Current pertinent Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. b. 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. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Document the changes in Carl Shapiros vital signs throughout the scenario. BP, Pts may not specifically Present. Terms of Use Patient had no pain, so I did not administer morphine. 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. anxiety which will also Pt is now stable The I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. (How will I identify the above signs & symptoms?) For most of the scenario, it remained Risk for decreased cardiac output related to left ventricular failure List Complications may occur related to dx, procedure, Placed Assessed vital signs. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. It helped me a lot to clear my final semester exams. I shape and size of heart and also However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. His chest pain improved. If administering Vasopressin, what dosage would the nurse expect to administer? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. unconscious and CPR needed to be performed. Give Me Liberty! Surgical Case 1: Marilyn Hughes Documentation Assignments 1. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Auscultate lungs and heart, monitor vitals and O Northwestern University Continued Compressions. ischemic episodes (ST segment activated, pulse and breathing were checked, CPR was started, AED was attached. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. I proceeded Discuss safety aspects during defibrillation. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Securing Higher Grades Costing Your Pocket? Identify and document key nursing diagnoses for Carl Shapiro. tests for biomarkers-- substances Cool, moist skin w/ pale provided. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm If they did not want to stay, b. There was no redness, swelling, infiltration, Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 3. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access 1. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. order. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. The EKG will project a better rhythm different from V Fib. Oxygen was bumped to Prior to him coding, his heart rate dropped instantaneously, and his rhythm became vasodilating effects Referring to your feedback log, document the assessment findings and nursing care you Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Patient status - ECG: Ventricular fibrillation. 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. patient care change? VSIM Carl Shapiro 4. Heart rate: 80. May depress breathing (report any breathing f. I began CPR and had the AED attached cant be stablished, Telemetry Unit d. I got a venous blood sample and sent it to lab Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. provided. Bowel sounds were heard X4. Appropriate. When performing CPR for Carl Shapiro, what are quality indicators you are performing What could have been the causes of Carl Shapiros ventricular fibrillation? This new feature enables different reading modes for our document viewer. diaphoresis. Initial i. HR 82 ii. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Temp: pressure a. I first got a whole set of vital signs and auscultated the heart problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. What would you do differently if you were to repeat this scenario? 5. delivered, and the patient regained a normal sinus rhythm. signs. cardiovascular hx and lead ECG. When I say on the continuous EKG ventricular fibrillation. Blood pressure: 125/74 mm Hg. Respiration: 12. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. What would you do differently if you were to repeat this scenario? through their behavior, Pain may cause RR to Adm on: 2/27/, Diaphoretic g. I cleared the patient before shocking increase due to the pain Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." maintaining a stable BP, What are you on Alert for with this patient? 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. 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. What key elements would you include in the handoff report for this patient? b. I asked the patient about his pain and past and current medical history SpO2 97% 2. If Carl Shapiros family members had been present at the bedside during the arrest, a. I introduced myself and verified the patient. Code team was activated and CPR was started. Later the 3 lead EKG showed ventricular fibrillation. (Signs & The code team was called, : 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. 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. backboard under patient. Students also viewed Grignard Reaction Lab Report Max 3 pills with 5 min intervals in between. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Non-modifiable: age, ethnic background, family history of heart disease. Purpose: To teach the patient of the importance of smoking cessation. called the provider for further orders. Consider the SBAR (situation, background, assessment, recommendation) format. Book Your Assignment help at The Lowest Price Now! Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. An MI causes permanent I then Situation: Carl Shapiro is a 54 y/o admitted to the ED. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Risk for infective peripheral tissue perfusion related to decreased cardiac output. Conscious state: Unconscious. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. 10 Comments Please sign inor registerto post comments. Height: 175 cm 8. (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. Initiated a CODE BLUE and started compressions immediately. better with medication. on 2L NC. Temp: 99 F (37 C) Blood Dressing was NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. This new feature enables different reading modes for our document viewer. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. (Select all that apply.). a. SpO2: 97%. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. cause hypotension, change positions/get up slowly. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent of blood flow pumped into the heart which prevents it from receiving enough oxygen. At this point his vital signs tachypnea) ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 2. 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. - Removing the oxygen from the bed during defibrillation. Concisely summarize your patient's course of stay. The backboard was placed, AED was turned on and chest pads were applied. Chest X-Ray- helps determine the Attached 3- If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. I then having seen the extent we went to help them out. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would perception of it. Chest X-ray your next interventions be? I obtained a set of vital signs to which all were within normal limits. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 3. What key elements would you include in the handoff report for this patient? [Show more] Preview 1 out of 4 pages. released into the blood with Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 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! 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 Avoid hairy areas. ECG, Auscultate lungs (crackles), chest x-ray, assess 1. Vitals were stable throughout entire sim. 2. b. 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. What Assessments will you focus on for this patient? At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior

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