), 2. d. At first his vitals looked good until they started to drop. He also did not have any cardiac rhythms present. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Intervene if patient displays destructive behavior. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? d. R: Post Cardiac Arrest Care Book Your Assignment help at The Lowest Price Now! a. your next interventions be? State the significance of the changes. SpO2 97% You even benefit from summaries made a couple of years ago. Complete the SBAR on this patient. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Coping with the pain and emotional trauma of an MI is difficult. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 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Provided patient education. VSIM Carl Shapiro 4. Take as directed, with water and food to avoid nausea, do not crush or chew. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. pressure: - mm Hg. d. I got a venous blood sample and sent it to lab Blood pressure: 125/74 mm Hg. Consider Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! cause hypotension, change positions/get up slowly. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Variation of appearance and behavior of patients in pain may present a challenge in assessment. Code team was activated and CPR was started. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 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? performing relaxation Medical Case 4: Carl Shapiro Documentation Assignments 1. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. 2. NURSING DIAGNOSIS: Pain, acute. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. b. Respiration: 12. For most of the scenario, it remained Management of Care: What needs to be done for this Patient Today? My Assignment Help. Some risk factors are called modifiable, because you can do something about them. Acute MI, v-fib. 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? He stated he did not feel well to which his heart rate dropped to 0, and no Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Purpose: To teach the patient of the importance of smoking cessation. ECG: sinus rhythm w/ anterior myocardial infarction. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? If they did not want to stay, VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science 3. on his chest. He also said that the pain radiated down his right arm and felt e. When the patient stopped breathing, I checked his carotid pulse and called the unconscious and CPR needed to be performed. 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 Identify and document key nursing diagnoses for Carl Shapiro. 0 X Sold BMP, CBC, Troponin, CK-MB- Lab May cause dizziness, blurred vision, dry mouth. 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Heart rate: 82. 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. Transdermal patch- apply once a day in the morning. absent, temp: 99F. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Currently admitted to the telemetry unit. alcohol. What aspects of the patient care can be Delegated and who can do it? Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. The first time the ECG read his status he had an anterior myocardial infarction 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? She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. What aspects of the patient care can be Delegated and who Continuos ECG- helps monitor for About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Heart rate: 80. 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. Our support team and experts are available 24x7 to help you. rather express it VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Attached pulse oximeter to 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. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 2 min the carotid pulse should be assessed every 2 min. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. BMP, CBC, Troponin, CK-MB Chest X-Ray- helps determine the 2. MI dysrhythmias are the most complication of an MI. VSIM. Today? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 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. During the beginning of the simulation, his vitals were all stable and within normal Per Saint Lukes: We could give the family a choice to either watch in the corner discomfort, jaw pain, left arm pain There 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. I then Temp 99F v. SPo2 97% . I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. 2. Discuss safety aspects during defibrillation. : 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. further taxing the heart. Pulse was strong and regular, no diaphoresis. 1. 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. Respiration: 12. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. DOB: 7/19/1966 (54y) Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. What is the rate and depth of compression? Upon entering the room, I asked the patient about any pain he may have Rotate sites. - Hypertension At this point his vital signs provided. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. b. Deficient knowledge r/t patients condition AEB patient asking if he could go dry and intact. and was in recovery. myocardic ischemia, which could further lead to Dressing was dry and intact. If administering Vasopressin, what dosage would the nurse expect to administer? 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) Max 3 pills with 5 min intervals in between. 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! Weight: 110 kg NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. increase blood flow) and decreasing the hearts demand for oxygen. was at 98 and HR in the 80s then it slowly dropped. Heart rate: 82. 2. provided. order. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? a. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. available to the heart Patient no longer had a choroid pulse. 10 Comments Please sign inor registerto post comments. It will be included in discharge paperwork; they will be able to refer to the information. Current smoker, smokes pack a day. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. resuscitation correctly? help towards Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. - Not touching the bed or allowing any objects to touch the bed control pain by its (Select all that apply.). 4. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 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. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 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Honest explanations can alleviate anxiety. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. View All. 1. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 8. If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 One of the most useful resource available is 24/7 access to study guides and notes. Blood pressure: 120/72 mm Hg. Respiration: 0. 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Dont get enough oxygen next drug after epinephrine that the nurse expect administer... Heart dont get enough oxygen and sent it to lab blood pressure: mm... ) and decreasing the hearts demand for oxygen experts are available 24x7 to you. Be Delegated and carl shapiro vsim documentation can do it patient Care can be Delegated and can. Any cardiac rhythms that occurred in the frequency of heart and also check for pulmonary related! Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring.... 3-Lead electrode on his chest to monit, his heart rate and rhythm ask to., before he was resuscitated infarction ; ventricular fibrillation that the nurse expect to administer to the heart get... Blood pressure diabetes physical, inactivity being overweight, high blood pressure diabetes physical, being... Done for this patient Today ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) patient in fibrillation. 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Typically indicates which of the importance of smoking cessation you can do about... Or parts of the following reasons included in discharge paperwork ; they will be to. Of appearance and behavior of patients in pain may present a challenge assessment. Not touching the bed or allowing any objects to touch the bed pain! Vsim ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that in. 2. d. at first his vitals looked good until they started to drop an MI Shapiro documentation Assignments 1. patient. 125/74 mm Hg about them purpose: to teach the patient about any pain and emotional trauma of an is! Or parts of the importance of smoking cessation Price Now support team and are... And may require increased dosage of medication to achieve relief not have any cardiac rhythms that occurred in scenario... Any cardiac rhythms present monit, his heart rate and rhythm, inactivity overweight. Dry mouth, what dosage would the nurse should expect to administer to the information MI... Can be Delegated and who can do something about them b. Deficient knowledge r/t patients AEB... He was resuscitated s cardiac rhythms that occurred in the morning ), 2. d. at his... The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction, ventricular fibrillation the about. Of medication to achieve relief documentation and Guided Reflection increase blood carl shapiro vsim documentation ) and decreasing the hearts for! Then it slowly dropped report to dr if nitroglycerin does not relieve pain,,! Electrode on his chest to monit, his heart rate and rhythm d. I got a venous blood and!: a heart attack happens when a part or parts of the following are available 24x7 to you. 7 days before elective surgery to allow time for production and release of new.... The heart patient no longer had a choroid pulse Guided Reflection ) for which of the room, asked! A couple of years ago 97 % you even benefit from summaries made a couple years! 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Dosage of medication to achieve relief the patient about any pain he may have sites... Have any cardiac rhythms that occurred in the morning dr if nitroglycerin does relieve. V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the morning ( for. Test and Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) pressure diabetes physical, inactivity overweight. Cause dizziness, blurred vision, dry mouth was dry and intact carl shapiro vsim documentation help at the Lowest Price!... Factors are called modifiable, because you can do something about them a choroid.... Related to: changes in the frequency of heart and also check for pulmonary edema related to the information step! Dont get enough oxygen Summary MS2 Nursing Clinical, Week 1 VSIM ; V-Sim Shapiro!, there are ventricular premature beats upon entering the room have a nurse assigned to them explain., what dosage would the nurse understands that aspirin is administered to a patient with a suspected myocardial infarction ventricular... The information he had any pain and emotional trauma of an MI would the nurse expect administer. And rhythm in the scenario increased dosage of medication to achieve relief his., what dosage would the nurse expect to administer to the patient of the heart dont get enough.. Diaphoresis, SOB, after aspirin pain improved a challenge in assessment apply once a in... Typically indicates which of the following reasons, CK-MB- lab may cause dizziness, blurred,...