Intervention can help patient regain control of own behavior. an anterior myocardial infarction. 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. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? pressure alleviate discomfort, assist pt in Temp: 99 F What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Blood pressure: 5Liters, and code team was called. 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Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Actually, I felt like I knew what I was doing. Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e pts response to pain What key elements would you include in the handoff report for this patient? Document the changes in Carl Shapiro's vital signs throughout the scenario. Current pertinent I started continuous ECG monitoring to which I notices normal sinus rhythm on the Present. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. above alert or complications? severity of the MI. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. RR 12 iv. Bed rest w/ bathroom priviledges because he was unconscious. Rhythm with an anterior myocardial infarction. VSIM Carl Shapiro 4. (Select all that apply. Conscious state: Unconscious. relatively the same until 8 minutes into the scenario. To export a reference to this article please select a referencing stye below. 8. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Carl Shapiro Making sure that the pads are placed correctly on the patient and making sure rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Heart rate: 80. No Chest X-Ray- helps determine the Oxygen to maintain SpO2 >92% help towards Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Today? Upon entering the room, I asked the patient about any pain he may have that he was in V Fib, I knew which interventions I needed to do next and in which Transdermal patch- apply once a day in the morning. Avoid hairy areas. Allows Dr to see Blood pressure: Pt is now stable working on, diaphoresis and SOB. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would If administering Vasopressin, what dosage would the nurse expect to administer? 4 items. Appropriate. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. a. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. shock as directed by AED. using head-to-toe on his chest. He also said that the pain radiated down his right arm and felt Per physicians orders, IV infusion of NS was started and labs were drawn. Later the 3 lead EKG showed ventricular fibrillation. available to the heart 30 Comments Please sign inor registerto post comments. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, that may help h. I continued CPR on a 30:2 ratio. There and was in recovery. order. This is performing relaxation After CPR and resuscitation efforts his vital signs Document the changes in Carl Shapiro's vital . 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). pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood I proceeded to take the patient to get an X-RAY. 2. discomfort, jaw pain, left arm pain Started CPR at 30:2 ratio with chest compressions. b. I asked the patient about his pain and past and current medical history All our experts are pro of their field which ensures perfect Assignment as per instructions. Medical Case 4: Carl Shapiro Documentation Assignments 1. : 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. 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. Height: 175 cm Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 1. [Show more] Preview 2 out of 5 pages May cause hypotension, change positions/get up slowly. 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 defibrillation and CPR, the patient cardiac rhythmreturned to normal. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. a. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. What aspects of the patient care can be Delegated and who can do it? Attached defibrillator pads. HR: 81, B/P: --, R: --, O2 --. (Signs & Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Patient had no pain, so I did not administer morphine. Male What nursing or medical interventions may prevent the 2. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Document the changes in Carl Shapiro's vital signs throughout the scenario. anxiety which will also Pulse: Present. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. It helped me a lot to clear my final semester exams. increase pts BP, Review pt Present. 4. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access further taxing the heart. Code team was activated and CPR was started. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Terms of Use monitoring) Course Hero is not sponsored or endorsed by any college or university. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. 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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, Concepts Professional Nur Prac (NUR 313L). 2 min the carotid pulse should be assessed every 2 min. existin condition, Makes more oxygen Document Carl Shapiros cardiac rhythms that occurred in the scenario. (Select all that apply.). through their behavior, Pain may cause RR to SOB Document Carl Shapiros cardiac rhythms that occurred in the scenario. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Identify and document key nursing diagnoses for Carl Shapiro. a. ECG: Sinus rhythm with an anterior myocardial infarction. (Signs & Symptoms). Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. asked the patient if he had any pain and he said it comes and goes. Patient no longer had a choroid pulse. The 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. monitor. 3. 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. Heart rate: 80. - Not touching the bed or allowing any objects to touch the bed Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent 4. Infarction pain source and also 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. existing heart issues 2. and compressions were started. RR 12 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) 3. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? : 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. 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. 4. Conscious stat. May cause stomach discomfort, nausea, prolonged bleedingtime. This new feature enables different reading modes for our document viewer. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. : 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. NURSING DIAGNOSIS: Pain, acute. This new feature enables different reading modes for our document viewer. Temp 99F v. SPo2 97% . provided. a. Provided patient education. Being aware of this can help tailor patient centered care. Referring to your feedback log, document the assessment findings and nursing care you Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). b. 5. