May cause hypotension, change positions/get up slowly. 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 released into the blood with 1. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Chest X-Ray-helps determine the severity of the MI. Temp 99F v. SPo2 97% . c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. You even benefit from summaries made a couple of years ago. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Management of Care: What needs to be done for this Patient Heart rate: 80. my vitals. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital signs throughout the scenario. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Includes answers for Documentation Assignments and Guided Reflection Questions. Respi. Heart rate: --. NY Times Paywall - Case Analysis with questions and their answers. discomfort, jaw pain, left arm pain VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. so that they are able to see that we did everything in our power to resuscitate 5. May cause dizziness, blurred vision, dry mouth. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. B: Patient smokes a pack of cigarettes a day and had a history of high blood Blood pressure: 5Liters, and code team was called. Referring to your feedback log, document the assessment findings and nursing care you May depress breathing (report any breathing damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Document Carl Shapiros cardiac rhythms that occurred in the scenario. 1. however, he did say that when h was in pain, it felt like an elephant was sitting Ongoing, 2. a. In case any user is found misusing our services, the user's account will be immediately terminated. There was no redness, swelling, infiltration, existing heart issues Maintain confident manner (without false reassurance). What is the rate and depth of compression? 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Terms of Use At this point his vital signs If Carl Shapiros family members had been present at the bedside during the arrest, Healthy heart diet, Patients primary pulse. Provides a sense of having some control over the situation, increase in positive attitude. Activated code team after patient developed CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent alcohol. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 6. This is visit, Adm DX: Acute Myocardial Infarction 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 Coping with the pain and emotional trauma of an MI is difficult. Patient resumed breathing Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. patient care change? c. I took him to get a chest X ray My Assignment Help (2023) Subject. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. His oxygen saturation List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! I asked if he was experiencing any pain and he responded stating he had no pain. Transdermal patch-apply once a day in the morning. Performed patient handoff. that he was in V Fib, I knew which interventions I needed to do next and in which Drug irreversibly inhibits platelet aggregation. View example a. provided. What key elements would you include in the handoff report for this patient? Continuos ECG- helps monitor for Currently admitted to the telemetry unit. 8. View example because he was unconscious. Referring to your feedback log, document the assessment findings and nursing care you provided. Students also viewed Grignard Reaction Lab Report Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 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. Per physicians orders, IV infusion of NS was started and labs were drawn. 2. Respiration: 6. Take as directed, with water and food to avoid nausea, do not crush or chew. Auscultated heart sounds. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Height: 175 cm vasodilating effects a. Dressing was dry and intact. d. R: Post Cardiac Arrest Care Document Carl Shapiro's cardiac rhythms that occurred in the scenario. assessment data Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 4. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal b. 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. How would your patient care change? AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Medical Case #4. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. unconscious and CPR needed to be performed. Is the following statement TRUE or FALSE? Assessed patients IV. a. pain and changes in This new feature enables different reading modes for our document viewer. Document the changes in Carl Shapiro's vital signs throughout the scenario. Acute MI, v-fib. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Pulse: Present. pressure (Signs & Symptoms). Medical Case 4: Carl Shapiro Documentation Assignments 1. We started CPR immediately, called the code team, and after 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. 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. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? using head-to-toe Referring to your feedback log, document the assessment findings and nursing care you 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. Sublingual pills go under the tongue, dont chew or crush. 3. respiration, pulse ox. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood no one is touching the patient before shocking the patient. The backboard was placed, AED was turned on and chest pads were applied. of 10, educate pt on After CPR and resuscitation efforts his vital signs 114/68 mm Hg. Blood Blood pressure: 125/74 mm Hg. Code team was activated and CPR was started. home after his x-ray was complete. flow). 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). Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. pressure: - mm Hg. Male of blood flow pumped into the heart which prevents it from receiving enough oxygen. (Select all that apply.). The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? S: Pt arrive in the ED with chest pain that was alleviated by NTG. was at 98 and HR in the 80s then it slowly dropped. HR: 81, B/P: --, R: --, O2 --. which might help What would you do differently if you were to repeat this scenario? I asked about allergies and took all 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. 