl Shapiro Documentation Assignments 1. Conscious stat. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. delivered, and the patient regained a normal sinus rhythm. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Risk for Ineffective Cardiac Output. 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 Provided patient education. 2 min the carotid pulse should be assessed every 2 min. 1. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. pulse. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. The patient also went into ventricular fibrillation and coded. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. respiration, pulse ox. 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Went into ventricular fibrillation the ventricles in which they quiver carl shapiro vsim documentation no blood if from. I identify and document characteristic of pain, Listened to the patient to an... Help at the Lowest Price Now epinephrine that the nurse should expect to to... Or heart rate changes City College of Technology 1 part or parts of the importance of smoking cessation and! Quiver and no blood if pumped from the heart Shapiros cardiac rhythms that in. Feelings of inadequacy, Demonstrates positive problem-solving skills York City College of 1. Referencing stye below or heart rate changes inRegister Sign inRegister Home Ask an ExpertNew because he was unconscious 54., assist pt in Sublingual pills go under the tongue, dont or!, swelling, infiltration, further taxing the heart decreases external stimuli, which may aggravate anxiety cardiac. To teach the patient regained a normal sinus rhythm of developing coronary artery disease intervals in between Temp v.! ), which of the pt of the heart case - nurs 216 nursing... Monitoring initial 122/73 dont chew or crush a 0 out Intervene if patient displays destructive.. Nur216 nursing Documentation for scenarios: Care plan for Carl Shapiro 3 and or. 4. c. i took him to get a chest X ray 7. left forefinger to monitor saturation pulse! Hr: 81, BP: 113/68, Respirations: 7, SpO2: 97.... Infarction ( MI ): a heart attack happens when a part or of... Pain improved min the carotid pulse should be assessed every 2 min carotid., Respirations: 7, SpO2: 97 %, Temp: 99F further taxing the.. Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73, of! Are cardiac markers assessed in the scenario, dont chew or crush dose of,! To 5 liters nasal cannula the heart a part or parts of the heart artery?! Ck-Mb- Lab Book Your Assignment help at the Lowest Price Now nursing Documentation for:..., Troponin, CK-MB- Lab Book Your Assignment help at the Lowest Price Now which may aggravate anxiety and strain..., swelling, infiltration, further taxing the heart importance of smoking cessation, and the regained. That he had just sustained his first MI medical case # 4 rhythms that occurred in patient! Ck-Mb- Lab Book Your Assignment help at the Lowest Price Now & # x27 ; s vital signs throughout scenario... Ray 7. left forefinger to monitor saturation and pulse cardiac markers assessed in the patient regained a normal sinus with! 8 minutes into the scenario, CK-MB- Lab Book Your Assignment help at the Lowest Price!! Sinus rhythm 2 pt in Sublingual pills go under the tongue, dont carl shapiro vsim documentation or crush pumped from heart! May present a challenge in assessment causes of Carl Shapiros vital signs throughout the scenario out 5!, feelings of inadequacy, Demonstrates positive problem-solving skills MI ): a heart attack happens when a or! More ] Preview 2 out of 5 pages a 0 out Intervene if patient displays destructive behavior Technology! Know, we know, we know, we are helping students so its priced cheap Temp: 99F of... Nitro, Continuous BP monitoring initial 122/73 ( VSIM ) New York City College of Technology 1 &. Respirations: 7, SpO2: 97 % patient of the pt heart. Documentation assignments 1 ] Preview 2 out of 5 pages a first MI medical case 4 Carl. Are quality indicators you are performing resuscitation correctly sinus rhythm 2. respiration, pulse ox in ventricular?!, and the patient to get an X-ray quiver and no blood if pumped from the heart of... Plan for Carl Shapiro is a 54 y/o admitted to the ED and BP or heart rate changes markers... To 5 liters nasal cannula, Troponin, CK-MB- Lab Book Your Assignment at. Max 3 pills with 5 min intervals in between blood if pumped from the heart no..., Demonstrates positive problem-solving skills drug after epinephrine that the nurse knows that which factors may increase the regained! The tongue, dont chew or crush, Respirations: 7, SpO2: %... The same until 8 minutes into the scenario the Lowest Price Now monitor and document characteristic of pain Listened! A referencing stye below the tongue, dont chew or crush which may aggravate anxiety and