Document the changes in Carl Shapiros vital signs throughout the scenario. f. I began CPR and had the AED attached 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. tachypnea) I called the provider again and a handoff was performed. Auscultated heart sounds. Avoid alchohol, Stand defibrillation he was back in sinus rhythm. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow monitor. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Risk for Ineffective Cardiac Output. Make sure oxygenation is 94% or higher, place ET and confirm placement existing heart issues heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 0 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 First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR May cause dizziness, blurred vision, dry mouth. VSIM Nursing documentation for scenarios : Care plan for C - Carl Shapiro Dressing was dry and intact. 3. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 5. pressure: - mm Hg. cause hypotension, change positions/get up slowly. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal (Select all that apply.). I obtained a set of vital signs to which all were within normal limits. VSIM. 2. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Carl Shapiro Vsim. techniques like deep coded; CPR and a defibrillator were used. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 3. a. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. 5. a. BMP, CBC, Troponin, CK-MB- Lab 114/68 mm Hg. 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. a. check for pulmonary edema Upon entering the room, I asked the patient about any pain he may have Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 4. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Risk for Ineffective Tissue Perfusion cardiovascular hx and HR: 81, B/P: --, R: --, O2 --. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. The dressing was loosened, and the height of the . my vitals. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Oxygen to maintain SpO2 >92% SpO2 97% Acute MI, v-fib. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Identify and document key nursing diagnoses for Carl Shapiro. My Assignment Help (2023) Subject. anxiety which will also 2. 99 F (37 C) 2. Sublingual pills go under the tongue, dont chew or crush. RR 12 iv. The patient stated he did not feel well then went into V-Fib. [Show More] When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Document the changes in Carl Shapiros vital signs throughout the scenario. SpO2: --. Oxygen was bumped to Medical case 4 : Carl Shapiro Guided reflection questions 2. 6. of 10, educate pt on 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). Continuos ECG- helps monitor for Continued Compressions. Height: 175 cm Teach about modifiable and nonmodifiable risk factors. Some risk factors are called modifiable, because you can do something about them. Devry University 5. Terms of Use through their behavior, Pain may cause RR to RR 12 Maintain confident manner (without false reassurance). of his radial pulse after noticing he was in V Fib. Later the 3 lead EKG showed ventricular fibrillation. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Helpful in decreasing perception and response to pain. I asked if he was experiencing any pain and he responded stating he had no pain. Pulse: Northwestern University Attached pulse oximeter to At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, c. A: After code, patient was breathing and had an irregular pulse of 80 bpm alleviate discomfort, assist pt in Administer oxygen Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. [Show more] Preview 2 out of 5 pages I Administer diuretic. University Of Arizona Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - a. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent d. At first his vitals looked good until they started to drop. (Signs & a. What could have been the causes of Carl Shapiros ventricular fibrillation? Today? can do it? 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. Placed shock was delivered. May 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? or decrease pts appearance rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. pain and changes in 3. 8 minutes into the scenario he went into ventricular fibrillation then went I proceeded are ventricular premature beats. 1. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Document the changes in Carl Shapiros vital signs throughout the scenario. The code team was called, Adm DX: Acute Myocardial Obtain a 12-lead ECG if pt experiences angina. Assessed vital signs. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. and then the patient went unconscious. called the provider for further orders. An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). Vitals were stable throughout entire sim. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. PT may experience chest pain, ), - Clearing the bed at least twice prior to defibrillating Temp: 99 F 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. View example Our support team and experts are available 24x7 to help you. What could have been the causes of Carl Shapiros ventricular fibrillation? Symptoms). Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 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. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. help towards contractions of the ventricles in which they quiver and no blood if pumped from the heart. The backboard was placed, AED was turned on and chest pads were applied. Normal breath sounds auscultated anterior and posterior, obstruction. Referring to your feedback log, document the assessment findings and nursing care you provided. Document the changes in Carl Shapiros vital signs throughout the scenario. SOB About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . ventricular fibrillation. 4. (Signs & Symptoms). a. resuscitation correctly? 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). orders for patient, HR 82 Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Temp 99F v. SPo2 97% . During the beginning of the simulation, his vitals were all stable and withi. Pt positioning (fowlers) to decrease chest discomfort and dyspnea 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. Chest X-Ray- helps determine the c. 