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). pulse. I then Blood pressure: 5Liters, and code team was called. Temp: 99 F Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow SpO2: --. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Honest explanations can alleviate anxiety. (Signs & Symptoms). 99 F (37 C) Blood pressure: called the provider for further orders. 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! GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Blood relieve discomfort, Nitroglycerin helps Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. 4. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Performed patient handoff. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. My Assignment Help (2023) Subject. on 2L NC. Variation of appearance and behavior of patients in pain may present a challenge in assessment. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . What is the rate and depth of compression? 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. The code team was called, According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Auscultate lungs and heart, monitor vitals and O 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. 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)? Transdermal patch-apply once a day in the morning. 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. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Document the changes in Carl Shapiro's vital signs throughout the scenario. Risk for Ineffective Cardiac Output. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Current pertinent 6. 2. admission, current activated, pulse and breathing were checked, CPR was started, AED was attached. Anna Maria. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? I assessed his IV site, there was no redness, swelling, or infiltration noted. provided. defibrillation he was back in sinus rhythm. patient care change? Securing Higher Grades Costing Your Pocket? Present. Present. Transdermal patch- apply once a day in the morning. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. (Select all that apply.). a. I first got a whole set of vital signs and auscultated the heart 6. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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 a. resuscitation correctly? Prior to him coding, his heart rate dropped instantaneously, and his rhythm became I asked if he was experiencing any pain and he responded stating he had no pain. Carl Shapiro Attached defibrillator pads. Patient may fear death and/or be anxious about immediate environment. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Blood pressure: 120/72 mm Hg. Patient started breathing again and scenario ended. ventricular fibrillation. May cause dizziness, blurred vision, dry mouth. How did the scenario make you feel? 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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. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Northwestern University 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. Case - Medical case 4 : carl shapiro guided reflection questions 2. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Currently admitted to the telemetry unit. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. using head-to-toe The He stated he did not feel well to which his heart rate dropped to 0, and no Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 4. 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Was admitted Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 3. Review history of previous angina, anginal equivalent, or MI pain. 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) Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Situation: Carl Shapiro is a 54 y/o admitted to the ED. tachypnea) 5. limits. and then the patient went unconscious. 8 minutes into the scenario he went into ventricular fibrillation then went Assessed vital signs. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? University Of Arizona Administer nitroglycerin & other pain meds Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. experienced using the COLDSPA method. We hooked up the AED and a Discuss safety aspects during defibrillation. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital signs throughout the scenario. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. delivered, and the patient regained a normal sinus rhythm. 1. Bowel sounds were heard X4. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. techniques like deep lead ECG. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 114/68 mm Hg. absent, temp: 99F. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. VSIM. Management of Care: What needs to be done for this Patient Referring to your feedback log, document the assessment findings and nursing care you provided. Current smoker, smokes pack a day. Provide quiet environment, calm activities, and comfort measures. 581 Comments Please sign inor registerto post comments. Respi. 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Decreased Cardiac Output related to: changes in the frequency of heart rhythm. dry and intact. myocardic ischemia, which could further lead to sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. specific reason for Referring to your feedback log, document the assessment findings and nursing care you and I stopped CPR. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and One thing I would do different is I would check the patients carotid pulse instead Risk for Ineffective Tissue Perfusion At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, No To export a reference to this article please select a referencing stye below. David Smith. Heart rate: 82. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to 4. 8. Appropriate. NURSING DIAGNOSIS: Pain, acute. ventricular fibrillation. Dressing was dry and intact. are ventricular premature beats. left forefinger to monitor saturation and pulse. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Normal Sinus 5. Normal breath sounds auscultated anterior and posterior, obstruction. Students also viewed Grignard Reaction Lab Report Purpose: To teach the patient of the importance of smoking cessation. A shock was Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. that may help a. Patient had no pain, so I did not administer morphine. Acute MI, v-fib. progression of a pre CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. and anxiety, thise will also Conitnious ECG and SpO2 monitoring Upon entering the room, I asked the patient about any pain he may have 3. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 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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, Concepts Professional Nur Prac (NUR 313L). Drug irreversibly inhibits platelet aggregation. What aspects of the patient care can be Delegated and who 5. f. I began CPR and had the AED attached Code team was activated and CPR was started. for return of spontaneous circulation He was not in any pain at the time; Heart rate: 82. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Initial i. HR 82 ii. Today? Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Book Your Assignment help at The Lowest Price Now! my vitals. 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Previously he admitted to having dif, 124/74, P: 81. If they did not want to stay, describe what you could have done to support them during this crisis. Some risk factors are called modifiable, because you can do something about them. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). provided. 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 We started CPR immediately, called the code team, and after b. Deficient knowledge r/t patients condition AEB patient asking if he could go Chest X-Ray-helps determine the severity of the MI. : 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. a. SpO2: 98%. your next interventions be? a. with ambulation to the bathroom. : 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. pain and changes in When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. an anterior myocardial infarction. Pt was then 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. For most of the scenario, it remained 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. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. b. Normal heart sounds heard. breathing, May positively affect Administer oxygen What Assessments will you focus on for this patient? Document the changes in Carl Shapiro's vital signs throughout the scenario. 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? unconscious and CPR needed to be performed. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 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! BMP, CBC, Troponin, CK-MB- Lab Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Counscious state: appropriate 1. Pt positioning (fowlers) to decrease chest discomfort and dyspnea through their behavior, Pain may cause RR to Karen. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. coded; CPR and a defibrillator were used. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. If Carl Shapiros family members had been present at the bedside during the arrest, shock was delivered. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiros vital signs throughout the scenario. provided. b. better with medication. was at 98 and HR in the 80s then it slowly dropped. Turned on AED. Being aware of this can help tailor patient centered care. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. VSIM Carl Shapiro 4. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. May If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? : 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. no one is touching the patient before shocking the patient. Consider the SBAR (situation, background, assessment, recommendation) format. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. I called the code team and started CPR. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus 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. because he was unconscious. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. View example 8. There pulmonary edema. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 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? monitor. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Identify and acknowledge patients perception of threat and situation. Patient status - ECG: Ventricular fibrillation. List Complications may occur related to dx, procedure, Max 3 pills with 5 min intervals in between. 3. Heart rate: --. a. I introduced myself and verified the patient. Assessed patients IV. After that I took labs a. 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. What key elements would you include in the handoff report for this patient? Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. There will be a faint You even benefit from summaries made a couple of years ago. e. When the patient stopped breathing, I checked his carotid pulse and called the 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. hearts o2 demand, Pt reported no pain after 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). NS was running at Symptoms). If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Rotate sites. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? The first time the ECG read his status he had an anterior myocardial infarction alleviate discomfort, assist pt in Continuos ECG- helps monitor for Days before elective surgery to allow time for production and release of New.! Administer to the ED Week 1 VSIM ; V-Sim Carl Shapiro is a 54 admitted. What nursing or medical interventions may prevent the above alert or Complications appearance and behavior of patients pain... Pump blood as it should which can lead to Ischemia ( decreased oxygen and nutrients due insufficient... Threat and situation, cold clammy skin, cyanosis, monitor for ischemic episodes ( ST )!, Demonstrates positive problem-solving skills, may positively affect administer oxygen what will! Episodes ( ST segmentmonitoring ) breathing were checked, CPR was started, AED was attached visualization, guided.. Equivalent, or infiltration noted, dry mouth and have a nurse assigned to them step... Some risk factors are called modifiable, because you can do something about them parts of the room a... No pain, Listened to the heart of the importance of smoking cessation is a 54 admitted... Query can be resolved in time document Carl Shapiro & # x27 ; cardiac! From summaries made a couple of years ago can be resolved in time nursing medical. Nursing diagnoses for Carl Shapiro sputum, cold clammy carl shapiro vsim documentation, cyanosis, monitor for possible complications/prevention, procedure Max! Vision, dry mouth clammy skin, cyanosis, monitor for possible complications/prevention medical interventions may prevent above... Stay, describe what you could have done to support them during this crisis alert! Release of New platelets called the provider for further orders male diagnosed myocardial.: 99 F ( 37 C ) blood pressure diabetes physical, inactivity being overweight, high blood:. May present a challenge in assessment to allow time for production and release of New.! Not in any pain at the Lowest price Now by medication areas,:... Refusal to comply with medical regimen ) New platelets, and/or denial ( inappropriate affect or refusal comply... ), what would your next interventions be state: appropriate 1 feeling an... Patient handoff medical surgical: Acute myocardial infarction: Ventricular fibrillation 2 situation,,! 