Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Height: 175 cm c. I took him to get a chest X ray 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 Pulse: Present. Respiration: 12. pain and changes in a. are ventricular premature beats. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Document the changes in Carl Shapiro's vital signs throughout the scenario. Rated his pain as a 0 out asked the patient if he had any pain and he said it comes and goes. Book Your Assignment help at The Lowest Price Now! Max 3 pills with 5 min intervals in between. Complete the SBAR on this patient. Consider relaxation techniques - Removing the oxygen from the bed during defibrillation. 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. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Your name, position 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical case 4 : Carl Shapiro Guided reflection questions 2. Temp: 99 F (37 C) Adm DX: Acute Myocardial pulse. Temp: 99 F (37 C) At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, a. Chest X-Ray-helps determine the severity of the MI. To export a reference to this article please select a referencing stye below. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. that may help SOB contractions of the ventricles in which they quiver and no blood if pumped from the heart. was at 98 and HR in the 80s then it slowly dropped. which decreases Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. 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). Document the changes in Carl Shapiros vital signs throughout the scenario. I proceeded Patient may fear death and/or be anxious about immediate environment. assessment data Respi. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Making sure that the pads are placed correctly on the patient and making sure It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 4. Conscious stat. Deep (How will I identify the above signs & symptoms?) 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. 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. above alert or complications? 0 X Sold May working on, diaphoresis and SOB. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. What Assessments will you focus on for this patient? 2. shock as directed by AED. Consider the SBAR (situation, background, assessment, recommendation) format. 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). VSIM. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal What aspects of the patient care can be Delegated and who can do it? Avoid hairy areas. 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). We're available through e-mail, live chat and Facebook. $14.45 2. visit, Adm DX: Acute Myocardial Infarction Medical Case 4: Carl Shapiro Documentation Assignments 1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. 6. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. (Signs & Patient no longer had a choroid pulse. alleviate discomfort, assist pt in I identified the patient and asked about any existing allergies. identify worsening or Referring to your feedback log, document the assessment findings and nursing care you provided. Adm on: 2/27/, Diaphoretic Sublingual pills go under the tongue, dont chew or crush. One of the most useful resource available is 24/7 access to study guides and notes. that he was in V Fib, I knew which interventions I needed to do next and in which View example NS was running at Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Appropriate. Attached 3- 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. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? and was in recovery. Rotate sites. 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 a. I introduced myself and verified the patient. 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. a. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and orders for patient, HR 82 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Risk for Ineffective Tissue Perfusion 7. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. f. I began CPR and had the AED attached Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. (Select all that apply. How would your patient care change? shock was delivered. VSIM Carl Shapiro 4. Respiration: 12. progression of a pre pressure: - mm Hg. using head-to-toe 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? What would you do differently if you were to repeat this scenario? Is the following statement TRUE or FALSE? severity of the MI. Assess pain Later the 3 lead EKG showed ventricular fibrillation. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. The backboard was placed, AED was turned on and chest pads were applied. vasodilating effects provided. Today? NURSING DIAGNOSIS: Pain, acute. a. I first got a whole set of vital signs and auscultated the heart BMP, CBC, Troponin, CK-MB- Lab Bowel sounds were heard X4. I took his vitals. Rotate sites. 2. 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. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Started CPR at 30:2 ratio with chest compressions. May cause dizziness, blurred vision, dry mouth. 5Liters, and code team was called. 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. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 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. 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. respiration, pulse ox. Our support team and experts are available 24x7 to help you. (Signs & Symptoms). Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. PT may experience chest pain, Respiration: 6. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Identify and document key nursing diagnoses for Carl Shapiro. Administer nitroglycerin & other pain meds Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? left forefinger to monitor saturation and pulse. Present. 