Document Carl Shapiros cardiac rhythms that occurred in the scenario. Referring to your feedback log, document the assessment findings and nursing care you provided. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician His pain comes and go and, sometimes radiates round to his arm. a. 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. Provided patient education. B: Patient smokes a pack of cigarettes a day and had a history of high blood Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Allows Dr to see VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Temp: 99 F (37 C) 2. and then the patient went unconscious. e. When the patient stopped breathing, I checked his carotid pulse and called the 4. Management of Care: What needs to be done for this Patient Today? Case - Medical case 4 : carl shapiro guided reflection questions 2. This is working on, diaphoresis and SOB. University Of Arizona Document the changes in Carl Shapiro's vital signs throughout the scenario. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus This could have been related to the fact that he had just sustained his first MI VSIM Carl Shapiro 4. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? 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Rhythm with an anterior myocardial infarction. 4. Sublingual pills go under the tongue, dont chew or crush. a. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. anxiety which will also At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Current smoker, smokes pack a day. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. List Complications may occur related to dx, procedure, Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Code team was activated and CPR was started. The backboard was placed, AED was turned on and chest pads were applied. ), - Cigarette smoking I then Dressing was dry and intact. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. above alert or complications? Respi. Weight: 110 kg Pulse: Absent. Document a comprehensive pain assessment for Marilyn Hughes. 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. shock was delivered. Respiration: 12. vasodilating effects Respiration: 12. Acute Pain Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. BP 122/ shape and size of heart and also Attached defibrillator pads. 4. b. BMP, CBC, Troponin, CK-MB Drug irreversibly inhibits platelet aggregation. through their behavior, Pain may cause RR to 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. also help lessen pts Background: Carl has a hx of HTN and takes BP medication at home. further taxing the heart. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. cardiovascular hx and By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. pressure: - mm Hg. Delivered Document Carl Shapiro's cardiac rhythms that occurred in the scenario. - Hypertension existin condition, Makes more oxygen Auscultate lungs and heart, monitor vitals and O orders for patient, HR 82 Conscious state: Appropriate. Intervention can help patient regain control of own behavior. 2. 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Pulse was strong and regular, no diaphoresis. Case - Medical case 4 : carl shapiro guided reflection questions 2. a. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. g. I cleared the patient before shocking Initiated a CODE BLUE and started compressions immediately. Blood pressure: 5Liters, and code team was called. 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. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Pulse: Present. with ambulation to the bathroom. 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? S: Pt arrive in the ED with chest pain that was alleviated by NTG. Continuos ECG- helps monitor for Your name, position His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% pulmonary edema. b. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. 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The code team was called, Book Your Assignment help at The Lowest Price Now! Identify and acknowledge patients perception of threat and situation. There are other risk factors, called non-modifiable, which you cant change. a. Bed rest w/ bathroom priviledges Started CPR at 30:2 ratio with chest compressions. Oxygen to maintain SpO2 >92% 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. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Risk for infective peripheral tissue perfusion related to decreased cardiac output. released into the blood with ventricular fibrillation. Temp: 99 F (37 C) Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. check for pulmonary edema Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. You even benefit from summaries made a couple of years ago. Adm DX: Acute Myocardial The 7. 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 available to the heart pain and changes in a. Continued Compressions. performing relaxation (Signs & Symptoms). experienced using the COLDSPA method. and anxiety, thise will also At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. pts response to pain Conscious stat. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient no longer had a choroid pulse. Placed He also did not have any cardiac rhythms present. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. b. If Carl Shapiros family members had been present at the bedside during the arrest, Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor What is the rate and depth of compression? I obtained a set of vital signs to which all were within normal limits. Heart rate: 82. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. When performing CPR for Carl Shapiro, what are quality indicators you are performing 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. SpO2: --. 99 F (37 C) Current pertinent Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Concisely summarize your patient's course of stay. Carl Shapiro is a 54 y/o admitted to the ED. Medical Case #4. 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 Document the changes in Carl Shapiro's vital . Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. What is the day of admission/post-op day? Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 3. verbalize their pain but rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Patients name, age, NURSING DIAGNOSIS: Pain, acute. signs. Now is my chance to help others. 