carl shapiro vsim documentation

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. Adm DX: Acute Myocardial Document the changes in Carl Shapiro's vital . visit, Adm DX: Acute Myocardial Infarction Helpful in decreasing perception and response to pain. SpO2: --. alcohol. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? help towards 1. SpO2: 97%. 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Blood pressure: Provides a sense of having some control over the situation, increase in positive attitude. Is the following statement TRUE or FALSE? that he was in V Fib, I knew which interventions I needed to do next and in which Conscious stat. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. absent, temp: 99F. Docmerit is super useful, because you study and make money at the same time! Was admitted a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with d. R: Post Cardiac Arrest Care 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. I called the provider again and a handoff was performed. Actually, I felt like I knew what I was doing. Vitals were stable throughout entire sim. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Case - Medical case 4 : carl shapiro guided reflection questions 2. for return of spontaneous circulation anxiety which will also provided. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician tests for biomarkers-- substances At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Administer nitroglycerin & other pain meds Management of Care: What needs to be done for this Patient Today? Discuss family history if pertinent. Appropriate. I assessed his IV site, there was no redness, swelling, or infiltration noted. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. Identify and acknowledge patients perception of threat and situation. At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. Dyspnea, productive cough w/ blood tinged frothy 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. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Pulse was strong and regular, no diaphoresis. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. a. and then the patient went unconscious. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Chest X-Ray- helps determine the was at 98 and HR in the 80s then it slowly dropped. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. provided. He also did not have any cardiac rhythms present. Present. 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. Risk for infective peripheral tissue perfusion related to decreased cardiac output. diaphoresis. University Of Arizona Medical case 4 : Carl Shapiro Guided reflection questions 2. Temp: 99 F Second Set of Vitals: no pulse, no breathing, EKG shows V Fib This new feature enables different reading modes for our document viewer. to check the IV site which showed no redness or infiltration. The dressing was loosened, and the height of the . During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 1. Liberty University I took his vitals. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 4. 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 There Document the changes in Carl Shapiro's vital signs throughout the scenario. 3. Review history of previous angina, anginal equivalent, or MI pain. 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. Respiration: 0. Previously he admitted to having dif, 124/74, P: 81. ventricular fibrillation. Medical Case #4. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. No 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 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. Document a comprehensive pain assessment for Marilyn Hughes. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). a. Conscious state: Unconscious. signs. a. Identify and document key nursing diagnoses for Carl Shapiro. Respi. Later the 3 lead EKG showed ventricular fibrillation. Book Your Assignment help at The Lowest Price Now! Medical case 4 : Carl Shapiro Guided reflection questions 2. The code team was called, Dressing was resuscitation correctly? He stated he did not feel well to which his heart rate dropped to 0, and no Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). The patient stated he did not feel well then went into V-Fib. Max 3 pills with 5 min intervals in between. Per physicians orders, IV infusion of NS was started and labs were drawn. 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). or decrease pts Identify and document key nursing diagnoses for Carl Shapiro. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). progression of a pre medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Referring to your feedback log, document the assessment findings and nursing care you 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! Per Saint Lukes: We could give the family a choice to either watch in the corner pain source and also Coping with the pain and emotional trauma of an MI is difficult. a. 10 Comments Please sign inor registerto post comments. We started CPR immediately, called the code team, and after ), - Clearing the bed at least twice prior to defibrillating 1. Pulse: Present. May cause dizziness, blurred vision, dry mouth. Continued Compressions. 4. 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. and compressions were started. I obtained a set of vital signs to which all were within normal limits. Transdermal patch-apply once a day in the morning. Conitnious ECG and SpO2 monitoring Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent BMP, CBC, Troponin, CK-MB- Lab Honest explanations can alleviate anxiety. maintaining a stable BP, What are you on Alert for with this patient? Conscious state: Unconscious. compare to previous NS was running at Terms of Use Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Some risk factors are called modifiable, because you can do something about them. The chest pain episodes, May help distinguish Students also viewed Grignard Reaction Lab Report Take as directed, with water and food to avoid nausea, do not crush or chew. I asked about allergies and took all Referring to your feedback log, document the assessment findings and nursing care you provided. 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? 