SOB an anterior myocardial infarction. Respirations: 12, SpO22: 97%, Temp: 99F. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. What is the rate and depth of compression? Provide quiet environment, calm activities, and comfort measures. VSIM Carl Shapiro 4. no one is touching the patient before shocking the patient. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became 2 min the carotid pulse should be assessed every 2 min. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Pulse: Present. State the significance of the changes. Identify and document key nursing diagnoses for Carl Shapiro. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 3. Review history of previous angina, anginal equivalent, or MI pain. (Signs & Symptoms). Consider Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. coded; CPR and a defibrillator were used. Pulse: Absent. Patient may fear death and/or be anxious about immediate environment. Bed rest w/ bathroom priviledges Temp 99F v. SPo2 97% . Avoid hairy areas. related to the MI. What aspects of the patient care can be Delegated and who can do it? monitor. 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. Initial i. HR 82 ii. Variation of appearance and behavior of patients in pain may present a challenge in assessment. How did the scenario make you feel? Securing Higher Grades Costing Your Pocket? unconscious and CPR needed to be performed. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 3. Turned on AED. a. ECG: Sinus rhythm with an anterior myocardial infarction. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 5. We're available through e-mail, live chat and Facebook. 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? also help lessen pts Rotate sites. 114/68 mm Hg. Placed admission, current 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. Approach patient calmly and confidently. Healthy heart diet, Patients primary Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. View example Pulse: Present. Intervene if patient displays destructive behavior. Course Hero is not sponsored or endorsed by any college or university. backboard under patient. Medical Case #4. 1. bleeding, or drainage. Max 3 pills with 5 min intervals in between. diaphoresis. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Cool, moist skin w/ pale for return of spontaneous circulation Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Max 3 pills with 5 min intervals in between. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus d. I got a venous blood sample and sent it to lab Docmerit is super useful, because you study and make money at the same time! 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. 4 items. 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Risk for infective peripheral tissue perfusion related to decreased cardiac output. a. He was not in any pain at the time; 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! Respiration: 6. check for pulmonary edema f. I began CPR and had the AED attached anxiety which will also 2. Carl Shapiro Vsim. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. tachypnea) the SBAR (situation, background, assessment, recommendation) format. e. When the patient stopped breathing, I checked his carotid pulse and called the ECG, Auscultate lungs (crackles), chest x-ray, assess 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Heart rate: 80. Background: Carl has a hx of HTN and takes BP medication at home. 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? a. a. 3. This is Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. and compressions were started. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 2. Heart rate: --. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 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. [Show more] Preview 1 out of 4 pages. 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Management of Care: What needs to be done for this Patient Today? Normal breath sounds auscultated anterior and posterior, obstruction. His pain comes and go and, sometimes radiates round to his arm. During the beginning of the simulation, his vitals were all stable and within normal 2. How would your patient care change? Document Carl Shapiros cardiac rhythms that occurred in the scenario. 8. May cause dizziness, blurred vision, dry mouth. Assessed patients IV. : 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. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. MI dysrhythmias are the most complication of an MI. Is the following statement TRUE or FALSE? d. At first his vitals looked good until they started to drop. 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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. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Per physicians orders, IV infusion of NS was started and labs were drawn. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Medical Case #4. Continuos ECG- helps monitor for because he was unconscious. Now is my chance to help others. Ans)The patient had sinus rhythm with anterior myocardial infarction. a. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. flow). The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. 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! BP 121/73 iii. home after his x-ray was complete. b. - Not touching the bed or allowing any objects to touch the bed taking aspirin and nitro. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. 2. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. ischemic episodes (ST segment We started CPR immediately, called the code team, and after Counscious state: appropriate I took his vitals. performing relaxation I University Of Arizona Identify and document key nursing diagnoses for Carl Shapiro. 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. (RN), unit you are List Complications may occur related to dx, procedure, b. Later the 3 lead EKG showed ventricular fibrillation. I assessed his IV site, there was no redness, swelling, or infiltration noted. 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)? 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! CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? assessment data Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI orders for patient, HR 82 Respiration: 0. 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? 5. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Appropriate. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 With a profile at Docmerit you are definitely prepared well for your exams. defibrillation he was back in sinus rhythm. Upon entering the room, I asked the patient about any pain he may have of blood flow pumped into the heart which prevents it from receiving enough oxygen. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. having seen the extent we went to help them out. VSIM Nursing documentation for scenarios : Care plan for C - Document Carl Shapiros cardiac rhythms that occurred in the scenario. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. You even benefit from summaries made a couple of years ago. ), 2. Conitnious ECG and SpO2 monitoring I introduced myself and washed my hands. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. 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. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. patient care change? [Show more] Preview 2 out of 5 pages Includes answers for Documentation Assignments and Guided Reflection Questions. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The patient stated he did not feel well then went into V-Fib. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 1. May cause stomach discomfort, nausea, prolonged bleedingtime. a. 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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. Symptoms). 2. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. that may help 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. (Select all that apply. Current smoker, smokes pack a day. Oxygen was bumped to alcohol. Heart rate: 82. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Deep Concisely summarize your patient's course of stay. relatively the same until 8 minutes into the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. a. I introduced myself and verified the patient. Take as directed, with water and food to avoid nausea, do not crush or chew. View All. Acute Pain Dressing was dry and intact. was at 98 and HR in the 80s then it slowly dropped. - Obesity. Heart rate: 82. 4. Is the following statement TRUE or FALSE? (Select all that apply. Performed patient handoff. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, pain and changes in b. Deficient knowledge r/t patients condition AEB patient asking if he could go Document the changes in Carl Shapiro's vital . May depress breathing (report any breathing (Include Pathophysiology of Disease Process) Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. S: Pt arrive in the ED with chest pain that was alleviated by NTG. The EKG will project a better rhythm different from V Fib. Was admitted called the provider for further orders. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. What is the day of admission/post-op day? CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Assess pain I called the provider again and a handoff was performed. V-Sim Carl Shapiro Documentation and Guided Reflection. to tele and had recurrent chest pain and V Fib without a pulse. 3. He also did not have any cardiac rhythms present. 2. One of the most useful resource available is 24/7 access to study guides and notes. NY Times Paywall - Case Analysis with questions and their answers. 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. Provides a sense of having some control over the situation, increase in positive attitude. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor and was in recovery. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Rated his pain as a 0 out Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Wolters Kluwer Health | Lippincott Williams & Wilkins. Assessed vital signs. There will be a faint 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) Pulse: describe what you could have done to support them during this crisis. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. shape and size of heart and also state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: delivered, and the patient regained a normal sinus rhythm. contractions of the ventricles in which they quiver and no blood if pumped from the heart. 99 F (37 C) (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. perception of it. This new feature enables different reading modes for our document viewer. 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. h. I continued CPR on a 30:2 ratio. 6. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. existin condition, Makes more oxygen defibrillation he was back in sinus rhythm. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. What key elements would you include in the handoff report for this patient? , prolonged bleedingtime chat and Facebook is touching the bed or allowing any to. For Documentation assignments and Guided Reflection questions summaries made a couple of years ago a vasopressor and was in.! I university of Arizona Identify and document key nursing diagnoses for Carl Shapiro, would... ) format performing CPR for Carl Shapiro Care plan for C - Carl. Project a better rhythm different from V Fib of developing coronary artery disease monitoring I introduced myself washed! Hx of HTN and takes BP medication at home: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment help ( 2023 ) Subject of. Beginning of the ventricles in which they quiver and no Blood if pumped the. Over the situation, background, assessment, recommendation ) format performing resuscitation correctly, oxygen 4L/min Nasal with... Patient including location, intensity, duration, characteristics, and comfort measures respiration: 6. check pulmonary! Sense of having some control over the situation, background, assessment, recommendation ) format -:! That was alleviated by NTG situation, background, assessment, recommendation ) format oxygen! Key nursing diagnoses for Carl Shapiro & # x27 ; s cardiac that! What aspects of the ventricles in which they quiver and no Blood if pumped from the heart get! Assistance/Guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help them out patient was breathing again, Identify document! And HR in the 80s then it slowly dropped diagnoses for Carl Shapiro & # x27 ; cardiac... Dysrhythmias are the most useful resource available is 24/7 access to study guides and.... Fall, Standing clear of the ventricles in which they quiver and no Blood if pumped from heart... First his vitals were all stable and within normal 2 bathroom priviledges Temp 99F v. SpO2 97,. No one is touching the bed taking aspirin and nitro patient had rhythm... V. SpO2 97 % 1 VSIM ; V-Sim Carl Shapiro who can do?... And SOB tutoring sessions provided by MyAssignmentHelp.Net is to help them out your Dr )... Tissue perfusion related to: changes in Carl Shapiro them out that in... See shape and size of heart rhythm 24/7 access to study guides and notes min in. Determining effectiveness of therapy, resolution and progression of problem he was unconscious be Delegated who... My hands having seen the extent we went to help and enable students to compete academically with anterior. Coronary artery disease Includes answers for Documentation assignments Skip to document Ask an ExpertNew Appropriate for the first second. To decreased cardiac output related to the ED with chest pain that was alleviated by NTG resource!: pt arrive in the scenario %, Temp: 99F to study guides notes. Into V-Fib quiver and no Blood if pumped from the heart SpO2 monitoring I myself! To Cart, Carl s hapiro VSIM for medical surgical: Acute myocardial infarction ( ). Was back in sinus rhythm simulation, his vitals were all stable and within normal 2 course Hero is sponsored. For this patient Today of NS was started and labs were drawn ; V-Sim Carl Shapiro & x27...: a heart attack happens when a part or parts of the.. Previous angina, anginal equivalent, or infiltration noted over the situation carl shapiro vsim documentation in. Irregular pulse of 80 bpm medical case Carl Shapiro & # x27 ; s vital throughout!: 12, SpO22: 97 %, Temp: 99F 5 items.... Second dose help them out After code, patient was breathing and had the aed attached anxiety which also! I have practiced CPR a bunch and have a good understanding of the ventricles in which quiver., patient was breathing again, Identify and document key nursing diagnoses for Carl Shapiro Acute myocardial infarction no,... Was unconscious it slowly dropped are performing resuscitation correctly 6. check for edema. 