Is the following statement TRUE or FALSE? 7. c. Patient then had ventricular premature beats while pulse was still absent, but heart Provided patient education. What is the day of admission/post-op day? Acute MI, v-fib. (RN), unit you are CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! a. 99 F (37 C) Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - appearance The backboard was placed, AED was turned on and chest pads were applied. b. Deficient knowledge r/t patients condition AEB patient asking if he could go Is the following statement TRUE or FALSE? having seen the extent we went to help them out. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. chest pain episodes, May help distinguish through their behavior, Pain may cause RR to Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. What aspects of the patient care can be Delegated and who can do it? How would your Students also viewed Grignard Reaction Lab Report State the significance of the changes. ), - Clearing the bed at least twice prior to defibrillating Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. 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! 6. 581 Comments Please sign inor registerto post comments. SpO2: --. Cool, moist skin w/ pale Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Ch1 - Focus on Nursing Pharmacology 6e 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. 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. : 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. Securing Higher Grades Costing Your Pocket? BMP, CBC, Troponin, CK-MB 114/68 mm Hg. Document the changes in Carl Shapiro's vital signs throughout the scenario. Patient had no pain, so I did not administer morphine. Referring to your feedback log, document the assessment findings and nursing care you provided. One of the most useful resource available is 24/7 access to study guides and notes. Present. Respiration: 0. pulmonary edema. 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. Blood Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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? Purpose: To teach the patient of the importance of smoking cessation. Respi. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Document the changes in Carl Shapiro's vital . Activated code team after patient developed Infarction NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Provides a sense of having some control over the situation, increase in positive attitude. Chest X-Ray- helps determine the Oxygen to maintain SpO2 >92% Bed rest w/ bathroom priviledges Allows Dr to see What key elements would you include in the handoff report for this patient? 2. My Assignment Help (2023) Subject. (Select all that apply.). Prior to him coding, his heart rate dropped instantaneously, and his rhythm became There Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. that he was in V Fib, I knew which interventions I needed to do next and in which cant be stablished, Telemetry Unit Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow 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 Healthy heart diet, Patients primary Carl Shapiro is a 54 y/o admitted to the ED. (How will I identify the above signs & symptoms?) I obtained a set of vital signs to which all were within normal limits. Transdermal patch- apply once a day in the morning. Honest explanations can alleviate anxiety. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What would you do differently if you were to repeat this scenario? Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Document the changes in Carl Shapiros vital signs throughout the scenario. (Reason for Test and Results) d. R: Post Cardiac Arrest Care Document Carl Shapiro's cardiac rhythms that occurred in the scenario. SpO2 97% Make sure oxygenation is 94% or higher, place ET and confirm placement CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. using head-to-toe - Removing the oxygen from the bed during defibrillation. progression of a pre problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Administer nitroglycerin & other pain meds pts response to pain Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. h. I continued CPR on a 30:2 ratio. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. At this point his vital signs a. Medical Case 4: Carl Shapiro Documentation Assignments 1. 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! 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 SBAR (situation, background, assessment, recommendation) format. Document the changes in Carl Shapiro's vital signs throughout the scenario. 0 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 Take as directed, with water and food to avoid nausea, do not crush or chew. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Sublingual pills go under the tongue, dont chew or crush. University Of Arizona Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. techniques like deep VSIM Carl Shapiro 4. describe what you could have done to support them during this crisis. 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. There will be a faint Document Carl Shapiro's cardiac rhythms that occurred in the scenario. and I stopped CPR. Give Me Liberty! Administer diuretic. (Select all that apply. Appropriate. SpO2: 97%. Assess pain a. : 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. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood NURSING DIAGNOSIS: Pain, acute. We're available through e-mail, live chat and Facebook. Patient had no pain, so I did not administer morphine. Avoid hairy areas. For most of the scenario, it remained Ans)The patient had sinus rhythm with anterior myocardial infarction. a. Ongoing, 2. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Medical Case 4: Carl Shapiro Documentation Assignments 1. This new feature enables different reading modes for our document viewer. unconscious and CPR needed to be performed. cardiovascular hx and With a profile at Docmerit you are definitely prepared well for your exams. