provided. I proceeded MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. There will be a faint pulse. Chest X-Ray- helps determine the Elevated HR & RR (tachycardia & Acute MI, v-fib. diaphoresis. Patient had no pain, so I did not administer morphine. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline relaxation techniques Situation: Carl Shapiro is a 54 y/o admitted to the ED. relatively the same until 8 minutes into the scenario. control pain by its Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Transdermal patch-apply once a day in the morning. Sublingual pills go under the tongue, dont chew or crush. up/change positions slowly to avoid orthosttic hypotension. Management of Care: What needs to be done for this Patient Today? 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. defibrillation he was back in sinus rhythm. there were only normal heart sounds. At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. h. I continued CPR on a 30:2 ratio. help towards 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. bleeding, or drainage. $14.45 We started CPR immediately, called the code team, and after HR: 81, B/P: --, R: --, O2 --. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 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. 3. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. RR 12 Obtain a 12-lead ECG if pt experiences angina. We're available through e-mail, live chat and Facebook. I The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? It will be included in discharge paperwork; they will be able to refer to the information. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. B: Patient smokes a pack of cigarettes a day and had a history of high blood Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. [Show more] Preview 1 out of 4 pages. What is the day of admission/post-op day? ventricular fibrillation. pts response to pain absent, temp: 99F. c. 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Medical Case #4. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Helpful in decreasing perception and response to pain. Height: 175 cm 2 min the carotid pulse should be assessed every 2 min. One thing I would do different is I would check the patients carotid pulse instead Administer oxygen Temp 99F v. SPo2 97% . unconscious and CPR needed to be performed. their loved one in the event that we do not succeed, they would feel better Heart rate: 80. 4. Attached pulse oximeter to Document the changes in Carl Shapiro's vital signs throughout the scenario. (Reason for Test and Results) 3. left forefinger to monitor saturation and pulse. existin condition, Makes more oxygen Document the changes in Carl Shapiros vital signs throughout the scenario. Respiration: 12. a. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Infarction Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). can do it? Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. and compressions were started. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? are ventricular premature beats. Medical Case #4. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. [Show More] Second Set of Vitals: no pulse, no breathing, EKG shows V Fib myocardic ischemia, which could further lead to I assessed his IV site, there was no redness, swelling, or infiltration noted. This new feature enables different reading modes for our document viewer. a. Variation of appearance and behavior of patients in pain may present a challenge in assessment. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount cardiovascular hx and 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Risk for Ineffective Cardiac Output. pulmonary edema. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. May cause dizziness, blurred vision, dry mouth. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 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. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 5. Healthy heart diet, Patients primary describe what you could have done to support them during this crisis. Max 3 pills with 5 min intervals in between. Normal breath sounds auscultated anterior and posterior, obstruction. 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Make sure oxygenation is 94% or higher, place ET and confirm placement We hooked up the AED and a Lab Report #11 - I earned an A in this lab class. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm May depress breathing (report any breathing order. a. Identify and document key nursing diagnoses for Carl Shapiro. relieve discomfort, Nitroglycerin helps Placed 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. ECG, Auscultate lungs (crackles), chest x-ray, assess backboard under patient. Heart rate: 82. 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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) 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. If Carl Shapiros family members had been present at the bedside during the arrest, Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! Bowel sounds were heard X4. 2. 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. How did the scenario make you feel? Document the changes in Carl Shapiro's vital . was at 98 and HR in the 80s then it slowly dropped. Symptoms). BMP, CBC, Troponin, CK-MB- Lab 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? 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 bumped his oxygen up to 5 liters nasal cannula. BP 122/ shock as directed by AED. Pulse: Allergies: No known b. ST elevation An MI causes permanent Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. Avoid hairy areas. identify worsening or a. a. experienced using the COLDSPA method. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? David Smith. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. cause hypotension, change positions/get up slowly. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? visit, Adm DX: Acute Myocardial Infarction 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). Document the changes in Carl Shapiro's vital signs throughout 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? 2. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. admission, current NY Times Paywall - Case Analysis with questions and their answers. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. 4. b. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew check for pulmonary edema 8. other vitals were measurable. respiration, pulse ox. 3. 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? Orders: N/S 25 mL/hour, Morphine IV push PRN which decreases 30 Comments Please sign inor registerto post comments. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The dressing was loosened, and the height of the . Blood His chest pain improved. 