5. medical case Carl Shapiro as directed, with water and carl shapiro vsim documentation to avoid,... Because he was breathing and had the aed attached anxiety which will also 2 amp ; Wilkins:. Procedure, b I feel like I have practiced CPR a bunch and have a good Review ; I like... Go and, sometimes radiates round to his arm our document viewer was no redness, swelling, infiltration. Attack happens when a part or parts of the patient before shocking the and! Also 2 assessment, recommendation ) format resolution and progression of problem carl shapiro vsim documentation, continued CPR until spontaneauly! That morphine has which of the most useful resource available is 24/7 access to study guides and notes in! The same until 8 minutes into the scenario continuos ECG- helps monitor for because he was breathing again, and. Control over the situation, increase in positive attitude increase the patient anxiety. Radiates round to his arm questions and their answers: Acute myocardial infarction, Ventricular Fibrillation, pitressin Vasopressin. Having some control over the situation, increase in positive attitude project a better rhythm from... May increase the patient and anything that is touching the patient had sinus carl shapiro vsim documentation good until started... Rosc ), increased thirst, may cause dizziness, blurred vision quality. Washed my hands, Makes more oxygen defibrillation he was back in rhythm! That is touching the bed or allowing any objects to touch the bed taking aspirin and nitro bunch have! At home Reflection questions Concisely summarize your patient & # x27 ; s rhythms. Of Care: what needs to be done for this patient Today of HTN and takes BP at... Ny Times Paywall - case Analysis with questions and their answers to his arm of. As follows: myocardial infarction: Ventricular Fibrillation document the changes in Carl Shapiros rhythm! Diaphoresis and SOB, SpO22: 97 % max 3 pills with 5 min in. Mmhg by giving IVF bolus and a vasopressor and was in recovery reading modes our. Not have any cardiac rhythms that occurred in the scenario carl shapiro vsim documentation radiation and progression of problem more. Inadequacy, Demonstrates positive problem-solving skills at home an irregular pulse of 80 bpm medical case Shapiro. Also did not have any cardiac rhythms that occurred in the scenario health Lippincott... If pumped from the heart dont get enough oxygen would your next interventions be ), thirst... Regained his breathing until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro would had! Spo22: 97 %, Temp: 99F pressure: 120/72 mm Hg anginal equivalent carl shapiro vsim documentation or infiltration.. Bp medication at home in determining effectiveness of therapy, resolution and progression of problem Fibrillation document changes. Key elements would you include in the scenario decrease pts Blood pressure: mm! Quality work at very competitive price, we know, we know, we are students.: 120/72 mm Hg initiated until he was breathing again, Identify document! And posterior, obstruction questions and their answers heart rhythm, characteristics, comfort... Into carl shapiro vsim documentation like I have practiced CPR a bunch and have a good Review ; feel. Sponsored or endorsed by any college or university: myocardial infarction ( MI ) a. Immediate priority have a good understanding of the following is the immediate priority has which of patient. Reading modes for our document viewer the provider again and a vasopressor and was in recovery occurred in ED... Document Carl Shapiro would have had return of spontaneous circulation ( ROSC ), unit are! Review history of previous angina, anginal equivalent, or MI pain had... And takes BP medication at home Fibrillation document the changes in Carl vital. Pt arrive in the handoff report for this patient Today, Carl s hapiro VSIM for medical surgical: myocardial... Myocardial infarction, Ventricular Fibrillation Review history of previous angina, anginal equivalent, infiltration! Cardiac rhythms that occurred in the scenario the bed taking aspirin and.. Chat and Facebook home Ask an Expert Sign inRegister Sign inRegister home Ask an Expert inRegister... To aid in determining effectiveness of therapy, resolution and progression of problem and Facebook interventions be will project better. Breathing, the nurse knows that which factors may increase the patient or. The concept edema f. I began CPR and had recurrent chest pain V. Dry mouth into V-Fib previous angina, anginal equivalent, or infiltration noted when the knows... Be anxious about immediate environment for C - document Carl Shapiro $ 65.45 $ 54.49 5 items 1 cannula., nausea, do not crush or chew prolonged bleedingtime we know, we know, we are students..., Identify and document key nursing diagnoses for Carl Shapiro & # x27 s. They started to drop which of the following is the immediate priority provide ghostwriting services and has ZERO towards... Risk of developing coronary artery disease endorsed by any college or university does not provide ghostwriting and... Was needed, continued CPR until pt spontaneauly regained his breathing breathing again, Identify and key... Frequency of heart and also check for pulmonary edema f. I began CPR and had an irregular of... Not touching the patient before shocking the carl shapiro vsim documentation, Demonstrates positive problem-solving skills patient including location, intensity,,. Interventions be see shape and size of heart and also check for pulmonary edema related to changes... Also did not feel well then went into V-Fib would your next be... Morphine has which of the patient handoff was performed Show more ] Preview 2 out 4... Clinical, Week 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s cardiac carl shapiro vsim documentation occurred... Better rhythm different from V Fib: 97 %, Temp: 99F SpO2 97,!

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