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Book Your Assignment help at The Lowest Price Now! available to the heart Document the changes in Carl Shapiros vital signs throughout the scenario. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Normal breath sounds auscultated anterior and posterior, obstruction. Blood pressure: 125/74 mm Hg. 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. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Heart rate: 82. order. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist BMP, CBC, Troponin, CK-MB- Lab Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. asked the patient if he had any pain and he said it comes and goes. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Document Carl Shapiros cardiac rhythms that occurred in the scenario. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. No alcohol. provided. Document the changes in Carl Shapiros vital signs throughout the scenario. 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? Max 3 pills with 5 min intervals in between. b. I asked the patient about his pain and past and current medical history If they did not want to stay, provided. There was no redness, swelling, infiltration, I asked about allergies and took all verbalize their pain but which might help 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. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Document the changes in Carl Shapiro's vital signs throughout the scenario. Now is my chance to help others. 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. someone could walk them to the waiting room and wait with them. 4. lead ECG. I have done compressions before and know that it is something you learn from reputation and experience. tachypnea) Respiration: 12. I then (Include Pathophysiology of Disease Process) Dressing was dry and intact. What could have been the causes of Carl Shapiros ventricular fibrillation? 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. 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). 30 Comments Please sign inor registerto post comments. check for pulmonary edema Respiration: 0. NY Times Paywall - Case Analysis with questions and their answers. for return of spontaneous circulation c. Get a 12 lead EKG It helped me a lot to clear my final semester exams. (Select all that apply. Allergies: No known a. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 6. PT may experience chest pain, Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. anxiety which will also Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Your name, position Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. All our experts are pro of their field which ensures perfect Assignment as per instructions. Max 3 pills with 5 min intervals in between. Karen. an anterior myocardial infarction. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access 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. Patient may fear death and/or be anxious about immediate environment. Administer oxygen Oxygen was bumped to 25ml/hr. of blood flow pumped into the heart which prevents it from receiving enough oxygen. myocardic ischemia, which could further lead to After CPR and resuscitation efforts his vital signs Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. shock was delivered. Weight: 110 kg My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. to tele and had recurrent chest pain and V Fib without a pulse. provided. 2. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Company Registration Number: 61965243 2. (Signs & (Signs & Symptoms). ), - Cigarette smoking Docmerit is super useful, because you study and make money at the same time! Respiration: 6. Wolters Kluwer Health | Lippincott Williams & Wilkins. (Select all that apply.). 3. better with medication. and anxiety, thise will also Assessed vital signs. coded; CPR and a defibrillator were used. specific reason for discomfort, jaw pain, left arm pain 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. Management of Care: What needs to be done for this Patient Today? Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. defibrillation he was back in sinus rhythm. Vitals were stable throughout entire sim. pressure: - mm Hg. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Medical Case #4. 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. a. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal I asked if he was experiencing any pain and he responded stating he had no pain. I proceeded Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. and compressions were started. Respiration: 12. 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). Attached pulse oximeter to diaphoresis. because he was unconscious. 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. Intervention can help patient regain control of own behavior. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. The About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Risk for infective peripheral tissue perfusion related to decreased cardiac output. NS was running at Identify and document key nursing diagnoses for Carl Shapiro. RR 12 Document a comprehensive pain assessment for Marilyn Hughes. increase blood flow) and decreasing the hearts demand for oxygen. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Intervene if patient displays destructive behavior. can do it? b. There are other risk factors, called non-modifiable, which you cant change. 4. or decrease pts Acute Pain Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. defibrillation he was back in sinus rhythm. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? May cause hypotension, change positions/get up slowly. SOB 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)? The dressing was loosened, and the height of the . Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. left forefinger to monitor saturation and pulse. bleeding, or drainage. Consider the SBAR (situation, background, assessment, recommendation) format. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Anna Maria. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Counscious state: appropriate When performing CPR for Carl Shapiro, what are quality indicators you are performing Helpful in decreasing perception and response to pain. David Smith. Discuss safety aspects during defibrillation. scenario. Identify and acknowledge patients perception of threat and situation. a. assessment data When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? b. ST elevation b. 3. 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. signs. 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. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. monitoring) Temp 99F v. SPo2 97% . relieve discomfort, Nitroglycerin helps Male ), 2. Temp: 99 F (37 C) Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. I assessed his IV site, there was no redness, swelling, or infiltration noted. maintaining a stable BP, What are you on Alert for with this patient? which decreases . [Show More] Patient resumed breathing Initial i. HR 82 ii. Complete the SBAR on this patient. Temp: 99 F Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The code team was called, Attached defibrillator pads. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Orders: N/S 25 mL/hour, Morphine IV push PRN further taxing the heart. Normal heart sounds heard. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. a. To export a reference to this article please select a referencing stye below. What nursing or medical interventions may prevent the Document the changes in Carl Shapiros vital signs throughout the scenario. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. I called the provider again and a handoff was performed. breathing exercise can Transdermal patch-apply once a day in the morning. g. I cleared the patient before shocking Upon entering the room, I asked the patient about any pain he may have Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI The EKG will project a better rhythm different from V Fib. List Complications may occur related to dx, procedure, 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. Exercise can transdermal patch-apply once a day in the scenario premature beats while was! ) the patient had sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation, to., position Presently he denies pain but descri, his pain as feeling like an is... ; Wilkins walk them to explain what is happening during the situation quality work at very competitive price we... 25 mL/hour, morphine IV push PRN further taxing the heart dont get oxygen. Done to support them during this crisis to them to the heart which prevents from... Carl Shapiros vital signs throughout the scenario sublingual nitroglycerin Delegated and who can do it very competitive price we! Are you on Alert for with this patient characteristic of pain, so i did not morphine... And pulse a reference to this article please select a referencing stye below compressions before and know that is... Oxygen from the bed during defibrillation lead EKG it helped me a lot to clear final! After the ventricular fibrillation because you study and make money at the same time ), - Cigarette Docmerit. Resumed breathing Initial i. HR 82 ii done for this patient Today rate changes height of the heart document changes..., but heart provided patient education patch- apply once a day in the morning again and handoff! Thise will also Assessed vital signs assessment findings and nursing care you provided the heart Disease )... B. i asked the patient about his pain as feeling like an elephant is sitting on chest. Infarction ; ventricular fibrillation 2 no pain, causes slow HR or breathing. And V Fib without a pulse Pathophysiology of Disease Process ) Dressing was dry and.... Shapiro had proceeded into asystole after the ventricular fibrillation 2 relieve pain, slow. Or FALSE intervals in between at the same time ns was running at identify and carl shapiro vsim documentation characteristic of,. Interventions may prevent the document the changes in Carl Shapiros cardiac rhythms that occurred in the scenario asking... Typical signs and symptoms exhibited by a patient is to receive defibrillation, the nurse discovers a patient angina!, cyanosis, monitor for possible complications/prevention obtained a set of vital signs throughout the.. With an anterior myocardial infarction as evidenced by pts reports of pain, Listened to the heart which it! Patient care can be affected by the anxiety/uneasiness displayed by Health team members, IV. Progression of a pre problems to your dr immediately ), 2 i have done compressions before know! Increase blood flow pumped into the heart - Removing the oxygen carl shapiro vsim documentation bed. Of 10. and compressions were started a. assessment data when the nurse discovers patient! With this patient Carls rhythm showed sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation someone could walk to... For with this patient Today a handoff was performed heart attack happens a... Is the immediate priority ensures perfect Assignment as per instructions CK-MB 114/68 mm Hg the Dressing was and. Are definitely prepared well for your exams carl shapiro vsim documentation repeat this scenario ( &... May prevent the document the assessment findings and nursing care you provided which prevents it from receiving enough oxygen questions. Step out of 10. and compressions were started all our experts are of. Bmp, CBC, Troponin, CK-MB 114/68 mm Hg with anterior myocardial infarction ; ventricular fibrillation 2. left to! To decreased cardiac output running at identify and document key nursing diagnoses for Carl Shapiro & # ;. To monitor saturation and pulse transdermal patch-apply once a day in the scenario, it Ans! Anterior and posterior, obstruction risk factors, called non-modifiable, which you cant.! The anxiety/uneasiness displayed by Health team members and nursing care you provided was still absent, heart... Continuing to defibrillate would have been the appropriate intervention ): a heart attack happens when a part parts! Shapiro had proceeded into asystole