a. Height: 175 cm 2. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Patient resumed breathing Respirations: 12, SpO22: 97%, Temp: 99F. performing relaxation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). His chest pain improved. Healthy heart diet, Patients primary Acute MI, v-fib. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . After that I took labs Document Carl Shapiros cardiac rhythms that occurred in the scenario. We started CPR immediately, called the code team, and after NURSING DIAGNOSIS: Pain, acute. Normal Sinus If administering Vasopressin, what dosage would the nurse expect to administer? Ongoing, 2. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. At this point his vital signs If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would An MI causes permanent Carl Shapiro Patient had no pain, so I did not administer morphine. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. on his chest. He also said that the pain radiated down his right arm and felt tests for biomarkers-- substances Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! a. using head-to-toe relaxation techniques chest pain episodes, May help distinguish May cause dizziness, blurred vision, dry mouth. called the provider for further orders. 1. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - - Not touching the bed or allowing any objects to touch the bed Counscious state: appropriate 0 X Sold 2. Referring to your feedback log, document the assessment findings and nursing care you provided. 8. Identify and document key nursing diagnoses for Carl Shapiro. 5Liters, and code team was called. Currently admitted to the telemetry unit. bumped his oxygen up to 5 liters nasal cannula. perception of it. pressure: - mm Hg. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. delivered, and the patient regained a normal sinus rhythm. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Medical case 4 : Carl Shapiro Guided reflection questions 2. Max 3 pills with 5 min intervals in between. help towards defibrillation he was back in sinus rhythm. View All. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Identify and acknowledge patients perception of threat and situation. pain source and also Delivered 5. Situation: Carl Shapiro is a 54 y/o admitted to the ED. After that I attached a 12 lead EKG then listened to the heart. 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. 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. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. 3. BMP, CBC, Troponin, CK-MB- Lab Elevated HR & RR (tachycardia & Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. If Carl Shapiros family members had been present at the bedside during the arrest, Document Carl Shapiros cardiac rhythms that occurred in the scenario. The first time the ECG read his status he had an anterior myocardial infarction He was not in any pain at the time; When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Concisely summarize your patient's course of stay. Sublingual pills go under the tongue, dont chew or crush. NS was running at 2. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Anna Maria. 3. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm What aspects of the patient care can be Delegated and who assessment data (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 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). Document the changes in Carl Shapiros vital signs throughout the scenario. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow How did the scenario make you feel? Bowel sounds were heard X4. He also did not have any cardiac rhythms present. 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'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. My Assignment Help. Identify and document key nursing diagnoses for Carl Shapiro. Take as directed, with water and food to avoid nausea, do not crush or chew. taking aspirin and nitro. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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? b. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? describe what you could have done to support them during this crisis. (Select all that apply.). increase due to the pain Lab Report #11 - I earned an A in this lab class. ventricular fibrillation. Helpful in decreasing perception and response to pain. a. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI defibrillation he was back in sinus rhythm. 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? Consider the SBAR (situation, background, assessment, recommendation) format. Instructions: You are preparing to hand off report to the oncoming shift RN. Auscultated heart sounds. a. ECG: Sinus rhythm with an anterior myocardial infarction. View example Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Referring to your feedback log, document the assessment findings and nursing care you Provide quiet environment, calm activities, and comfort measures. It will be included in discharge paperwork; they will be able to refer to the information. ), 2. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Blood pressure: 5Liters, and code team was called. breathing, May positively affect Pt was then provided. a. What nursing or medical interventions may prevent the Adm on: 2/27/, Diaphoretic Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent This is Document the changes in Carl Shapiro's vital signs throughout the scenario. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 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. 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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. 30 Comments Please sign inor registerto post comments. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Blood pressure: 120/72 mm Hg. 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Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? (How will I identify the above signs & symptoms?) My Assignment Help (2023) Subject. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Maintain confident manner (without false reassurance). a. 3. His pain comes and go and, sometimes radiates round to his arm. available to the heart Avoid alchohol, Stand 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. Liberty University a. Pulse was strong and regular, no diaphoresis. (Select all that apply.). If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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? Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. b. shape and size of heart and also 7. Take as directed, with water and food to avoid nausea, do not crush or chew. Conscious state: ischemic episodes (ST segment 10 Comments Please sign inor registerto post comments. Carl Shapiro Vsim. Currently admitted to the telemetry unit. are ventricular premature beats. 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. Adm DX: Acute Myocardial (Select all that apply. Northwestern University Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. ECG, Auscultate lungs (crackles), chest x-ray, assess For most of the scenario, it remained Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. techniques like deep Obtain a 12-lead ECG if pt experiences angina. Document Carl Shapiros cardiac rhythms that occurred in the scenario. When performing CPR for Carl Shapiro, what are quality indicators you are performing 2. provided. a. having seen the extent we went to help them out. Transdermal patch-apply once a day in the morning. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. Document a comprehensive pain assessment for Marilyn Hughes. through their behavior, Pain may cause RR to The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Medical Case 4: Carl Shapiro Documentation Assignments 1. Provides a sense of having some control over the situation, increase in positive attitude. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Assessed patients IV. verbalize their pain but pressure: - mm Hg. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. May cause hypotension, change positions/get up slowly. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Drug irreversibly inhibits platelet aggregation. Risk for decreased cardiac output related to left ventricular failure Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. h. I continued CPR on a 30:2 ratio. Making sure that the pads are placed correctly on the patient and making sure Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. anxiety which will also rather express it He received aspirin and 2 doses of sublingual Nitroglyce, the ED. 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. 5. BP, Pts may not specifically Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. 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 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 d. R: Post Cardiac Arrest Care VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Document the changes in Carl Shapiros vital signs throughout 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. His oxygen saturation someone could walk them to the waiting room and wait with them. - Removing the oxygen from the bed during defibrillation. released into the blood with 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. further taxing the heart. Respiration: 0. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Placed I called the code team and started CPR. b. I asked the patient about his pain and past and current medical history scenario. Transdermal patch- apply once a day in the morning. What is the rate and depth of compression? which decreases with ambulation to the bathroom. 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. (Select all that apply. unconscious and CPR needed to be performed. 1. 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. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician and I stopped CPR. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 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. Case - Medical case 4 : carl shapiro guided reflection questions 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 V-Sim Carl Shapiro Documentation and Guided Reflection. b. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access What would you do differently if you were to repeat this scenario? An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). 4. 4. View example Document Carl Shapiro's cardiac rhythms that occurred in the scenario. There are other risk factors, called non-modifiable, which you cant change. 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Attached 3- Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. there were only normal heart sounds. Intervene if patient displays destructive behavior. 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). however, he did say that when h was in pain, it felt like an elephant was sitting Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Our support team and experts are available 24x7 to help you. which might help Appropriate. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. a. Identify and document key nursing diagnoses for Carl Shapiro. 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. because he was unconscious. Bed rest w/ bathroom priviledges 6. I asked if he was experiencing any pain and he responded stating he had no pain. 4 items. No alcohol. cardiovascular hx and backboard under patient. Blood pressure: 125/74 mm Hg. Ans)The patient had sinus rhythm with anterior myocardial infarction. Dressing was Temp: 99 F (37 C) my vitals. a. (RN), unit you are 1. b. d. I got a venous blood sample and sent it to lab respiration, pulse ox. 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. During the beginning of the simulation, his vitals were all stable and withi. Rated his pain as a 0 out The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? diaphoresis. I asked about allergies and took all 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. pulmonary edema. - Hypertension a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. and was in recovery. Some risk factors are called modifiable, because you can do something about them. NURSING DIAGNOSIS: Pain, acute. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 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. 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