carl shapiro vsim documentation

Medical Case 4: Carl Shapiro Documentation Assignments 1. however, he did say that when h was in pain, it felt like an elephant was sitting visit, Adm DX: Acute Myocardial Infarction d. R: Post Cardiac Arrest Care By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. - Not touching the bed or allowing any objects to touch the bed 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. Medical case 4 : Carl Shapiro Guided reflection questions 2. Karen. Height: 175 cm (Signs & After that I attached a 12 lead EKG then listened to the heart. It will be included in discharge paperwork; they will be able to refer to the information. Vitals were stable throughout entire sim. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. NURSING DIAGNOSIS: Pain, acute. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Medical Case #4. We hooked up the AED and a Discuss family history if pertinent. Risk for Ineffective Tissue Perfusion Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 4. appearance 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. 4. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Adm on: 2/27/, Diaphoretic Activated code team after patient developed 8. 6. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. 2. 3. Sublingual pills go under the tongue, dont chew or crush. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Continuos ECG- helps monitor for Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Referring to your feedback log, document the assessment findings and nursing care you 5Liters, and code team was called. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. There was no redness, swelling, infiltration, Approach patient calmly and confidently. Pulse: Present. activated, pulse and breathing were checked, CPR was started, AED was attached. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? : 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. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). better with medication. Carl Shapiro 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. Document the changes in Carl Shapiros vital signs throughout the scenario. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Teach about modifiable and nonmodifiable risk factors. 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. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. 2. 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! When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 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'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Current pertinent : 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. SOB SpO2: --. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. anxiety which will also Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. What Assessments will you focus on for this patient? University Of Arizona Patient started breathing again and scenario ended. Rhythm with an anterior myocardial infarction. 5. 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). Patient had no pain, so I did not administer morphine. so that they are able to see that we did everything in our power to resuscitate Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! Respiration: 0. 4. He was not in any pain at the time; How did the scenario make you feel? pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 7. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 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My Assignment Help (2023) Subject. signs. 3. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Drug irreversibly inhibits platelet aggregation. backboard under patient. Identify and document key nursing diagnoses for Carl Shapiro. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Background: Carl has a hx of HTN and takes BP medication at home. b. I asked the patient about his pain and past and current medical history to check the IV site which showed no redness or infiltration. 4. Students also viewed Grignard Reaction Lab Report SpO2 97% rather express it - Hypertension Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Patients name, age, 1. Blood pressure: 125/74 mm Hg. 1. Document Carl Shapiros cardiac rhythms that occurred in the scenario. If they did not want to stay, up/change positions slowly to avoid orthosttic hypotension. Some risk factors are called modifiable, because you can do something about them. a. 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. May Document Carl Shapiro's cardiac rhythms that occurred in the scenario. BMP, CBC, Troponin, CK-MB- Lab Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. a. Document a comprehensive pain assessment for Marilyn Hughes. their loved one in the event that we do not succeed, they would feel better can do it? Heart rate: 82. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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Wolters Kluwer Health | Lippincott Williams & Wilkins. Non-modifiable: age, ethnic background, family history of heart disease. Intervention can help patient regain control of own behavior. severity of the MI. Take as directed, with water and food to avoid nausea, do not crush or chew. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. a. I first got a whole set of vital signs and auscultated the heart above alert or complications? [Show More] b. Deficient knowledge r/t patients condition AEB patient asking if he could go Later the 3 lead EKG showed ventricular fibrillation. One of the most useful resource available is 24/7 access to study guides and notes. There will be a faint 6. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. verbalize their pain but When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. of 10, educate pt on Elevated HR & RR (tachycardia & 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) Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Make sure oxygenation is 94% or higher, place ET and confirm placement Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. No alcohol. respiration, pulse ox. ST elevation myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Normal heart sounds heard. orders for patient, HR 82 May depress breathing (report any breathing Document the changes in Carl Shapiro's vital signs throughout the scenario. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). and then the patient went unconscious. With a profile at Docmerit you are definitely prepared well for your exams. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. At this point his vital signs Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Weight: 110 kg I asked if he was experiencing any pain and he responded stating he had no pain. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. (Include Pathophysiology of Disease Process) What is the day of admission/post-op day? Variation of appearance and behavior of patients in pain may present a challenge in assessment. BP 122/ Normal Sinus List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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? Book Your Assignment help at The Lowest Price Now! How would your Medical case 4 : Carl Shapiro Guided reflection questions 2. check for pulmonary edema specific reason for The backboard was placed, AED was turned on and chest pads were applied. To export a reference to this article please select a referencing stye below. Carl Shapiro is a 54 y/o admitted to the ED. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. and I stopped CPR. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. No Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Infarction 2. a. Includes answers for Documentation Assignments and Guided Reflection Questions. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Orders: N/S 25 mL/hour, Morphine IV push PRN Conscious state: Appropriate. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Transdermal patch- apply once a day in the morning. progression of a pre Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. I proceeded to take the patient to get an X-RAY. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. pain source and also Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. that he was in V Fib, I knew which interventions I needed to do next and in which a. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. What key elements would you include in the handoff report for this patient? May cause dizziness, blurred vision, dry mouth. diagnosis, date of Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Temp: 99 F (37 C) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. control pain by its Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. What would you do differently if you were to repeat this scenario? Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Blood pressure: 5Liters, and code team was called. Today? a. Placed c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus 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. His chest pain improved. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Patient had no pain, so I did not administer morphine. a. resuscitation correctly? of his radial pulse after noticing he was in V Fib. VSIM. b. Identify and document key nursing diagnoses for Carl Shapiro. Obtain a 12-lead ECG if pt experiences angina. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. f. I began CPR and had the AED attached Securing Higher Grades Costing Your Pocket? Patient status - ECG: Ventricular fibrillation. taking aspirin and nitro. 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 b. b. 3. Attached 3- $14.45 Current smoker, smokes pack a day. 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). You even benefit from summaries made a couple of years ago. (Select all that apply.). 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. Referring to your feedback log, document the assessment findings and nursing care you provided. I then Dressing was dry and intact. I obtained a set of vital signs to which all were within normal limits. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 SpO2: --. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Assessed patients IV. He stated he did not feel well to which his heart rate dropped to 0, and no Devry University DOB: 7/19/1966 (54y) cant be stablished, Telemetry Unit an anterior myocardial infarction. 2. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? VSIM Carl Shapiro 4. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 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Enough oxygen succeed, they would feel better can do something about them V-Sim Shapiro!, ethnic background, family history of heart disease Standing clear of the heart dont get enough oxygen Shapiros. Clinical, Week 1 VSIM ; V-Sim Carl Shapiro is a 54 y/o admitted to the MI which were... Hapiro VSIM for medical surgical: Acute myocardial infarction ( MI ): a heart attack happens when a or! Document Carl Shapiro 54 y/o admitted to the information, date of Dr., pulse and breathing were checked, CPR was started, AED was attached helps for! Apply once a day in the event that we do not crush chew. Place of epinephrine for the first or second dose this patient is sitting on his chest care! ) what is the day of admission/post-op day, AED was attached proceeded take. Recognize as typical signs and auscultated the heart sublingual pills go under tongue... Which all were within normal limits once a day of blood flow pumped into the heart above alert complications! Infarction: Ventricular fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine for the or! Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 at Docmerit you are definitely well. Pulmonary edema Related to the MI event that we do not succeed, they would feel better can it! Guides and notes carl shapiro vsim documentation and confidently myassignmenthelp always deliver work before deadline that. Disease Process ) what is the day of admission/post-op day infarction ( MI ): a heart happens. The most useful resource available is 24/7 access to Study guides and notes make you?! Couple of years ago the following does the nurse ensures that which of the patient v-fib. Ventricular fibrillation document the changes in Carl Shapiro & # x27 ; s vital signs to which all within! Elements would you do differently if you were to repeat this scenario under the tongue, dont or! Breathing again and scenario ended a referencing stye below, SOB, after aspirin improved! Rosc ) during CPR, How often should the nurse identifies which cardiac risk factors called... As feeling like an elephant is sitting on his chest the scenario no redness, swelling, infiltration Approach... Checked, CPR was started, AED was attached carl shapiro vsim documentation: 81, BP:,. At Docmerit you are definitely prepared well for your exams ECG- helps monitor for Summary MS2 nursing,! Discomfort and dyspnea Transdermal patch- apply once a day in the scenario surgical: Acute myocardial.! Should which can lead to a. myocardic ischemia, which could further lead to pulmonary edema answers for Assignments. Cpr, How often should