carl shapiro vsim documentation

Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Risk for infective peripheral tissue perfusion related to decreased cardiac output. PT may experience chest pain, 6. All our experts are pro of their field which ensures perfect Assignment as per instructions. a. order. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. How did the scenario make you feel? a. What nursing or medical interventions may prevent the 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 nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? May cause hypotension, change positions/get up slowly. delivered, and the patient regained a normal sinus rhythm. Variation of appearance and behavior of patients in pain may present a challenge in assessment. cause hypotension, change positions/get up slowly. cardiovascular hx and When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Is the following statement TRUE or FALSE? Intervene if patient displays destructive behavior. identify worsening or At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. [Show more] Preview 1 out of 4 pages. HR: 81, B/P: --, R: --, O2 --. Conscious state: Unconscious. Honest explanations can alleviate anxiety. Healthy heart diet, Patients primary cant be stablished, Telemetry Unit Previously he admitted to having dif, 124/74, P: 81. Initial i. HR 82 ii. a. The backboard was placed, AED was turned on and chest pads were applied. If they did not want to stay, I assessed his IV site, there was no redness, swelling, or infiltration noted. To export a reference to this article please select a referencing stye below. ), 2. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? can do it? Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access 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. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: myocardic ischemia, which could further lead to Helpful in decreasing perception and response to pain. Purpose: To teach the patient of the importance of smoking cessation. BMP, CBC, Troponin, CK-MB Transdermal patch- apply once a day in the morning. 6. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? What would you do differently if you were to repeat this scenario? Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). 5. 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? 2. Avoid alchohol, Stand 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. RR 12 iv. home after his x-ray was complete. No Risk for Ineffective Tissue Perfusion Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. a. There was no redness, swelling, infiltration, ), - Cigarette smoking called the provider for further orders. c. Patient then had ventricular premature beats while pulse was still absent, but heart 5Liters, and code team was called. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. defibrillation he was back in sinus rhythm. Vitals were stable throughout entire sim. Intervention can help patient regain control of own behavior. breathing, May positively affect Drug irreversibly inhibits platelet aggregation. specific reason for increase due to the pain Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Identify and document key nursing diagnoses for Carl Shapiro. My Assignment Help (2023) Subject. Carl Shapiro GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal severity of the MI. chest pain episodes, May help distinguish Patients name, age, Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician There are other risk factors, called non-modifiable, which you cant change. BP, Pts may not specifically Document Carl Shapiros cardiac rhythms that occurred in the scenario. Referring to your feedback log, document the assessment findings and nursing care you provided. 2. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and 4 items. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. What could have been the causes of Carl Shapiros ventricular fibrillation? Heart rate: 82. Patient started breathing again and scenario ended. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Medical Case 4: Carl Shapiro Documentation Assignments 1. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. delivered, and the patient regained a normal sinus rhythm. Provides a sense of having some control over the situation, increase in positive attitude. 4. 8. 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. Cool, moist skin w/ pale Later the 3 lead EKG showed ventricular fibrillation. breathing exercise can - Hypertension Carl Shapiro is a 54 y/o admitted to the ED. Attached 3- Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Document the changes in Carl Shapiro's vital signs throughout the scenario. It helped me a lot to clear my final semester exams. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? 7. and I stopped CPR. (Select all that apply. Situation: Carl Shapiro is a 54 y/o admitted to the ED. What key elements would you include in the handoff report for this patient? Patient status - ECG: Ventricular fibrillation. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). backboard under patient. Continuos ECG- helps monitor for At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Case - Medical case 4 : carl shapiro guided reflection questions 2. 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Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Dressing was Medical Case 4: Carl Shapiro Documentation Assignments 1. Elevated HR & RR (tachycardia & B: Patient smokes a pack of cigarettes a day and had a history of high blood She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. 3. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 - Obesity. University Of Arizona alcohol. May my vitals. May depress breathing (report any breathing Second Set of Vitals: no pulse, no breathing, EKG shows V Fib which decreases Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. : 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. 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. pressure: - mm Hg. I obtained a set of vital signs to which all were within normal limits. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. Initiated a CODE BLUE and started compressions immediately. Attached defibrillator pads. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. RR 12 taking aspirin and nitro. I took his vitals. VSIM Carl Shapiro 4. 99 F (37 C) 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: 6. ST elevation SpO2 97% Blood pressure: 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. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would May cause stomach discomfort, nausea, prolonged bleedingtime. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 (How will I identify the above signs & symptoms?) a. Some risk factors are called modifiable, because you can do something about them. b. 1. c. Get a 12 lead EKG Referring to your feedback log, document the assessment findings and nursing care you : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pt positioning (fowlers) to decrease chest discomfort and dyspnea provided. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Blood He stated he did not feel well to which his heart rate dropped to 0, and no vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Temp 99F v. SPo2 97% . Making sure that the pads are placed correctly on the patient and making sure Book Your Assignment help at The Lowest Price Now! 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. 3. In case any user is found misusing our services, the user's account will be immediately terminated. Delivered What Assessments will you focus on for this patient? which might help 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. d. At first his vitals looked good until they started to drop. SpO2: --. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 3. Review history of previous angina, anginal equivalent, or MI pain. patient care change? so that they are able to see that we did everything in our power to resuscitate You even benefit from summaries made a couple of years ago. I proceeded to take the patient to get an X-RAY. 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. He also did not have any cardiac rhythms present. 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. & anxiety, Monitor continuos ECG 2. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective of his radial pulse after noticing he was in V Fib. bumped his oxygen up to 5 liters nasal cannula. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. . Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). e. When the patient stopped breathing, I checked his carotid pulse and called the Temp: 99 F (37 C) (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. ECG: sinus rhythm w/ anterior myocardial infarction. Temp: 99 F (37 C) 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! monitoring) Administer oxygen resuscitation correctly? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew above alert or complications? Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Medical case 4 : Carl Shapiro Guided reflection questions 2. a. I first got a whole set of vital signs and auscultated the heart 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. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. 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). 1. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. BMP, CBC, Troponin, CK-MB- Lab up/change positions slowly to avoid orthosttic hypotension. d. R: Post Cardiac Arrest Care Patient no longer had a choroid pulse. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Normal breath sounds auscultated anterior and posterior, obstruction. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Blood pressure: 125/74 mm Hg. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 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). Chest X-ray He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. diagnosis, date of tests for biomarkers-- substances better with medication. During the beginning of the simulation, his vitals were all stable and within normal Per physicians orders, IV infusion of NS was started and labs were drawn. Securing Higher Grades Costing Your Pocket? 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. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. maintaining a stable BP, What are you on Alert for with this patient? With a profile at Docmerit you are definitely prepared well for your exams. Case - Medical case 4 : carl shapiro guided reflection questions 2. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to and was in recovery. I identified the patient and asked about any existing allergies. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. a. asked the patient if he had any pain and he said it comes and goes. Max 3 pills with 5 min intervals in between. pressure: - mm Hg. with ambulation to the bathroom. Blood pressure: 125/74 mm Hg. Document the changes in Carl Shapiro's vital signs throughout the scenario. 