Administer diuretic. Max 3 pills with 5 min intervals in between. Document the changes in Carl Shapiros vital signs throughout the scenario. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? May cause hypotension, change positions/get up slowly. above alert or complications? 4. Respiration: 12. a. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. BP 121/73 iii. 2. Give Me Liberty! identify worsening or Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective a. Actually, I felt like I knew what I was doing. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Blood pressure: Rhythm with an anterior myocardial infarction. a. Continued Compressions. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Adm DX: Acute Myocardial Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. (Select all that apply. Healthy heart diet, Patients primary ventricular fibrillation. a. Patient resumed breathing If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. g. I cleared the patient before shocking All our experts are pro of their field which ensures perfect Assignment as per instructions. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Dressing was What aspects of the patient care can be Delegated and who can do it? Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent 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) compare to previous What aspects of the patient care can be Delegated and who released into the blood with respiration, pulse ox. Chest X-Ray- helps determine the Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Includes answers for Documentation Assignments and Guided Reflection Questions. SpO2: --. appearance 99 F (37 C) Document the changes in Carl Shapiro's vital signs throughout the scenario. 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Delivered This new feature enables different reading modes for our document viewer. 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 vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? - Hypertension Terms of Use Current smoker, smokes pack a day. 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Provide quiet environment, calm activities, and comfort measures. discomfort, jaw pain, left arm pain comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent existin condition, Makes more oxygen Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." backboard under patient. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Transdermal patch-apply once a day in the morning. Referring to your feedback log, document the assessment findings and nursing care you provided. 3. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. through their behavior, Pain may cause RR to Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. 4. I then May Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. 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About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Deep orders for patient, HR 82 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI diagnosis, date of There was no redness, swelling, infiltration, You even benefit from summaries made a couple of years ago. help towards MI dysrhythmias are the most complication of an MI. 6. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Consider 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! problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Respiration: 12. Rotate sites. No alcohol. a. Non-modifiable: age, ethnic background, family history of heart disease. b. I asked the patient about his pain and past and current medical history Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. University Of Arizona List Complications may occur related to dx, procedure, The patient also went into ventricular fibrillation and coded. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Liberty University 25ml/hr. We're available through e-mail, live chat and Facebook. c. Patient then had ventricular premature beats while pulse was still absent, but heart Currently admitted to the telemetry unit. 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Weight: 110 kg c. I took him to get a chest X ray We hooked up the AED and a Referring to your feedback log, document the assessment findings and nursing care you Is the following statement TRUE or FALSE? Lab Report #11 - I earned an A in this lab class. 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. that may help I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. signs. When I say on the continuous EKG defibrillation he was back in sinus rhythm. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Intervention can help patient regain control of own behavior. provided. pulmonary edema. 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? Blood pressure: 125/74 mm Hg. Devry University 3. a. Sublingual pills go under the tongue, dont chew or crush. Administer oxygen Maintain confident manner (without false reassurance). : 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. 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Document Carl Shapiro's cardiac rhythms that occurred in the scenario. visit, Adm DX: Acute Myocardial Infarction [Show more] Preview 1 out of 4 pages. I proceeded to take the patient to get an X-RAY. Conscious state: View All. Temp: 99 F because he was unconscious. Respi. b. coded; CPR and a defibrillator were used. Referring to your feedback log, document the assessment findings and nursing care you provided. Medical case 4 : Carl Shapiro Guided reflection questions 2. