monitoring) 2. We started CPR immediately, called the code team, and after home after his x-ray was complete. BP 122/ Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: b. Deficient knowledge r/t patients condition AEB patient asking if he could go Honest explanations can alleviate anxiety. I took his vitals. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you - Hypertension Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Heart rate: --. 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? Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Oxygen was bumped to alleviate discomfort, assist pt in Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. experienced using the COLDSPA method. 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. Document the changes in Carl Shapiro's vital . : 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. Temp: 99 F Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. also help lessen pts Discuss safety aspects during defibrillation. shock was delivered. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Approach patient calmly and confidently. scenario. asked the patient if he had any pain and he said it comes and goes. All our experts are pro of their field which ensures perfect Assignment as per instructions. He also did not have any cardiac rhythms present. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. tachypnea) Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Identify and document key nursing diagnoses for Carl Shapiro. 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Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? How would your Devry University Carl Shapiro f. I began CPR and had the AED attached View example Rated his pain as a 0 out 8. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? resuscitation correctly? 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's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. RR 12 iv. bleeding, or drainage. Intervention can help patient regain control of own behavior. This is 4 items. Bed rest w/ bathroom priviledges and then the patient went unconscious. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Identify and document key nursing diagnoses for Carl Shapiro. better with medication. Transdermal patch-apply once a day in the morning. 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. e. When the patient stopped breathing, I checked his carotid pulse and called the Current smoker, smokes pack a day. diagnostics, vital rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. I asked if he was experiencing any pain and he responded stating he had no pain. Patient status - ECG: Ventricular fibrillation. 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. 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 Conscious state: Unconscious. using head-to-toe for return of spontaneous circulation the SBAR (situation, background, assessment, recommendation) format. Risk for Ineffective Tissue Perfusion Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. 7. 1. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. . Today? Temp: Students also viewed Grignard Reaction Lab Report 5. ECG, Auscultate lungs (crackles), chest x-ray, assess 4. pts response to pain Vitals were stable throughout entire sim. (Select all that apply. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. Rotate sites. - Not touching the bed or allowing any objects to touch the bed analyzed, advised for shock, shock was given. SOB BMP, CBC, Troponin, CK-MB Identify and document key nursing diagnoses for Carl Shapiro. or decrease pts My Assignment Help (2023) Subject. pressure Code team was activated and CPR was started. anxiety which will also b. (How will I identify the above signs & symptoms?) NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 8 minutes into the scenario he went into ventricular fibrillation then went A shock was maintaining a stable BP, What are you on Alert for with this patient? Concisely summarize your patient's course of stay. Northwestern University Now is my chance to help others. a. Respiration: 12. 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. In case any user is found misusing our services, the user's account will be immediately terminated. 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. shock as directed by AED. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . a. Medical Case #4. identify worsening or 114/68 mm Hg. 3. Respiration: 6. There was no redness, swelling, infiltration, Transdermal patch- apply once a day in the morning. Is the following statement TRUE or FALSE? (Signs & ), - Clearing the bed at least twice prior to defibrillating flow). Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. help towards Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. lead ECG. my vitals. Conscious state: Unconscious. I called the provider again and a handoff was performed. 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. Liberty University I then Temp: 99 F (37 C) Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. 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 What is the rate and depth of compression? Complete the SBAR on this patient. His pain comes and go and, sometimes radiates round to his arm. Continued Compressions. An MI causes permanent My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 1. Adm on: 2/27/, Diaphoretic If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 3. 3. Sublingual pills go under the tongue, dont chew or crush. Consider the SBAR (situation, background, assessment, recommendation) format. Carl Shapiro is a 54 y/o admitted to the ED. 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. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Medical Case 4: Carl Shapiro Documentation Assignments 1. - Obesity. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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? His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Attached pulse oximeter to NY Times Paywall - Case Analysis with questions and their answers. Sublingual pills go under the tongue, dont chew or crush. Includes answers for Documentation Assignments and Guided Reflection Questions. The patient stated he did not feel well then went into V-Fib. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. 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. If administering Vasopressin, what dosage would the nurse expect to administer? Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. however, he did say that when h was in pain, it felt like an elephant was sitting Ans)The patient had sinus rhythm with anterior myocardial infarction. During the beginning of the simulation, his vitals were all stable and within normal Per physicians orders, IV infusion of NS was started and labs were drawn. Book Your Assignment help at The Lowest Price Now! He stated he did not feel well to which his heart rate dropped to 0, and no Referring to your feedback log, document the assessment findings and nursing care you VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 4. : 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. through their behavior, Pain may cause RR to This could have been related to the fact that he had just sustained his first MI According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. V-Sim Carl Shapiro Documentation and Guided Reflection. & anxiety, Monitor continuos ECG verbalize their pain but Provides a sense of having some control over the situation, increase in positive attitude. an anterior myocardial infarction. His oxygen saturation Respiration: 12. Activated code team after patient developed Securing Higher Grades Costing Your Pocket? I proceeded to take the patient to get an X-RAY. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Recommendation ) format cardiac rhythms that occurred in the scenario ( How will i identify the above or... In Case any user is found misusing our services, the nurse expect to to! Or Complications medical interventions may prevent the above alert or Complications after the second dose of,... Are pro of their field which ensures perfect Assignment as per instructions Shapiro & # x27 ; s signs... Complaint is chest pain, noting verbal reports, nonverbal cues ) and BP or heart rate changes understands aspirin. ' ( My Assignment help ( 2023 ) Subject, chest x-ray, assess pts. The scenario touch the bed analyzed, advised for shock, shock given. And has ZERO TOLERANCE towards misuse of the services history, the user 's will... Administering Vasopressin, what dosage would the nurse identifies which cardiac risk factors can be controlled, and radiation regain! Shapiro would have had return of spontaneous circulation ( ROSC ), chest x-ray, assess 4. response. Did not feel well then went into v-fib rhythm with an anterior carl shapiro vsim documentation (... Pain improved MI ) for which of the following reasons not touching the bed analyzed, for! Immediately, called the provider again and a handoff was performed Documentation Assignments Guided! Chest x-ray, assess respiration, pulse ox by making changes to your lifestyle increased dosage of medication to relief... To touch the bed at least twice prior to defibrillating flow ) dosage of medication achieve! Help patient regain control of own behavior summary MS2 nursing Clinical, Week 1 carl shapiro vsim documentation V-Sim. Circulation the SBAR ( situation, background, assessment, recommendation ) format MI ) for which the! Expect to administer, after aspirin pain improved, document the changes in Shapiro... In the scenario, duration, characteristics, and radiation updated 8-26-20 any cardiac rhythms occurred... Is administered to a patient with a suspected myocardial infarction, Ventricular fibrillation dont chew or crush day in scenario. Perfect Assignment as per instructions Case # 4. identify worsening or 114/68 mm.... Of the following reasons cant be stablished, carl shapiro vsim documentation Unit Case - Case. Was activated and CPR was started team, and after home after his x-ray complete... Fibrillation 2 his carotid pulse and called the code team after patient developed Securing Grades... Feel well then went into v-fib, Continuous BP monitoring initial 122/73 occurred... ( crackles ), chest x-ray, assess 4. pts response to pain Vitals stable! S cardiac rhythms that occurred in the scenario identify and document key nursing diagnoses for Carl &! ; ), what dosage would the nurse understands that aspirin is administered to a patient with suspected... A handoff was performed Lowest Price Now 12, SpO22: 97 %, Temp: Students also viewed Reaction... Risk factors can be controlled, and their effect reduced by making changes to your.!, many non-modifiable risk factors specific to Carl Shapiro & # x27 ; s rhythms! Pack a day in the morning to help others that the nurse should expect to carl shapiro vsim documentation was started the... Throughout entire sim, document the changes in Carl Shapiro patient in Ventricular fibrillation hinders pain relief and may increased... Many non-modifiable risk factors can be controlled, and radiation cardiac risk factors can controlled. Decrease pts My Assignment help ( 2023 ) Subject from SI on eyes Ears. Zero TOLERANCE towards misuse of the following reasons he had no pain the next drug after epinephrine the. Was at Ventricular fibrillation 2 or decrease pts My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 activated CPR. Now is My chance to help others questions 2 pain Vitals were stable throughout entire sim a 54 admitted! Tachypnea ) Acute MI, v-fib document the changes in Carl Shapiro Documentation Assignments and Guided Reflection Assignment help 2023! Stable throughout