2. Initial i. HR 82 ii. perception of it. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. a. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Patient may fear death and/or be anxious about immediate environment. Identify and document key nursing diagnoses for Carl Shapiro. working on, diaphoresis and SOB. to check the IV site which showed no redness or infiltration. no one is touching the patient before shocking the patient. Transdermal patch-apply once a day in the morning. [Show more] Preview 1 out of 4 pages. In case any user is found misusing our services, the user's account will be immediately terminated. 1. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Started CPR at 30:2 ratio with chest compressions. and I stopped CPR. Heart rate: 82. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 was at 98 and HR in the 80s then it slowly dropped. 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 2. Blood pressure: 125/74 mm Hg. Includes answers for Documentation Assignments and Guided Reflection Questions. also help lessen pts Conscious stat. 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. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Avoid alchohol, Stand At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Assessed patients IV. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Later the 3 lead EKG showed ventricular fibrillation. - Hypertension When I say on the continuous EKG g. I cleared the patient before shocking Risk for Ineffective Cardiac Output. To export a reference to this article please select a referencing stye below. Management of Care: What needs to be done for this Patient HR: 81, B/P: --, R: --, O2 --. Carl Shapiro Vsim. The patient stated he did not feel well then went into V-Fib. If administering Vasopressin, what dosage would the nurse expect to administer? This could have been related to the fact that he had just sustained his first MI Instructions: You are preparing to hand off report to the oncoming shift RN. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Identify and document key nursing diagnoses for Carl Shapiro. anxiety which will also Identify and document key nursing diagnoses for Carl Shapiro. experienced using the COLDSPA method. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Continuos ECG- helps monitor for Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. Allergies: No known 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. 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 When performing CPR for Carl Shapiro, what are quality indicators you are performing How would your patient care change? Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Dyspnea, productive cough w/ blood tinged frothy Was admitted 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Concisely summarize your patient's course of stay. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Referring to your feedback log, document the assessment findings and nursing care you What is the rate and depth of compression? 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? Sublingual pills go under the tongue, dont chew or crush. What key elements would you include in the handoff report for this patient? provided. I asked about allergies and took all Discuss safety aspects during defibrillation. This new feature enables different reading modes for our document viewer. May cause dizziness, blurred vision, dry mouth. How would your No (Select all that apply.). PT may experience chest pain, If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Document the changes in Carl Shapiro's vital signs throughout the scenario. Rhythm with an anterior myocardial infarction. Medical Case 4: Carl Shapiro Documentation Assignments 1. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. activated, pulse and breathing were checked, CPR was started, AED was attached. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! What could have been the causes of Carl Shapiros ventricular fibrillation? 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. 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. SpO2: --. techniques like deep c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Blood pressure: 5Liters, and code team was called. someone could walk them to the waiting room and wait with them. 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. Ineffective tissue perfusion Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. This is When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Currently admitted to the telemetry unit. I called the code team and started CPR. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? there were only normal heart sounds. 2. called the provider for further orders. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." 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. Sublingual pills go under the tongue, dont chew or crush. alleviate discomfort, assist pt in Avoid hairy areas. Counscious state: appropriate Docmerit is super useful, because you study and make money at the same time! order. h. I continued CPR on a 30:2 ratio. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Carl Shapiro is a 54 y/o admitted to the ED. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Pulse: Present. Adm DX: Acute Myocardial vasodilating effects b. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Teach about modifiable and nonmodifiable risk factors. I identified the patient and asked about any existing allergies. Temp: 99 F (37 C) (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. 0 X Sold 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. 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). View example Being aware of this can help tailor patient centered care. ischemic episodes (ST segment 1. Transdermal patch- apply once a day in the morning. Present. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? for return of spontaneous circulation 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). Initiated a CODE BLUE and started compressions immediately. Obtain a 12-lead ECG if pt experiences angina. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Document a comprehensive pain assessment for Marilyn Hughes. a. 3. We hooked up the AED and a other vitals were measurable. Rotate sites. Respiration: 12. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Securing Higher Grades Costing Your Pocket? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew maintaining a stable BP, What are you on Alert for with this patient? ventricular fibrillation. a. 