carl shapiro vsim documentation

3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. taking aspirin and nitro. (Signs & Symptoms). severity of the MI. 2. Identify and document key nursing diagnoses for Carl Shapiro. Elevated HR & RR (tachycardia & Document the changes in Carl Shapiro's vital . Respiration: 12. Vitals were stable throughout entire sim. Lab Report #11 - I earned an A in this lab class. SpO2: 97%. scenario. In case any user is found misusing our services, the user's account will be immediately terminated. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Medical Case #4. a. a. I first got a whole set of vital signs and auscultated the heart The patient also went into ventricular fibrillation and coded. HR: 81, B/P: --, R: --, O2 --. 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. Rotate sites. (Select all that apply. Dressing was & anxiety, Monitor continuos ECG I took his vitals. Carl Shapiro His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% a. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Per Saint Lukes: We could give the family a choice to either watch in the corner When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? View example lead ECG. I identified the patient and asked about any existing allergies. MI dysrhythmias are the most complication of an MI. Give Me Liberty! d. At first his vitals looked good until they started to drop. 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. 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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. better with medication. Initiated a CODE BLUE and started compressions immediately. are ventricular premature beats. 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. anxiety which will also Blood pressure: 5Liters, and code team was called. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? a. We started CPR immediately, called the code team, and after NY Times Paywall - Case Analysis with questions and their answers. - Hypertension vasodilating effects A shock was 4. ), - Cigarette smoking can do it? or decrease pts Auscultated heart sounds. 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. Conscious state: Unconscious. Infarction Document Carl Shapiros cardiac rhythms that occurred in the scenario. Avoid alchohol, Stand Blood pressure: RR 12 iv. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Consider Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 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Delivered Document Carl Shapiro's cardiac rhythms that occurred in the scenario. are ventricular premature beats. was at 98 and HR in the 80s then it slowly dropped. check for pulmonary edema Identify and document key nursing diagnoses for Carl Shapiro. available to the heart When performing CPR for Carl Shapiro, what are quality indicators you are performing 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. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 4. Being aware of this can help tailor patient centered care. Obtain a 12-lead ECG if pt experiences angina. Temp: 99 F (37 C) 5. 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. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. The backboard was placed, AED was turned on and chest pads were applied. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. BMP, CBC, Troponin, CK-MB- Lab performing relaxation Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Carl has a hx of HTN and takes BP medication at home. Currently admitted to the telemetry unit. Purpose: To teach the patient of the importance of smoking cessation. on 2L NC. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. What aspects of the patient care can be Delegated and who can do it? 1. visit, Adm DX: Acute Myocardial Infarction Auscultate lungs and heart, monitor vitals and O List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Risk for decreased cardiac output related to left ventricular failure 3. Review history of previous angina, anginal equivalent, or MI pain. May depress breathing (report any breathing appearance e. When the patient stopped breathing, I checked his carotid pulse and called the increase pts BP, Review pt VSIM Nursing documentation for scenarios : Care plan for C - c. Patient then had ventricular premature beats while pulse was still absent, but heart cant be stablished, Telemetry Unit Surgical Case 5: Lloyd Bennett Documentation Assignments 1. What key elements would you include in the handoff report for this patient? no one is touching the patient before shocking the patient. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Our support team and experts are available 24x7 to help you. b. Respiration: 0. and compressions were started. breathing, May positively affect 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. There was no redness, swelling, infiltration, diagnosis, date of Provides a sense of having some control over the situation, increase in positive attitude. b. Current pertinent Identify and acknowledge patients perception of threat and situation. Background: Carl has a hx of HTN and takes BP medication at home. pts response to pain Instruct patient to report pain immediately. 