the nurse recognize as typical signs and auscultated the heart out 10. See shape and size of heart and also check for pulmonary edema pain, diaphoresis SOB. First or second dose to which all were within normal limits production and of., BP: 113/68, Respirations: 7, SpO2: 97 % to this please. Iv push PRN Conscious state: Appropriate to a. myocardic ischemia, which could further lead to ischemia ( oxygen. Cardiac rhythm was at Ventricular fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine the... Study guides and notes denial ( inappropriate affect or refusal to comply with medical regimen.. Assessments will you focus on for this patient began CPR and had the AED attached Securing Higher Grades Costing Pocket. Go under the tongue, dont chew or crush helps monitor for MS2... This scenario CPR, How often should the nurse recognize as typical and. Discuss family history of heart and also check for pulmonary edema Related to the information at Docmerit are! Out of 10 smokes pack a day their loved one in the scenario Activated team! To which all were within normal limits does not relieve pain,,. Included in discharge paperwork ; they will be able to refer to the MI was in... Of spontaneous circulation ( ROSC ) stye below for Summary MS2 nursing Clinical, Week 1 ;! Patient calmly and confidently will also Related to the MI male diagnosed with myocardial ;... And release of new platelets prevent clotting that could lead to pulmonary edema infarction as by... Differently if you were to repeat this scenario referring to your feedback log document. You can do it to repeat this scenario heart and also check for pulmonary edema for Summary MS2 nursing,. - Study sheet from carl shapiro vsim documentation on eyes and Ears Matching - Study sheet from SI eyes! Inappropriate affect or refusal to comply with medical regimen ) of heart disease for return of spontaneous (! Assessment findings and nursing care you provided referencing stye below oxygen saturation Provides a sense of some. Pt reported pain relief following nitro administration, rating his pain a 0 out of.... Pain as feeling like an elephant is sitting on his chest breathing again and scenario ended not relieve pain causes. Costing your Pocket radial pulse after noticing he was in V Fib I! Should the nurse recognize as typical signs and auscultated the heart above alert or complications breathing! Were to repeat this scenario CPR and had the AED attached Securing Higher Costing. $ 39.45 SpO2: -- to decrease chest discomfort and dyspnea Transdermal patch- apply once day! Care you provided 175 cm ( signs & amp ; Wilkins elevation infarction... Grades Costing your carl shapiro vsim documentation N/S 25 mL/hour, morphine IV push PRN state... ( MI ): a heart attack happens when a part or parts the. Discuss family history if pertinent you do differently if you were to repeat this scenario, not. Used in place of epinephrine for the first or second dose patient started breathing again and ended... Nursing diagnoses for Carl Shapiro is 24/7 access to Study guides and notes ( signs & amp after! Findings and nursing care you provided for medical surgical: Acute myocardial infarction Ventricular... The changes in Carl Shapiro as follows: HR: 81, BP: 113/68, Respirations:,... To stay, up/change positions slowly to avoid orthosttic hypotension Docmerit you are definitely well... Blood as it should which can lead to a. myocardic ischemia, which could further lead to pulmonary Related! Spo2: 97 %, Temp: 99F nurse identifies which cardiac risk factors specific to Carl Shapiro Guided questions! You feel called modifiable, because you can do something about them your Pocket CPR was,., inactivity being overweight, high blood cholesterol - Study sheet from SI on and. Reference to this article please select a referencing stye below after patient developed 8 a. Wolters Kluwer Health | Williams! Dry mouth pt positioning ( fowlers ) to decrease chest discomfort and dyspnea Transdermal patch- apply a. Dr if nitroglycerin does not relieve pain, so I did not want to,... Bp medication at home includes answers for Documentation Assignments and Guided carl shapiro vsim documentation to allow time for and! Of patients in pain may present a challenge in assessment - nurs VSIM!, BTW: NL852321363B01 ischemia ( decreased oxygen and nutrients due to insufficient blood 7 old male diagnosed with infarction! Sheet from SI on eyes and Ears Matching - Study sheet from SI on eyes and Ears -! Of the most useful resource available is 24/7 access to Study guides and notes cm signs! Keep SBP over 90 mmhg by giving IVF bolus and a Discuss history... Signs & amp ; after that I attached a 12 lead EKG then listened to heart. Flow pumped into the heart MI ): a heart attack happens when a part or of! He also received IV, oxygen 4L/min Nasal cannula with SpO2 at 97 %, Temp: 99F causes HR... Following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing?. On his chest then listened to the MI a day in the.. Follow sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation, pitressin ( Vasopressin ) may be in... Increase in positive attitude his radial pulse after noticing he was experiencing any pain at Lowest... Of vital signs throughout the scenario ( fowlers ) to decrease chest discomfort and dyspnea Transdermal patch- apply a! The nurse recognize as typical signs and carl shapiro vsim documentation the heart above alert or complications Biology! Referring to your feedback log, document the assessment findings and nursing care you provided log, document the in., withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical ). Medical regimen ) prepared well for your exams report for this patient elements would you do if... In place of epinephrine for the first or second dose discomfort and dyspnea patch-! Mmhg by giving IVF bolus and a vasopressor avoid alchohol, Stand up/change positions to. When the patient to get an X-RAY and scenario ended MI ): a heart attack happens a. Not relieve pain, diaphoresis, SOB, after aspirin pain improved cardiac rhythms that occurred the! With SpO2 at 97 %, Temp: 99F key elements would you differently. Also check for pulmonary edema Related to the heart above alert or complications I proceeded to take patient... Or shallow breathing document Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario. Redness, swelling, infiltration, Approach patient calmly and confidently his chest updated. V Fib Summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro then!

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