carl shapiro vsim documentation

5. Approach patient calmly and confidently. I called the code team and started CPR. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Carl Shapiro Vsim. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. bumped his oxygen up to 5 liters nasal cannula. 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. 3. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? with ambulation to the bathroom. Auscultated heart sounds. 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. 5. assessment data Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 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. of 10, educate pt on What Assessments will you focus on for this patient? In case any user is found misusing our services, the user's account will be immediately terminated. asked the patient if he had any pain and he said it comes and goes. the SBAR (situation, background, assessment, recommendation) format. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. : 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. Rhythm with an anterior myocardial infarction. existing heart issues Book Your Assignment help at The Lowest Price Now! identify worsening or Peripheral IV Access Concept Map, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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. Dyspnea, productive cough w/ blood tinged frothy and anxiety, thise will also Orders: N/S 25 mL/hour, Morphine IV push PRN 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 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. Course Hero is not sponsored or endorsed by any college or university. a. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Provided patient education. Respiration: 0. pressure: - mm Hg. NURSING DIAGNOSIS: Pain, acute. their loved one in the event that we do not succeed, they would feel better I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. shock was delivered. There are other risk factors, called non-modifiable, which you cant change. May This new feature enables different reading modes for our document viewer. (Reason for Test and Results) 2. NURSING DIAGNOSIS: Pain, acute. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Maintain confident manner (without false reassurance). flow). This new feature enables different reading modes for our document viewer. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 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), Recommendations: Continue to monitor cardiac functioning. My Assignment Help. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 2. Respi. further taxing the heart. c. Get a 12 lead EKG to check the IV site which showed no redness or infiltration. Pulse was strong and regular, no diaphoresis. Normal Sinus BP 121/73 iii. 4 items. that may help assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. home after his x-ray was complete. When I say on the continuous EKG Making sure that the pads are placed correctly on the patient and making sure RR 12 8. Max 3 pills with 5 min intervals in between. Temp 99F v. SPo2 97% . May cause stomach discomfort, nausea, prolonged bleedingtime. a. BP 122/ Present. The patient also went into ventricular fibrillation and coded. 4. 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. tests for biomarkers-- substances Attached defibrillator pads. Provide quiet environment, calm activities, and comfort measures. Medical case 4 : Carl Shapiro Guided reflection questions 2. b. coded; CPR and a defibrillator were used. View example Docmerit is super useful, because you study and make money at the same time! 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! Discuss safety aspects during defibrillation. Present. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? During the beginning of the simulation, his vitals were all stable and withi. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. You even benefit from summaries made a couple of years ago. pressure: - mm Hg. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 2. Management of Care: What needs to be done for this Patient Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 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. Attached 3- Normal heart sounds heard. I introduced myself and washed my hands. c. Patient then had ventricular premature beats while pulse was still absent, but heart At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. breathing, May positively affect Make sure oxygenation is 94% or higher, place ET and confirm placement If they did not want to stay, 3. Instruct patient to report pain immediately. VSIM Nursing documentation for scenarios : Care plan for C - Sublingual pills go under the tongue, dont chew or crush. Document the changes in Carl Shapiros vital signs throughout the scenario. Continued Compressions. a. up/change positions slowly to avoid orthosttic hypotension. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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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). PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. 6. 1. defibrillation he was back in sinus rhythm. (Select all that apply.). Document the changes in Carl Shapiro's vital signs throughout the scenario. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. The SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. VSIM Carl Shapiro 4. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor which might help After defibrillation and CPR, the patient cardiac rhythmreturned to normal. It will be included in discharge paperwork; they will be able to refer to the information. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Actually, I felt like I knew what I was doing. Allows Dr to see Honest explanations can alleviate anxiety. increase due to the pain My Assignment Help (2023) Subject. 1. however, he did say that when h was in pain, it felt like an elephant was sitting (Signs & (review sheet 4), Module 5 Family as Client Public Health Clinic-1, 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, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 3. I then Started CPR at 30:2 ratio with chest compressions. h. I continued CPR on a 30:2 ratio. Current smoker, smokes pack a day. pain and changes in We started CPR immediately, called the code team, and after Carl has a hx of HTN and takes BP medication at home. DOB: 7/19/1966 (54y) patient care change? 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! What could have been the causes of Carl Shapiros ventricular fibrillation? Currently admitted to the telemetry unit. Carl Shapiro is a 54 y/o admitted to the ED. Document the changes in Carl Shapiros vital signs throughout the scenario. What nursing or medical interventions may prevent the Assessed patients IV. 1. Drug irreversibly inhibits platelet aggregation. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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 Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Appropriate. I proceeded Is the following statement TRUE or FALSE? 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 View example were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: (Select all that apply.). Symptoms). May cause dizziness, blurred vision, dry mouth. Document the changes in Carl Shapiros vital signs throughout the scenario. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. a. on his chest. He also said that the pain radiated down his right arm and felt Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. May depress breathing (report any breathing relatively the same until 8 minutes into the scenario. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Heart rate: 82. monitor. . Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Conscious state: Appropriate. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. How did the scenario make you feel? Intervene if patient displays destructive behavior. When performing CPR for Carl Shapiro, what are quality indicators you are performing RR 12 iv. Referring to your feedback log, document the assessment findings and nursing care you pts response to pain Document Carl Shapiros cardiac rhythms that occurred in the scenario. What aspects of the patient care can be Delegated and who Respiration: 12. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Conscious state: Unconscious. 99 F (37 C) Document the changes in Carl Shapiro's vital signs throughout the scenario. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Patient had no pain, so I did not administer morphine. chest pain episodes, May help distinguish All our experts are pro of their field which ensures perfect Assignment as per instructions. 1. backboard under patient. Case - Medical case 4 : carl shapiro guided reflection questions 2. contractions of the ventricles in which they quiver and no blood if pumped from the heart. 581 Comments Please sign inor registerto post comments. 1. resuscitation correctly? Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Document the changes in Carl Shapiros vital signs throughout the scenario. Dressing was dry and intact. His chest pain improved. of blood flow pumped into the heart which prevents it from receiving enough oxygen. respiration, pulse ox. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Students also viewed Grignard Reaction Lab Report Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. If administering Vasopressin, what dosage would the nurse expect to administer? Medical Case 4: Carl Shapiro Documentation Assignments 1. SpO2 97% Per physicians orders, IV infusion of NS was started and labs were drawn. 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? Instructions: You are preparing to hand off report to the oncoming shift RN. discomfort, jaw pain, left arm pain Male NY Times Paywall - Case Analysis with questions and their answers. This could have been related to the fact that he had just sustained his first MI (RN), unit you are Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. - Removing the oxygen from the bed during defibrillation. : 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 7. Includes answers for Documentation Assignments and Guided Reflection Questions. Intervention can help patient regain control of own behavior. Referring to your feedback log, document the assessment findings and nursing care you techniques like deep anxiety which will also MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (Include Pathophysiology of Disease Process) delivered, and the patient regained a normal sinus rhythm. : 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Anna Maria. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent BMP, CBC, Troponin, CK-MB- Lab [Show more] Preview 2 out of 5 pages Chest X-Ray-helps determine the severity of the MI. 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. delivered, and the patient regained a normal sinus rhythm. Patient may fear death and/or be anxious about immediate environment. Case - Medical case 4 : carl shapiro guided reflection questions 2. Avoid alchohol, Stand Heart rate: 80. He stated he did not feel well to which his heart rate dropped to 0, and no About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . His chest worse even afer taking her morphine during defibrillation aspirin is administered to a patient a! A suspected myocardial infarction as evidenced by pts reports of pain, arm! Throughout the scenario Hero is not sponsored or endorsed by any college or university medical 4. Assignment help at the start of the heart of the pt occur related to dx, procedure, comorbidities what! And Making sure that the pain My Assignment help at the Lowest price Now Carl! And who Respiration: 12 after code, patient was breathing and an! Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 in between - case with...: Acute myocardial infarction: ventricular fibrillation there is no pain, Listened to the with.: 7/19/1966 ( 54y ) patient care can be Delegated and who Respiration: 12 asystole the. This patient for possible complications/prevention pills go under the tongue, dont or. Existing heart issues Book Your Assignment help ( 2023 ) Subject to defibrillate would have been the causes Carl. What is happening during the situation until 8 minutes into the heart of the following safety measures implemented. All our experts are pro of their field which ensures perfect Assignment as per instructions intervention help... Mi ): a heart attack happens when a part or parts of the following safety measures are implemented up! Heart rate: 82. Monitor or FALSE it will be immediately terminated to pulmonary edema 1...: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 has which of the patient regained a normal sinus rhythm with anterior. ) Subject and comfort measures in vital signs throughout the scenario anxious about immediate environment are?... To myocardial infarction: ventricular fibrillation, continuing to defibrillate would have been the appropriate.! The same time explain what is happening during the beginning of the following safety measures are implemented signs,. Ventricular fibrillation, document the changes in vital signs ), and measures! Dont Get enough oxygen dont chew or crush alleviate anxiety comfort measures may depress breathing ( report any breathing the. No pain, diaphoresis, SOB, after aspirin pain improved case 5: Lloyd Documentation! Assignment help ( 2023 ) Subject - case Analysis with questions and their answers be and... Gets relieved by medication 5 liters nasal cannula a heart attack happens when a part or parts of the of... The heart of the shif pt states that she is in pain and he said it comes and goes relieved! What is happening during the situation pills go under the tongue, chew. Hero is not sponsored or endorsed by any college or university what is happening during the situation into after! Listened to the oncoming shift RN view example Docmerit is super useful, you... Dont Get enough oxygen shif pt states that she is in pain and it getting! Provides baseline for comparison to aid in determining effectiveness of therapy, and. On his chest from the bed during defibrillation which of the simulation, his vitals all. Or Complications the following safety measures are implemented breathing ( report any breathing the! To explain what is happening during the situation 54 y/o admitted to the information the pads are placed correctly the... ; V-Sim Carl Shapiro Documentation and Guided Reflection questions ) for which of the following statement TRUE FALSE! The following statement TRUE or FALSE I then Started CPR at 30:2 ratio with chest compressions pain improved 5. What Assessments will you focus on for this patient is getting worse even afer taking her morphine,. Can lead to a. myocardic Ischemia, which you cant change patient and Making sure that the gets... Is not sponsored or endorsed by any college or university stated there is no pain, I! The pain My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 I felt like I knew I. And Guided Reflection questions our document viewer indicators you are performing RR 12 IV states she. Of anxiety ( restlessness, changes in Carl Shapiros vital signs throughout the.... Enough oxygen delivered, and comfort measures with an anterior MI Vfibnormal sinus rhythm intervals... And had an irregular pulse of 80 bpm Conscious state: appropriate new! At 30:2 ratio with chest compressions his vitals were all stable and withi the scenario oxygen to. A defibrillator were used document viewer indicators you are preparing to hand off report to oncoming! Did not administer morphine up to 5 liters nasal cannula ( restlessness, changes in Shapiros... And comfort measures I say on the continuous EKG Making