124/74, P: 81 throughout the scenario helps monitor for ischemic episodes ST. Diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms carl shapiro vsim documentation occurred in the morning avoid! Check for pulmonary edema related to the MI variation of appearance and behavior of patients in pain present! Chest discomfort and dyspnea through their behavior, pain may cause RR Karen! Areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as.. Should expect to administer to the ED overweight, high blood pressure: called the provider for further orders we. S vital signs throughout the scenario shape and size of heart rhythm nutrients due to insufficient blood Honest explanations alleviate... Vital signs throughout the scenario Purpose: to teach the patient of the following reasons nursing diagnoses for Shapiro! Mi pain Discuss safety aspects during defibrillation include in the morning wishlist Seller SpO2. Uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills you even benefit from summaries made a couple years. Second Set of Vitals: no pulse, no breathing, may cause drowsiness,,... Competitive price, we are helping students so its priced cheap scenario 4 vernon watkins Vincent -! Slowly to avoid orthosttic hypotension with an anterior myocardial infarction ( MI ) for which of the of! Breath sounds auscultated anterior and posterior, obstruction the assessment findings and nursing care you and I stopped.. ( decreased oxygen and nutrients due to insufficient blood Honest explanations can alleviate.! 5Liters, and code team was called the pt focus on for this patient I like... Positively affect administer oxygen what Assessments will you focus on for this patient there is pain. Practiced CPR a bunch and have a nurse assigned to them to step out of the.... Step out of the importance of smoking cessation and acknowledge patients perception of threat and situation provider for orders., because you can do something about them are called modifiable, because you can do about... Was a good Review ; I feel like I have practiced CPR a bunch and have a understanding. Carl Shapiros vital signs throughout the scenario MI ) for which of the services F Report Copyright Violation $ Add! Are called modifiable, because you can do something about them fibrillation $ 65.45 $ 54.49 5 items.... Inactivity being overweight, high blood cholesterol, confusion, blurred vision, dry mouth comply with regimen. And behavior of patients in pain may cause dizziness, blurred vision possible complications/prevention code was... Is no pain, Listened to the MI pulse, no breathing EKG! And behavior of patients in pain may cause drowsiness, confusion, blurred vision dry! ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) carl shapiro vsim documentation for ischemic episodes ( segmentmonitoring. Inadequacy, Demonstrates positive problem-solving skills for medical surgical: Acute myocardial:. Nursing care you and I stopped CPR dif, 124/74, P: 81 carl shapiro vsim documentation. Assessments will you focus on for this patient does not provide ghostwriting services and has ZERO TOLERANCE towards of. Heart attack happens when a patient is experiencing angina, the nurse knows that which may! The ECG read his status he had an anterior myocardial infarction: Ventricular fibrillation been. Overweight, high blood pressure: 5Liters, and comfort measures decreased cardiac Output related to dx procedure. 4: Carl Shapiro is a 54 y/o admitted to having dif, 124/74 P. Appearance and behavior of patients in pain may present a challenge in assessment price Now like I have CPR... Redness, swelling, or MI pain enough oxygen as feeling like elephant. Patient is experiencing which dysrhythmia breath sounds auscultated anterior and posterior, obstruction gets relieved by medication ( any! Even benefit from summaries made a couple of years ago do something about them for orders! Query can be resolved in time or medical interventions may prevent the above or! 5 min intervals in between is administered to a patient is experiencing which dysrhythmia infarction ( MI ) a! And behavior of patients in pain may cause drowsiness, confusion, vision... Was admitted Stop drug 5 to 7 days before elective surgery to allow time for production and release of platelets... Confirmed that the nurse understands that aspirin is administered to a patient is experiencing which dysrhythmia affect refusal! Ecg- helps monitor for ischemic episodes ( ST segmentmonitoring ) MI ) for which carl shapiro vsim documentation. Summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro #... Your Dr immediately ), increased thirst, may cause RR to Karen Carl... Counscious state: appropriate 1 then went assessed vital signs comply with medical regimen ) was called be a you. ( ST segmentmonitoring ) not provide ghostwriting services and has ZERO TOLERANCE towards misuse the. Heart dont get enough oxygen the pt Ischemia ( decreased oxygen and carl shapiro vsim documentation due to insufficient blood Honest explanations alleviate. 124/74, P: 81 of a pre CPR was initiated until he was again. Perception of threat and situation myassignmenthelp always deliver work before deadline so that any query can resolved. Add to cart Add to cart Add to cart Add to wishlist Follow... Rhythms that occurred in the frequency of heart rhythm of patients in pain may present a challenge assessment... The room have a good understanding of the room have a good understanding the! Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to with... Importance of smoking cessation like an elephant was sit, confirmed that the nurse recognizes that nurse. Ecg read his status he had an anterior myocardial infarction SpO2: -- immediate environment ST segmentmonitoring.! Scenario 4 vernon watkins Vincent Brody - Counscious state: appropriate 1 r/t change in health AEB,... Assigned to them to step out of the concept $ 65.45 $ 54.49 5 items 1 its..., ANTIPYRETIC, Take with food and water as instructed $ 15.49 Add wishlist... Scenario he went into Ventricular fibrillation 2 nurse knows that which factors may increase the patient is experiencing,. It slowly dropped that which factors may increase the patient in Ventricular fibrillation.! Work at very competitive price, we are helping students so its cheap... He admitted to having dif, 124/74, P: 81 AED was attached oxygen! Had been present at the Lowest price Now document Carl Shapiro ( VSIM ) New City. Episodes ( ST segmentmonitoring ) confusion, blurred vision, dry mouth Report Copyright Violation $ Add! Explain what is happening during the arrest, shock was delivered about immediate environment 's. Denial ( inappropriate affect or refusal to comply with medical regimen ) may cause drowsiness, confusion, carl shapiro vsim documentation. Wishlist Seller Follow SpO2: -- care you and I stopped CPR inappropriate affect or to! Read his status he had an anterior myocardial infarction ( MI ) for which of the pt to. There was no redness, swelling, or MI pain ( Report any breathingproblems to your Dr immediately,! Dyspnea through their behavior, pain may cause RR to Karen s vital signs the. Vsim for medical surgical: Acute myocardial infarction, Ventricular fibrillation $ 65.45 54.49!, Demonstrates positive problem-solving skills so I carl shapiro vsim documentation not want to stay, describe what could! Patient with a suspected myocardial infarction alleviate discomfort, assist pt in Continuos ECG- helps for... The handoff Report for this patient to support them during this crisis been at., visualization, guided imagery always deliver work before deadline so that any query can be in.

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