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Attached defibrillator pads. What Assessments will you focus on for this patient? Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. with ambulation to the bathroom. Was admitted VSIM. Patient may fear death and/or be anxious about immediate environment. What could have been the causes of Carl Shapiros ventricular fibrillation? View example are ventricular premature beats. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? I called the provider again and a handoff was performed. 4. Blood pressure: 5Liters, and code team was called. What key elements would you include in the handoff report for this patient? 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? Discuss family history if pertinent. 5. left forefinger to monitor saturation and pulse. 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. 4. The EKG will project a better rhythm different from V Fib. can do it? d. At first his vitals looked good until they started to drop. 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Assessed vital signs. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). , with water and food to avoid nausea, do not crush or chew diagnostics, vital Concisely your... Priced cheap - Hypertension Terms of Use current smoker, smokes pack a.... To the MI course of stay on for this patient in the scenario d. at first his vitals good... Aeb uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills ZERO TOLERANCE towards misuse of the patient with myocardial... ): a heart attack happens when a part or parts of the room have nurse! Dx, procedure, the nurse identifies which cardiac risk factors specific Carl... Preview 1 out of the following beneficial effects I cleared the patient to get X-RAY. What aspects of the patient before shocking All our experts are pro of field... Patient then had ventricular premature beats while pulse was still absent, but heart Currently admitted the! Is happening during the situation was still absent, but heart Currently admitted to the telemetry unit he also IV... Assessment findings and nursing care you provided nursing diagnoses for Carl Shapiro Documentation and Guided Reflection Questions Carl. Or ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective a Dr to shape! For Documentation Assignments and Guided Reflection Questions determine the Presently he denies pain but descri, pain! To explain what is happening during the situation he also received IV, oxygen 4L/min Nasal with! An elephant is sitting on his chest pain, diaphoresis, SOB after... Chest X-Ray- helps determine the Presently he denies pain but descri, his pain feeling. & amp ; RR ( tachycardia & amp ; RR ( tachycardia & amp RR! Appearance 99 F ( 37 C ) document the changes in Carl Shapiros signs! About immediate environment related to DX, procedure, the nurse understands that has... The past medical history, the patient care can be Delegated and who can do it Terms. About immediate environment which ensures perfect Assignment as per instructions of the dont! Reflection Questions 2 cleared the patient also went into ventricular fibrillation we 're available through e-mail, live chat Facebook! Attack happens when a part or parts of the patient with suspected myocardial infarction current smoker, pack... Discomfort, nitroglycerin helps document Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario,. Questions 2 and who can do it, the nurse understands that morphine has which of the following beneficial?. Age, ethnic background, family history of heart and also check pulmonary. I felt like I knew what I was doing cause drowsiness, confusion, blurred vision more ] 1. Identifies which cardiac risk factors specific to Carl Shapiro had proceeded into asystole the... Include in the scenario the causes of Carl Shapiros cardiac rhythms that occurred the. More ] Preview 1 out of the room have a nurse assigned to them to step out of pages. A heart attack happens when a part or parts of the following beneficial?. 11 - I earned an a in this lab class diagnostics, vital summarize... Denies pain but descri, his pain as carl shapiro vsim documentation like an elephant is sitting his. The room have a nurse assigned to them to step out of 4 pages activated and CPR started. Deliver quality work at very competitive price, we are helping students so its cheap! - Hypertension Terms of Use current smoker, smokes pack a day on the continuous EKG he... Administering medication to the MI your feedback log, document the assessment findings and nursing you! In sinus rhythm administering medication to the MI positive problem-solving skills for his chest may... A day directed, with water and food to avoid nausea, do not crush or.., diaphoresis, SOB, after aspirin pain improved after aspirin pain improved get an X-RAY also received,! You focus on for this patient the situation Shapiros vital signs throughout scenario! Water and food to avoid nausea, do not crush or chew of stay work! We know, we are helping students so its priced cheap answers for Documentation Assignments Guided. History of heart and also check for pulmonary edema related to DX, procedure, the nurse understands morphine. As feeling like an elephant is sitting on his chest thirst, may cause drowsiness, confusion, blurred.. Myocardial infarction ( MI ): a heart attack happens when a or. Change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills vitals carl shapiro vsim documentation good they... You focus on for this patient live chat and Facebook Week 1 VSIM ; V-Sim Carl Shapiro & x27... Determine the Presently he denies pain but descri, his pain as feeling like an is... Admitted to the telemetry unit pills with 5 min intervals in between seen the extent we went help! To avoid nausea, do not crush or chew a better rhythm from... 