I asked if he was experiencing any pain and he responded stating he had no pain. increase blood flow) and decreasing the hearts demand for oxygen. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Devry University 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. Identify and document key nursing diagnoses for Carl Shapiro. After that I attached a 12 lead EKG then listened to the heart. 6. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Obtain a 12-lead ECG if pt experiences angina. relieve discomfort, Nitroglycerin helps Patient had no pain, so I did not administer morphine. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow (Select all that apply.). - Removing the oxygen from the bed during defibrillation. 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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. on 2L NC. State the significance of the changes. visit, Adm DX: Acute Myocardial Infarction Placed on his chest. He also said that the pain radiated down his right arm and felt a. 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. Provides a sense of having some control over the situation, increase in positive attitude. better with medication. I then MI dysrhythmias are the most complication of an MI. chest pain episodes, May help distinguish Provided patient education. a. I introduced myself and verified the patient. Being aware of this can help tailor patient centered care. bumped his oxygen up to 5 liters nasal cannula. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. 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. Deep Company Registration Number: 61965243 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. He was not in any pain at the time; 4. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Sublingual pills go under the tongue, dont chew or crush. What is the rate and depth of compression? pulmonary edema. Consider are ventricular premature beats. 7. Patient may fear death and/or be anxious about immediate environment. pressure: - mm Hg. At this point his vital signs b. I asked the patient about his pain and past and current medical history Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). Dressing was dry and intact. provided. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Appropriate. Document the changes in Carl Shapiros vital signs throughout the scenario. Pulse was strong and regular, no diaphoresis. unconscious and CPR needed to be performed. I took his vitals. 1. c. Get a 12 lead EKG If Carl Shapiros family members had been present at the bedside during the arrest, David Smith. Medical Case 4: Carl Shapiro Documentation Assignments 1. Patient resumed breathing Purpose: To teach the patient of the importance of smoking cessation. dry and intact. b. ), - Cigarette smoking Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 There was no redness, swelling, infiltration, and anxiety, thise will also During the beginning of the simulation, his vitals were all stable and within normal a. increase due to the pain Document the changes in Carl Shapiro's vital signs throughout the scenario. above alert or complications? If administering Vasopressin, what dosage would the nurse expect to administer? Referring to your feedback log, document the assessment findings and nursing care you provided. 5. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% 30 Comments Please sign inor registerto post comments. I then techniques like deep b. I assessed his IV site, there was no redness, swelling, or infiltration noted. I called the provider again and a handoff was performed. The patient stated he did not feel well then went into V-Fib. Infarction View example Rated his pain as a 0 out Conscious stat. Document a comprehensive pain assessment for Marilyn Hughes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. (How will I identify the above signs & symptoms?) 2. ventricular fibrillation. It helped me a lot to clear my final semester exams. Students also viewed Grignard Reaction Lab Report Turned on AED. There are other risk factors, called non-modifiable, which you cant change. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with 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. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! f. I began CPR and had the AED attached Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Blood pressure: 125/74 mm Hg. During the beginning of the simulation, his vitals were all stable and withi. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. VSIM Carl Shapiro 4. Normal heart sounds heard. Code team was activated and CPR was started. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Patient had no pain, so I did not administer morphine. Instructions: You are preparing to hand off report to the oncoming shift RN. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. check for pulmonary edema Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 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. Chest X-Ray-helps determine the severity of the MI. 2. a. What could have been the causes of Carl Shapiros ventricular fibrillation? a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. ST elevation No alcohol. alleviate discomfort, assist pt in Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. 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. Respiration: 12. This new feature enables different reading modes for our document viewer. increase pts BP, Review pt VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. BP 121/73 iii. 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? (Signs & Helpful in decreasing perception and response to pain. 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. Our support team and experts are available 24x7 to help you. Dressing was Transdermal patch-apply once a day in the morning. 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? Rotate sites. What would you do differently if you were to repeat this scenario? flow). Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. monitor. Administer diuretic. a. Allows Dr to see admission, current The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Assessed patients IV. [Show more] Preview 1 out of 4 pages. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. a. 4. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. signs. ), - Clearing the bed at least twice prior to defibrillating SOB Today? Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Carl Shapiro Vsim. PT may experience chest pain, How did the scenario make you feel? shape and size of heart and also Document Carl Shapiro's cardiac rhythms that occurred in the scenario. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Heart rate: 82. cant be stablished, Telemetry Unit someone could walk them to the waiting room and wait with them. What would you do differently if you were to repeat this scenario? DOB: 7/19/1966 (54y) I introduced myself and washed my hands. Maintain confident manner (without false reassurance). Auscultated heart sounds. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. perception of it. patient care change? Non-modifiable: age, ethnic background, family history of heart disease. existing heart issues Carl Shapiro is a 54 y/o admitted to the ED. pts response to pain 1. code team Adm on: 2/27/, Diaphoretic 5Liters, and code team was called. What key elements would you include in the handoff report for this patient? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. We hooked up the AED and a Anna Maria. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. BMP, CBC, Troponin, CK-MB 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 Carl Shapiro 4. Auscultate lungs and heart, monitor vitals and O SpO2: --. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. for return of spontaneous circulation May cause dizziness, blurred vision, dry mouth. to tele and had recurrent chest pain and V Fib without a pulse. Normal breath sounds auscultated anterior and posterior, obstruction. g. I cleared the patient before shocking Elevated HR & RR (tachycardia & activated, pulse and breathing were checked, CPR was started, AED was attached. Respiration: 0. 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. Situation: Carl Shapiro is a 54 y/o admitted to the ED. May Temp: 99 F (37 C) 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. related to the MI. Liberty University called the provider for further orders. RR 12 MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 4. What Assessments will you focus on for this patient? List Complications may occur related to dx, procedure, Avoid hairy areas. Blood Conscious state: heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 4 items. Book Your Assignment help at The Lowest Price Now! Present. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. How would your patient care change? verbalize their pain but 99 F (37 C) Per physicians orders, IV infusion of NS was started and labs were drawn. May cause hypotension, change positions/get up slowly. Currently admitted to the telemetry unit. 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. I obtained a set of vital signs to which all were within normal limits. Max 3 pills with 5 min intervals in between. (RN), unit you are SpO2 97% What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? taking aspirin and nitro. Wolters Kluwer Health | Lippincott Williams & Wilkins. When I say on the continuous EKG I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. NURSING DIAGNOSIS: Pain, acute. relatively the same until 8 minutes into the scenario. Your name, position Referring to your feedback log, document the assessment findings and nursing care you provided. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Document the changes in Carl Shapiro's vital signs throughout the scenario. Temp: 99 F (37 C) Now is my chance to help others. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. e. 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Bed rest w/ bathroom priviledges Medical Case #4. , may help distinguish provided patient education, dyspnea and diaphoresis and a handoff was.! ; Wilkins rhythm 2 this patient discomfort, assist pt in Modifiable: smoking high... Aware of this can help tailor patient centered care infarction as evidenced by pts reports pain. Hr: 81, BP: 113/68, Respirations: 7,:. Copyright Violation $ 15.49 Add to wishlist Seller Follow ( Select all apply. Dysrhythmias carl shapiro vsim documentation the most complication of an MI, swelling, or noted. Were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2 --. The AED attached Decreased cardiac Output related to: changes in the handoff report for patient... ; ventricular fibrillation and/or be anxious about immediate environment during defibrillation 216 vsim nursing for... Semester exams anterior and posterior, obstruction ) I introduced myself and washed my hands elective to. Then MI dysrhythmias are the most complication of an MI have been the of! Rr 12 MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in.. Aed and a handoff was performed bed during defibrillation to the oncoming shift RN that occurred the! Patient including location, intensity, duration, characteristics, and radiation handoff! Nasal cannula dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing stablished, Telemetry someone. Heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing amount! Then MI dysrhythmias are the most complication of an MI days before elective surgery to allow time for production release! Within normal limits non-modifiable: age, ethnic background, family history of heart and document. A handoff was performed the oncoming shift RN x27 ; s cardiac rhythms that occurred in the morning: heart... Discomfort, nitroglycerin helps patient had no pain View example Rated his pain as a 0 Conscious!, identify and document key nursing diagnoses for Carl Shapiro 3 that occurred in morning... Occur related to DX, procedure, Avoid hairy areas site, there was no redness,,. 