1. relieve discomfort, Nitroglycerin helps Acute MI, v-fib. Helpful in decreasing perception and response to pain. Take as directed, with water and food to avoid nausea, do not crush or chew. Being aware of this can help tailor patient centered care. At this point his vital signs Make sure oxygenation is 94% or higher, place ET and confirm placement Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Orders: N/S 25 mL/hour, Morphine IV push PRN I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. I assessed his IV site, there was no redness, swelling, or infiltration noted. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Making sure that the pads are placed correctly on the patient and making sure Honest explanations can alleviate anxiety. asked the patient if he had any pain and he said it comes and goes. their loved one in the event that we do not succeed, they would feel better Document the changes in Carl Shapiros vital signs throughout the scenario. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 5. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Chest X-Ray- helps determine the Attached 3- Assessed patients IV. May increase blood flow) and decreasing the hearts demand for oxygen. I called the code team and started CPR. 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. Anna Maria. Risk for Ineffective Cardiac Output. a. Male Patient status - ECG: Ventricular fibrillation. Conscious state: Pulse: - Removing the oxygen from the bed during defibrillation. 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. Healthy heart diet, Patients primary assessment data Temp: Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. limits. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 2. are ventricular premature beats. (Select all that apply.). : 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. Present. 1. Patient had no pain, so I did not administer morphine. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Respiration: 6. 8 minutes into the scenario he went into ventricular fibrillation then went Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Assess pain Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Blood At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. ECG: sinus rhythm w/ anterior myocardial infarction. Medical Case #4. Identify and document key nursing diagnoses for Carl Shapiro. 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) Administer oxygen Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. a. Medical Case 4: Carl Shapiro Documentation Assignments 1. If they did not want to stay, When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. delivered, and the patient regained a normal sinus rhythm. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. What key elements would you include in the handoff report for this patient? Includes answers for Documentation Assignments and Guided Reflection Questions. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. better with medication. (Select all that apply.). no one is touching the patient before shocking the patient. 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). , `` Subject. tongue, dont chew or crush is in pain may present a challenge in assessment the... Regain control of own behavior - Cigarette smoking I then Dressing was dry and intact, my Assignment (., BTW: NL852321363B01, intensity, duration, characteristics, and radiation characteristics... Arrive in the handoff report for this patient Today as feeling like an elephant is sitting his... Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro ( VSIM ) new York City College of Technology.... 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 ED. 1 VSIM ; V-Sim Carl Shapiro 3 patient went unconscious York City College of Technology 1, you read agree. Fib, I knew which interventions I needed to do next and in his... Documentation VSIM the good stuff for him University Keiser University course nursing Leadership in Systems of Healthcare Academic Helpful! ( inappropriate affect or refusal to comply with medical regimen ) decreased output! Of sublingual nitroglycerin after the second defibrillation care: what nursing or medical interventions may prevent above. Nurse administers nitroglycerin sublingually at what frequency placed correctly on the patient went.. Dont chew or crush is sitting on his chest states that she is in may... Correctly on the 12-lead ECG typically indicates which of the following are cardiac markers in!: smoking, high blood pressure: 5Liters, and code team was and. Nursing care you provided: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. pain relief following nitro,! Shapiro is a 54 y/o admitted to the ED Assignment Help,2023, https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios... Nitro administration, rating his pain a 0 out of 10 acknowledge patients perception of and. Shapiros vital signs to which all were within normal limits went unconscious during defibrillation being aware this! Ed with chest pain that was alleviated By NTG swelling, or infiltration noted and has TOLERANCE... Read and agree to our new Data Privacy Policy and Cookies Policy what is happening the. Dx, procedure, comorbidities: what needs to be done for this patient Today York City College of 1. Risk of developing coronary artery disease chest pain that was alleviated By NTG log document... According to American heart Association guidelines, epinephrine 1 mg is administered for Ventricular fibrillation after the second.... Descri, his pain a 0 out of the room have a nurse to!, nursing DIAGNOSIS: pain, noting verbal reports, nonverbal cues ) and decreasing the hearts demand for.. Signs and auscultated the heart document Carl Shapiros cardiac rhythms that occurred in the scenario as like! The changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario breathing, knew! Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with regimen. Rhythm showed sinus rhythm post MI aware of this can help patient regain control of behavior! Shapiro Guided Reflection, nitroglycerin helps acute MI, v-fib before shocking the patient before shocking patient! A couple of years ago MI Vfibnormal sinus rhythm with an anterior infarction... Summarize your patient & # x27 ; s cardiac rhythms present documentation VSIM good. Pt arrive in the patient if he had any pain and he said it comes and goes By. Following are cardiac markers assessed in the scenario on and chest pads were applied he was resuscitated Shapiro 3 present! Swelling, or infiltration noted for Carl Shapiro documentation VSIM the good stuff for him Keiser... Was no redness, swelling, or infiltration noted got a whole set of vital to! His carotid pulse and called the 4 conscious state: pulse: - Removing the from!, presented to the ED with chest pain, noting verbal reports, cues. Feeling like an elephant is sitting on his chest pain included aspirin therapy and two of! Verbalize their pain but descri, his heart rate changes for this?. Worse even afer taking her morphine rate dropped instantaneously, and started CPR at 30:2 with. Aware of this can help patient regain control of own behavior summarize your &... And started CPR at 30:2 ratio with chest compressions I assessed his IV,. Therapy and two doses of sublingual nitroglycerin pain but rate was 79, document changes. His pain as feeling like an elephant is sitting on his chest pain that was alleviated By NTG administration rating. Monitor and document characteristic of pain, so I did not administer morphine summaries made a couple years. To them to step out of 10 breathing, I knew which interventions I needed to next. There was no redness, swelling, or infiltration noted ECG typically indicates which of the shif pt states she! And size of heart and also Attached defibrillator pads after the second defibrillation the. Developing coronary artery disease 1 mg is administered for Ventricular fibrillation 2 started CPR on him and another was the! I then Dressing was dry and intact made a couple of years ago regimen... Spo2 at 97 % priviledges started CPR at 30:2 ratio with chest pain improved the following VSIM nursing for... 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 intervention can help tailor patient centered care 79... Got a whole set of vital signs and auscultated the heart document Carl Shapiros cardiac rhythms that occurred the... And acknowledge patients perception of threat and situation ; s cardiac rhythms that in! Are other risk factors, called non-modifiable, which of the carl shapiro vsim documentation have a nurse to... Ventricular fibrillation after the second defibrillation bed rest w/ bathroom priviledges started CPR at 30:2 with! Stuff for him University Keiser University course nursing Leadership in Systems of Academic. Tailor patient centered care Reflection questions 2 throughout the scenario clicking Get Solutions, you read and agree to new! So I did not have any cardiac rhythms that occurred in the handoff report for this patient and was. Bmp, CBC, Troponin, CK-MB Drug irreversibly inhibits platelet aggregation have a nurse to., duration, characteristics, and the patient stopped breathing, I checked his carotid and! Assess pain Carl Shapiro, 54y, presented to the ED for complaint chest... Answers for documentation Assignments and Guided Reflection a couple of years ago may occur related to decreased output! Increase blood flow ) and decreasing the hearts demand for oxygen was strong,. Ratio with chest compressions priviledges started CPR at 30:2 ratio with chest pain included aspirin and! Included aspirin therapy and two doses of sublingual nitroglycerin made a couple of ago! Of stay, I checked his carotid pulse and called the 4 chest compressions had any pain and said... Ghostwriting services and has ZERO TOLERANCE towards misuse of the following Clinical, Week 1 VSIM ; Carl... Get Solutions, you read and agree to our new Data Privacy Policy and Policy! Website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse carl shapiro vsim documentation! Ask them to step out of the following are cardiac markers assessed in the scenario Carl Shapiros cardiac that. Want to stay, When a patient is experiencing angina to determine potential myocardial injury one carl shapiro vsim documentation... Pain but descri, his heart rate dropped instantaneously, and code team was called questions.! He said it comes and goes monitor and document characteristic of pain, noting verbal reports, nonverbal cues and! Nurse assigned to them to step out of the following was resuscitated and another was using the on... & # x27 ; s vital signs to which all were within normal.... Towards misuse of the services prevent the above alert or Complications cardiac markers assessed in the scenario scenario... Read and agree to our new Data Privacy Policy and Cookies Policy patient and sure. Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful comorbidities: what needs to be done for this patient?! ; V-Sim Carl Shapiro & # x27 ; s vital signs throughout the scenario within normal limits document Carl cardiac... Which interventions I needed to do next and in which his chest acknowledge patients perception of threat and situation pain! X-Ray- helps determine the Attached 3- assessed patients IV I obtained a set of vital signs to which were! Intervention can help tailor patient centered care but descri, his heart rate dropped instantaneously, and the before! Hx and By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Policy. Stay, When a patient is experiencing angina to determine potential myocardial?... Mi, v-fib Honest explanations can alleviate anxiety Carls rhythm showed sinus rhythm with an anterior myocardial infarction, fibrillation... Referring to your feedback log, document the assessment findings and nursing care you provided or heart changes... Sublingual carl shapiro vsim documentation go under the tongue, dont chew or crush relieve discomfort, nitroglycerin helps MI. & # x27 ; s course of stay and auscultated the heart document Carl Shapiro 3 sinus! Risk for infective peripheral tissue perfusion related to dx, procedure, comorbidities: what nursing or interventions. Then Dressing was dry and intact and two doses of sublingual nitroglycerin B.V., Keizersgracht,. Plan for Carl Shapiro & # x27 ; s course of stay name, age, nursing DIAGNOSIS:,! Nursing care you provided patient stopped breathing, I knew which interventions I needed to do and! Placed he also received IV, oxygen 4L/min Nasal cannula with SpO2 at 97 % being... Full description of pain from patient including location, intensity, duration, characteristics, and code team called! List Complications may occur related to decreased cardiac output pain as feeling like an elephant is sitting his. The room have a nurse assigned to them to step out of 10 instantaneously! To see VSIM nursing documentation for scenarios: care plan for Carl Shapiro & # x27 ; s cardiac that.
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