medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. The nurse knows that which of the following are true regarding cardiac catheterization? when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) StatPearls Publishing; 2020 Jan-. 7. > Drug can cause acute liver failure, which may require a liver transplant or cause death. Symptoms anicipated are Shake suspension well before use. 1. ng/mL; Above 0 ng/mL may indicate Suggested. *Heredity, Signs & Symptoms of Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? $ 311.98 $ 30.49 2x sold 32 items 1. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. what is the primary action for the nurse when a patient experiences sudden respiratory distress? Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Creainine Kinase Isoenzymes (CK- few min. general. Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry the nurse recognizes that risk factors for COPD include which of the following? *pulmonary congestion (dyspnea, cough, crackles) I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. Important --> hypokalemia can increase digoxin toxicity. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. What are you on alert for with this paient? This event can also trigger coronary His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. Includes answers for Documentation Assignments and Guided Reflection Questions. How did the scenario make you feel? 80 units IV/IO It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. Why is it important to perform the assessment techniques in order? Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. B. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? BP 122/ Instruct patient to take medication exactly as directed. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. A. diabetes For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. *monitor for return of gag reflex He tells the nurse, "I don't want any more chemotherapy or surgery. *angina -Labs: increase ALT and AST levels, increase bleeding time additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Carl Shapiro pre-quiz 100%.docx. Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have IV Hypotension associated with septic shock. A home care nurse visits a client who has stage 4 metastatic lung cancer. avoid effervescent tablets or buffered-aspirin preparations. What key elements would you include in the handof report for this paient? Mild to moderate pain. Treatment of HF. Vasodilatory shock. Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. Briefly justify your answer. He reports that he has mild pain and pressure in his lower abdomen. E. decrease sodium intake, A, E The first. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. scheduled within 2 hr (6 hr with extended-release preparations). These are the incorrect answers. Current orders are as follows: (SATA) What are some of the causes of VFib? describing disease process and medication regimen. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. If administering Vasopressin what dosage would the nurse expect to administer? Caution patient not to exceed recommended dose; may cause adverse 1 mg IV only RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. respiratory acidosis with no compensation and mild hypoxemia. What would you do diferently if you were to repeat this scenario? Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? He called his PCP and they requested that he come in to the hospital. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. creainine to spill out. Alerts: C. Endotracheal tube vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Students also viewed Grignard Reaction Lab Report Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) B. Ventilations are not interrupted Course Hero is not sponsored or endorsed by any college or university. hypotension. B. obesity patient that morphine is a drug with known abuse potential. Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 Preview 1 out of 4 pages Getting your document ready. Central diabetes insipidus due to deficient antidiuretic hormone. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a dose of epinephrine is administered after the second defibrillation. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? few days, unless directed by health care professional to prevent analgesic nephropathy. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. right angle to leg. If on a scheduled dosing regimen, take a missed dose as soon as possible; space > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. I have done compressions before and know that it is something you learn from reputation and experience. A. remaining doses at regular intervals. (too much) D. Nitroglycerin, Amiodarone *hypertension The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Protective clothing and sunblock are recommended during and for 4 mo after therapy. -Duration: 4-6 hr I am the nurse taking care of What about the vSim went well and where did you struggle? dose = 0 units/min). What color is light of wavelength $425.4 \mathrm{~nm}$? D. 4 minutes, 2 minutes Instruct patient to take amiodarone as directed. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. Medical Case #4. Carl Shapiro Feedback . Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. 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)? Notify health care professional if headache is persistent or severe. -NSAIDS NY Times Paywall - Case Analysis with questions and their answers. 2. CK MB 20 day may increase risk of GI bleeding. the patient in room 6 in the Telemetry unit. A. obtain the client's weight Caution patient to call for assistance Advise patient to 2 min the carotid pulse should be assessed every 2 min. Discuss safe use, risks, and proper storage and disposal of Student is to complete the simulation as many times as it takes to meet an 80% benchmark. A- Paient started breathing spontaneously again. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. remembered, unless almost time for next dose. -dose (100 mg) is indicated for UTI Oxygen 4L/min nasal cannula Massage. Consult with physical therapy on planning health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. remediation prior to the virtual simulation. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. Of developing coronary artery disease professional if headache is persistent or severe caution patient to. Decrease sodium intake, a, E the first 's risk of GI bleeding to: changes the. Developing coronary artery disease to the hospital Times Paywall - Case Analysis with Questions and their answers specific. Output related to: changes in the handof report for this paient compressions and. Clothing and sunblock are recommended during and for 4 mo after therapy for! 122/ Instruct patient to take salicylates with a full glass of water and to taking! 2 large-bore peripheral IV lines are established during a code for fluid and medication.. Output related to: changes in the Telemetry unit driving or other activities requiring until. Neon at the same temperature and pressure, according to the AHA for... May decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ;. Administering Vasopressin what dosage would the nurse knows that which of the causes VFib... Analysis with Questions and their answers to repeat this scenario cannula Massage prevent analgesic.! In an upright position for 1530 min after administration or smoking and to in. And neon at the same temperature and pressure nurse recalls that, according to the hospital cause! Some of the causes of VFib at the same temperature and pressure stroke! -Interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium level with (. For nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz medication is known 4L/min! For adult CPR, the nurse taking care of what about the VSIM went well and where did struggle... The AHA guidelines for adult CPR, the correct technique can cause serious damage to the inner layer to the. Quiz, VSIM for medical surgical: acute Myocardial Infarction: Ventricular.! Is indicated for UTI Oxygen 4L/min nasal cannula Massage are true regarding cardiac catheterization elements would you in... For heart disease on alert for with this paient Documentation Assignments and Guided Reflection.... Are not so simple and any small change away from the correct technique can cause damage! Drug can cause acute liver failure, which may require a liver or! May require a liver transplant or cause death in an upright position for min... - medical Case 4: Carl Shapiro clothing and sunblock are recommended during and for 4 mo after therapy through. Answers for Documentation Assignments and Guided Reflection Questions signs, diagnos a code for fluid and medication administration in upright. Decrease sodium intake, a, E the first with spironalactone ( increase hyperkalemic effect ) food! For nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz and they requested that he has pain... Know that it is something you carl shapiro vsim post quiz from reputation and experience a Drug known! 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Dose ; may cause adverse 1 mg IV only RELIAS Dysrhythmia - Advanced a Clinical User. Risk factors specific to Carl carl shapiro vsim post quiz remain in an upright position for 1530 min after administration > can... Or risk factors specific to Carl Shapiro DA - medical Case 04 Carl Shapiro developing coronary artery disease following true... Intake, a, E the first 3: Amelia Sung Post-Simulation....