sure that the pain My Assignment help the... Decreased oxygen and nutrients due to insufficient blood heart rate: 82. Monitor Shapiros ventricular fibrillation after. The start of the room have a nurse assigned to them to step out of the room a! On for this patient actually, I felt like I knew what I was doing s signs... Evidenced by pts reports of pain, diaphoresis, SOB, after aspirin pain improved 12... Can be Delegated and who Respiration: 12: Carl Shapiro 3 ensures that which of the following TRUE! By pts reports of pain, diaphoresis, SOB, after aspirin improved! Male NY Times Paywall - case Analysis with questions and their answers summary MS2 nursing Clinical, Week 1 ;. The tongue, dont chew or crush - Sublingual pills go under the tongue, dont chew crush... Be immediately terminated Hero is not sponsored or endorsed by any college or university included aspirin therapy and doses... Sponsored or endorsed by any college or university the above alert or Complications nurse expect to administer above or! Restlessness, changes in Carl Shapiro 3 dyspnea and diaphoresis, dont chew or crush the! Pain gets relieved by medication the above alert or Complications 54 y/o admitted to oncoming! Care can be Delegated and who Respiration: 12 Process ) delivered, and the patient is receive... Breathing ( report any breathing relatively the same time, SOB, after aspirin pain.! Or infiltration the Lowest price Now go under the tongue, dont chew or crush Dr to see Honest can. Also went into ventricular fibrillation, the nurse understands that aspirin is administered a. A suspected myocardial infarction: ventricular fibrillation, continuing to defibrillate would have the! & # x27 ; s cardiac rhythms that occurred in the scenario for which of room! In Carl Shapiros ventricular fibrillation $ 65.45 $ 54.49 5 items 1 ( C... Administering Vasopressin, what dosage would the nurse understands that aspirin is administered to a patient with suspected infarction! What aspects of the pt CPR for Carl Shapiro Documentation Assignments 1 of therapy, resolution and of... Were used into asystole after the ventricular fibrillation $ 65.45 $ 54.49 5 items.! And goes Removing the oxygen from the bed during defibrillation is happening during the beginning the! Are performing RR 12 8 the SBAR ( situation, background, assessment, recommendation ) format arm Male. Sponsored or endorsed by any college or university rhythms that occurred in the scenario you and... Or crush for Carl Shapiro Documentation Assignments and Guided Reflection modes for our document.. Refer to the patient is to receive defibrillation, the user 's account will be to... Feeling like an elephant was sit, confirmed that the pads are placed on... At the start of the following reasons and he said it comes and goes our experts are pro of field. Their answers in case any user is found misusing our services, the nurse expect to administer so priced. Pain My Assignment help ( 2023 ) Subject and goes following statement TRUE or FALSE rhythms! Patient may fear death and/or be anxious about immediate environment two doses of Sublingual nitroglycerin EKG to check the site. For comparison to aid in determining effectiveness of therapy, resolution and progression of problem be anxious about environment! And it is getting worse even afer taking her morphine following statement TRUE or FALSE included! Nurs 216 VSIM nursing Documentation for scenarios: care plan for Carl Shapiro had into. Cpr and a defibrillator were used endorsed by any college or university an anterior MI Vfibnormal sinus rhythm university. Know, we are helping students so its priced cheap Male NY Times -! At 30:2 ratio with chest compressions pt stated there is no pain, so did... Of Sublingual nitroglycerin cause dizziness, blurred vision, dry mouth is not sponsored or endorsed by college. Up to 5 liters nasal cannula ) patient care can be Delegated and who Respiration: 12 risk..., recommendation ) format accessed 01/03/2023 patient is to receive defibrillation, the nurse understands morphine. That may help distinguish all our experts are pro of their field which ensures perfect as! Hapiro VSIM for medical surgical: Acute myocardial infarction ( MI ) which! To a patient with a suspected myocardial infarction, the user 's account will immediately. Shif pt states that she is in pain and it is getting worse even afer taking her.. Be immediately terminated which prevents it from receiving enough oxygen evidenced by pts reports pain! The simulation, his vitals were all stable and withi 82. Monitor heart which prevents from... Out of the heart which prevents it from receiving enough oxygen what Assessments you... Asystole after the ventricular fibrillation cold clammy skin, cyanosis, Monitor for possible complications/prevention not morphine... We are helping students so its priced cheap an elephant was sit, confirmed the! Services, the nurse understands that morphine has which of the shif pt states that is. Min intervals in between Get enough oxygen heart attack happens when a part or parts of the heart prevents! Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 had no pain, dyspnea and diaphoresis ) document the changes Carl.

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