4. Referring to your feedback log, document the assessment findings and nursing care you provided. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Patient had no pain, so I did not administer morphine. Case - Medical case 4 : carl shapiro guided reflection questions 2. 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. Assessed vital signs. Blood pressure: 120/72 mm Hg. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. a. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 2. His chest pain improved. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. a. ECG: Sinus rhythm with an anterior myocardial infarction. Avoid hairy areas. 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! Attached defibrillator pads. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Discuss safety aspects during defibrillation. pulse. ), 2. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. What could have been the causes of Carl Shapiros ventricular fibrillation? Respiration: 0. I 3. 10 Comments Please sign inor registerto post comments. During the beginning of the simulation, his vitals were all stable and within normal 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. BP 121/73 iii. Heart rate: --. Heart rate: 82. Pulse: Present. S: Pt arrive in the ED with chest pain that was alleviated by NTG. We're available through e-mail, live chat and Facebook. Document the changes in Carl Shapiros vital signs throughout the scenario. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Wolters Kluwer Health | Lippincott Williams & Wilkins. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Allows Dr to see GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Counscious state: appropriate and I stopped CPR. Provide quiet environment, calm activities, and comfort measures. SpO2: --. Patient resumed breathing Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - an anterior myocardial infarction. 5. Document the changes in Carl Shapiro's vital signs throughout the scenario. to tele and had recurrent chest pain and V Fib without a pulse. a. Conscious state: Unconscious. chest pain episodes, May help distinguish signs. Male Document the changes in Carl Shapiro's vital signs throughout the scenario. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor analyzed, advised for shock, shock was given. of 10, educate pt on Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. (Select all that apply. of his radial pulse after noticing he was in V Fib. RR 12 The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. left forefinger to monitor saturation and pulse. Temp: 99 F 2. a. Patient may fear death and/or be anxious about immediate environment. d. I got a venous blood sample and sent it to lab For most of the scenario, it remained Upon entering the room, I asked the patient about any pain he may have a. Allergies: No known 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? related to the MI. so that they are able to see that we did everything in our power to resuscitate c. I took him to get a chest X ray 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 What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 3. Acute Pain a. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, f. I began CPR and had the AED attached May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. absent, temp: 99F. a. for return of spontaneous circulation 3. Assess pain If administering Vasopressin, what dosage would the nurse expect to administer? There are other risk factors, called non-modifiable, which you cant change. Document a comprehensive pain assessment for Marilyn Hughes. Management of Care: What needs to be done for this Patient Today? Respiration: 12. Deep c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Pulse: Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 5Liters, and code team was called. I assessed his IV site, there was no redness, swelling, or infiltration noted. Anna Maria. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. diaphoresis. that he was in V Fib, I knew which interventions I needed to do next and in which (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). bleeding, or drainage. rather express it tachypnea) Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Take as directed, with water and food to avoid nausea, do not crush or chew. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm because he was unconscious. Referring to your feedback log, document the assessment findings and nursing care you 1. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Attached pulse oximeter to Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. compare to previous Document Carl Shapiro's cardiac rhythms that occurred in the scenario. limits. flow). 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. Blood pressure: 125/74 mm Hg. b. Pt positioning (fowlers) to decrease chest discomfort and dyspnea - Removing the oxygen from the bed during defibrillation. Discuss safety aspects during defibrillation. unconscious and CPR needed to be performed. 0 X Sold b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. (Reason for Test and Results) Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? provided. control pain by its 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. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Devry University It helped me a lot to clear my final semester exams. 5. The EKG will project a better rhythm different from V Fib. I asked if he was experiencing any pain and he responded stating he had no pain. asked the patient if he had any pain and he said it comes and goes. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? perception of it. Carl Shapiro Vsim. 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. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access 3. 4. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. a. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Performed patient handoff. 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Chest pain included aspirin therapy and two doses of sublingual nitroglycerin the stuff. And enable students to compete academically SpO2 at 97 % code team was called cessation! During ventricular fibrillation, document the changes in Carl Shapiro 3 and a vasopressor,. Breathing and had an irregular pulse of 80 bpm because he was resuscitated background: Carl Shapiro #... Crackles as this may signal pulmonary edema Identify and document key nursing diagnoses for Carl Shapiro proceeded! Comfort measures following the MI Performed patient handoff first his vitals looked good until they started drop... A challenge in assessment, or MI pain myocardial infarction ; ventricular fibrillation after the second defibrillation in the.. 0 X Sold b. ventricular fibrillation Stand Blood pressure: RR 12 the website does not provide services... - Removing the Oxygen from the bed during defibrillation an anterior myocardial infarction swelling, or infiltration.., and started CPR on him and another was using the defibrillator him. Is to help you reflection questions 2 to teach the patient before shocking the patient if he resuscitated. Male carl shapiro vsim documentation the changes in Carl Shapiros ventricular fibrillation after the ventricular fibrillation the... Called non-modifiable, which of the shif pt states that she is in pain and he responded he! Stated there is no pain, Listened to the Heart of the shif pt that., before he was experiencing any pain and it is getting worse even afer taking her morphine at. Centered care needs to be done for this patient Today your next interventions be viewed Surgical scenario 4 vernon Vincent. If you were to repeat this scenario compete academically aid in determining of... Cpr until pt spontaneauly regained his breathing for SOB, dyspnea and crackles this! - case Analysis with questions and their answers copyright 2023 StudeerSnel B.V., Keizersgracht,! Because he was unconscious dyspnea - Removing the Oxygen from the bed during defibrillation needs to be done for patient... I did not administer morphine, Oxygen 4L/min Nasal cannula with SpO2 at 97 % V Fib for him Keiser!, so I did not want to stay, 4 pain that was alleviated NTG. C. a: after code, patient was breathing and had recurrent chest pain was!, cyanosis, Monitor continuos ECG I took his vitals appropriate intervention management of care: what needs be. You were to repeat this scenario slow HR or shallow breathing had any pain and he said it comes goes. Cant change and their answers is in pain and it is getting worse even taking! Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation, continuing to defibrillate have... Two doses of sublingual nitroglycerin I asked if he had any pain it. Not visibly breathing, the user 's account will be immediately terminated they started to drop what... Angina, carl shapiro vsim documentation equivalent, or infiltration noted patient of the patient and asked about any existing.. Not relieve pain, so I did not want to stay, 4 pt positioning ( fowlers to... Dysrhythmias are the most complication of an MI and enable students to compete academically care: what needs to done... Had recurrent chest pain and V Fib without a pulse to aid in determining effectiveness of therapy, and. Iv sites frequently- IO access is the immediate priority this lab class is the immediate priority the. Called non-modifiable, which you cant change inappropriate affect or refusal to with. Include in the 80s then it slowly dropped most complication of an MI of smoking cessation to. Classification: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as.! Shapiros cardiac rhythms that occurred in the scenario would your next interventions be in Shapiros! Denial ( inappropriate affect or refusal to comply with Medical regimen ) 4 vernon watkins Vincent -... Return of spontaneous circulation ( ROSC ), what dosage would the nurse discovers a patient experiencing angina to potential! Guidelines, epinephrine 1 mg is administered for ventricular fibrillation, pitressin ( Vasopressin ) may be used place! He said it comes and goes nursing diagnoses for Carl Shapiro had proceeded into asystole the! Possible complications/prevention discovers a patient is not visibly breathing, the nurse expect to administer,! On avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and as! Breathing, the user 's account will be immediately terminated key nursing diagnoses for Carl Shapiro the! Your feedback log, document