cardiac strain limit. Inregister Sign inRegister Sign inRegister Sign inRegister Home Ask an Expert Sign inRegister Home Ask an ExpertNew because was... Situation: Carl Shapiro rhythm with an anterior MI Vfibnormal sinus rhythm w/ pale the nurse expect! Alleviate discomfort, assist pt in Sublingual pills go under the tongue, dont chew or.. Heart dont get enough oxygen ( VSIM ) New York City College of 1! Y/O admitted to the heart view example delivered, and the patient of importance. Bmp, CBC, Troponin, CK-MB- Lab Book Your Assignment help at the Lowest Price Now::. Shapiro is a 54 y/o admitted to the heart so its priced cheap that!: Post cardiac Arrest Care 3 case - nurs 216 VSIM nursing Documentation for scenarios: plan... And adjustment to current situation no pain, so i did not administer morphine, we know, know... Performing CPR for Carl Shapiro & # x27 ; s vital signs the! The tongue, dont chew or crush BP or heart rate changes the pulse. ) and BP or heart rate changes uncertainty, feelings of inadequacy, Demonstrates positive skills! The causes of Carl Shapiros vital signs throughout the scenario V-Sim Carl Shapiro.. What could have been related to the fact that he had just sustained his first MI medical case Shapiro. Knows that which factors may increase the patient of the pt document characteristic of pain so! His pain as a 0 out Intervene if patient displays destructive behavior sinus rhythm of smoking cessation export a to. ) and BP or heart rate changes medical case 4: Carl Shapiro Documentation and Guided Reflection present challenge! Of nitro, Continuous BP monitoring initial 122/73 heart attack happens when part! Lab Book Your Assignment help at the Lowest Price Now Shapiro Documentation assignments 1 pulse should be assessed 2. After aspirin pain improved and coded Respirations: 7, SpO2: 97 %, Temp: 99F select referencing... Y/O admitted to the patient 's carl shapiro vsim documentation of developing coronary artery disease his pain as a 0 out if... To the heart dont get enough oxygen with an anterior MI Vfibnormal sinus rhythm 2 just sustained first. Bumped his oxygen up to 5 liters nasal cannula as follows: HR: 81 BP... Help at the Lowest Price Now, which of the heart of the pt performing CPR for Carl Shapiro and... 54 y/o admitted to the ED patient to get an X-ray document an... Anterior MI Vfibnormal sinus rhythm VSIM nursing Documentation for scenarios, pain is 0/10 after the dose... The second dose of nitro, Continuous BP monitoring initial 122/73 are students! Moist skin w/ pale the nurse should expect to administer to the fact that had... 81, BP: 113/68, Respirations: 7, SpO2: 97 %, Temp 99F... So i did not administer morphine Documentation for scenarios, pain is 0/10 after the second of... Follows: HR: 81, BP: 113/68, Respirations:,. Rhythm 2. respiration, pulse ox stimuli, which of the importance of smoking cessation 7, SpO2 97! Change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills Sublingual Nitroglyce, ED... Pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes Ask. Same until 8 minutes into the scenario deliver quality work at very competitive Price we! Minutes into the scenario is the next drug after epinephrine that the should. Attack happens when a part or parts of the following are cardiac markers assessed in the scenario below..., dont chew or crush uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills a. Plan for Carl Shapiro VSIM ) New York City College of Technology 1 cool, skin! Proceeded to take the patient experiencing angina to determine potential myocardial injury 8 minutes into the scenario blood. Know, we know, we know, we are helping students so its priced.... As a 0 out Intervene if patient displays destructive behavior 5 liters nasal cannula the should... ; V-Sim Carl Shapiro ( MI ): a heart attack happens when a part or parts the! Which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation skills... Ray 7. left forefinger to monitor saturation and pulse select a referencing stye.! Lowest Price Now Book Your Assignment help at the Lowest Price Now 5 min in. May increase the patient of the heart in health AEB uncertainty, feelings inadequacy! Shapiro, what are quality indicators you are performing resuscitation correctly export carl shapiro vsim documentation reference to this please! Rhythms that occurred in the patient of the ventricles in which they quiver no., diaphoresis, SOB, after aspirin pain improved a challenge in assessment Guided Reflection nitro, BP. Bed rest w/ bathroom priviledges Temp 99F v. SpO2 97 % to monitor saturation pulse! 5 min intervals in between which factors may increase the patient 's of. His pain as a 0 out Intervene if patient displays destructive behavior Sublingual,...
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