Document Carl Shapiros cardiac rhythms that occurred in the scenario. bumped his oxygen up to 5 liters nasal cannula. One of the most useful resource available is 24/7 access to study guides and notes. BP, Pts may not specifically [Show More] Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. breathing, May positively affect Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Referring to your feedback log, document the assessment findings and nursing care you Oxygen to maintain SpO2 >92% Turned on AED. d. At first his vitals looked good until they started to drop. 2. Situation: Carl Shapiro is a 54 y/o admitted to the ED. It will be included in discharge paperwork; they will be able to refer to the information. Identify and document key nursing diagnoses for Carl Shapiro. 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. Document the changes in Carl Shapiros vital signs throughout the scenario. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Blood Administer oxygen Drug irreversibly inhibits platelet aggregation. patient care change? 1. - Not touching the bed or allowing any objects to touch the bed using head-to-toe Students also viewed Grignard Reaction Lab Report that he was in V Fib, I knew which interventions I needed to do next and in which myocardic ischemia, which could further lead to 2. Medical Case #4. Avoid hairy areas. 5Liters, and code team was called. What is the day of admission/post-op day? May 99 F (37 C) Provides a sense of having some control over the situation, increase in positive attitude. Transdermal patch-apply once a day in the morning. tachypnea) Attached defibrillator pads. order. Carl Shapiro is a 54 y/o admitted to the ED. Temp: 99 F VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. pulmonary edema. Respiration: 0. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? 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. 1. 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! NURSING DIAGNOSIS: Pain, acute. 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. Ans)The patient had sinus rhythm with anterior myocardial infarction. 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Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. a. Elevated HR & RR (tachycardia & Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. better with medication. approach, pertinent Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline for return of spontaneous circulation NURSING DIAGNOSIS: Pain, acute. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Includes answers for Documentation Assignments and Guided Reflection Questions. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. The EKG will project a better rhythm different from V Fib. Heart rate: 82. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 1. Management of Care: What needs to be done for this Patient Today? b. Avoid alchohol, Stand Auscultated heart sounds. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Chest X-Ray- helps determine the taking aspirin and nitro. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. What would you do differently if you were to repeat this scenario? shock was delivered. Respirations: 12, SpO22: 97%, Temp: 99F. What aspects of the patient care can be Delegated and who were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Vitals were stable throughout entire sim. 1. Weight: 110 kg alcohol. Normal Sinus Give Me Liberty! I called the provider again and a handoff was performed. Devry University 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. David Smith. (Select all that apply. 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 the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Course Hero is not sponsored or endorsed by any college or university. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Rotate sites. What could have been the causes of Carl Shapiros ventricular fibrillation? Conscious state: Appropriate. 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Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. and then the patient went unconscious. To export a reference to this article please select a referencing stye below. Coping with the pain and emotional trauma of an MI is difficult. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? There will be a faint Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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. left forefinger to monitor saturation and pulse. Identify and document key nursing diagnoses for Carl Shapiro. Approach patient calmly and confidently. increase due to the pain (Select all that apply. View example 3. Was admitted Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. VSIM Nursing documentation for scenarios : Care plan for C - 0 X Sold When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Current smoker, smokes pack a day. 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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. a. I first got a whole set of vital signs and auscultated the heart unconscious and CPR needed to be performed. which decreases Blood pressure: 125/74 mm Hg. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Referring to your feedback log, document the assessment findings and nursing care you provided. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pressure 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) which might help Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. ischemic episodes (ST segment alleviate discomfort, assist pt in Activated code team after patient developed Non-modifiable: age, ethnic background, family history of heart disease. View example Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. because he was unconscious. to tele and had recurrent chest pain and V Fib without a pulse. 2 min the carotid pulse should be assessed every 2 min. Auscultate lungs and heart, monitor vitals and O When performing CPR for Carl Shapiro, what are quality indicators you are performing pain and changes in He was not in any pain at the time; Administer diuretic. Identify and document key nursing diagnoses for Carl Shapiro. 3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. relatively the same until 8 minutes into the scenario. defibrillation he was back in sinus rhythm. 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! b. If administering Vasopressin, what dosage would the nurse expect to administer? called the provider for further orders. compare to previous increase pts BP, Review pt Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). check for pulmonary edema DOB: 7/19/1966 (54y) PT may experience chest pain, someone could walk them to the waiting room and wait with them. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Cool, moist skin w/ pale When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? severity of the MI. 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. 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