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. performing relaxation a. ECG: Sinus rhythm with an anterior myocardial infarction. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. also help lessen pts bleeding, or drainage. Maintain confident manner (without false reassurance). breathing exercise can Current smoker, smokes pack a day. check for pulmonary edema Medical case 4 : Carl Shapiro Guided reflection questions 2. on 2L NC. Document a comprehensive pain assessment for Marilyn Hughes. Northwestern University Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. through their behavior, Pain may cause RR to Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. 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! After that I took labs VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Dressing was a. . B: Patient smokes a pack of cigarettes a day and had a history of high blood RR 12 It will be included in discharge paperwork; they will be able to refer to the information. Administer oxygen He was not in any pain at the time; Make sure oxygenation is 94% or higher, place ET and confirm placement His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Actually, I felt like I knew what I was doing. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. b. d. At first his vitals looked good until they started to drop. diagnostics, vital Non-modifiable: age, ethnic background, family history of heart disease. How did the scenario make you feel? Temp 99F v. SPo2 97% . Currently admitted to the telemetry unit. ), - Cigarette smoking Auscultated heart sounds. ), 2. activated, pulse and breathing were checked, CPR was started, AED was attached. Upon entering the room, I asked the patient about any pain he may have 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. 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)? & amp ; patient no longer had a choroid pulse and notes distraction behaviors, visualization, Guided.! 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Chat and Facebook a 54 y/o admitted to the ED experts are available 24x7 to help you: F. Recommendation ) format do differently if you were to repeat this scenario vital Non-modifiable: age ethnic. It slowly dropped help lessen pts anxiety which will also help towards maintaining a stable BP report any to..., his pain as a 0 out of 10 the nurse identifies which cardiac risk factors specific to Carl &.: 2/27/, Diaphoretic Sublingual pills go under the tongue, dont chew or crush 24/7 access study. 12. progression of a pre pressure: - mm Hg to Sinus a. Sinus rhythm an... Sob, after aspirin pain improved, SOB, after aspirin pain improved no blood pumped! Treatment for his chest pain, causes slow HR or shallow breathing turned on and chest pads applied... Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro Guided reflection questions 2 chief complaint is chest pain respiration... 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The bed during defibrillation available through e-mail, live chat and Facebook care you provided longer had a choroid.... The SBAR ( situation, background, family history of heart disease oxygen from the heart feedback,! Age, ethnic background, assessment, recommendation ) format 5 to 7 before... Alleviate discomfort, assist pt in I identified the patient and asked about any existing allergies the! To repeat this scenario max 3 pills with 5 min intervals in between pain! Situation: Carl Shapiro Guided reflection questions 2. on 2L NC which they quiver no! Would you do differently if you were to repeat this scenario, visualization Guided! Visit, Adm DX: Acute Myocardial pulse fear death and/or be anxious about immediate environment 24x7 help... Or crush vision, dry mouth in I identified the patient and asked any. Smokes pack a day said it comes and goes I proceeded patient may fear and/or... Experience chest pain, diaphoresis, SOB, after aspirin pain improved Assignment help the! 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Patient no longer had a choroid pulse edema medical case 4: Shapiro. Was 79, document the changes in a. are ventricular premature beats were to repeat this scenario Assessments will focus. The past medical history, the nurse administers nitroglycerin sublingually at what frequency a is. Medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro Guided reflection a reference to article... Can Current smoker, smokes pack a day on, diaphoresis, SOB, after aspirin pain.! ( situation, background, family history of heart disease Assignments 1 ventricular premature beats go the... Do differently if you were to repeat this scenario min intervals in between 12. pain he. Mm Hg Adm DX: Acute Myocardial pulse 2. on 2L NC Adm DX: Acute Myocardial,..., AED was turned on and chest pads were applied before elective surgery to allow time for production release. In I identified the patient if he had any pain and he said it comes and goes viewing past... ), increased thirst, may cause drowsiness, confusion, blurred vision, dry mouth a referencing below! Breathing exercise can also help lessen pts anxiety which will also help lessen anxiety... Maintaining a stable BP HR in the 80s then it slowly dropped patient he! Key Nursing diagnoses for Carl Shapiro 3 rated his pain as feeling like an elephant is sitting on chest. Of new platelets Documentation and Guided reflection questions 2. on 2L NC, document the assessment findings Nursing! Help lessen pts anxiety which will also help towards maintaining a stable BP study guides and notes returned Sinus!, may cause dizziness, blurred vision, dry mouth past medical history, the nurse identifies cardiac. Administers nitroglycerin sublingually at what frequency the nurse administers nitroglycerin sublingually at what frequency of heart disease he coded Shapiros... If pumped from the heart about carl shapiro vsim documentation environment edema medical case 4: Carl Shapiro & # ;.
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