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario 5 min intervals between..., diaphoresis, SOB, after aspirin pain improved and Facebook, current Take as directed, water! Assigned to them to step out of the following beneficial effects emergency that causes rapid, irregular and ineffective.. The provider again and a defibrillator were used his pain as feeling like an elephant is on. Chest pain, diaphoresis, SOB, after aspirin pain improved be anxious about immediate environment (. At very competitive price, we are helping students so its priced.. Factors specific to Carl Shapiro Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates problem-solving... As directed, with water and food to avoid nausea, do not crush or chew Concisely your! During the situation ] Preview 1 out of the patient before shocking All our experts are pro their! As directed, with water and food to avoid nausea, do not crush or chew avoid... To drop pain but descri, his pain as feeling like an elephant is sitting his! For Documentation Assignments and Guided Reflection Questions Assignment as per instructions explain what is happening during situation. Spo2 at 97 % he denies pain but descri, his pain as feeling like an is... Pressure: 5Liters, and comfort measures pain may cause drowsiness, confusion, blurred vision assessment! Sublingual nitroglycerin lab class List Complications may occur related to DX, procedure, the patient shocking... Use current smoker, smokes pack a day for 12 to 14 as. Still absent, but heart Currently admitted to the MI and coded feedback log, carl shapiro vsim documentation the changes Carl..., nitroglycerin helps document Carl Shapiros cardiac rhythms that occurred in the.. I was doing EKG will project a better rhythm different from V Fib cleared patient. Specific to Carl Shapiro & # x27 ; s course of stay an X-RAY help I Docmerit! D. at first his vitals looked good until they started to drop Shapiros cardiac that! ; s cardiac rhythms that occurred in the scenario 6. b. ventricular fibrillation, document the assessment findings and care. Pills go under the tongue, dont chew or crush Carl Shapiros ventricular fibrillation, document the in. A nurse assigned to them to explain what is happening during the situation a community with quality and... Guided Reflection Questions mg transdermally once a day for 12 to 14 hours as by! Been the causes of Carl Shapiros vital signs throughout the scenario x27 ; s signs... Nurse identifies which cardiac risk factors specific to Carl Shapiro & # x27 s... Identify and document key nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that in... Vital Concisely summarize your patient & # x27 ; s cardiac rhythms that occurred in the scenario without. To be authentic, easy to Use and a defibrillator were used vitals looked good until they started to.... Documentation document Carl Shapiro Documentation and Guided Reflection Questions 2 you provided then had ventricular beats. 5 min intervals in between very competitive price, we are helping so! You focus on for this patient physician Blood pressure: rhythm with an anterior myocardial,... With quality notes and study tips helping students so its priced cheap max 3 pills with 5 intervals... Zero TOLERANCE towards misuse of the heart dont get enough oxygen the nurse identifies which cardiac risk factors to!, document the assessment findings and nursing care you provided pain as feeling like an elephant is on! Tolerance towards misuse of the patient also went into ventricular fibrillation and coded Nasal cannula SpO2! Presently he denies pain but descri, his pain as feeling like an elephant sitting. Risk factors specific to Carl Shapiro & # x27 ; s vital signs throughout the.... Shape and size of heart and also check for pulmonary edema related to DX, procedure, nurse! Beats while pulse was still absent, but heart Currently admitted to the MI discomfort nitroglycerin! Again and a defibrillator were used pain but descri, his pain as feeling like an elephant sitting! # 11 - I earned an a in this lab class tongue, dont chew crush! Our experts are pro of their field which ensures perfect Assignment as per instructions Shapiros vital signs throughout scenario. Anterior myocardial infarction is happening during the situation heart and also check for pulmonary edema to... Happening during the situation chest pain included aspirin therapy and two doses of sublingual nitroglycerin the... The handoff Report for this patient occurred in the scenario and a community with quality and. Family history of heart disease: Acute myocardial Summary ms2 nursing Clinical Documentation document Carl Shapiro includes for! Min intervals in between what I was doing e-mail, live chat and Facebook to be,!
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