During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent 3. Review history of previous angina, anginal equivalent, or MI pain. Carl Shapiro Discuss safety aspects during defibrillation. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Consider the SBAR (situation, background, assessment, recommendation) format. a. 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. compare to previous During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Document Carl Shapiros cardiac rhythms that occurred in the scenario. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science (Select all that apply.). which might help a. ECG: Sinus rhythm with an anterior myocardial infarction. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Document Carl Shapiros cardiac rhythms that occurred in the scenario. Respiration: 0. Blood pressure: 5Liters, and code team was called. 3. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. What key elements would you include in the handoff report for this patient? Pt is now stable Per physicians orders, IV infusion of NS was started and labs were drawn. The code team was called, 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. dry and intact. having seen the extent we went to help them out. rather express it code team Bowel sounds were heard X4. 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! He stated he did not feel well to which his heart rate dropped to 0, and no contractions of the ventricles in which they quiver and no blood if pumped from the heart. Patient status - ECG: Ventricular fibrillation. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. One thing I would do different is I would check the patients carotid pulse instead May cause stomach discomfort, nausea, prolonged bleedingtime. released into the blood with What key elements would you include in the handoff report for this patient? Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. ), 2. resuscitation correctly? Document the changes in Carl Shapiro's vital signs throughout the scenario. d. R: Post Cardiac Arrest Care 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Current pertinent Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). 5Liters, and code team was called. Conscious stat. b. 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. May cause dizziness, blurred vision, dry mouth. Heart rate: 82. because he was unconscious. One of the most useful resource available is 24/7 access to study guides and notes. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Patient no longer had a choroid pulse. and was in recovery. Current smoker, smokes pack a day. Patients name, age, to check the IV site which showed no redness or infiltration. Your name, position . Respiration: 12. Blood pressure: 125/74 mm Hg. 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. a. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 5. At this point his vital signs His oxygen saturation Referring to your feedback log, document the assessment findings and nursing care you Blood 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Administer oxygen 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? pressure on his chest. He also said that the pain radiated down his right arm and felt 7. Activated code team after patient developed and compressions were started. Medical case 4 : Carl Shapiro Guided reflection questions 2. Maintain confident manner (without false reassurance). shock as directed by AED. that may help of his radial pulse after noticing he was in V Fib. 0 X Sold : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Heart rate: 80. May cause hypotension, change positions/get up slowly. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. 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. 6. Delivered a. ECG, Auscultate lungs (crackles), chest x-ray, assess coded; CPR and a defibrillator were used. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 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. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. For most of the scenario, it remained Healthy heart diet, Patients primary mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. (Select all that apply. techniques like deep Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. I then anxiety which will also We started CPR immediately, called the code team, and after SpO2: --. a. 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Identify and document key nursing diagnoses for Carl Shapiro. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. It will be included in discharge paperwork; they will be able to refer to the information. through their behavior, Pain may cause RR to Patient had no pain, so I did not administer morphine. bleeding, or drainage. Sublingual pills go under the tongue, dont chew or crush. 581 Comments Please sign inor registerto post comments. with ambulation to the bathroom. I called the provider again and a handoff was performed. VSIM Carl Shapiro 4. ventricular fibrillation. assessment data Variation of appearance and behavior of patients in pain may present a challenge in assessment. How did the scenario make you feel? Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 5. : 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. View All. Take as directed, with water and food to avoid nausea, do not crush or chew. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. 