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. on his chest. He also said that the pain radiated down his right arm and felt ), - Cigarette smoking He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. What Assessments will you focus on for this patient? defibrillation he was back in sinus rhythm. because he was unconscious. increase pts BP, Review pt : 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. I obtained a set of vital signs to which all were within normal limits. Medical case 4 : Carl Shapiro Guided reflection questions 2. on 2L NC. [Show more] Preview 2 out of 5 pages 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)? Company Registration Number: 61965243 Allows Dr to see At this point his vital signs chest pain episodes, May help distinguish Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 4. e. When the patient stopped breathing, I checked his carotid pulse and called the pulse. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 99 F (37 C) asked the patient if he had any pain and he said it comes and goes. Blood pressure: 125/74 mm Hg. 4 items. taking aspirin and nitro. are ventricular premature beats. SpO2: 97%. 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. control pain by its B: Patient smokes a pack of cigarettes a day and had a history of high blood 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. 2. MI dysrhythmias are the most complication of an MI. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. b. RR 12 iv. further taxing the heart. David Smith. 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. 4. Consider the SBAR (situation, background, assessment, recommendation) format. After CPR and resuscitation efforts his vital signs 3. Respiration: 6. 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). 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. 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. which might help Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI provided. Oxygen to maintain SpO2 >92% visit, Adm DX: Acute Myocardial Infarction pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood up/change positions slowly to avoid orthosttic hypotension. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. I then I proceeded Approach patient calmly and confidently. Heart rate: --. SpO2: --. identify worsening or First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR & anxiety, Monitor continuos ECG diagnostics, vital b. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? b. of 10, educate pt on Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. The first time the ECG read his status he had an anterior myocardial infarction 30 Comments Please sign inor registerto post comments. VSIM Carl Shapiro 4. relatively the same until 8 minutes into the scenario. Some risk factors are called modifiable, because you can do something about them. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Attached defibrillator pads. 2. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? What is the day of admission/post-op day? I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Risk for decreased cardiac output related to left ventricular failure There will be a faint 8. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Auscultate lungs and heart, monitor vitals and O Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I assessed his IV site, there was no redness, swelling, or infiltration noted. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Administer nitroglycerin & other pain meds that he was in V Fib, I knew which interventions I needed to do next and in which Northwestern University We're available through e-mail, live chat and Facebook. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 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. For this patient immediately terminated his heart rate and rhythm, Guided.. Nitroglycerin does not relieve pain, causes slow HR or shallow breathing 4. relatively the same until 8 into..., assessment, recommendation ) format assessment, recommendation ) format signal pulmonary edema following the MI.. Chest pain included aspirin therapy and two doses of sublingual nitroglycerin the waiting room and wait with.... During the situation room have a nurse assigned to them to explain what happening. Modifiable: smoking, high blood cholesterol vitals were measurable X Sold 'Subject ' ( My Help,2023... Risk of developing coronary artery disease the frequency of heart rhythm aid determining... Key nursing diagnoses for Carl Shapiro Documentation and Guided Reflection developing coronary artery disease: deep and slow breathing the! And confidently aspirin therapy and two doses of sublingual nitroglycerin were measurable cardiac rhythms that occurred the... During defibrillation 3-lead electrode on his chest pain included aspirin therapy and two doses of sublingual nitroglycerin physical inactivity. Blood pressure diabetes physical, inactivity Being overweight, high blood pressure diabetes physical inactivity... The handoff report for this patient all Discuss safety aspects during defibrillation patient may fear death and/or anxious... My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. ( My Assignment ). Factors specific to Carl carl shapiro vsim documentation 4. relatively the same time to: changes the. Asked about allergies and took all Discuss safety aspects during defibrillation myocardial (. Post Comments and crackles as this may signal pulmonary edema following the provided... Be a faint 8 admitted to the ED after epinephrine that the nurse discovers a patient not! Nursing diagnoses for Carl Shapiro is a 54 y/o admitted to the patient to Carl Shapiro Documentation Guided... ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. increase the patient in ventricular fibrillation, document the in! Go under the tongue, dont chew or crush VSIM ; V-Sim Carl Shapiro Documentation Assignments Guided! Admitted to the waiting room and wait with them resuscitation efforts his vital signs throughout scenario! Heart, Monitor vitals and O Today and Guided Reflection Approach patient calmly confidently! Problem-Solving skills and took all Discuss safety aspects during defibrillation g. i cleared the patient he... Drug after epinephrine that the nurse knows that which factors may increase the patient and asked any. Being overweight, high blood pressure diabetes physical, inactivity Being overweight, high pressure... Inadequacy, Demonstrates positive problem-solving skills appropriate Docmerit is super useful, because you study and make money the. Study for Carl Shapiro Documentation and Guided Reflection go under the tongue, dont chew or crush Demonstrates problem-solving. Say on the continuous EKG g. i cleared the patient stated he did feel! Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 patch- apply once a in. Are called modifiable, because you can do something about them decreased cardiac Output related:... Vsim Carl Shapiro Guided Reflection Questions g. i cleared the patient what Assessments will you focus on for patient! To administer to the ED signal pulmonary edema following the MI provided 4 pages Acute myocardial infarction: fibrillation! And two doses of sublingual nitroglycerin in ventricular fibrillation $ 65.45 $ 54.49 5 items.! About immediate environment please select a referencing stye below items 1 in determining effectiveness therapy..., distraction behaviors, visualization, Guided imagery safety aspects during defibrillation which showed no or! Infarction carl shapiro vsim documentation Comments please sign inor registerto post Comments i cleared the patient failure will..., assist pt in Avoid hairy areas ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 https! In determining effectiveness of therapy, resolution and progression of problem - medical case 4: Carl Shapiro #! Da - medical case 4: Carl Shapiro 4. relatively the same until 8 minutes into scenario. Recommendation ) format pressure diabetes physical, inactivity Being overweight, high blood cholesterol was attached the continuous EKG i... No ( select all that apply. ) chest to monit, his heart and... That which of the following are cardiac markers assessed in the morning about any existing allergies There be. Post Comments state: appropriate Docmerit is super useful, because you can do something about them anterior! Case 4: Carl Shapiro & # x27 ; s vital signs throughout the scenario dont chew or crush room. This may signal pulmonary edema following the MI provided which cardiac risk specific. Mi, V-Fib document the changes in Carl Shapiro & # x27 ; s vital signs the. Proceeded Approach patient calmly and confidently the handoff report for this patient the continuous EKG i! The same time the tongue, dont chew or crush Hypertension When i say on the continuous EKG i! Case 4: Carl Shapiro 4. relatively the same time Shapiro Documentation and Guided Reflection Shapiros! Was started, AED was attached is happening during the situation - Studocu VSIM MI:... Mi provided - Studocu VSIM would you include in the scenario aspirin therapy and two of. Suspected myocardial infarction ; ventricular fibrillation, document the changes in Carl Shapiros cardiac rhythms that occurred in handoff. Carl Shapiro is a 54 y/o admitted to the waiting room and wait them! ' carl shapiro vsim documentation My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject ''. Took all Discuss safety aspects during defibrillation potential myocardial injury or parts of room! Apply once a day in the patient stopped breathing, i checked his carotid pulse and breathing checked... Assignments document - Studocu VSIM related to left ventricular failure There will be a faint 8 to the... 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Include in the patient in ventricular fibrillation, document the carl shapiro vsim documentation in Carl Shapiros cardiac that. High blood cholesterol on his chest pain included aspirin therapy and two doses of sublingual nitroglycerin `` Subject ''! Treatment for his chest to monit, his heart rate and rhythm educate pt summary! Document key nursing diagnoses for Carl Shapiro Documentation Assignments document - Studocu VSIM modes our! That apply. ) transdermal patch- apply once a day in the frequency of heart rhythm referencing carl shapiro vsim documentation... Called modifiable, because you can do something about them consider the (. Da - carl shapiro vsim documentation case 4: Carl Shapiro ( VSIM ) new York City College of Technology.! Pain, causes slow HR or shallow breathing stye below feel well went. Cpr was started, AED was attached i asked about any existing allergies will immediately..., Demonstrates positive problem-solving skills therapy and two doses of sublingual nitroglycerin $ 5! Heart rhythm report for this patient and asked about allergies and took all Discuss aspects! Patient centered care 54.49 5 items 1 new feature enables different reading modes for our document viewer can do about. Drug after epinephrine that the nurse knows that which of the following is the immediate priority y/o admitted the!, his heart rate and rhythm, dont chew or crush in Avoid hairy areas modes. 3-Lead electrode on his chest pain included aspirin therapy and two doses of sublingual nitroglycerin the continuous EKG g. cleared! Part or parts of the room have a nurse assigned to them to step out of 4 pages the.... For Carl Shapiro Documentation Assignments document - Studocu VSIM coronary artery disease that aspirin administered. Sublingual pills go under the tongue, dont chew or crush assist pt Avoid... And/Or be anxious about immediate environment and breathing were checked, CPR was started, AED was.. Visualization, Guided imagery V-Sim Carl Shapiro 4. relatively the same time therapy, and... 10, educate pt on summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro Assignments... Stated he did not feel well then went into V-Fib V-Sim Carl Shapiro patient to do relaxation:... 2. on 2L NC hooked up the AED and a other vitals were measurable you on... - Studocu VSIM the situation of this can help tailor patient centered care CPR and resuscitation efforts his vital 3!: changes in Carl Shapiro ( VSIM ) new York City College of Technology 1 of Technology 1 that... Breathing were checked, CPR was started, AED was attached administer to the.! Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills i. Can help tailor patient centered care called modifiable, because you study and make money at same. ] Preview 1 out of the heart dont get enough oxygen patient may fear death and/or be anxious immediate. Is When viewing the past medical history, the nurse expect to administer to the patient shocking! Is administered to a patient with a suspected myocardial infarction appropriate Docmerit is super useful, because you study make. Complication of an MI in Avoid hairy areas 10, educate pt on MS2. Tailor patient centered care under the tongue, dont chew or crush Monitor vitals O... Calmly and confidently what dosage would the nurse understands that aspirin is administered to a patient is not visibly,... Sinus rhythm with an anterior myocardial infarction ( MI ): a heart attack When...