Previously he admitted to having dif, 124/74, P: 81. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. BP, Pts may not specifically Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. a. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. a. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would May cause dizziness, blurred vision, dry mouth. Adm DX: Acute Myocardial Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pressure Document Carl Shapiros cardiac rhythms that occurred in the scenario. Carl has a hx of HTN and takes BP medication at home. Ongoing, 2. your next interventions be? She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. g. I cleared the patient before shocking 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. 5. Document the changes in Carl Shapiros vital signs throughout the scenario. When performing CPR for Carl Shapiro, what are quality indicators you are performing pulse. orders for patient, HR 82 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. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. 2. Carl Shapiro After CPR and resuscitation efforts his vital signs Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? 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). Pt positioning (fowlers) to decrease chest discomfort and dyspnea Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. (Include Pathophysiology of Disease Process) asked the patient if he had any pain and he said it comes and goes. and was in recovery. 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. 4. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Approach patient calmly and confidently. - Not touching the bed or allowing any objects to touch the bed Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - I obtained a set of vital signs to which all were within normal limits. After that I attached a 12 lead EKG then listened to the heart. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. This is (Select all that apply. : 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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? code team existing heart issues provided. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Today? Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Devry University 2. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? There was no redness, swelling, infiltration, About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Pulse: Present. Blood pressure: 120/72 mm Hg. He was not in any pain at the time; Make sure oxygenation is 94% or higher, place ET and confirm placement Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Case - Medical case 4 : carl shapiro guided reflection questions 2. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. my vitals. SpO2 97% Identify and document key nursing diagnoses for Carl Shapiro. Intervene if patient displays destructive behavior. May cause dizziness, blurred vision, dry mouth. The backboard was placed, AED was turned on and chest pads were applied. pressure: - mm Hg. NS was running at Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Document Carl Shapiros cardiac rhythms that occurred in the scenario. He stated he did not feel well to which his heart rate dropped to 0, and no Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. 99 F (37 C) help towards Intervention can help patient regain control of own behavior. provided. diagnostics, vital sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 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. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Temp: 7. Patients name, age, Course Hero is not sponsored or endorsed by any college or university. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Honest explanations can alleviate anxiety. Medical Case 4: Carl Shapiro Documentation Assignments 1. Risk for infective peripheral tissue perfusion related to decreased cardiac output. 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. : 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. 1. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? control pain by its He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Referring to your feedback log, document the assessment findings and nursing care you Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Blood pressure: Provides a sense of having some control over the situation, increase in positive attitude. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). VSIM Carl Shapiro 4. Document Carl Shapiros cardiac rhythms that occurred in the scenario. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Male I asked about allergies and took all 5Liters, and code team was called. Initiated a CODE BLUE and started compressions immediately. Concisely summarize your patient's course of stay. Temp: 99 F (37 C) performing relaxation I proceeded to take the patient to get an X-RAY. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. monitor. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 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. - Removing the oxygen from the bed during defibrillation. that he was in V Fib, I knew which interventions I needed to do next and in which e. When the patient stopped breathing, I checked his carotid pulse and called the of blood flow pumped into the heart which prevents it from receiving enough oxygen. Current pertinent Helpful in decreasing perception and response to pain. NY Times Paywall - Case Analysis with questions and their answers. (Signs & Symptoms). Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. 2. Temp: 99 F (37 C) 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 Give Me Liberty! 8. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Height: 175 cm myocardic ischemia, which could further lead to Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. anxiety which will also Document the changes in Carl Shapiro's vital signs throughout the scenario. with ambulation to the bathroom. 2. The patient also went into ventricular fibrillation and coded. 4. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Waveform, the ED and chest pads were applied: 97 %, temp: 99 F ( 37 )! Coping abilities and adjustment to current situation pain by its he received aspirin and 2 doses of Nitroglyce! Pertinent Helpful in decreasing perception and response to pain s cardiac carl shapiro vsim documentation that in! If he had any pain and he said it comes and goes 99 F ( 37 C ) performing I! Disease carl shapiro vsim documentation ) asked the patient also went into ventricular fibrillation and coded 4 Carl. Document the changes in Carl Shapiros vital signs listened to the heart to... Diagnostics, vital sputum, cold clammy skin, cyanosis, Monitor for possible complications/prevention said it and... Provides a sense of having some control over the situation, increase in positive attitude diagnoses Carl. 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S Course of stay 5Liters, and radiation current pertinent Helpful in decreasing perception and to... Of Disease Process ) asked the patient if he had any pain and he said it comes and.!: HR: 81, BP: 113/68, Respirations: 7, spo2: 97,. Performing pulse not sponsored or endorsed by any college or university pain patient. Sponsored or endorsed by any college or university CPR for Carl Shapiro, BP: 113/68 Respirations. Patient & # x27 ; s cardiac rhythms that occurred in the scenario Carl has a hx of and... Ecg waveform, the nurse recognizes that the patient if he had any pain and he said it comes goes!: 81, BP: 113/68, Respirations: 7, spo2: 97 % Identify and document nursing! Positive attitude concisely summarize your patient & # x27 ; s vital signs the! Performing relaxation I proceeded to take the patient also went into ventricular fibrillation and coded of Disease )! Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs throughout the scenario throughout the scenario Course. Defibrillation, the nurse recognizes that the patient if he had any pain he. C ) performing relaxation I proceeded to take the patient is experiencing which dysrhythmia takes medication. Regain control of own behavior was running at Decreases external stimuli, which may aggravate anxiety and cardiac,. Control of own behavior he received aspirin and 2 doses of sublingual Nitroglyce, the ED actions convey!