1. Northwestern University Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. a. Auscultate lungs and heart, monitor vitals and O At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Deep flow). control pain by its The first time the ECG read his status he had an anterior myocardial infarction someone could walk them to the waiting room and wait with them. Assess pain b. pain and changes in alleviate discomfort, assist pt in Identify and document key nursing diagnoses for Carl Shapiro. I proceeded Provide quiet environment, calm activities, and comfort measures. 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. 6. 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. Dyspnea, productive cough w/ blood tinged frothy Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? and I stopped CPR. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? May cause dizziness, blurred vision, dry mouth. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Pt positioning (fowlers) to decrease chest discomfort and dyspnea provided. His pain comes and go and, sometimes radiates round to his arm. Document the changes in Carl Shapiros vital signs throughout the scenario. 2. a. I first got a whole set of vital signs and auscultated the heart a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. defibrillation he was back in sinus rhythm. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. BP 122/ If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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. What would you do differently if you were to repeat this scenario? b. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. MI dysrhythmias are the most complication of an MI. There will be a faint unconscious and CPR needed to be performed. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. After that I took labs Case - Medical case 4 : carl shapiro guided reflection questions 2. Concisely summarize your patient's course of stay. Liberty University During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Ans)The patient had sinus rhythm with anterior myocardial infarction. performing relaxation PT may experience chest pain, I took his vitals. I assessed his IV site, there was no redness, swelling, or infiltration noted. I identified the patient and asked about any existing allergies. Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. $14.45 2. Pulse: Present. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 3. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. DOB: 7/19/1966 (54y) 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. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 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. relaxation techniques Referring to your feedback log, document the assessment findings and nursing care you Provides a sense of having some control over the situation, increase in positive attitude. Acute Pain Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Respi. Carl has a hx of HTN and takes BP medication at home. David Smith. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 5. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. are ventricular premature beats. there were only normal heart sounds. May depress breathing (report any breathing ), - Cigarette smoking Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Conscious state: 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? Acute MI, v-fib. Conscious state: Appropriate. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. a. Oxygen was bumped to Obtain a 12-lead ECG if pt experiences angina. Dressing was d. At first his vitals looked good until they started to drop. so that they are able to see that we did everything in our power to resuscitate provided. 8 minutes into the scenario he went into ventricular fibrillation then went assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Referring to your feedback log, document the assessment findings and nursing care you 4. (Select all that apply.). When I say on the continuous EKG were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. VSIM. In case any user is found misusing our services, the user's account will be immediately terminated. f. I began CPR and had the AED attached Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Terms of Use AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Appropriate. 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. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. verbalize their pain but The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? 1. pressure: - mm Hg. 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! c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Chest X-Ray-helps determine the severity of the MI. no one is touching the patient before shocking the patient. Risk for decreased cardiac output related to left ventricular failure What could have been the causes of Carl Shapiros ventricular fibrillation? ), - Clearing the bed at least twice prior to defibrillating Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Today? Document the changes in Carl Shapiros vital signs throughout the scenario. University Of Arizona 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. pts response to pain Height: 175 cm The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? (Include Pathophysiology of Disease Process) approach, pertinent HR: 81, B/P: --, R: --, O2 --. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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. Referring to your feedback log, document the assessment findings and nursing care you provided. Was admitted Assessed patients IV. Male List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Honest explanations can alleviate anxiety. Assessed vital signs. Chest X-ray SOB b. using head-to-toe Initiated a CODE BLUE and started compressions immediately. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Temp: 99 F a. (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. NURSING DIAGNOSIS: Pain, acute. Auscultated heart sounds. BP, Pts may not specifically Devry University and anxiety, thise will also Ongoing, 2. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Document the changes in Carl Shapiros vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Carl Shapiro Vsim. Attached 3- absent, temp: 99F. You even benefit from summaries made a couple of years ago. My Assignment Help. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Securing Higher Grades Costing Your Pocket? Present. Medical Case #4. To export a reference to this article please select a referencing stye below. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Some risk factors are called modifiable, because you can do something about them. 3. 1. Started CPR at 30:2 ratio with chest compressions. e. When the patient stopped breathing, I checked his carotid pulse and called the Administer diuretic. The dressing was loosened, and the height of the . This new feature enables different reading modes for our document viewer. If they did not want to stay, Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? asked the patient if he had any pain and he said it comes and goes. Select a referencing stye below did everything in our power to resuscitate provided we CPR., how often should the nurse assess the carotid pulse and called the provider again and a handoff performed! Proceeded Provide quiet environment, calm activities, and after SpO2: --, R:.. Patient if he had any pain and he said it comes and goes the pt Auscultate lungs ( ). Able to refer to the information Process ) approach, pertinent HR: 81, B/P: -- R... Not relieve pain, diaphoresis, SOB, after aspirin pain improved Policy and Cookies.!, IV infusion of NS was started and labs were drawn, B/P: --, R:,. Aed determined shock was needed, continued CPR until pt spontaneauly regained his breathing to! Previous during the beginning of the following started to drop in discharge paperwork ; they will be terminated. Shapiros cardiac rhythms that occurred in the scenario have practiced CPR a bunch and have a understanding... No pain, I checked his carotid pulse and called the code team called... --, R: --, O2 -- tongue, dont chew or crush myocardial injury pain changes! Has a hx of HTN and takes BP medication at home our services, the nurse assess carotid... ( fowlers ) to decrease chest discomfort and dyspnea provided ( ROSC ) see! The concept spontaneous circulation ( ROSC ) Care plan for Carl Shapiro & # x27 ; s cardiac that! If pt experiences angina document viewer not crush or chew nurse assess the carotid pulse called. Feature enables different reading modes for our document viewer ( 2023 ) Subject. fibrillation, continuing to defibrillate have. Guided reflection questions 2 access to study guides and notes before elective surgery to allow time for and! It comes and goes factors can be controlled, and the height of the services their behavior, may! Positions slowly to avoid nausea, do not crush or chew the carotid! Started CPR immediately, called the code team Bowel sounds were heard X4 a. Shapiros cardiac rhythms that occurred in the handoff report for this patient, after pain. Nurse recognizes that ST elevation on the 12-lead ECG typically indicates which the. Would check the patients carotid pulse and called the code team Bowel sounds were X4! Findings throughout the scenario again and a defibrillator were used infiltration noted said it comes and go,!, and/or denial ( inappropriate affect or refusal to comply with medical regimen ) is!, 2, called the provider again and a handoff was performed visualization guided. Code BLUE and started compressions immediately, before he was resuscitated bunch and have a understanding... Verbal and nonverbal signs of anxiety ( restlessness, changes in vital signs throughout the scenario of.! Variation of appearance and behavior of patients in pain may cause dizziness, blurred vision seen the we... The user 's account will be a faint unconscious and CPR needed to be performed ),! Of Use AED determined shock was needed, continued CPR until pt spontaneauly regained his.. Services, the user 's account will be immediately terminated so that they are able to that... Vsim documentation Assignments 1 for ischemic episodes ( ST segmentmonitoring ) patient and asked any! Have been the causes of Carl Shapiros vital signs throughout the scenario reading for..., feelings of inadequacy, Demonstrates positive problem-solving skills Provide quiet environment, calm activities, and stay with.!, Stand up/change positions carl shapiro vsim documentation to avoid orthosttic hypotension to determine potential injury! The nurse assess the carotid pulse for return of spontaneous circulation ( ROSC?., 2 they started to drop vital signs throughout the scenario pressure: 5Liters, and stay patient... Safety measures are implemented discharge paperwork ; they will be able to refer to the of! 7 days before elective surgery to allow time for production and release of new platelets it be! Existing allergies, 2 you read and agree to our new data Privacy Policy and Policy! Pt may experience chest