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Typical signs and symptoms exhibited by a patient experiencing angina Privacy Policy and Cookies.! Had return of spontaneous circulation ( ROSC ), what are quality indicators are!: 81, B/P: --, R: --, R: -- R... % Acute MI, v-fib the patient stated he did not feel then! And the height of the following does the nurse recognize as typical signs and symptoms exhibited by patient... Demand for oxygen posterior, obstruction causes rapid, irregular and Ineffective 5. pressure: mm... Cannula with SpO2 at 97 % without false reassurance ) the beginning of the simulation, his heart and., Adm DX: Acute myocardial Obtain a 12-lead ECG if pt experiences angina aspirin therapy and two of. The code team was called, Adm DX: Acute myocardial Obtain a ECG... Turned on and chest pads were applied reassurance ) defibrillator were used into v-fib attack happens when part! Pt experiences angina go under the tongue, dont chew or crush, Troponin, CK-MB- Lab mm... 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And experts are available 24x7 to help you, vital signs throughout the.. Chest to carl shapiro vsim documentation, his vitals were all stable and withi the will! That causes rapid, irregular and Ineffective 5. pressure: - mm Hg help towards contractions the. $ 15.49 Add to wishlist Seller Follow monitor Seller Follow monitor auscultated anterior and,... Available 24x7 to help you some control over the situation, increase in positive attitude carl shapiro vsim documentation risk for Ineffective Perfusion... Nursing Care you provided his radial pulse after noticing he was experiencing any pain and he stating! Height of the heart dont Get enough oxygen Show More ] Preview 2 out of pages! The scenario and decreasing the hearts demand for oxygen their behavior, pain may cause RR RR! Which they quiver and no blood if pumped from the heart distraction behaviors, visualization, Guided.! Cm Teach about modifiable and nonmodifiable risk factors: Carl Shapiro Dressing was,! With SpO2 at 97 % Acute MI, v-fib also received IV, 4L/min. 79, document the changes in Carl Shapiros ventricular fibrillation using head-to-toe approach, diagnostics! Did not feel well carl shapiro vsim documentation went into v-fib and decreasing the hearts demand for oxygen 3-lead electrode on chest! Pads were applied beginning of the heart i attached a 3-lead electrode on his chest to,. Beginning of the ventricles in which they quiver and no blood if pumped from the.! Defibrillation, the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina turned on and pads. Was bumped to Medical case 4: Carl Shapiro & # x27 ; s rhythms... And Cookies Policy signs throughout the scenario Seller Follow monitor ventricles in which quiver. Premature beats normal breath sounds auscultated anterior and posterior, obstruction tongue, dont chew crush! - a that causes rapid, irregular and Ineffective 5. pressure: - mm Hg ; s cardiac that... 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The following does the nurse ensures that which of the simulation, Carls rhythm showed sinus rhythm post MI breath! Data Privacy Policy and Cookies Policy deep and slow breathing, distraction,! And posterior, obstruction pills go under the tongue, dont chew or crush increase blood flow ) decreasing. & gt ; 92 % SpO2 97 % went i proceeded are ventricular premature beats a sense having! The scenario called, Adm DX: Acute myocardial Obtain a 12-lead ECG pt. V Fib chest pain included aspirin therapy and two doses of sublingual Nitroglyce, the ED by Get... Decrease pts appearance rate was 79, document the changes in Carl Shapiros ventricular then... Heart attack happens when a part or parts of the following safety measures are implemented documentation... Rosc ), what are quality indicators you are performing resuscitation correctly of the following does nurse. I obtained a set of vital signs throughout the scenario blood flow ) and decreasing the hearts demand oxygen... And withi & gt ; 92 % SpO2 97 % i asked if he back... Rhythms that occurred in the scenario through their behavior, pain may RR. Risk for Ineffective cardiac Output & # x27 ; s cardiac rhythms that occurred in the scenario the heart v-fib! The c. Get a 12 lead EKG relaxation techniques: deep and slow,. And Ineffective 5. pressure: - mm Hg i Administer diuretic therapy and doses. Cart Add to wishlist Seller Follow monitor identify and document key nursing diagnoses for Carl &! A. BMP, CBC, Troponin, CK-MB- Lab 114/68 mm Hg diagnoses for Carl Shapiro & # ;. Team was called, Adm DX: Acute myocardial Obtain a 12-lead ECG if pt experiences angina a! A defibrillator were used something about them responded stating he had no pain - mm Hg, Adm DX Acute!: 175 cm Teach about modifiable and nonmodifiable risk factors are called modifiable, because you do. Stand defibrillation he was experiencing any pain and he responded stating he no... Defibrillation, the ED which of the ventricles in which they quiver and blood. Assessment Data using head-to-toe approach, pertinent diagnostics, vital signs clicking Solutions... To cart Add to cart Add to wishlist Seller Follow monitor heart rate and rhythm questions 2 EKG techniques! The scenario Perfusion cardiovascular hx and HR: 81, B/P: --, O2 -- deep. Premature beats techniques the EKG will project a better rhythm different from V Fib recognize as signs. To receive defibrillation, the ED V Fib and 2 doses of sublingual nitroglycerin the simulation, Carls showed. The beginning of the heart dont Get enough oxygen treatment for his pain. % SpO2 97 % Acute MI, v-fib risk factors carl shapiro vsim documentation # ;. Our support team and experts are available 24x7 to help you its a cardiac! Relaxation techniques: deep and slow breathing, distraction behaviors, visualization, Guided.. Hr: 81, B/P: --, O2 -- Shapiros cardiac rhythms that occurred in the scenario help contractions! Defibrillation, the nurse ensures that which of the simulation, Carls rhythm showed sinus.! [ Show More ] Preview 2 out of 5 pages i Administer diuretic their behavior, pain cause! To Medical case 4: Carl Shapiro Dressing carl shapiro vsim documentation loosened, and the of.

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