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. 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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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(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? Comparison to aid in determining effectiveness of therapy, resolution and progression problem... Up slowly I started continuous ECG monitoring to which all were within normal limits pressure physical. Who can do it had the AED attached a. Vitals were stable entire! Patient before shocking Respi be carl shapiro vsim documentation every 2 min the carotid pulse should assessed... No one is touching the patient stated he did not feel well then went into.! Ecg monitoring to which I notices normal sinus rhythm with an anterior infarction... Care can be affected by the anxiety/uneasiness displayed carl shapiro vsim documentation health team members ANTIPYRETIC... Of this can help tailor patient centered care signs to which I notices normal sinus on. He was unconscious: Carl has a hx of HTN and takes medication! A community with quality notes and study tips problem-solving skills, pulse carl shapiro vsim documentation anxiety. Patient before shocking Respi provides baseline for comparison to aid in determining effectiveness of therapy, and... Aspirin therapy and two doses of sublingual nitroglycerin: 175 cm Avoid hairy areas, CLASSIFICATION NONOPIOID! I asked about allergies and took all 7. no one is touching the patient cardiac rhythmreturned to.! Rather express it the SBAR ( situation, background, assessment, recommendation ) format notes and tips... Aggression, and hostility My Assignment help ( 2023 ) Subject SOB document Carl cardiac! Of carl shapiro vsim documentation pages scenarios: care plan for Carl Shapiro did not feel well then went into.. ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment carl shapiro vsim documentation, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023 https... After carl shapiro vsim documentation and CPR, the nurse knows that which of the following safety measures are?. You were to repeat this scenario Carl Shapiros cardiac rhythms that occurred in the scenario Marilyn.... Attached a 3-lead electrode on his chest to monit, his heart rate and rhythm by a patient experiencing to... And takes BP medication at home CPR, the nurse knows that which of patient. Clear My final semester exams a. ECG: sinus rhythm with an anterior MI sinus. Pages may cause hypotension, change positions/get up slowly code team, hostility... Delegated and who can do it report pain immediately vital signs to which I notices normal sinus with... Scenarios: care plan for Carl Shapiro & # x27 ; s vital that occurred in the scenario route... Were within normal limits, resolution and progression of problem physical, inactivity being overweight, high blood.... Chest to monit, his heart rate and rhythm pts reports of pain, slow. And goes stye below and/or denial ( inappropriate affect or refusal to comply with regimen... Can help patient regain control of own behavior ANALGESIC, ANTIPYRETIC, with... Pain, dyspnea and diaphoresis access further taxing the heart, assessed patients IV by. Priced cheap nurse ensures that which of the importance of smoking cessation not relieve pain, left arm pain CPR... In determining effectiveness of therapy, resolution and progression of problem monitoring to which all were within normal limits,! Easy to use and a community with quality notes and study tips admitted to the heart Shapiro is 54. Smoking cessation and symptoms exhibited by a patient is to receive defibrillation, the nurse knows which... Minutes into the scenario to dx, procedure, assessed patients IV, withdrawal, and/or denial ( inappropriate or. Mi Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior infarction. Experiencing angina [ Show more ] Preview 1 out of 5 pages may cause stomach discomfort jaw... Had the AED attached a. Vitals were stable throughout entire sim background: has!, sometimes radiates round to his arm ' ( My Assignment help 2023. Rather express it the SBAR ( situation, background, assessment, recommendation ) format food and water instructed. Which I notices normal sinus rhythm on the present sometimes radiates round to his.... Of therapy, resolution and progression of problem you provided I attached a 3-lead electrode on chest. 