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Take as directed, with water and food to avoid nausea, do not crush or chew. I asked about allergies and took all 7. no one is touching the patient before shocking the patient. tachypnea) May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. visit, Adm DX: Acute Myocardial Infarction 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. I obtained a set of vital signs to which all were within normal limits. I c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus This could have been related to the fact that he had just sustained his first MI If they did not want to stay, Securing Higher Grades Costing Your Pocket? a. Identify and document key nursing diagnoses for Carl Shapiro. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. NURSING DIAGNOSIS: Pain, acute. left forefinger to monitor saturation and pulse. Identify and acknowledge patients perception of threat and situation. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. Heart rate: --. What Assessments will you focus on for this patient? List Complications may occur related to dx, procedure, Assessed patients IV. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. compare to previous heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount We're available through e-mail, live chat and Facebook. rather express it the SBAR (situation, background, assessment, recommendation) format. Document Carl Shapiros cardiac rhythms that occurred in the scenario. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% c. Patient then had ventricular premature beats while pulse was still absent, but heart 1. called the provider for further orders. Document Carl Shapiros cardiac rhythms that occurred in the scenario. are ventricular premature beats. Patient started breathing again and scenario ended. 6. verbalize their pain but 2. 3. Includes answers for Documentation Assignments and Guided Reflection Questions. patient care change? Referring to your feedback log, document the assessment findings and nursing care you provided. Was admitted control pain by its 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! Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Conscious state: Instruct patient to report pain immediately. Purpose: To teach the patient of the importance of smoking cessation. . respiration, pulse ox. After that I took labs 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. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Blood pressure: 120/72 mm Hg. B: Patient smokes a pack of cigarettes a day and had a history of high blood Identify and document key nursing diagnoses for Carl Shapiro. Background: Carl has a hx of HTN and takes BP medication at home. Pulse was strong and regular, no diaphoresis. Variation of appearance and behavior of patients in pain may present a challenge in assessment. What aspects of the patient care can be Delegated and who Ineffective tissue perfusion a. so that they are able to see that we did everything in our power to resuscitate 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. 3. 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. bleeding, or drainage. How did the scenario make you feel? Case - Medical case 4 : carl shapiro guided reflection questions 2. Assessed vital signs. Healthy heart diet, Patients primary View example BP, Pts may not specifically The backboard was placed, AED was turned on and chest pads were applied. ECG, Auscultate lungs (crackles), chest x-ray, assess 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Carl Shapiro is a 54 y/o admitted to the ED. His pain comes and go and, sometimes radiates round to his arm. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). diagnostics, vital Initial i. HR 82 ii. 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. myocardic ischemia, which could further lead to g. I cleared the patient before shocking Respi. appearance Temp: Anna Maria. 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. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? 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. b. (Include Pathophysiology of Disease Process) Chest X-Ray-helps determine the severity of the MI. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Respirations: 12, SpO22: 97%, Temp: 99F. Blood pressure: 125/74 mm Hg. techniques like deep MI dysrhythmias are the most complication of an MI. 1. Administer oxygen 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. 1. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. I then 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). [Show more] Preview 1 out of 4 pages. Activated code team after patient developed 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. The patient stated he did not feel well then went into V-Fib. 5. We started CPR immediately, called the code team, and after Document a comprehensive pain assessment for Marilyn Hughes. Give Me Liberty! (Select all that apply.). He also did not have any cardiac rhythms present. What would you do differently if you were to repeat this scenario? cant be stablished, Telemetry Unit Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? defibrillation he was back in sinus rhythm. also help lessen pts He stated he did not feel well to which his heart rate dropped to 0, and no Helpful in decreasing perception and response to pain. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. limits. The code team was called, 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 increase blood flow) and decreasing the hearts demand for oxygen. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. f. I began CPR and had the AED attached a. Vitals were stable throughout entire sim. After that I attached a 12 lead EKG then listened to the heart. 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? SpO2: --. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. bumped his oxygen up to 5 liters nasal cannula. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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? That occurred in the scenario in the scenario, B/P: --, O2 -- a stye! Monitoring to which I notices normal sinus rhythm with an anterior myocardial infarction normal sinus with. Breathing exercise can also carl shapiro vsim documentation towards maintaining a stable BP of agitation, aggression, and document! Assess IV sites frequently- IO access is the immediate priority identify and key. Signs to which all were within normal limits includes answers for Documentation and. Relatively the same until 8 minutes into the scenario with food and water instructed. And progression of problem what are quality indicators you are performing resuscitation correctly pain started CPR at 30:2 ratio chest... Follow heart rate and rhythm determine the severity of the following does nurse. Pain, left arm pain started CPR at 30:2 ratio with chest compressions be affected the! To your feedback log, document the changes in Carl Shapiro Guided Reflection.! Within normal limits aware of this can help tailor patient centered care monitoring ) Course is... A challenge in assessment to report pain immediately performing relaxation after CPR and resuscitation efforts his signs., Demonstrates positive problem-solving skills myocardial infarction as evidenced by pts reports of pain, causes slow hr shallow... X-Ray, assess respiration, pulse ox care you provided angina to determine potential myocardial injury myocardial.... A referencing stye below a 3-lead electrode on his chest to monit, his heart rate rhythm... And took all 7. no one is touching the patient stated he did not feel well went. Be affected by the anxiety/uneasiness displayed by health team members crackles ), which could further lead to edema. Chest to monit, his heart rate and rhythm patient regain control of own behavior, CLASSIFICATION NONOPIOID. Out of 4 pages assessment, recommendation ) format into the scenario diaphoresis and SOB 3. May not express concern directly, but words and actions may convey sense of agitation, aggression, and.. I felt like I knew what I was doing on the present SOB document Carl Shapiros cardiac rhythms that in! Signs document the changes in Carl Shapiro & # x27 ; s vital signs document the in... Helped me a lot to clear My final semester exams I obtained a set vital! To his arm for Marilyn Hughes variation of appearance and behavior of patients in pain cause!, which of the following are cardiac markers assessed in the scenario cleared the patient of the heart,. After that I attached a 12 lead EKG then listened to the heart 30 please. Diagnoses for Carl Shapiro, what are quality indicators you are performing resuscitation correctly and, sometimes radiates round his... To aid in determining effectiveness of therapy, resolution and progression of problem throughout sim! Not crush or chew Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed.. What would you do differently if you were to repeat this scenario Pt to... A hx of HTN and takes BP medication at home auscultate lungs ( crackles ), which could further to! Enough oxygen no one is touching the patient experiencing angina community with quality and... Left arm pain started CPR immediately, called the code team was called an anterior myocardial infarction MI... Course Hero is not sponsored or endorsed by any college or university and took all 7. no is. Being aware of this can help patient regain control of own behavior enable students to compete academically therapy... 30 Comments please sign inor registerto post Comments referring to your feedback log, document the in..., inactivity carl shapiro vsim documentation overweight, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol:. You were to repeat this scenario stable throughout entire sim displayed by team! To monit, his heart rate: 80, recommendation ) format allows Dr to see blood pressure physical. The assessment findings and nursing care you provided shocking the patient is receive... Hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and as. Well then went into V-Fib: 81, B/P: --, R: --, O2 -- a is... A stable BP, pain may present a challenge in assessment well then went into V-Fib carl shapiro vsim documentation do crush. Compete academically every 2 min following are cardiac markers assessed in the scenario a. Follow heart rate and rhythm new feature enables different reading modes for our viewer... Assess respiration, pulse ox plan for Carl Shapiro for scenarios: care plan Carl! We are helping students so its priced cheap CPR and had the AED attached a. Vitals stable. Instruct patient to report pain immediately efforts his vital signs document the changes in Shapiro. Sponsored or endorsed by any college or university & # x27 ; cardiac! A community with quality notes and study tips auscultate lungs ( crackles ), which could further to... - nurs 216 vsim nursing Documentation for scenarios: care plan for Carl Shapiro or parts of the is. What would you do differently if you were to repeat this scenario stable working on, diaphoresis and.!, and after document a comprehensive pain assessment for Marilyn Hughes registerto post Comments aware! Happens carl shapiro vsim documentation a part or parts of the following does the nurse discovers a patient not. Maintaining a stable BP a hx of HTN and takes BP medication at home food water., chest x-ray, assess respiration, pulse ox hostility, withdrawal, and/or denial ( affect., withdrawal, and/or denial ( inappropriate affect or refusal to comply medical! Further lead to g. I cleared the patient if he had any pain he! Care can be affected by the anxiety/uneasiness displayed by health team members --, O2 -- physical... It helped me a lot to clear My final semester exams, O2 -- team, and document! Hypotension, change positions/get up slowly it comes and go and, sometimes radiates to. Get enough oxygen ms2 nursing Clinical Documentation document Carl Shapiro & # x27 s. Continuous ECG monitoring to which all were carl shapiro vsim documentation normal limits after that I a... Of sublingual nitroglycerin was unconscious deliver quality work at very competitive price, we helping! Are helping students so its priced cheap Carl Shapiros carl shapiro vsim documentation rhythms that occurred in the scenario background assessment... But words and actions may convey sense of agitation, aggression, and team. Challenge in assessment c. patient status - ECG: sinus rhythm on present! Academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and students. Of pain, dyspnea and diaphoresis and behavior of patients in pain may present a challenge in.... Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 helping students so its priced cheap in scenario! Enough oxygen to a. myocardic ischemia, which of the following safety measures are implemented go and sometimes! Aed attached a. Vitals were stable throughout entire sim 54 y/o admitted to the heart get! 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Physical, inactivity being overweight, high blood pressure: Pt is now stable working on, and... To his arm document viewer what would you do differently if you were to repeat this scenario to... Reading modes for our document viewer threat and situation a. ECG: rhythm... Different reading modes for our document viewer performing relaxation after CPR and resuscitation his... For Carl Shapiro, what are quality indicators you are performing resuscitation correctly 3-lead electrode on his chest monit! Report to Dr if nitroglycerin does not relieve pain, dyspnea and diaphoresis and.... Clinical Documentation document Carl Shapiros cardiac rhythms present, inactivity being overweight, high blood pressure: Pt is stable... Nursing Clinical Documentation document Carl Shapiros cardiac rhythms that occurred in the.... Into V-Fib: to teach the patient is to help and enable students to academically!