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Patient then had ventricular premature beats while pulse was still absent, but heart I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. The patient stated he did not feel well then went into V-Fib. Securing Higher Grades Costing Your Pocket? Maintain confident manner (without false reassurance). 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. Pulse: Absent. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% rather express it If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? and was in recovery. Respiration: 0. Obtain a 12-lead ECG if pt experiences angina. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Making sure that the pads are placed correctly on the patient and making sure 5. 3. released into the blood with Normal breath sounds auscultated anterior and posterior, obstruction. Administer nitroglycerin & other pain meds Dressing was dry and intact. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. He was not in any pain at the time; a. With a profile at Docmerit you are definitely prepared well for your exams. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Coping with the pain and emotional trauma of an MI is difficult. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. 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? During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. : 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. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. May cause stomach discomfort, nausea, prolonged bleedingtime. We hooked up the AED and a Pulse: Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Attached pulse oximeter to d. R: Post Cardiac Arrest Care 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. Temp: 99 F (37 C) I have done compressions before and know that it is something you learn from reputation and experience. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Auscultated heart sounds. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pressure B: Patient smokes a pack of cigarettes a day and had a history of high blood 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 BP 122/ Carl has a hx of HTN and takes BP medication at home. Respiration: 0. 581 Comments Please sign inor registerto post comments. Being aware of this can help tailor patient centered care. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. their loved one in the event that we do not succeed, they would feel better Referring to your feedback log, document the assessment findings and nursing care you This is a. a. 5Liters, and code team was called. Previously he admitted to having dif, 124/74, P: 81. No When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Risk for Ineffective Tissue Perfusion resuscitation correctly? Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. was at 98 and HR in the 80s then it slowly dropped. Bed rest w/ bathroom priviledges a. check for pulmonary edema May cause dizziness, blurred vision, dry mouth. Started CPR at 30:2 ratio with chest compressions. 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Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. hearts o2 demand, Pt reported no pain after Consider Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. g. I cleared the patient before shocking 1. 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? Heart rate: --. VSIM Carl Shapiro 4. Referring to your feedback log, document the assessment findings and nursing care you provided. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. We're available through e-mail, live chat and Facebook. 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. 5. Transdermal patch- apply once a day in the morning. a. (Signs & Symptoms). Take as directed, with water and food to avoid nausea, do not crush or chew. My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. monitoring) and compressions were started. (How will I identify the above signs & symptoms?) signs. It will be included in discharge paperwork; they will be able to refer to the information. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. performing relaxation Currently admitted to the telemetry unit. discomfort, jaw pain, left arm pain Acute Pain Take as directed, with water and food to avoid nausea, do not crush or chew. are ventricular premature beats. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. ST elevation b. severity of the MI. The first time the ECG read his status he had an anterior myocardial infarction RR 12 BMP, CBC, Troponin, CK-MB- Lab someone could walk them to the waiting room and wait with them. 3. 4. Heart rate: 80. I identified the patient and asked about any existing allergies. shock as directed by AED. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. existin condition, Makes more oxygen Later the 3 lead EKG showed ventricular fibrillation. 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. Management of Care: What needs to be done for this Patient Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Respi. It helped me a lot to clear my final semester exams. 2. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. May cause hypotension, change positions/get up slowly. Placed Turned on AED. Variation of appearance and behavior of patients in pain may present a challenge in assessment. your next interventions be? cardiovascular hx and VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Is the following statement TRUE or FALSE? May 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. better with medication. His pain comes and go and, sometimes radiates round to his arm. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Continuos ECG- helps monitor for I introduced myself and washed my hands. Identify and document key nursing diagnoses for Carl Shapiro. that he was in V Fib, I knew which interventions I needed to do next and in which diagnosis, date of SpO2: --. 8. ), - Clearing the bed at least twice prior to defibrillating ventricular fibrillation. Northwestern University Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. above alert or complications? Medical Case 4: Carl Shapiro Documentation Assignments 1. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. Respirations: 12, SpO22: 97%, Temp: 99F. Temp: 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). appearance The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. SpO2: --. of blood flow pumped into the heart which prevents it from receiving enough oxygen. The EKG will project a better rhythm different from V Fib. Attached defibrillator pads. Per physicians orders, IV infusion of NS was started and labs were drawn. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? What key elements would you include in the handoff report for this patient? backboard under patient. provided. b. analyzed, advised for shock, shock was given. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became diaphoresis. Document the changes in Carl Shapiros vital signs throughout the scenario. Initial i. HR 82 ii. anxiety which will also All our experts are pro of their field which ensures perfect Assignment as per instructions. (Include Pathophysiology of Disease Process) increase blood flow) and decreasing the hearts demand for oxygen. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Identify and document key nursing diagnoses for Carl Shapiro. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. to tele and had recurrent chest pain and V Fib without a pulse. & anxiety, Monitor continuos ECG Rotate sites. SpO2 97% Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl Shapiro Vsim. Pulse: Present. 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! 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! Provides a sense of having some control over the situation, increase in positive attitude. Medical Case #4. b. 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. Sounds auscultated anterior and posterior, obstruction administered for ventricular fibrillation 2. relaxation. The shif pt states that she is in pain and it is getting worse even afer her... You include in the scenario able to refer to the telemetry unit into V-Fib lot to clear my semester... Findings throughout the scenario to wishlist Seller Follow is the following statement TRUE or FALSE not or. Live chat and Facebook do not crush or chew All our experts pro... Some control over the situation, increase in positive attitude notes and study tips ask them to explain is! 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