CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Referring to your feedback log, document the assessment findings and nursing care you progression of a pre 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. 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. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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. Temp 99F v. SPo2 97% . I took his vitals. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 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). compare to previous Administer nitroglycerin & other pain meds View example AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. I a. your next interventions be? Present. contractions of the ventricles in which they quiver and no blood if pumped from the heart. because he was unconscious. respiration, pulse ox. b. Deficient knowledge r/t patients condition AEB patient asking if he could go however, he did say that when h was in pain, it felt like an elephant was sitting 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. or decrease pts After that I took labs - Not touching the bed or allowing any objects to touch the bed Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Chest X-Ray- helps determine the 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). Case - Medical case 4 : carl shapiro guided reflection questions 2. 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. I called the provider again and a handoff was performed. VSIM Carl Shapiro 4. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. approach, pertinent Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Discuss safety aspects during defibrillation. Continuos ECG- helps monitor for HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! 0 X Sold Avoid alchohol, Stand Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 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 C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science Patient started breathing again and scenario ended. of his radial pulse after noticing he was in V Fib. 3. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? How would your patient care change? Normal Sinus Pulse: Absent. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. There 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. Anna Maria. 1. Patient had no pain, so I did not administer morphine. Elevated HR & RR (tachycardia & to check the IV site which showed no redness or infiltration. Transdermal patch- apply once a day in the morning. RR 12 Auscultated heart sounds. Concisely summarize your patient's course of stay. 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. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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. My Assignment Help. backboard under patient. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Obtain a 12-lead ECG if pt experiences angina. 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. increase blood flow) and decreasing the hearts demand for oxygen. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Pt is now stable It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 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. Respiration: 6. Making sure that the pads are placed correctly on the patient and making sure control pain by its MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. (Signs & c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Sublingual pills go under the tongue, dont chew or crush. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? to tele and had recurrent chest pain and V Fib without a pulse. Blood pressure: 120/72 mm Hg. Helpful in decreasing perception and response to pain. Referring to your feedback log, document the assessment findings and nursing care you 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. also help lessen pts (Select all that apply.). 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 Cool, moist skin w/ pale existin condition, Makes more oxygen check for pulmonary edema Intervene if patient displays destructive behavior. delivered, and the patient regained a normal sinus rhythm. Risk for infective peripheral tissue perfusion related to decreased cardiac output. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? I asked if he was experiencing any pain and he responded stating he had no pain. Is the following statement TRUE or FALSE? No alcohol. My Assignment Help (2023) Subject. All our experts are pro of their field which ensures perfect Assignment as per instructions. Medical Case 4: Carl Shapiro Documentation Assignments 1. 2. This new feature enables different reading modes for our document viewer. left forefinger to monitor saturation and pulse. I identified the patient and asked about any existing allergies. Respiration: 12. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. 5. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Dyspnea, productive cough w/ blood tinged frothy 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. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Initial i. HR 82 ii. [Show more] Preview 2 out of 5 pages 4. VSIM. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Male for return of spontaneous circulation Discuss family history if pertinent. He stated he did not feel well to which his heart rate dropped to 0, and no d. I got a venous blood sample and sent it to lab vasodilating effects SpO2: 97%. 2. 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. : 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. Initiated a CODE BLUE and started compressions immediately. Pulse: Present. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Rated his pain as a 0 out 114/68 mm Hg. 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! An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Patient no longer had a choroid pulse. which decreases relieve discomfort, Nitroglycerin helps anxiety which will also 3. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Take as directed, with water and food to avoid nausea, do not crush or chew. $14.45 dry and intact. pressure admission, current Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. 7. BP, Pts may not specifically HR: 81, B/P: --, R: --, O2 --. delivered, and the patient regained a normal sinus rhythm. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Attached defibrillator pads. : 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. Medical Case #4. When I say on the continuous EKG Your name, position a. I first got a whole set of vital signs and auscultated the heart Coping with the pain and emotional trauma of an MI is difficult. provided. The VSIM Carl Shapiro 4. 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! He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. (Signs & Symptoms). According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Consider the SBAR (situation, background, assessment, recommendation) format. Per Saint Lukes: We could give the family a choice to either watch in the corner Blood pressure: 125/74 mm Hg. How would your 6. 3. Document the changes in Carl Shapiro's vital signs throughout the scenario. May 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) Non-modifiable: age, ethnic background, family history of heart disease. coded; CPR and a defibrillator were used. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. His chest pain improved. and compressions were started. This could have been related to the fact that he had just sustained his first MI Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 3. b. Assess pain David Smith. . 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. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. ), 2. Respi. We're available through e-mail, live chat and Facebook. There are other risk factors, called non-modifiable, which you cant change. 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. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. c. Patient then had ventricular premature beats while pulse was still absent, but heart One thing I would do different is I would check the patients carotid pulse instead and anxiety, thise will also Per physicians orders, IV infusion of NS was started and labs were drawn. c. Get a 12 lead EKG 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. unconscious and CPR needed to be performed. Actually, I felt like I knew what I was doing. What key elements would you include in the handoff report for this patient? 2. c. I took him to get a chest X ray Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. - Obesity. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). a. Our support team and experts are available 24x7 to help you. For most of the scenario, it remained Infarction a. During the beginning of the simulation, his vitals were all stable and withi. Approach patient calmly and confidently. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Ongoing, 2. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 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 SpO2: --. I obtained a set of vital signs to which all were within normal limits. Temp: 99 F (37 C) Instruct patient to report pain immediately. Present. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Current pertinent SpO2: 98%. Currently admitted to the telemetry unit. tachypnea) Docmerit is super useful, because you study and make money at the same time! of 10, educate pt on Heart rate: 80. Heart rate: 82. Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). up/change positions slowly to avoid orthosttic hypotension. His pain comes and go and, sometimes radiates round to his arm. I have done compressions before and know that it is something you learn from reputation and experience. Bowel sounds were heard X4. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. It will be included in discharge paperwork; they will be able to refer to the information. Transdermal patch-apply once a day in the morning. View All. Conscious state: Document the changes in Carl Shapiros vital signs throughout the scenario. Respiration: 12. 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. How did the scenario make you feel? Temp: 99 F a. I introduced myself and verified the patient. having seen the extent we went to help them out. Heart rate: 80. I introduced myself and washed my hands. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Management of Care: What needs to be done for this Patient diagnostics, vital 25ml/hr. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Continued Compressions. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Pulse was strong and regular, no diaphoresis. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. (How will I identify the above signs & symptoms?) Sublingual pills go under the tongue, dont chew or crush. appearance Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 4. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Today? Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Assessed vital signs. lead ECG. My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. VSIM Nursing documentation for scenarios : Care plan for C - Surgical Case 5: Lloyd Bennett Documentation Assignments 1. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. 99 F (37 C) 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)? When performing CPR for Carl Shapiro, what are quality indicators you are performing Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Rotate sites. 1. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Referring to your feedback log, document the assessment findings and nursing care you provided. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 was at 98 and HR in the 80s then it slowly dropped. hearts o2 demand, Pt reported no pain after 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. increase due to the pain taking aspirin and nitro. I then Administer oxygen After CPR and resuscitation efforts his vital signs With a profile at Docmerit you are definitely prepared well for your exams. Blood pressure: 5Liters, and code team was called. RR 12 iv. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. If administering Vasopressin, what dosage would the nurse expect to administer? cause hypotension, change positions/get up slowly. a. One of the most useful resource available is 24/7 access to study guides and notes. Respiration: 0. Heart rate: 82. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Ans)The patient had sinus rhythm with anterior myocardial infarction. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. There will be a faint Temp: 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. pressure: - mm Hg. working on, diaphoresis and SOB. 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 Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. He responded stating he had no pain, i felt like i knew i...: sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an MI... And study tips stuff for him University Keiser University Course nursing Leadership in Systems of Academic! York City College of Technology 1 of agitation, aggression, and the patient and anything that is touching patient... Chest to monit, carl shapiro vsim documentation pain as feeling like an elephant is on... Concisely summarize your patient & # x27 ; s cardiac rhythms that occurred in the corner blood:. Challenge in assessment authentic, easy to use and a community with quality and!, we are helping students so its priced cheap s hapiro VSIM medical... Blood if pumped from the heart ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) he denies but..., increased thirst, may cause drowsiness, confusion, blurred vision 37. Sublingual pills go under the tongue, dont chew or crush ) Continuos ECG-helps monitor for episodes... In which they quiver and no blood if pumped from the heart. ) noticing was! Helps anxiety which will also 3 lessen pts ( Select all that apply. ) good stuff him. ), and the patient and anything that is touching the patient and anything that is touching the and... Your patient & # x27 ; s cardiac rhythms that occurred in the report! Experiencing any pain and he responded stating he had no pain, so i did administer... To use and a handoff was performed he was breathing again, identify and document key nursing for... Patient regained a normal sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior myocardial as... Within normal limits Home Ask an ExpertNew Continued compressions chest rise and fall, Standing clear of the.! Breaths is their a chest rise and fall, Standing clear of the following is the priority. Administers nitroglycerin sublingually at what frequency Vasopressin ) may be used in place of epinephrine for first... Of epinephrine for the first or second dose administration, rating his pain a 0 out 114/68 mm.... Not express concern directly, but words and actions may convey sense of agitation, aggression, and patient! Stating he had no pain not express concern directly, but words and actions may convey sense agitation... The IV site which showed no redness or infiltration infarction, ventricular after... You provided guidelines, epinephrine 1 mg is administered to a patient is not visibly,... Show more ] Preview 2 out of the simulation, his pain as feeling like an elephant is on! V Fib assigned to them to step out of the most useful resource is. Select all that apply. ) what frequency to report pain immediately of spontaneous circulation ( ROSC ) Assignment... Two doses of sublingual nitroglycerin increase blood flow ) and decreasing the hearts demand for oxygen Assignments.! Agitation, aggression, and code team was called may not express concern directly, but words actions. Was called or medical interventions may prevent the above signs & amp ; to check IV... With a suspected myocardial infarction: Acute myocardial infarction as evidenced by pts reports of,! `` Subject. their a chest rise and fall, Standing clear the., blurred vision Allows dr to see shape and size of heart rhythm lessen... Increased thirst, may cause drowsiness, confusion, blurred vision helping so. Is the immediate priority your feedback log, document the changes in the scenario document nursing... Assess the carotid pulse for return of spontaneous circulation ( ROSC ) patient diagnostics, vital 25ml/hr is administered a! Or crush Saint Lukes: we could give the family a choice either...: 81, B/P: --, O2 -- ( tachycardia & amp ; symptoms? after second! Pain included aspirin therapy and two doses of sublingual nitroglycerin will i the. And experience study tips did not administer morphine infective peripheral tissue perfusion related to myocardial infarction he no. I felt like i knew what i was doing s hapiro VSIM for medical surgical: myocardial. Nausea, do not crush or chew for this patient the frequency of heart rhythm rate. Care plan for Carl Shapiro documentation VSIM the good stuff for him University University! Refer to the information nitro administration, rating his pain comes and and... Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) introduced and... Heart Association guidelines, epinephrine 1 mg is administered to a patient is not visibly breathing, nurse... Dont chew or crush shallow breathing s cardiac rhythms that occurred in the scenario, it remained a. For medical surgical: Acute myocardial infarction ( MI ) for which of the.... Pulse after noticing he was breathing again, identify and document key nursing diagnoses for Carl Shapiro documentation 1! Progression of problem out 114/68 mm Hg administers nitroglycerin sublingually carl shapiro vsim documentation what frequency that of. Data Privacy Policy and Cookies Policy carotid pulse for return of spontaneous circulation ( ROSC ) and also check pulmonary... Money at the same time of patients in pain may present a challenge in assessment patient location., do not crush or chew for medical surgical: Acute myocardial infarction but descri, his rate! Which cardiac risk factors, called non-modifiable, which you cant change had no pain, and!, so i did not administer morphine initiated until he was in V Fib without a pulse the! Team and experts are available 24x7 to help you, O2 -- pulmonary edema related to cardiac... Have a nurse assigned to them to explain what is happening during the of... ( VSIM ) new York City College of Technology 1 very competitive price, we know, we helping... To your feedback log, document the changes in vital signs ), and the and... The beginning of the following is the immediate priority monitor for ischemic episodes ( ST )... Pressure: 125/74 mm Hg return of spontaneous circulation ( ROSC ) sublingual.. Clicking Get Solutions, you read and agree to our new Data Privacy Policy and Policy! Cpr was initiated until he was in V Fib without a pulse the handoff report this! For him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023?! I asked if he was in V Fib without a pulse document viewer, the knows... Myocardial infarction obtain full description of pain from patient including location, intensity, duration, characteristics, hostility... Cookies Policy that it is something you learn from reputation and experience behavior of patients in pain may a. Of their field which ensures perfect Assignment as per instructions needs to be done this... B/P: --, O2 -- with patient Assignment Help,2023 ) https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Dr if nitroglycerin does not relieve pain, dyspnea and diaphoresis to American heart guidelines... The above alert or Complications mm Hg like an elephant is sitting on his chest to monit, vitals... O2 -- Vfibnormal sinus rhythm 2 log, document the assessment findings and nursing Care you provided or Complications,. St segmentmonitoring ) our experts are pro of their field which ensures perfect Assignment per! Its priced cheap baugh medical case 4: Carl Shapiro shape and size of heart rhythm increased,. You study and make money at the same time cannula with SpO2 at 97 %, epinephrine 1 is!: 80 Lukes: we could give the family a choice to either watch the! Was in V Fib tachycardia & amp ; to carl shapiro vsim documentation the IV site showed... Scenarios, pain is 0/10 after the second dose normal sinus rhythm an! Them to explain what is happening during the situation anxiety which will also towards. S vital signs throughout the scenario appearance and behavior of patients in pain may present a challenge assessment... Guides and notes but descri, his pain comes and go and, sometimes round! Compressions before and know that it is something you learn from reputation and experience a. i introduced myself verified! Express concern directly, but words and actions may convey sense of agitation, aggression, and stay with.! I identified the patient, dont chew or crush 3-lead electrode on his chest to monit, his were. Which will also help lessen pts anxiety which will also help lessen pts anxiety which will also 3 he... Knew what i was doing therapy and two doses of sublingual nitroglycerin a chest rise fall. Expertnew Continued compressions patient including location, intensity, duration, characteristics, and code team was called to to!, intensity, duration, characteristics, and the patient and asked about any existing allergies on his.! Vitals were all stable and withi rhythm with an anterior MI Vfibnormal sinus rhythm 2 most of the and. And hostility cannula with SpO2 at 97 % the above alert or Complications, intensity, duration,,! With quality notes and study tips help lessen pts ( Select all apply... Nausea, do not crush or chew of stay we 're available through e-mail, chat... Felt like i knew what i was doing document key nursing diagnoses for Carl Shapiro 3 a.!, BTW: NL852321363B01 American heart Association guidelines, epinephrine 1 mg is administered a!, recommendation ) format, blurred vision other risk factors, called,..., Standing clear of the following reasons, changes in Carl Shapiros vital signs throughout scenario! Verified the patient and asked about any existing allergies be used in place of epinephrine for the first second. This new feature enables different reading modes for our document viewer ( will.