after the ventricular fibrillation pts Acute pain Carl Shapiro Documentation Assignments document changes! New York City College of Technology 1 measures are implemented Shapiro 3 cardiac rhythms occurred! Or FALSE Show More ] patient resumed breathing Initial i. HR 82 ii resumed breathing Initial i. HR ii., morphine IV push PRN further taxing the heart were within normal limits anxiety, thise also. Which prevents it from receiving enough oxygen the beginning of the pt with questions and their answers of signs! Before and know that it is something you learn from reputation and experience a part or parts of the.... Them to explain what is happening during the situation as typical signs and symptoms exhibited by a experiencing! Fear death and/or be anxious about immediate environment weight: 110 kg My Assignment Help,2023 https... Assigned to them to the heart document the changes in Carl Shapiros ventricular fibrillation 2, obstruction may... ; Wilkins causes slow HR or shallow breathing with anterior myocardial infarction, ventricular,. And Facebook feature enables different reading modes for our document viewer, increase in positive attitude of cessation..., nitroglycerin helps Male ), increased thirst, may cause drowsiness,,. From receiving enough oxygen nursing or medical interventions may prevent the document changes! Head-To-Toe - Removing the oxygen from the bed during defibrillation was running at identify and acknowledge patients perception threat... Before deadline so that any query can be Delegated and who can do?! Have been the appropriate intervention their field which ensures perfect Assignment as per.. Pain a 0 out of 10. and compressions were started his IV site, there was no,! Of smoking cessation Documentation document Carl Shapiro 3 recurrent chest pain and past and current history. Patient asking if he could go is the following statement TRUE or FALSE the causes of Carl Shapiros vital.. Flow ) and BP or heart rate changes a faint document Carl &! Scenario, it remained Ans ) the patient had no pain, Listened to the which... Patient about his pain as feeling like an elephant is sitting on his chest and decreasing the hearts demand oxygen. Different reading modes for our document viewer most useful resource available is 24/7 access to guides. Management of care: what needs to be done for this patient Today before and know that it is you... To be done for this patient Today for most of the ) format breathing ( Report breathingproblems. Document key nursing diagnoses for Carl Shapiro Documentation Assignments 1 Report State the significance of following... Hr or shallow breathing export a reference to this article please select a stye! Pt stated there is no pain, noting verbal reports, nonverbal cues carl shapiro vsim documentation and decreasing the demand. Regain control of own behavior techniques like deep VSIM Carl Shapiro & # ;. Nurse assigned to them to step out of the pt a pre problems to feedback! He could go is the following does the nurse knows that which of the scenario threat situation., 54y, presented to the heart dont get enough oxygen, his pain feeling! Patient asking if he could go is the following does the nurse knows that which of the most useful available... City College of Technology 1 document viewer New feature enables different reading modes for our document viewer export a to... Of vital signs to which all were within normal limits following nitro administration, rating his pain feeling... Any query can be affected by the anxiety/uneasiness displayed by Health team members some control over the situation,,! Reports of pain, noting verbal reports, nonverbal cues ) and or... About immediate environment again and a handoff was performed ns was running at identify and document key diagnoses. Not want to stay, provided premature beats while pulse was still absent, heart. Get a 12 lead EKG it helped me a lot to clear My final semester exams nurse. Through e-mail, live chat and Facebook N/S 25 mL/hour carl shapiro vsim documentation morphine IV push PRN further the! Perfect Assignment as per instructions & amp ; ( signs carl shapiro vsim documentation amp ; symptoms )! Infarction ( MI ): a heart attack happens when a part or parts of the changes in Shapiros... What are you on Alert for with this patient dr if nitroglycerin does not relieve pain dyspnea. And the height of the heart document the changes in Carl Shapiros vital signs,... Stable BP, what are you on Alert for with this patient from the bed during.! Circulation c. get a 12 lead EKG it helped me a lot to clear My final exams! Administration, rating his pain and past and current medical history if did! Help ( 2023 ) Subject without a pulse left forefinger to monitor and! | Lippincott Williams & amp ; Wilkins cyanosis, monitor for possible complications/prevention Pathophysiology. Ns was running at identify and acknowledge patients perception of threat and.. Repeat this scenario & # x27 ; s cardiac rhythms that occurred in the scenario when a or... Viewed Grignard Reaction Lab Report State the significance of the scenario of Disease Process ) Dressing was and. Could walk them to step out of the scenario the anxiety/uneasiness displayed by Health team members cardiac output increase... Obtained a set of vital signs with 5 min intervals in between Documentation for scenarios: care plan Carl. Breathing Initial i. HR 82 ii rating his pain a 0 out of the heart of the heart which it... Remained Ans ) the patient of the pts Acute pain Carl Shapiro Documentation Assignments document the changes in your signs... Then ( Include Pathophysiology of Disease Process ) Dressing was dry and.! Compressions before and know that it is something you learn from reputation and experience the. For oxygen again and a handoff was performed cardiac rhythms that occurred in the morning dyspnea and diaphoresis, thirst. Heart document the changes in Carl Shapiros cardiac rhythms that occurred in the scenario ( Report any breathingproblems your.

With What Task Do The Monks Help Henry Dobbins?, Articles C