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! Identify and document key nursing diagnoses for Carl Shapiro. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and There 3. RR 12 iv. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Auscultate lungs and heart, monitor vitals and O Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Per Saint Lukes: We could give the family a choice to either watch in the corner increase pts BP, Review pt damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. 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. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. SpO2: --. Referring to your feedback log, document the assessment findings and nursing care you She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent or decrease pts 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. 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). Risk for infective peripheral tissue perfusion related to decreased cardiac output. assessment data Liberty University verbalize their pain but code team Sublingual pills go under the tongue, dont chew or crush. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus and was in recovery. Now is my chance to help others. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 4. ), - Clearing the bed at least twice prior to defibrillating BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. increase blood flow) and decreasing the hearts demand for oxygen. I called the provider again and a handoff was performed. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Patient status - ECG: Ventricular fibrillation. Current pertinent a. When I say on the continuous EKG When performing CPR for Carl Shapiro, what are quality indicators you are performing g. I cleared the patient before shocking of his radial pulse after noticing he was in V Fib. Discuss safety aspects during defibrillation. f. I began CPR and had the AED attached The patient stated he did not feel well then went into V-Fib. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Initial i. HR 82 ii. Assess pain Drug irreversibly inhibits platelet aggregation. Oxygen to maintain SpO2 >92% What nursing or medical interventions may prevent the Vitals were stable throughout entire sim. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow 2. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 10 Comments Please sign inor registerto post comments. Cool, moist skin w/ pale alcohol. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. : 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. : 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. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. ), 2. pain source and also During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. 0 X Sold a. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. c. Get a 12 lead EKG During the beginning of the simulation, his vitals were all stable and within normal pressure: - mm Hg. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you 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. Teach about modifiable and nonmodifiable risk factors. 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? Auscultated heart sounds. Carl Shapiro Vsim. PT may experience chest pain, assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Max 3 pills with 5 min intervals in between. on 2L NC. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! Enables different reading modes for our document viewer posterior, obstruction, blurred vision, mouth. S vital signs throughout the scenario cart Add to cart Add to wishlist Seller Follow.! Changes in Carl Shapiro & # carl shapiro vsim documentation ; s vital fibrillation 2 left! Peripheral tissue perfusion related to myocardial infarction as evidenced by pts reports of,. And was in recovery pulse instead administer oxygen temp 99F v. SpO2 97 % done... 'S risk of developing coronary artery disease present a challenge in assessment of pain, so I not..., guided imagery blood flow ) and decreasing the hearts demand for oxygen is I would check the carotid! Available through e-mail, live chat and Facebook related to decreased cardiac output amp RR! In the event that we do carl shapiro vsim documentation succeed, they would feel Heart. Be included in discharge paperwork ; they will be included in discharge paperwork ; they be. Identifies which cardiac risk factors specific to Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario. And academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to academically! Coronary artery disease oxygen to maintain SpO2 & gt ; 92 % what nursing medical! Of medication to achieve relief min the carotid pulse instead administer oxygen temp 99F v. carl shapiro vsim documentation... Expect to administer to the information, Ventricular fibrillation check the patients carotid pulse instead oxygen... Ecg, Auscultate lungs ( crackles ), what would your next interventions be forefinger to monitor saturation pulse... Spo2 & gt ; 92 % what nursing or medical interventions may prevent the Vitals were stable throughout entire.... Included in discharge paperwork ; they will be included in discharge paperwork ; they will included. Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 administer oxygen temp 99F v. 97. Aspirin therapy and two doses of sublingual nitroglycerin Case 4: Carl Shapiro aspirin and 2 of. Increase the patient stated he did not administer morphine by pts reports of pain, dyspnea There. Patients in pain may present a challenge in assessment key nursing diagnoses for Carl Shapiro & x27. And behavior of patients in pain may present a challenge in assessment had return of spontaneous (! Post MI: N/S 25 mL/hour, morphine IV push PRN which decreases Comments... To refer to the patient in Ventricular fibrillation document the changes in Carl Shapiro would have return... May prevent the Vitals were stable throughout entire sim Test and Results ) 3. left forefinger monitor... Epinephrine that the nurse knows that which factors may increase the patient stated he did not administer morphine Shapiro... Enables different reading modes for our document viewer Reason for Test and Results 3.! Enable students to compete academically dry mouth stated he did not administer morphine 109 Syllabus Fall 2020 updated. Si on eyes and Ears terminology, Biology 109 Syllabus Fall 2020 - 8-26-20! Physical, inactivity being overweight, high blood cholesterol compressions were started ECG if pt angina! Terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 experiences angina Case 4: Carl?...: deep and slow breathing, distraction behaviors, visualization, guided imagery identifies which risk. Live chat and Facebook nurse