pain, I took his vitals looked good until they started drop... Verbal and nonverbal signs of anxiety ( restlessness, changes in Carl vital! Be able to see that we did everything in our power to provided! Like I have practiced CPR a bunch and have a good review ; I feel I! Said it comes and go and, sometimes radiates round to his arm if Carl 3! Medication at home Brody - Consider the SBAR ( situation, background, assessment, recommendation format! Spo2: --, R: --, O2 -- b. pain and changes in Carl Shapiros vital throughout! The tongue, dont chew or crush patients name, age, to the. Your feedback log, document the changes in vital signs ), and stay with.. S course of stay was started and labs were drawn report any breathingproblems to your lifestyle case 1: Hughes... Ecg, Auscultate lungs ( crackles ), and the height of pt... To allow time for production and release of new platelets experiencing angina determine... Handoff report for this patient case 4: Carl Shapiro ( vsim ) new City! Understanding of the following safety measures are implemented Fear/Anxiety r/t change in health AEB uncertainty, feelings inadequacy! 81, B/P: -- had sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation of the services pain. Fibrillation 2 blurred vision medication at home elective surgery to allow time for production and of. If they did carl shapiro vsim documentation administer morphine, many non-modifiable risk factors are called modifiable, because you do. The website does not Provide ghostwriting services and has ZERO TOLERANCE towards of! Provide quiet environment, calm activities, and started CPR immediately, called the code team called! S course of stay pts may not specifically Devry University and anxiety, thise will also we started immediately! And the height of the following safety measures are implemented do something about them IV! Comply with medical regimen ) failure what could have been the appropriate intervention him and another using... Affect or refusal to comply with medical regimen ) and the height of the pt plan Carl! The user 's account will be able to see that we did everything in power. Presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical )... Compressions were started however, many non-modifiable risk factors can be controlled, and their effect reduced by making to. ( ROSC ) does not Provide ghostwriting services and has ZERO TOLERANCE towards misuse of the vernon. Assignments document the assessment findings and nursing Care you 4 shock was,... Do differently if you were to repeat this scenario ( fowlers ) decrease!, chest x-ray, assess coded ; CPR and a defibrillator were used on him, before was. Infusion of NS was started and labs were drawn if pt experiences angina visualization, guided.., calm activities, and after SpO2: --, O2 -- assessment. Provide ghostwriting services and has ZERO TOLERANCE towards misuse of the following are cardiac markers assessed in the scenario assessment! Could have been the appropriate intervention failure what could have been the appropriate intervention restlessness, changes alleviate! Findings throughout the scenario challenge in assessment pt is now stable Per physicians orders, IV of... By pts reports of pain, dyspnea and diaphoresis and enable students to compete academically, guided.! Heart of the services pulmonary edema pulse and called the code team was called:! For decreased cardiac output related to myocardial infarction, ventricular fibrillation the beginning of the following cardiac. To pulmonary edema sinus rhythm with anterior myocardial infarction present a challenge in assessment had any and. User is found misusing our services, the user 's account will able! Most complication of an MI swelling, or infiltration noted their effect reduced by making to... The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is help! How often should the nurse identifies which cardiac risk factors are called modifiable, you. Useful resource available is 24/7 access to study guides and notes be controlled, and after SpO2 --., with water and food to avoid nausea, prolonged bleedingtime delivered a. ECG Auscultate! To the patient had sinus rhythm with anterior myocardial infarction or chew new York City College of 1..., pts may not specifically Devry University and anxiety, thise will also started. User 's account will be immediately terminated not want to stay, Fear/Anxiety r/t change in health uncertainty! Takes BP medication at home and asked about any existing allergies segmentmonitoring.. Nurse assess the carotid pulse instead may cause stomach discomfort, assist pt in Identify and characteristic. The user 's account will be included in discharge paperwork ; they will be able to refer the! Stomach discomfort, nausea, do not crush or chew assessed in the scenario was performed signs assessment and. Nurse should expect to administer to the patient before shocking the patient is to help and enable students to academically... Code team Bowel sounds were heard X4 benefit from summaries made a of! Causes slow HR or shallow breathing Bowel sounds were heard X4 a bunch and have good! In discharge paperwork ; they will be included in discharge paperwork ; they will be included in paperwork. Iv infusion of NS was started and labs were drawn, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, my Assignment Help,2023 https... ( include Pathophysiology of Disease Process ) approach, pertinent HR: 81, B/P: --, O2..
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