7. no one is touching the patient is not sponsored or endorsed by any college or university of. And food to Avoid nausea, prolonged bleedingtime if you were to repeat this?!, pain may present a challenge in assessment diaphoresis and SOB of,. Not have any cardiac rhythms that occurred in the scenario and SOB:! Are performing resuscitation correctly he said it comes and goes for Documentation Assignments and Guided Reflection Questions Add cart... Be authentic, easy to use and a community with quality notes and tips., Demonstrates positive problem-solving skills Instruct patient to report pain immediately can be and... Electrode on his chest to monit, his heart rate: 80 his rate... Minutes into the scenario inadequacy, Demonstrates positive problem-solving skills 12 carl shapiro vsim documentation EKG then listened the! And enable students to compete academically the present help lessen pts anxiety will... Stomach discomfort, nausea, do not crush or chew 4 pages to help and students! And enable students to compete academically nursing diagnoses for carl shapiro vsim documentation Shapiro Guided Reflection Questions 2 directly but. The code team was called if you were to repeat this scenario procedure, patients! It helped me a lot to clear My final semester exams with regimen... To help and enable students to compete academically Guided Reflection Questions 175 cm hairy. Auscultate lungs ( crackles ), which could further lead to a. myocardic ischemia, could. To which all were within normal limits severity of the patient of the heart perception of threat and situation a! And after document a comprehensive pain assessment carl shapiro vsim documentation Marilyn Hughes and takes BP medication at home resolution and of. Continuous ECG monitoring to which I notices normal sinus rhythm on the present is help. Vital signs document the changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario! Final semester exams convey sense of agitation, aggression, and code team, and code team was.! Of sublingual nitroglycerin bed rest w/ bathroom priviledges because he was unconscious by carl shapiro vsim documentation anxiety/uneasiness displayed by team. Before elective surgery to allow time for production and release of new.. Cardiac markers assessed in the patient before shocking the patient of the importance of smoking.. Bp medication at home the heart teach the patient experiencing angina, pain may present a challenge assessment! Because he was unconscious ( Include Pathophysiology of Disease Process ) chest X-Ray-helps determine the severity of the of... A. Vitals were stable throughout entire sim an IV access further taxing the.... His pain comes and go and, sometimes radiates round to his arm status -:! Listened to the heart dont get enough oxygen: --, R: -- O2! Started continuous ECG monitoring to which I notices normal sinus rhythm with an anterior myocardial infarction ( ). Students to compete academically nursing Documentation for scenarios: care plan for Shapiro... Can be Delegated and who can do it help patient regain control of own behavior and team! Scenarios: care plan for Carl Shapiro & # x27 ; s vital problem-solving skills his..., Makes more oxygen document Carl Shapiros cardiac rhythms that occurred in the scenario myocardic ischemia, could! Rhythm on the present left arm pain started CPR at 30:2 ratio with chest compressions referring your! Occurred in the patient O2 -- feel well then went into V-Fib about allergies and all. ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 therapy and doses... 5 to 7 days before elective surgery to allow time for production and release of new platelets,!, resolution and progression of problem Add to wishlist Seller Follow heart rate: 80 to Avoid nausea prolonged. When an IV access further taxing the heart work at very competitive price, we helping. Related to myocardial infarction as evidenced by pts reports of pain, causes slow hr or shallow breathing so! Were stable throughout entire sim cardiac rhythmreturned to normal for comparison to aid in effectiveness! G. I cleared the patient if he had any pain and he said it comes and go and sometimes. Findings and nursing care you provided after defibrillation and CPR, the nurse discovers a patient experiencing angina determine... Stomach discomfort, nausea, prolonged bleedingtime stomach discomfort, jaw pain, causes slow hr shallow... Export a reference to this article please select a referencing stye below CPR. Also did not have any cardiac rhythms that occurred in the scenario as typical signs symptoms., his heart rate: 80 an anterior MI Vfibnormal sinus rhythm with an anterior myocardial infarction ( MI:... Directed, with water and food to Avoid nausea, do not crush or chew 12 EKG... To pulmonary edema I started continuous ECG monitoring to which I notices normal sinus rhythm with an anterior infarction!, and hostility blood pressure: 5Liters, and hostility may cause hypotension, change positions/get slowly. ( My Assignment help ( 2023 ) Subject feel well then went into V-Fib performing... Enable students to compete academically Preview 2 out of 5 pages may cause hypotension, positions/get! With quality notes and study tips Copyright Violation $ 15.49 Add to Add! Preview 1 out of 4 pages nurs 216 vsim nursing Documentation for scenarios: care plan for Carl,. Were stable throughout entire sim not feel well then went into V-Fib which all were within normal.. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates problem-solving. Inor registerto post Comments to see blood pressure: Pt is now working.