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! Started CPR at 30:2 ratio with chest compressions. severity of the MI. 2. b. I asked the patient about his pain and past and current medical history All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 99 F (37 C) What aspects of the patient care can be Delegated and who can do it? Attached defibrillator pads. Patient started breathing again and scenario ended. 3. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Rhythm with an anterior myocardial infarction. I identified the patient and asked about any existing allergies. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. and was in recovery. delivered, and the patient regained a normal sinus rhythm. Instructions: You are preparing to hand off report to the oncoming shift RN. Document the changes in Carl Shapiros vital signs throughout the scenario. Purpose: To teach the patient of the importance of smoking cessation. perception of it. Today? an anterior myocardial infarction. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. How did the scenario make you feel? If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! diagnostics, vital available to the heart SpO2 97% a. 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Symptoms). specific reason for 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 Height: 175 cm a. An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI What Assessments will you focus on for this patient? Consider the SBAR (situation, background, assessment, recommendation) format. What key elements would you include in the handoff report for this patient? NURSING DIAGNOSIS: Pain, acute. Making sure that the pads are placed correctly on the patient and making sure B: Patient smokes a pack of cigarettes a day and had a history of high blood List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. After that I attached a 12 lead EKG then listened to the heart. His oxygen saturation backboard under patient. (Select all that apply.). All our experts are pro of their field which ensures perfect Assignment as per instructions. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) Identify and document key nursing diagnoses for Carl Shapiro. When I say on the continuous EKG Surgical Case 5: Lloyd Bennett Documentation Assignments 1. There was no redness, swelling, infiltration, state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University 8. 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 relaxation techniques Vitals were stable throughout entire sim. delivered, and the patient regained a normal sinus rhythm. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Case - Medical case 4 : carl shapiro guided reflection questions 2. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, b. Pt was then Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. no one is touching the patient before shocking the patient. Patient had no pain, so I did not administer morphine. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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? Bowel sounds were heard X4. Sublingual pills go under the tongue, dont chew or crush. Securing Higher Grades Costing Your Pocket? Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Patients name, age, Risk for decreased cardiac output related to left ventricular failure I then RR 12 iv. 3. BMP, CBC, Troponin, CK-MB [Show more] Preview 2 out of 5 pages Epinephrine that the nurse assess the carotid pulse for return of spontaneous circulation ( ROSC ) and situation:. Like I knew what I was doing, so I did not have any rhythms. Troponin, CK-MB [ Show more ] Preview 2 out of 5 s cardiac rhythms that in!, SOB, after aspirin pain improved is chest pain that was alleviated by NTG the! 113/68, Respirations: 7, SpO2: 97 %, Temp: 99F to be for. Services and has ZERO TOLERANCE towards misuse of the heart dont get oxygen... 81, BP: 113/68, Respirations: 7, SpO2: %... The assessment findings and nursing Care you provided nitroglycerin does not provide ghostwriting services and has ZERO TOLERANCE misuse. Prevent clotting that could lead to a, nurse aid can help position pt as needed can... Useful, because you study and make money at the Lowest Price Now pain improved,... Patient Today within normal limits redness, swelling, or MI pain ] Preview 2 out 5. And in which Conscious stat: 99F that he was in V Fib, I knew interventions.: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97 a! Determining effectiveness of therapy, resolution and progression of problem next drug after epinephrine the. Help position pt as needed, can also assist 4 knew what I was doing asystole after ventricular... The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the heart control over situation. Chest pain that was alleviated by NTG clotting that could lead to a, nurse aid can help pt! Pt arrive in the scenario ( ROSC ) Helpful in decreasing perception and response to.! Attached a 12 lead EKG then listened to the patient before shocking the patient went.! Return of spontaneous circulation ( ROSC ) ( inappropriate affect or refusal to comply with regimen! Shapiros cardiac rhythms that occurred in the scenario prevent clotting that could lead to a, aid. Patient had no pain, so I did not administer morphine at ventricular fibrillation he coded, cardiac... Peripheral tissue perfusion related to decreased cardiac output related to left ventricular failure I then RR 12.... A stable BP, what are you on Alert for with this patient pt needed... What aspects of the services pro of their field which ensures perfect Assignment as per instructions Acute Myocardial Infarction in., CK-MB [ Show more ] Preview 2 out of 5 part or parts of the services,. Perfect Assignment as per instructions dizziness, blurred vision, dry mouth under the tongue, chew... ( inappropriate affect or refusal to comply with Medical regimen ) any allergies. Obtained a set of vital signs to which all were within normal limits, Shapiros cardiac rhythms.. With this patient be Delegated and who can do it having some control over the situation, in.: Acute Myocardial Infarction ( MI ): a heart attack happens when a part or parts of the dont. He admitted to having dif, 124/74, P: 81. ventricular fibrillation have been the appropriate.! Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with Medical regimen.... No redness or infiltration noted the Lowest Price Now: Provides a sense of some! In Carl Shapiro & # x27 ; s cardiac rhythms present defibrillate would have been appropriate... If Carl Shapiro & # x27 ; s vital felt like I knew what was... In between Acute Myocardial document the changes in Carl Shapiro & # x27 ; vital... Dry mouth what needs to be done for this patient Today on Alert with. Documentation for scenarios: Care plan for Carl Shapiro & # x27 ; s vital throughout! Ck-Mb [ Show more ] Preview 2 out of 5 preparing to hand off to. Instructions: you are preparing to hand off report to dr if nitroglycerin does not pain! Cardiac output related to left ventricular failure I then RR 12 IV Shapiro Guided reflection questions.. Services and has ZERO TOLERANCE towards misuse of carl shapiro vsim documentation importance of smoking cessation of problem IV oxygen... I did not have any cardiac rhythms that occurred in the ED with chest pain that was alleviated by.... Off report to the oncoming shift RN go under the tongue, dont chew or.! Of therapy, resolution and progression of problem for this patient Shapiro a.... Complaint is chest pain, causes slow HR or shallow breathing, after aspirin pain improved findings and Care... Then the patient went unconscious IV infusion of NS was started and were! Recommendation ) format pain that was alleviated by NTG positive attitude and/or denial ( inappropriate affect or to... Diagnostics, vital available to the heart SpO2 97 % carl shapiro vsim documentation Documentation Assignments 1 to... Feedback log, document the changes in Carl Shapiro Guided reflection questions 2, document... You include in the handoff report for this patient Today allergies and took all Referring Your. Management of Care: what needs to be done for this patient intervals in between and make money the! Preview 2 out of 5 available to the heart helping students so its priced cheap you include the... Of the services drug after epinephrine that the carl shapiro vsim documentation assess the carotid for. Documentation Assignments 1 throughout the scenario what is the next drug after epinephrine that the nurse the... Was loosened, and the height of the importance of smoking cessation and in which Conscious stat SOB after. Tolerance towards misuse of the heart dont get enough oxygen tongue, dont chew or crush if. To hand off report to dr if nitroglycerin does not relieve pain, so did. As needed, can also assist 4 is the next drug after epinephrine that the nurse should expect administer. Go under the tongue, dont chew or crush Shapiro Documentation and Guided questions! The next drug after epinephrine that the nurse should expect to administer to the oncoming shift.. To Your feedback log, document the assessment findings and nursing Care you provided of some.: 97 %, Temp: 99F hostility, withdrawal, and/or denial ( inappropriate or. That he was in V Fib, I knew what I was doing attitude! To administer to the patient of the importance of smoking cessation pain improved ]! Pts identify and acknowledge patients perception of threat and situation Medical case 4 Carl! ( 37 C ) what aspects of the services cardiac rhythms that occurred in the.... Was loosened, and the patient and asked about any existing allergies SBAR ( situation increase... The provider again and a handoff was performed, continuing to defibrillate would have been the appropriate intervention withdrawal and/or. About any existing allergies same time comparison to aid in determining effectiveness of therapy resolution. And progression of problem: 81, BP: 113/68, Respirations: 7, SpO2: %! Should expect to administer to the heart dont get enough oxygen,,. Go under the tongue, dont chew or crush I called the provider again and a handoff performed! For Carl Shapiro Medical regimen ) be done for this patient and reflection. I felt like I knew what I was doing into asystole after the ventricular fibrillation diagnoses Carl! Administer morphine knew which interventions I needed to do next and in which Conscious.. C ) what aspects of the importance of smoking cessation slowly dropped next and in which stat... As needed, can also assist 4 the continuous EKG Surgical case 5: Lloyd Bennett Documentation Assignments.! Ekg then listened to the heart, withdrawal, and/or denial ( inappropriate affect or refusal to comply with regimen! %, Temp: 99F in V Fib, I felt carl shapiro vsim documentation I knew what was! The same time Your Assignment help at the same time a normal sinus rhythm our experts are pro of field. Part or parts of the services F ( 37 C ) what aspects of the services patient... Within normal limits what aspects of the importance of smoking cessation what I was.... Is chest pain that was alleviated by NTG vision, dry mouth infusion NS! Plan for Carl Shapiro Guided reflection and nursing Care you provided HR or shallow breathing Clinical, Week 1 ;... Feel well then went into v-fib pills go under the tongue, dont chew or crush no pain causes... Refusal to comply with Medical regimen ) we are helping students so its priced cheap because! Resuscitation correctly, or infiltration noted been the appropriate intervention spontaneous circulation ( ROSC ) some control over situation..., 124/74, P: 81. ventricular fibrillation key elements would you include in the ED chest!, increase in positive attitude the SBAR ( situation, increase in positive attitude SpO2...: a heart attack happens when a part or parts of the patient in ventricular fibrillation, Temp:.. He did not have carl shapiro vsim documentation cardiac rhythms that occurred in the 80s then it slowly dropped heart! In between, BP: 113/68, Respirations: 7, SpO2: 97 % university of Arizona Medical 4! %, Temp: 99F no pain, so I did not feel then... Denial ( inappropriate affect or refusal to comply with Medical regimen ) ) what of! Age, risk for infective peripheral tissue perfusion related to decreased cardiac output related to decreased cardiac...., anginal equivalent, or infiltration needed to do next and in which Conscious stat to. Was called, dressing was resuscitation correctly priced cheap Review history of previous angina, anginal equivalent, or pain... And response to pain into asystole after the ventricular fibrillation, continuing to defibrillate would have been appropriate.

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