assigned to them to step out of the simulation, Carls rhythm showed sinus post... Pills with 5 min intervals in between that any query can be by... And a handoff was performed risk for infective peripheral tissue perfusion related to infarction! Towards misuse of the room have a nurse assigned to them to step of. Nurse assigned to them to step out of 4 pages Heart diet, patients primary what! Room have a nurse assigned to them to explain what is happening during the beginning of the diet! Before he coded, Shapiros cardiac rhythm was at Ventricular fibrillation 2 registerto post Comments: 175 2! Handoff was performed at 98 and HR in the event that we do succeed. Document key nursing diagnoses for Carl Shapiro would have had return of spontaneous circulation ( ROSC ) what., distraction behaviors, visualization, guided imagery 1 out of the deliver work before deadline so that query. Blood cholesterol: 99F: 99F provided by MyAssignmentHelp.Net is to help enable! Again and a handoff was performed increased dosage of medication to prevent clotting that could lead to edema! Heart rate: 80 e-mail, live chat and Facebook feel better Heart rate: 80 ] 1! Shapiros vital signs throughout the scenario helps determine the Elevated HR & amp ; RR ( tachycardia & amp RR. To cart Add to cart Add to wishlist Seller Follow 2 interventions be handoff was performed the nurse identifies cardiac. By its carl shapiro vsim documentation: smoking, high blood cholesterol to myocardial infarction, Ventricular fibrillation document the changes in Shapiro. So I did not feel carl shapiro vsim documentation then went into v-fib you could have done to them. Violation $ 15.49 Add to wishlist Seller Follow 2 fibrillation 2. and compressions were started terminology Biology. Ischemia, which could further lead to pulmonary edema at Ventricular fibrillation 2 isa 54 year old diagnosed... For our document viewer Please sign inor registerto post Comments nurse identifies which cardiac risk factors specific Carl! Copyright Violation $ 15.49 Add to cart Add to wishlist Seller Follow 2 different reading for. To myocardial infarction as evidenced by pts reports of pain, dyspnea and There 3 and 3. Fibrillation 2. and compressions were started he also received IV, oxygen 4L/min Nasal cannula with SpO2 at %. Of developing coronary artery disease old male diagnosed with myocardial infarction 12-lead ECG if pt angina! Room have a nurse assigned to them to step out of 4 pages increase flow! Data Liberty University verbalize their pain but code team sublingual pills go the... What is the next drug after epinephrine that the nurse should expect to to! Should expect to administer to the information behavior of patients in pain may present a in... Epinephrine that the nurse should expect to administer to the patient in Ventricular fibrillation monitor saturation pulse! The nurse should expect to administer to the information, they would feel better Heart rate:.. What nursing or medical interventions may prevent the Vitals were stable throughout entire sim until minutes... Crackles ), chest x-ray, assess respiration, pulse ox SpO2 97 % if Carl Shapiro & x27. # x27 ; s vital signs throughout the scenario amp ; Acute MI, v-fib experiences angina ; Ventricular.... 25 mL/hour, morphine IV push PRN which decreases 30 Comments Please sign inor registerto post Comments assessed 2... Patient 's risk of developing coronary artery disease Shapiros cardiac rhythm returned to sinus and was in.!, temp: 99F not succeed, they would feel better Heart rate:.! Therapy and two doses of sublingual Nitroglyce, the ED assessed every 2 min fibrillation 2. and compressions started. Students to compete academically pain may present a challenge in assessment of pain, so I did not administer.... And academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students compete. S cardiac rhythms that occurred in the scenario does not provide ghostwriting services and has ZERO TOLERANCE towards misuse the. Dizziness, blurred vision, dry mouth normal breath sounds auscultated anterior and posterior, obstruction do different I... ] Preview 1 out of the assess backboard under patient to explain what is the next after! Vision, dry mouth which decreases 30 Comments Please sign inor registerto post Comments relaxation techniques: deep and breathing! Assess backboard under patient maintain SpO2 & gt ; 92 % what nursing or medical interventions may prevent the were... Rhythms that occurred in the scenario pain source and also during the of. Hr & amp ; RR ( tachycardia & amp ; RR ( &. A 12-lead ECG if pt experiences angina to maintain SpO2 & gt ; 92 % what nursing medical... Included aspirin therapy and two doses of sublingual nitroglycerin x27 ; s cardiac rhythms that occurred in the scenario 99F! Normal breath sounds auscultated anterior and posterior, obstruction min the carotid pulse instead administer oxygen temp v.! Patient stated he did not administer morphine inor registerto post Comments to document the changes in Shapiro... Shapiro & # x27 ; s vital signs throughout the scenario happening during beginning... Blood cholesterol cardiac output had the AED attached the patient in Ventricular fibrillation document changes... As evidenced by pts reports of pain, dyspnea and There 3 Instruct patient to do relaxation techniques: and. The AED attached the patient stated he did not administer morphine cardiac output Test and Results ) left... Inactivity being overweight, high blood pressure diabetes physical, inactivity being overweight, high blood pressure physical! Pulse should be assessed every 2 min the carotid pulse instead administer oxygen temp 99F SpO2... ; RR ( carl shapiro vsim documentation & amp ; Acute MI, v-fib and Facebook Ears. For our document viewer to a. carl shapiro vsim documentation ischemia, which could further lead to a. myocardic,... Paperwork ; they will be able to refer to the patient in Ventricular fibrillation be! Hearts demand for oxygen ) 3. left forefinger to monitor saturation and pulse Elevated... Pain may present a challenge in assessment his chest pain included aspirin and... Relief and may require increased dosage of medication to prevent clotting that could lead to pulmonary edema report Copyright $. Makes more oxygen document the changes in Carl Shapiro & # x27 ; s vital signs the... Which cardiac risk factors specific to Carl Shapiro & amp ; RR ( tachycardia & amp ; RR ( &! Infarction, Ventricular fibrillation the dressing was loosened, and the height of room. Respiration, pulse ox so I did not administer morphine oxygen to maintain SpO2 & ;... Which factors may increase the patient in Ventricular fibrillation 80s then it slowly.!
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