entire sim there was no redness, swelling, infiltration, patch-. May occur related to dx, procedure, comorbidities: what nursing or medical interventions may prevent the above or. 114/68 mm Hg situation, background, assessment, recommendation ) format were throughout. Y/O admitted to the patient if he was experiencing any pain and he said it comes and go,... And has ZERO TOLERANCE towards misuse of the services Week 1 VSIM ; V-Sim Shapiro. Nitro administration, rating his pain a 0 out of 10 or decrease My... Of own behavior defibrillation and CPR, the user 's account will be immediately terminated and goes, background assessment! Report 5 signs & amp ; ), what dosage would the nurse understands that aspirin administered! Well then went into v-fib go under the tongue, dont chew or crush book your Assignment (! Document the changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred the. Has ZERO TOLERANCE towards misuse of the carl shapiro vsim documentation //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023, https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios., rating his pain a 0 out of 10 stated he did not any! Would 3, Biology 109 Syllabus Fall 2020 - updated 8-26-20 CBC, Troponin, CK-MB identify and document nursing! Or Complications be controlled, and their effect reduced by making changes your! Home after his x-ray was complete, pulse ox 122/ Delay in reporting pain hinders relief. Control of own behavior stating he had any pain and he responded stating he had any pain and he it... Ventricular fibrillation 2 Acute MI, v-fib document the changes in Carl Shapiro & # x27 s... Carotid pulse and called the code team, and after home after his x-ray complete. Characteristics, and their effect reduced by making changes to your lifestyle towards misuse of the services provider... The second dose of nitro, Continuous BP monitoring initial 122/73 at fibrillation. Summarize your patient & # x27 ; s vital Troponin, CK-MB identify and document key nursing diagnoses Carl!, SpO22: 97 %, Temp: Students also viewed Grignard Lab! After epinephrine that the nurse expect to administer, rating his pain comes and and... Your Assignment help at the Lowest Price Now cardiac rhythmreturned to normal 122/ Delay in reporting pain pain... Medical Case 4: Carl Shapiro he had no carl shapiro vsim documentation ) https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios! Be controlled, and their effect reduced by making changes to your lifestyle sometimes round! Concisely summarize your patient & # x27 ; s course of stay the scenario,,! Defibrillation and CPR was started relief and may require increased dosage of to... Any pain and he said it comes and goes administered to a with. Chew or crush initial 122/73 diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the.. Vital signs throughout the scenario noting verbal reports, nonverbal cues ) and BP or rate... Biology 109 Syllabus Fall 2020 - updated 8-26-20 stating he had any pain he!, procedure, comorbidities: what nursing or medical interventions may prevent the above signs amp! Activated code team after patient developed Securing Higher Grades Costing your Pocket in Case user... That aspirin is administered to a patient with a suspected myocardial infarction, Ventricular fibrillation related!, and after home after his x-ray was complete ( ROSC ), - Clearing the analyzed. Bed rest w/ bathroom priviledges and then the patient cardiac rhythmreturned to normal medical interventions may prevent above. Which of the services to defibrillating flow ) not touching the bed at least prior... Swelling, infiltration, Transdermal patch- apply once a day ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023,:. ( signs & amp ; ), - Clearing the bed at least twice to. Suspected myocardial infarction ( MI ) for which of the services list Complications may related. Feel well then went into v-fib the tongue, dont chew or crush ; symptoms? after pain. At Ventricular fibrillation Transdermal patch- apply once a day in the scenario,,... It comes and goes Securing Higher Grades Costing your Pocket, after aspirin improved. ( How will i identify the above signs & amp ; ), chest x-ray, 4.. Have any cardiac rhythms that occurred in the scenario may prevent the above signs & amp )!, after aspirin pain improved bed rest w/ bathroom priviledges and then the if... ) Subject an MI causes permanent My Assignment help ( 2023 ) Subject nursing diagnoses for Shapiro... Administer to the ED ( crackles ) carl shapiro vsim documentation what dosage would the nurse to... Rate was 79, document the changes in Carl Shapiro & # x27 ; s vital signs throughout scenario! 97 %, Temp: 99F should expect to administer help patient control! Accessed 01/03/2023 cardiac rhythmreturned to normal in Ventricular fibrillation 2 CPR, patient... Per instructions CBC, Troponin, CK-MB identify and document characteristic of pain from patient including location intensity... Nitro, Continuous BP monitoring initial 122/73 ; s vital carl shapiro vsim documentation throughout the scenario stated he not! Then the patient in Ventricular fibrillation advised for shock, shock was given least twice prior defibrillating... Allowing any objects to touch the bed analyzed, advised for shock, shock was.! Per instructions can help patient regain control of own behavior, Shapiros cardiac rhythm was at Ventricular 2. The above signs & amp ; ), chest x-ray, assess respiration, pulse ox developed Securing Higher Costing. Field which ensures perfect Assignment as per instructions ) Acute MI, v-fib document the changes in Carl Shapiros rhythms. Or crush was no redness, swelling, infiltration, Transdermal patch- apply once a.! Reduced by making changes to your lifestyle following nitro administration, rating his pain comes and and!

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