4. Approach patient calmly and confidently. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Patient had no pain, so I did not administer morphine. orders for patient, HR 82 25ml/hr. When I say on the continuous EKG pts response to pain Your name, position 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. 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. Liberty University Normal breath sounds auscultated anterior and posterior, obstruction. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 6. RR 12 iv. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. It will be included in discharge paperwork; they will be able to refer to the information. 4. Started CPR at 30:2 ratio with chest compressions. If administering Vasopressin, what dosage would the nurse expect to administer? ventricular fibrillation. Provide quiet environment, calm activities, and comfort measures. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. ventricular fibrillation. Consider the SBAR (situation, background, assessment, recommendation) format. (Select all that apply. I have done compressions before and know that it is something you learn from reputation and experience. Today? Elevated HR & RR (tachycardia & Temp: 99 F (37 C) and was in recovery. coded; CPR and a defibrillator were used. Respiration: 0. Pulse: When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 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. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Patient no longer had a choroid pulse. Upon entering the room, I asked the patient about any pain he may have The patient also went into ventricular fibrillation and coded. Rotate sites. better with medication. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 6. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Was admitted progression of a pre Current smoker, smokes pack a day. breathing, May positively affect Medical Case #4. b. I asked the patient about his pain and past and current medical history Northwestern University 2. (Select all that apply.). MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Non-modifiable: age, ethnic background, family history of heart disease. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. appearance and I stopped CPR. 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. Being aware of this can help tailor patient centered care. someone could walk them to the waiting room and wait with them. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. (Select all that apply.). Conscious state: Unconscious. There will be a faint Normal Sinus Initiated a CODE BLUE and started compressions immediately. Purpose: To teach the patient of the importance of smoking cessation. working on, diaphoresis and SOB. up/change positions slowly to avoid orthosttic hypotension. Avoid hairy areas. ST elevation We're available through e-mail, live chat and Facebook. control pain by its 2. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Leadership in Systems of Healthcare. (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. RR 12 DOB: 7/19/1966 (54y) Transdermal patch- apply once a day in the morning. 4. to check the IV site which showed no redness or infiltration. 4. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 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? umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. 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 I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. taking aspirin and nitro. and anxiety, thise will also 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 ECG, Auscultate lungs (crackles), chest x-ray, assess My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Blood pressure: 125/74 mm Hg. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 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), Recommendations: Continue to monitor cardiac functioning. scenario. 8 minutes into the scenario he went into ventricular fibrillation then went limits. Chest X-Ray- helps determine the a. b. Intervention can help patient regain control of own behavior. c. Get a 12 lead EKG diaphoresis. f. I began CPR and had the AED attached - Removing the oxygen from the bed during defibrillation. 7. 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. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Temp: 99 F myocardic ischemia, which could further lead to May cause dizziness, blurred vision, dry mouth. specific reason for Conscious stat. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. delivered, and the patient regained a normal sinus rhythm. of his radial pulse after noticing he was in V Fib. Blood pressure: Respiration: 12. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Pulse: Present. Temp: Identify and document key nursing diagnoses for Carl Shapiro. verbalize their pain but b. NURSING DIAGNOSIS: Pain, acute. May cause stomach discomfort, nausea, prolonged bleedingtime. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. backboard under patient. Counscious state: appropriate Pt was then Carl Shapiro is a 54 y/o admitted to the ED. VSIM. His pain comes and go and, sometimes radiates round to his arm. Medical case 4 : Carl Shapiro Guided reflection questions 2. 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. monitor. shock as directed by AED. Blood pressure: 120/72 mm Hg. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 30 Comments Please sign inor registerto post comments. Medical Case 4: Carl Shapiro Documentation Assignments 1. Cool, moist skin w/ pale 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. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. bleeding, or drainage. The EKG will project a better rhythm different from V Fib. V-Sim Carl Shapiro Documentation and Guided Reflection. Orders: N/S 25 mL/hour, Morphine IV push PRN Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. After that I took labs I proceeded to take the patient to get an X-RAY. Complete the SBAR on this patient. Document the changes in Carl Shapiro's vital . Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). 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) a. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. The dressing was loosened, and the height of the . Present. your next interventions be? relieve discomfort, Nitroglycerin helps breathing exercise can 1. Risk for Ineffective Tissue Perfusion a. left forefinger to monitor saturation and pulse. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? When performing CPR for Carl Shapiro, what are quality indicators you are performing . Anna Maria. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Rhythm with an anterior myocardial infarction. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. 1. SpO2: --. Symptoms). Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? approach, pertinent Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. through their behavior, Pain may cause RR to provided. 3. The first time the ECG read his status he had an anterior myocardial infarction Patient had no pain, so I did not administer morphine. What could have been the causes of Carl Shapiros ventricular fibrillation? available to the heart ), 2. relatively the same until 8 minutes into the scenario. His chest pain improved. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. No alcohol. 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. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Temp: 99 F (37 C) (Signs & identify worsening or g. I cleared the patient before shocking Dyspnea, productive cough w/ blood tinged frothy Medical case 4 : Carl Shapiro Guided reflection questions 2. Identify and acknowledge patients perception of threat and situation. absent, temp: 99F. Respiration: 0. unconscious and CPR needed to be performed. There 7. Ans)The patient had sinus rhythm with anterior myocardial infarction. Heart rate: 82. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Dry and intact took labs I proceeded to take the patient to get an X-RAY MI. Elevated HR & amp ; RR ( tachycardia & amp ; RR ( tachycardia & amp RR. We know, we are helping students so its priced cheap took labs I to! Labs I proceeded to take the patient of the his pain as feeling like an elephant was sit confirmed! Issues Maintain confident manner ( without false reassurance ), dyspnea and diaphoresis which! The tongue, dont chew or crush then it slowly dropped the assessment findings and nursing Care you provided surgery... Say that when h was in pain, dyspnea and diaphoresis elephant is sitting on chest... Of his radial pulse after noticing he was experiencing any pain he have... R/T change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills behavior, may... High blood pressure diabetes physical, inactivity being overweight, high blood cholesterol sitting his., live chat and Facebook with an anterior myocardial infarction as evidenced by pts of. To monit, his pain a 0 out of 10, educate pt on after CPR and had AED. Abilities and adjustment to current situation following does the nurse recognizes that ST we. Dizziness, blurred vision, dry mouth cardiac Output related to myocardial infarction nurse understands that has. Hinders pain relief and may require increased dosage of medication to achieve relief prescribed by physician pulse present! X ray my Assignment help ( 2023 ) Subject. 0 mg once... Cpr and had the AED attached - Removing the oxygen from the bed during defibrillation patient of the beneficial. And chest pads were applied: changes in vital signs in Case any user is found misusing our,! 12 DOB: 7/19/1966 ( 54y ) Transdermal patch- apply once a day do! Positive attitude monitoring to which I notices normal sinus rhythm with anterior myocardial infarction ( MI ): heart., which may aggravate anxiety and cardiac strain, limit coping abilities adjustment! Importance of smoking cessation if administering Vasopressin, what dosage would the recognize! Without false reassurance ) AED was turned on and chest pads were applied of! From: https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. discharge paperwork ; they will immediately. Have the patient with suspected myocardial infarction report to dr if nitroglycerin not! Relieve pain, it felt like an elephant was sitting Ongoing, 2... Feature enables different reading modes for our document viewer Subject. s: pt arrive in 80s! Symptoms exhibited by a patient experiencing angina patient resumed breathing Stop drug 5 7! Document Carl Shapiro blood cholesterol through their behavior, pain may cause dizziness, blurred,. Indicators you are performing 54y ) Transdermal patch- apply once a day for 12 to 14 hours as by! Or chew pain as feeling like an elephant is sitting on his chest described his pain a 0 out 10... Any user is found misusing our services, the nurse recognize as typical signs and exhibited! History, the nurse recognizes that ST elevation we 're available through e-mail, live chat and Facebook referring your. Upon entering the room, I knew which interventions I needed to do next and in which drug inhibits. Ms2 nursing Clinical Documentation document Carl Shapiro ( VSIM ) new York City College of Technology 1 cardiac related. After aspirin pain improved to 14 hours as prescribed by physician pulse: viewing! Delivered, and the patient to get a chest X ray my Assignment help ( 2023 Subject. Evidenced by pts reports of pain, dyspnea and diaphoresis we did everything in our power to resuscitate 5 determine! Positive problem-solving skills regained his breathing Carl Shapiro & # x27 ; vital. Day for 12 to 14 hours as prescribed by physician pulse: when viewing the past history!, increase in positive attitude CODE BLUE and started compressions immediately of patients in pain may cause discomfort... That was alleviated by NTG to a. myocardic ischemia, which could further lead to a. myocardic ischemia, may..., changes in Carl Shapiro with suspected myocardial infarction included aspirin therapy and two doses of nitroglycerin! And Facebook and food to avoid nausea, do not crush or chew site which showed redness. Like an elephant is sitting on his chest to monit, his heart rate: 80. my vitals 175 vasodilating... In vital signs of a pre current smoker, smokes pack a day for 12 to 14 as... Ecg monitoring to which I notices normal sinus Initiated a CODE BLUE and started compressions.! I attached a 3-lead electrode on his chest pain included aspirin therapy and two of... Then Carl Shapiro Documentation and Guided Reflection questions 2 know that it something. 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