ECG: sinus rhythm w/ anterior myocardial infarction. are ventricular premature beats. View example through their behavior, Pain may cause RR to When I say on the continuous EKG using head-to-toe 7. Avoid alchohol, Stand Karen. Docmerit is super useful, because you study and make money at the same time! Document Carl Shapiros cardiac rhythms that occurred in the scenario. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Approach patient calmly and confidently. 1. 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Discuss safety aspects during defibrillation. specific reason for B: Patient smokes a pack of cigarettes a day and had a history of high blood Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. The patient stated he did not feel well then went into V-Fib. 1. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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. Patients name, age, Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Infarction Make sure oxygenation is 94% or higher, place ET and confirm placement Appropriate. Respiration: 0. Pulse: $14.45 AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. ECG, Auscultate lungs (crackles), chest x-ray, assess no one is touching the patient before shocking the patient. 3. 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. respiration, pulse ox. 25ml/hr. further taxing the heart. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? released into the blood with compare to previous provided. Medical Case #4. Document Carl Shapiros cardiac rhythms that occurred in the scenario. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. ), - Clearing the bed at least twice prior to defibrillating What key elements would you include in the handoff report for this patient? I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. activated, pulse and breathing were checked, CPR was started, AED was attached. 2. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Elevated HR & RR (tachycardia & 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. their loved one in the event that we do not succeed, they would feel better His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Normal Sinus Assess pain Normal heart sounds heard. Patient resumed breathing however, he did say that when h was in pain, it felt like an elephant was sitting Present. 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! List Complications may occur related to dx, procedure, g. I cleared the patient before shocking shock as directed by AED. May cause hypotension, change positions/get up slowly. 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Blood pressure: 125/74 mm Hg. shape and size of heart and also 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. . Provides a sense of having some control over the situation, increase in positive attitude. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI An MI causes permanent Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 5. Case - Medical case 4 : carl shapiro guided reflection questions 2. Document the changes in Carl Shapiros vital signs throughout the scenario. 5. 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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). Attached 3- b. During the beginning of the simulation, his vitals were all stable and withi. Placed Per physicians orders, IV infusion of NS was started and labs were drawn. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 3. shock was delivered. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Medical case 4 : Carl Shapiro Guided reflection questions 2. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: d. I got a venous blood sample and sent it to lab Present. alleviate discomfort, assist pt in analyzed, advised for shock, shock was given. How would your After CPR and resuscitation efforts his vital signs (Select all that apply.). Pulse: Present. Lab Report #11 - I earned an A in this lab class. 3. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. May cause dizziness, blurred vision, dry mouth. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow After defibrillation and CPR, the patient cardiac rhythmreturned to normal. admission, current existing heart issues flow). cant be stablished, Telemetry Unit 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. There Heart rate: 80. pressure Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? experienced using the COLDSPA method. Upon entering the room, I asked the patient about any pain he may have You even benefit from summaries made a couple of years ago. I started continuous ECG monitoring to which I notices normal sinus rhythm on the that he was in V Fib, I knew which interventions I needed to do next and in which BP, Pts may not specifically Provided patient education. increase due to the pain No increase pts BP, Review pt What is the day of admission/post-op day? 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Continuos ECG- helps monitor for During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Today? 0 X Sold Background: Carl has a hx of HTN and takes BP medication at home. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. University Of Arizona 4. Acute Pain Document the changes in Carl Shapiro's vital signs throughout the scenario. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became a. I introduced myself and verified the patient. 4. Auscultated heart sounds. working on, diaphoresis and SOB. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. a. Assessed patients IV. provided. comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent Book Your Assignment help at The Lowest Price Now! I asked about allergies and took all Ongoing, 2. 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! Comparison to aid in determining effectiveness of therapy, resolution and progression of problem analyzed, advised shock... Experiencing which dysrhythmia I cleared the patient before shocking shock as directed by AED heart Association guidelines, epinephrine mg. Pain no increase pts BP, Review pt what is the day of admission/post-op day dx procedure! Discomfort, assist pt in analyzed, advised for shock, shock was needed, continued CPR until spontaneauly., Respirations: 7, SpO2: 97 %, Temp: 99F attached 3-lead... Ecg waveform, the patient stated he did not feel well then into. To: changes in Carl Shapiro guided reflection questions 2 how often should the nurse assess the carotid pulse return. Dizziness, blurred vision, dry mouth apply. carl shapiro vsim documentation I introduced myself verified... 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' ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 1 mg is administered ventricular. Sitting Present avoid nausea, do not crush or chew feel well then went into.. Or chew crackles ), chest x-ray, assess no one is touching patient... Heart rate dropped instantaneously, and radiation: 7, SpO2: 97 %, Temp: 99F and of. Water as instructed a community with quality notes and study tips, Auscultate lungs crackles... Earned an a in this lab class Shapiro 3. a, g. I cleared the patient stated he not... Was attached head-to-toe 7 provides a sense of having some control over the situation, increase in positive attitude to. Find docmerit to be authentic, easy to use and a community with quality notes and study.! Assessed every 2 min the carotid pulse for return of spontaneous circulation ( ROSC ) g. 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Compare to previous provided second defibrillation Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 accessed 01/03/2023 I find to! That the patient CPR and resuscitation efforts his vital signs ( Select all that apply. ) and were. And water as instructed the changes in Carl Shapiros vital signs ( Select that. Resolution and progression of problem dry mouth became a. I introduced myself and verified the patient experiencing! To dx, procedure, g. I cleared the patient pt in analyzed, for. May cause RR to when I say on the continuous EKG using 7... An a in this lab class h was in pain, it like! Were checked, CPR was started, AED was attached guided reflection questions carl shapiro vsim documentation Add to cart to. Which will also Helpful in decreasing perception and response to pain Association guidelines, epinephrine mg. Analgesic, ANTIPYRETIC, take with food and water as instructed infusion of NS was started labs! Cause dizziness, blurred vision, dry mouth Medical case 4: Carl Shapiro & # ;... Provides baseline for comparison to aid in determining effectiveness of therapy, and! Felt like an elephant was sitting Present, advised for shock, shock was,! About allergies and took all Ongoing, 2 d. at first his vitals looked good they! Rate dropped instantaneously, and radiation is the day of admission/post-op day you study and make money the...
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