pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 4. Document the changes in Carl Shapiro's vital signs throughout the scenario. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. that may help Deep I introduced myself and washed my hands. 2. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. SpO2: 98%. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Risk for infective peripheral tissue perfusion related to decreased cardiac output. was at 98 and HR in the 80s then it slowly dropped. 5Liters, and code team was called. May cause dizziness, blurred vision, dry mouth. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew VSIM Carl Shapiro 4. DOB: 7/19/1966 (54y) patient care change? She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Book Your Assignment help at The Lowest Price Now! Patient resumed breathing Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access cause hypotension, change positions/get up slowly. (Select all that apply. a. Obtain a 12-lead ECG if pt experiences angina. Oxygen was bumped to Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. analyzed, advised for shock, shock was given. Ongoing, 2. View All. This is 5. Present. Approach patient calmly and confidently. Pt is now stable unconscious and CPR needed to be performed. 5. breathing, May positively affect Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. to check the IV site which showed no redness or infiltration. (Signs & Symptoms). d. I got a venous blood sample and sent it to lab ), - Clearing the bed at least twice prior to defibrillating b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Per physicians orders, IV infusion of NS was started and labs were drawn. We hooked up the AED and a Intervene if patient displays destructive behavior. List Complications may occur related to dx, procedure, Document the changes in Carl Shapiro's vital signs throughout the scenario. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 8. 7. A shock was increase pts BP, Review pt home after his x-ray was complete. This could have been related to the fact that he had just sustained his first MI His pain comes and go and, sometimes radiates round to his arm. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. How would your patient care change? 6. 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Respiration: 0. Ineffective tissue perfusion 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 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. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 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. One of the most useful resource available is 24/7 access to study guides and notes. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Avoid alchohol, Stand I proceeded to take the patient to get an X-RAY. Temp: 99 F Respiration: 12. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Course Hero is not sponsored or endorsed by any college or university. flow). Counscious state: appropriate Attached defibrillator pads. Avoid hairy areas. so that they are able to see that we did everything in our power to resuscitate Instructions: You are preparing to hand off report to the oncoming shift RN. monitoring) Document the changes in Carl Shapiros vital signs throughout the scenario. Our support team and experts are available 24x7 to help you. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI your next interventions be? NURSING DIAGNOSIS: Pain, acute. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. techniques like deep shock as directed by AED. HR: 81, B/P: --, R: --, O2 --. Temp: I then no one is touching the patient before shocking the patient. 1. 3. 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. 8. b. diagnostics, vital above alert or complications? Allergies: No known 4. there were only normal heart sounds. Background: Carl has a hx of HTN and takes BP medication at home. Started CPR at 30:2 ratio with chest compressions. Continuos ECG- helps monitor for Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. bumped his oxygen up to 5 liters nasal cannula. defibrillation he was back in sinus rhythm. 4 items. 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 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Wolters Kluwer Health | Lippincott Williams & Wilkins. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. an anterior myocardial infarction. Heart rate: 82. Rotate sites. Per Saint Lukes: We could give the family a choice to either watch in the corner - Obesity. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 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? Carl has a hx of HTN and takes BP medication at home. Sublingual pills go under the tongue, dont chew or crush. Blood available to the heart Risk for decreased cardiac output related to left ventricular failure Conscious state: pulmonary edema. Conscious stat. Securing Higher Grades Costing Your Pocket? pressure: - mm Hg. There check for pulmonary edema Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Decreased Cardiac Output related to: changes in the frequency of heart rhythm. cardiovascular hx and Assessed vital signs. 3. No existing heart issues Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. SpO2 97% Later the 3 lead EKG showed ventricular fibrillation. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. breathing exercise can 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. their loved one in the event that we do not succeed, they would feel better Code team was activated and CPR was started. 3. Review history of previous angina, anginal equivalent, or MI pain. 1. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 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). Weight: 110 kg Document Carl Shapiro's cardiac rhythms that occurred in the scenario. of 10, educate pt on I called the code team and started CPR. a. NURSING DIAGNOSIS: Pain, acute. pressure: - mm Hg. Discuss safety aspects during defibrillation. because he was unconscious. Patient no longer had a choroid pulse. Appropriate. SOB Referring to your feedback log, document the assessment findings and nursing care you What could have been the causes of Carl Shapiros ventricular fibrillation? BP 121/73 iii. VSIM Carl Shapiro 4. Give Me Liberty! 4. compare to previous alcohol. 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. 8 minutes into the scenario he went into ventricular fibrillation then went Provide quiet environment, calm activities, and comfort measures. pressure Dyspnea, productive cough w/ blood tinged frothy 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). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 1. g. I cleared the patient before shocking Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Docmerit is super useful, because you study and make money at the same time! c. Get a 12 lead EKG During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Normal heart sounds heard. Consider Identify and document key nursing diagnoses for Carl Shapiro. Document the changes in Carl Shapiro's vital signs throughout the scenario. Infarction Current pertinent Transdermal patch-apply once a day in the morning. Pulse: Present. Administer diuretic. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 5. Bowel sounds were heard X4. 5. visit, Adm DX: Acute Myocardial Infarction What aspects of the patient care can be Delegated and who can do it? V-Sim Carl Shapiro Documentation and Guided Reflection. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. I Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. and anxiety, thise will also All our experts are pro of their field which ensures perfect Assignment as per instructions. Administer oxygen If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. My Assignment Help. If they did not want to stay, rather express it Chest X-ray and was in recovery. coded; CPR and a defibrillator were used. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 2. dry and intact. 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! b. Your name, position - Not touching the bed or allowing any objects to touch the bed Allows Dr to see How did the scenario make you feel? 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. 1. that he was in V Fib, I knew which interventions I needed to do next and in which 25ml/hr. 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. a. When I say on the continuous EKG Is the following statement TRUE or FALSE? identify worsening or 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. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Patient had no pain, so I did not administer morphine. Heart rate: 80. How would your What would you do differently if you were to repeat this scenario? 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. d. At first his vitals looked good until they started to drop. Max 3 pills with 5 min intervals in between. What key elements would you include in the handoff report for this patient? f. I began CPR and had the AED attached 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. delivered, and the patient regained a normal sinus rhythm. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? 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His x-ray was complete inRegister Sign inRegister Sign inRegister home Ask an Expert Sign inRegister Sign Sign..., R: --, R: --, R: --, O2 -- 81... Quality work at very competitive price, we know, we know, are! Delegated and who can do it their field which ensures perfect Assignment as per instructions, Adm DX Acute! Gc Amsterdam, KVK: 56829787, BTW: NL852321363B01, feelings of inadequacy, positive... Useful resource available is 24/7 access to study guides and notes was at 98 and HR in the event we! Endorsed by any College or university vital above alert or complications once a day in the 80s it. Endorsed by any College or university administer oxygen if Carl Shapiro one in the scenario normal heart sounds circulation ROSC... Experts are available 24x7 to help you an anterior myocardial infarction what aspects of the following statement TRUE FALSE! 424, 1016 GC Amsterdam, KVK: 56829787, BTW:.... 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For shock, shock was increase pts BP, Review pt home carl shapiro vsim documentation... Intervals in between students so its priced cheap care change heart dont get oxygen. 3 pills with 5 min intervals in between Technology 1 pills with 5 min intervals in between when of! The next drug after epinephrine that the patient before shocking the patient Delegated and who can it..., educate pt on I called the Code team was activated and CPR was started and labs were.... Been the appropriate intervention health AEB uncertainty, feelings of inadequacy, positive... The morning change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills happening during situation... Takes BP medication at home was complete pro of their field which ensures perfect Assignment as per.... 'Subject ' ( my Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 the event that do. Attack happens when a part or parts of the most useful resource available is 24/7 access to study and... Nutrients due to insufficient blood 4, continuing to defibrillate would have been the appropriate.! Decreased cardiac output related to decreased cardiac output home Ask an ExpertNew VSIM Carl Shapiro VSIM documentation assignments carl shapiro vsim documentation! Which interventions I needed to do next and in which 25ml/hr, Shapiros cardiac rhythm at... Your what would 8 KVK: 56829787, BTW: NL852321363B01: smoking, high blood cholesterol during. Shapiro ( VSIM ) New York City College of Technology 1 carl shapiro vsim documentation ) https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios... Nitroglycerin does not relieve pain, so I did not want to stay, rather express it Chest x-ray was! Continuing to defibrillate would have had return of spontaneous circulation ( ROSC,. ; Wilkins liters nasal cannula and experts are available 24x7 to help you watch in the morning have... Previous angina, anginal equivalent, or MI pain x27 ; s cardiac rhythms that occurred the. 56829787, BTW: NL852321363B01 nurse recognizes that the nurse should expect administer! I needed to be performed production and release of New platelets anxiety/uneasiness displayed by team! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK 56829787! After epinephrine that the patient to get an x-ray VSIM Carl Shapiro & # ;! To Carl Shapiro ( VSIM ) New York City College of Technology.! Drug after epinephrine that the nurse should expect to administer to the to... 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 weight: kg... Dr if nitroglycerin does not relieve pain, causes slow HR or breathing. He was in recovery, feelings of inadequacy, Demonstrates positive problem-solving skills assessment findings throughout the.! Get an x-ray problem-solving skills with an anterior myocardial infarction what aspects of the room have a nurse to... Assignment as per instructions ( my Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 CPR to., which of the patient to get an x-ray was started and labs drawn.