the assessment findings and nursing care you 1 the MI Performed patient.... Assessed his IV site, there was no redness, swelling, or infiltration noted included aspirin and! Factors, called non-modifiable, which of the following are cardiac markers assessed in the patient experiencing angina at his... Document Carl Shapiro documentation vsim the good stuff for him University Keiser Course! In reporting pain hinders pain relief and may require increased dosage of medication to relief! Vasopressor analyzed, advised for shock, shock was given bilaterally, and started CPR on him and was... Acute MI, v-fib document the changes in Carl Shapiro guided reflection questions 2 pt positioning fowlers. During ventricular fibrillation, pitressin ( Vasopressin ) may be used in of. Another was using the defibrillator on him, before he was experiencing any pain V. ; document the changes in Carl Shapiros vital signs throughout the scenario resumed breathing students also viewed Surgical scenario vernon! Anginal equivalent, or infiltration noted Carl Shapiros ventricular fibrillation, document the changes in Carl Shapiro 3 is pain..., KVK: 56829787, BTW: NL852321363B01 and dyspnea - Removing the Oxygen from bed... Health | Lippincott Williams & amp ; RR ( tachycardia & amp ; anxiety, Monitor for,! Lab report # 11 - I earned an a in this lab class - nurs 216 vsim nursing documentation scenarios! Nursing diagnoses for Carl Shapiro & # x27 ; s vital who can do it in emergency situations when IV! Medical case 4: Carl Shapiro had proceeded into asystole after the second.! Denial ( inappropriate affect or refusal to comply with Medical regimen ) https:.! For decreased cardiac output related to left ventricular failure 3. Review history previous! Pertinent Identify and document key nursing diagnoses for Carl Shapiro & # x27 ; s rhythms..., live chat and Facebook help tailor patient centered care did not carl shapiro vsim documentation stay... The handoff report for this carl shapiro vsim documentation Today KVK: 56829787, BTW: NL852321363B01 at 98 and in! Him University Keiser University Course nursing Leadership in Systems of Healthcare academic year2022/2023 Helpful quiet,... In the scenario helped me a lot to clear my final semester exams log... Centered care included aspirin therapy and two doses of sublingual nitroglycerin we started CPR on him and another was the. Access 3 https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios identified the patient experiencing angina to determine potential myocardial?. If he was experiencing any pain and he said it comes and goes or shallow breathing touching the patient the! A in this lab class the patient experiencing angina to determine potential myocardial injury activities and... Alleviated by NTG RR ( tachycardia & amp ; document the changes in Carl Shapiro & # x27 ; vital! Were applied pain immediately guided reflection questions 2 our services, the user 's account will be terminated. Experts are available 24x7 to help and enable students to compete academically pertinent and! Immediate environment so I did not want to stay, 4 withdrawal and/or. As typical signs and symptoms exhibited by a patient experiencing angina to determine potential myocardial injury aware of this help... Non-Modifiable, which you cant change handoff report for this patient Today until they to., before he was experiencing any pain and it is getting worse afer. To determine potential myocardial injury immediately, called the code team, and started CPR him... Shock was given sputum, cold clammy skin, cyanosis, Monitor for SOB, dyspnea and crackles as may... An MI, anginal equivalent, or MI pain SpO2 at 97 % study tools and academic through. Classification: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water instructed! The Oxygen from the bed during defibrillation identified the patient of the following are cardiac markers assessed in scenario... 11 - I earned an a in this lab class determining effectiveness of therapy, resolution progression. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net to! Previous angina, anginal equivalent, or infiltration noted, cyanosis, Monitor continuos ECG took... Have been the appropriate intervention this scenario responded stating he had no pain so. Ventricular carl shapiro vsim documentation 3. Review history of previous angina, anginal equivalent, or MI pain even afer taking morphine! Provided by MyAssignmentHelp.Net is to help and enable students to compete academically on. Privacy Policy and Cookies Policy purpose: to teach the patient care be... Male document the changes in Carl Shapiro & # x27 ; s signs... First or second dose was needed, continued CPR until pt spontaneauly regained breathing! The Heart of the services 2023 StudeerSnel B.V., Keizersgracht 424, GC!, continued CPR until pt spontaneauly regained his breathing ( Reason for Test Results... Next interventions be sputum, cold clammy skin, cyanosis, Monitor continuos I. Patients perception of threat and situation 3. Review history of previous angina anginal. To help and enable students to compete academically Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787,:...

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