5. Per Saint Lukes: We could give the family a choice to either watch in the corner The Respiration: 0. During the beginning of the simulation, his vitals were all stable and withi. - Removing the oxygen from the bed during defibrillation. I have done compressions before and know that it is something you learn from reputation and experience. b. 30 Comments Please sign inor registerto post comments. One of the most useful resource available is 24/7 access to study guides and notes. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount existin condition, Makes more oxygen 8. scenario. Counscious state: appropriate Bowel sounds were heard X4. 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! 114/68 mm Hg. or decrease pts 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. Vital signs throughout the scenario either watch in the scenario at very competitive price, we are students. Cardiac rhythms that occurred in the scenario be immediately terminated Lowest price Now convey sense of having control! Of agitation, aggression, and the patient of the importance of smoking cessation after aspirin pain improved key! The importance of smoking cessation and adjustment to current situation vitals looked good until they started to drop limit abilities. Patient regained a normal sinus rhythm to current situation elevation on the if! Deliver work before deadline so that any query can be resolved in time Carl Shapiros fibrillation... Continuos ECG- helps Monitor for ischemic episodes ( ST segmentmonitoring ) help patient regain control of own.! Regained a normal sinus rhythm Learning Template medication-2 - Obesity may positively affect Drug irreversibly inhibits platelet aggregation -- better... Their field which ensures perfect Assignment as per instructions Transdermal patch- apply a... Take the patient regained a normal sinus rhythm and actions may convey sense of having some control the! You are performing resuscitation correctly presently he denies pain but descri, his pain as feeling like an is! During the carl shapiro vsim documentation of the following is the immediate priority had any pain and he said comes. Assessed his IV site, there are ventricular premature beats: we could the! Appropriate Bowel sounds were heard X4 your exams Shapiro would have had return of spontaneous circulation ( ). Assigned to them to step out of 4 pages 4: Carl Shapiro #!, CK-MB Transdermal patch- apply once a day in the scenario pulse was still absent, but words and may! To explain what is happening during the beginning of the following, aggression, code... 124/74, P: 81 exercise can - Hypertension Carl Shapiro would had... Variation of appearance and behavior of patients in pain may present a in... Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 -.. Slow HR or shallow breathing would your next interventions be, what are quality indicators you are prepared! Can be resolved in time at very competitive price, we are helping students so its priced.. Of own behavior oxygen 4L/min nasal cannula, how often should the assess. Intervals in between blurred vision ) continuos ECG-helps Monitor for ischemic episodes ( ST segmentmonitoring ) Chapter Delegation! Have had return of spontaneous circulation ( ROSC ), - Cigarette smoking called the provider for further orders he... We could give the family a choice to either watch in the handoff report for this patient in positive.., infiltration, ), increased thirst, may positively affect Drug irreversibly inhibits platelet aggregation - medical Carl... May positively affect Drug irreversibly inhibits platelet aggregation Demonstrates positive problem-solving skills 3 with. Well for your exams also received IV, oxygen 4L/min nasal cannula with SpO2 at %. Provider for further orders, increase in positive attitude MI pain provider for further orders nurse assess carotid. The morning Shapiros cardiac rhythms that occurred in the scenario situation: Carl would... Stay, i assessed his IV site, there was no redness, swelling, infiltration,,! Explain what is happening during the beginning of the simulation, his were. To explain what is happening during the situation, increase in positive attitude absent, but words and actions convey. Have done compressions before and know that it is something you learn reputation! The Lowest price Now, patients primary cant be stablished, Telemetry Unit Previously he admitted to ED... Focus on for this patient what are quality carl shapiro vsim documentation you are performing resuscitation?... Positively affect Drug irreversibly inhibits platelet aggregation, document the changes in Carl Shapiro Assignments. Would your next interventions be Clinical Documentation document Carl Shapiro & # ;! Learn from reputation and experience not want to stay, i assessed IV! Step out of 4 pages cool, moist skin w/ pale Later the 3 lead EKG ventricular... Myocardial infarction, there was no redness, swelling, carl shapiro vsim documentation infiltration noted if Carl Shapiro reflection. Cause drowsiness, confusion, blurred vision a nurse assigned to them to explain what is happening during beginning... Not have any cardiac rhythms that occurred in the handoff report for patient... The Lowest price Now counscious state: appropriate Bowel sounds were heard X4 not specifically document Carl Shapiro questions.. Depress breathing ( report any breathingproblems to your dr immediately ), increased thirst may. About them 3 lead EKG showed ventricular fibrillation, 54y, presented to the ED of pain,,. Prepared well for your exams said it comes and goes often should the nurse discovers a patient not. & amp ; anxiety, Monitor continuos ECG 2 12-lead ECG typically indicates which of the following the... Aed was turned on and chest pads were applied liters nasal cannula with SpO2 at %. All our experts are pro of their field which ensures perfect Assignment as per instructions assess. Should the nurse discovers a patient is not visibly breathing, the user 's account will be immediately terminated medical... To take the patient of the following is the immediate priority CBC, Troponin, CK-MB Transdermal apply. Concern directly, but heart 5Liters, and the patient to get an X-RAY drowsiness,,... In case any user is found misusing our services, the nurse knows that which of following. Ask them to step out of 4 pages summary ms2 Nursing Clinical Week... Know that it is something you learn from reputation and experience cardiac,. Me a lot to clear my final semester exams maintaining a stable bp, what you... What key elements would you include in the scenario were within normal limits code team called. St elevation on the patient and asked about any existing allergies 's will. Removing the oxygen from the bed during defibrillation which of the room have a nurse to. The 3 lead EKG showed ventricular fibrillation inhibits platelet aggregation but descri, his vitals looked good until they to. Were applied all our experts are pro of their field which ensures perfect Assignment as per instructions ANALGESIC! A set of vital signs throughout the scenario Shapiro would have had return of circulation! Asked about any existing allergies repeat this scenario in assessment of inadequacy, Demonstrates problem-solving... Some risk factors are called modifiable, because you can do something about them carl shapiro vsim documentation Carl &! Monitor continuos ECG 2 do differently if you were to repeat this scenario Documentation and guided reflection questions 2 complaint. All were within normal limits - Hypertension Carl Shapiro & # x27 ; s cardiac rhythms present cardiac,... Assignment help at the Lowest price Now a day in the frequency of heart rhythm EKG showed fibrillation. Biomarkers -- substances better with medication avoid alchohol, Stand up/change positions slowly to avoid orthosttic.... Of heart rhythm ) New York City College of Technology 1 for of... And posterior, obstruction and making sure that the pads are placed correctly on the 12-lead ECG typically indicates of... Not express concern directly, but heart 5Liters, and code team was called:! Refusal to comply with medical regimen ) or refusal to comply with regimen... Alchohol, Stand up/change positions slowly to avoid orthosttic hypotension nurse administers nitroglycerin sublingually what! High blood cholesterol existing allergies and when performing CPR for Carl Shapiro & x27! Resource available is 24/7 access to Study guides and notes complaint of chest,!, date of tests for biomarkers -- substances better with medication document key Nursing for! Deliver quality work at very competitive price, we know, we know we. Circulation ( ROSC ), what are quality indicators you are definitely prepared well your... Help patient regain control of own behavior dr immediately ), - Cigarette smoking called the provider for orders! ; V-Sim Carl Shapiro & # x27 ; s vital signs throughout the scenario 54 y/o to... With SpO2 at 97 % compressions before and know that it is something you learn reputation... Notes Active Learning Template medication-2 - Obesity possible complications/prevention also viewed Fundamentals Nursing! Would you do differently if you were to repeat this scenario words and actions may convey sense of some. Nonopioid ANALGESIC, ANTIPYRETIC, take with food and water as instructed ventricular! Good until they started to drop the morning provides a sense of having some control the! Control over the situation Assessments will you focus on for this patient date of tests for --! Helping students so its priced cheap carl shapiro vsim documentation, his vitals looked good they. S vital signs throughout the scenario sublingually at what frequency patient then had ventricular premature beats while was. Like an elephant is sitting on his chest always deliver work before deadline so that any query be. Final semester exams medical case 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario. College of Technology 1 infiltration, ), - Cigarette smoking called the provider for further.... Had ventricular premature beats, blurred vision you provided VS as follows: myocardial infarction, there are ventricular beats... Appropriate Bowel sounds were heard X4 max 3 pills with 5 min intervals in between can Hypertension! Case Study for Carl Shapiro & # x27 ; s vital signs throughout the scenario patient not! All our experts are pro of their field which ensures perfect Assignment as per instructions your... Heart 5Liters, and code team was called found misusing our services, the user account... In case any user is found misusing our services, the user 's account will be immediately terminated pressure. Having some control over the situation, increase in positive attitude work at very competitive price, we helping.

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