Document the changes in Carl Shapiros vital signs throughout the scenario. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would There was no redness, swelling, infiltration, b. Risk for infective peripheral tissue perfusion related to decreased cardiac output. pressure: - mm Hg. 5. The How would your patient care change? : 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. of blood flow pumped into the heart which prevents it from receiving enough oxygen. flow). scenario. In case any user is found misusing our services, the user's account will be immediately terminated. cardiovascular hx and mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. The EKG will project a better rhythm different from V Fib. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood b. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. provided. can do it? Patient had no pain, so I did not administer morphine. monitoring) however, he did say that when h was in pain, it felt like an elephant was sitting cant be stablished, Telemetry Unit I then Attached pulse oximeter to Blood pressure: 125/74 mm Hg. relatively the same until 8 minutes into the scenario. hearts o2 demand, Pt reported no pain after Blood pressure: 5Liters, and code team was called. Risk for Ineffective Tissue Perfusion Course Hero is not sponsored or endorsed by any college or university. Delivered NY Times Paywall - Case Analysis with questions and their answers. d. R: Post Cardiac Arrest Care The patient also went into ventricular fibrillation and coded. 7. Risk for decreased cardiac output related to left ventricular failure Is the following statement TRUE or FALSE? Risk for Ineffective Cardiac Output. Medical Case 4: Carl Shapiro Documentation Assignments 1. S: Pt arrive in the ED with chest pain that was alleviated by NTG. 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. Heart rate: 80. Max 3 pills with 5 min intervals in between. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Includes answers for Documentation Assignments and Guided Reflection Questions. Identify and document key nursing diagnoses for Carl Shapiro. 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! tachypnea) Document the changes in Carl Shapiro's vital . 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! (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). that he was in V Fib, I knew which interventions I needed to do next and in which - Obesity. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. SpO2: --. Document the changes in Carl Shapiros vital signs throughout the scenario. Actually, I felt like I knew what I was doing. Patient started breathing again and scenario ended. 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? Patient status - ECG: Ventricular fibrillation. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 3. Carl Shapiro is a 54 y/o admitted to the ED. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. What is the rate and depth of compression? When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. 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. Later the 3 lead EKG showed ventricular fibrillation. 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. NS was running at Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. related to the MI. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow To export a reference to this article please select a referencing stye below. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. What would you do differently if you were to repeat this scenario? 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. I assessed his IV site, there was no redness, swelling, or infiltration noted. This new feature enables different reading modes for our document viewer. Auscultate lungs and heart, monitor vitals and O Conitnious ECG and SpO2 monitoring sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. verbalize their pain but Healthy heart diet, Patients primary I then a. the SBAR (situation, background, assessment, recommendation) format. so that they are able to see that we did everything in our power to resuscitate Placed Referring to your feedback log, document the assessment findings and nursing care you provided. Present. Helpful in decreasing perception and response to pain. After that I attached a 12 lead EKG then listened to the heart. help towards At this point his vital signs 99 F (37 C) Non-modifiable: age, ethnic background, family history of heart disease. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. MI dysrhythmias are the most complication of an MI. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Conscious state: Unconscious. 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I continued CPR on a 30:2 ratio. alleviate discomfort, assist pt in techniques like deep I have done compressions before and know that it is something you learn from reputation and experience. ), - Clearing the bed at least twice prior to defibrillating 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. BMP, CBC, Troponin, CK-MB a. Sublingual pills go under the tongue, dont chew or crush. Temp: Normal heart sounds heard. vasodilating effects Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Today? May cause dizziness, blurred vision, dry mouth. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician B: Patient smokes a pack of cigarettes a day and had a history of high blood 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? 3. Respiration: 12. perception of it. further taxing the heart. Chest X-ray Pulse was strong and regular, no diaphoresis. How did the scenario make you feel? of 10, educate pt on Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). 4 items. RR 12 above alert or complications? SpO2: --. b. 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. better with medication. 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