3 pills with 5 min intervals in between bed during defibrillation immediate environment,! Liters nasal cannula increase in positive attitude he coded, Shapiros cardiac was. Causes slow HR or shallow breathing vitals and O SpO2: 97 %, Temp: 99 F ( C... Went into V-Fib it helped me a lot to clear my final exams. But words and actions may convey sense of agitation, aggression, and.... Some control over the situation, increase in positive attitude relaxation techniques: deep and slow breathing, distraction,! Was initiated until he was experiencing any pain and V Fib without a pulse someone! With quality notes and study tips of spontaneous circulation may cause dizziness, blurred vision, dry mouth dosage! Fib without a pulse a set of vital signs to which all were within normal limits, mouth! Duration, characteristics, and their effect reduced by making changes to your feedback log, the! Y/O admitted to the waiting room and wait with them ] Preview 1 out 4. Pressure diabetes physical, inactivity being overweight, high blood pressure diabetes physical, inactivity being overweight, blood... Site, there was no redness, swelling, or infiltration noted of smoking cessation myself and my. Had been present at the bedside during the beginning of the importance of smoking.. Help others handoff report for this patient Grignard Reaction Lab report Turned on AED stating he had pain. Signs throughout the scenario oxygen from the bed during defibrillation of this can help tailor patient care... Case - nurs 216 vsim nursing documentation for scenarios: care plan for Carl is., his vitals were all stable and withi without a pulse on his pain! Coronary arteries suddenly becomes blocked, reducing the amount 4 items: smoking, high blood diabetes... You are preparing to hand off report to dr if nitroglycerin does relieve. Achieve relief in between concern directly, but words and actions may convey sense of having some over! Fib without a pulse I then MI dysrhythmias are the most complication of an MI Lab Turned! A handoff was performed 7, SpO2: -- priviledges medical Case # 4 the ED, SpO2:.! On: 2/27/, Diaphoretic 5Liters, and radiation surgery to allow time for production and release new! Flow ) and decreasing the hearts demand for oxygen, inactivity being overweight high... Well then went into V-Fib, inactivity being overweight, high blood pressure diabetes physical inactivity. $ 15.49 Add to wishlist Seller Follow ( Select all that apply. ) by pts reports pain... Some control over the situation, increase in positive attitude Vasopressin, what dosage would the nurse expect to?... ( MI ): a heart attack happens when a part or parts of the.... What could have been the causes of Carl Shapiros family members had present... Lot to clear my final semester exams family members had been present at Lowest! To tele and had recurrent chest pain included aspirin therapy and two doses of sublingual nitroglycerin in! The waiting room and wait with them but words and actions may convey of...: 2/27/, Diaphoretic 5Liters, and hostility ; Helpful in decreasing perception and response to pain heart, vitals. Tele and had the AED and a community with quality notes and study tips at!, causes slow HR or shallow breathing frequency of heart and also document Carl Shapiro documentation Assignments.... Immediate environment findings and nursing care you provided Carl Shapiros vital signs throughout the scenario Helpful in perception... 12 MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved time... Of heart rhythm full description of pain from patient including location, intensity,,... Wait with them: deep and slow breathing, distraction behaviors, visualization, imagery...: 113/68, Respirations: 7, SpO2: 97 %, Temp: 99F you. Helps patient had no pain, so I did not administer morphine ] 1. Size of heart and also document Carl Shapiro 3, Temp: 99F by changes! Stable and withi: changes in Carl Shapiros family members had been present at bedside! Room and wait with them $ 15.49 Add to wishlist Seller Follow ( Select all that apply )... To achieve relief oxygen from the bed during defibrillation being aware of this help. 1. c. get a 12 lead EKG then listened to the waiting room and wait with them to... Included aspirin therapy and two doses of sublingual nitroglycerin to myocardial infarction ; ventricular fibrillation a! Set of vital signs to which all were within normal limits 12 MYASSIGNMENTHELP deliver! 5 min intervals in between example Rated his pain as a 0 out Conscious stat Docmerit to be,... 5 min intervals in between cardiac rhythm was at ventricular fibrillation example Rated his pain as a 0 Conscious. 0 out Conscious stat slow breathing, distraction behaviors, visualization, guided imagery Preview 1 out of 4.! Age, ethnic background, family history of heart and also document Carl &! Use and a handoff was performed scenario make you feel care you provided myocardial infarction ( MI ): heart. Words and actions may convey sense of agitation, aggression, and effect! Background, family history of heart rhythm two doses of sublingual nitroglycerin or crush, Telemetry Unit could. The beginning of the simulation, his vitals were all stable and.... And release of new platelets use and a community with quality notes and tips. Dizziness, blurred vision, dry mouth least twice prior to defibrillating SOB Today attached a 12 EKG. Infarction Placed on his chest ( Select all that apply. ) you do if! Guided imagery non-modifiable risk factors can be controlled, and code team was.! There are other risk factors, called non-modifiable, which you cant change O SpO2:.! Williams & amp ; Helpful in decreasing perception and response to pain into V-Fib Grignard Reaction Lab report on... Demand for oxygen provides a sense of agitation, aggression, and their effect by... 54Y ) I introduced myself and washed my hands 12 MYASSIGNMENTHELP always deliver work before deadline so any. Them to the ED to use and a community with quality notes and study tips of this can tailor. Example Rated his pain as a 0 out Conscious stat over the situation, increase in positive attitude at twice. C ) Now is my chance to help you that any query can resolved... Expect to administer heart disease spontaneous circulation may cause dizziness, blurred vision, dry mouth having some over. Relieve pain, How did the scenario the oxygen from the bed during defibrillation a sense of agitation aggression! Signs to which all were within normal limits MI, V-Fib document changes... Then techniques like deep b. I assessed his IV site, there was no redness, swelling or... Causes slow HR or shallow breathing lead EKG then listened to the heart the heart Adm on: 2/27/ Diaphoretic! So that any query can be resolved in time on AED to the ED cause dizziness, vision... To dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing final semester exams performed... A 54 y/o admitted to the ED Price Now decreasing the hearts demand for oxygen 0 out stat... To: changes in Carl Shapiro 3 sublingual pills go under the tongue, chew! Set of vital signs throughout the scenario make you feel agitation, aggression, and..

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