Document Carl Shapiro's cardiac rhythms that occurred in the scenario. anxiety which will also VSIM. Started CPR at 30:2 ratio with chest compressions. 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. (Signs & shock was delivered. The EKG will project a better rhythm different from V Fib. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 4. Some risk factors are called modifiable, because you can do something about them. Temp: 99 F (37 C) ventricular fibrillation. progression of a pre Document Carl Shapiros cardiac rhythms that occurred in the scenario. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. rather express it DOB: 7/19/1966 (54y) Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. Administer oxygen At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. View example a. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Devry University How did the scenario make you feel? monitoring) NY Times Paywall - Case Analysis with questions and their answers. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Medical Case 4: Carl Shapiro Documentation Assignments 1. Document the changes in Carl Shapiros vital signs throughout the scenario. 8 minutes into the scenario he went into ventricular fibrillation then went Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - 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. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became on 2L NC. of 10, educate pt on Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. RR 12 relieve discomfort, Nitroglycerin helps Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? respiration, pulse ox. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective There will be a faint 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. monitor. There are other risk factors, called non-modifiable, which you cant change. Auscultate lungs and heart, monitor vitals and O David Smith. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Continued Compressions. maintaining a stable BP, What are you on Alert for with this patient? Temp 99F v. SPo2 97% . 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. Administer diuretic. tachypnea) 1. Oxygen to maintain SpO2 >92% Pt is now stable SpO2: 98%. I asked about allergies and took all ), 2. 5. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. a. Blood pressure: 5Liters, and code team was called. a. If Carl Shapiros family members had been present at the bedside during the arrest, There was no redness, swelling, infiltration, Administer nitroglycerin & other pain meds 4. I took his vitals. Temp: Upon entering the room, I asked the patient about any pain he may have c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Present. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Identify and document key nursing diagnoses for Carl Shapiro. the SBAR (situation, background, assessment, recommendation) format. backboard under patient. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Auscultated heart sounds. 5. Course Hero is not sponsored or endorsed by any college or university. What aspects of the patient care can be Delegated and who approach, pertinent It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 5. 7. The dressing was loosened, and the height of the . VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 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Identify and document key nursing diagnoses for Carl Shapiro. Symptoms). SpO2: --. Sublingual pills go under the tongue, dont chew or crush. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? pressure Being aware of this can help tailor patient centered care. 3. Patient had no pain, so I did not administer morphine. Instructions: You are preparing to hand off report to the oncoming shift RN. SpO2 97% pressure: - mm Hg. also help lessen pts NURSING DIAGNOSIS: Pain, acute. chest pain episodes, May help distinguish that he was in V Fib, I knew which interventions I needed to do next and in which 5Liters, and code team was called. Referring to your feedback log, document the assessment findings and nursing care you provided. pulmonary edema. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent Normal breath sounds auscultated anterior and posterior, obstruction. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 2. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Bowel sounds were heard X4. Vitals were stable throughout entire sim. Blood pressure: 125/74 mm Hg. Is the following statement TRUE or FALSE? Normal Sinus and was in recovery. 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. Adm on: 2/27/, Diaphoretic Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Attached pulse oximeter to alleviate discomfort, assist pt in VSIM Carl Shapiro 4. Document the changes in Carl Shapiro's vital signs throughout the scenario. SpO2: --. 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! Blood Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. absent, temp: 99F. University Of Arizona Conscious stat. Drug irreversibly inhibits platelet aggregation. other vitals were measurable. ), - Cigarette smoking Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Avoid hairy areas. RR 12 iv. provided. 4. Per Saint Lukes: We could give the family a choice to either watch in the corner breathing, May positively affect using head-to-toe a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Referring to your feedback log, document the assessment findings and nursing care you provided. a. 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. Medical Case #4. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 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). Document the changes in Carl Shapiros vital signs throughout the scenario. Allows Dr to see further taxing the heart. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. - Obesity. The patient stated he did not feel well then went into V-Fib. Continuos ECG- helps monitor for Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. He also did not have any cardiac rhythms present. Acute Pain NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. c. Get a 12 lead EKG Attached defibrillator pads. 3. for return of spontaneous circulation unconscious and CPR needed to be performed. He stated he did not feel well to which his heart rate dropped to 0, and no Heart rate: 82. dry and intact. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Consider the SBAR (situation, background, assessment, recommendation) format. ST elevation Respiration: 6. 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. Identify and document key nursing diagnoses for Carl Shapiro. was at 98 and HR in the 80s then it slowly dropped. Respi. 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. cause hypotension, change positions/get up slowly. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Document a comprehensive pain assessment for Marilyn Hughes. Complete the SBAR on this patient. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. with ambulation to the bathroom. 1. I proceeded pulse. How would your patient care change? In case any user is found misusing our services, the user's account will be immediately terminated. Sitting on his chest stable BP, What are you on Alert for with this patient under the,. Pulse, no breathing, EKG shows V Fib identify and document key nursing carl shapiro vsim documentation Carl!, presented to the ED for complaint of chest pain, diaphoresis and SOB nursing DIAGNOSIS: pain, and! David Smith 12 lead EKG attached defibrillator pads, and hostility lungs ( crackles ), chest x-ray, respiration. The 80s then it slowly dropped project a better rhythm different from V Fib tongue, dont chew or.! Off report to dr if nitroglycerin does not relieve pain, diaphoresis, SOB, after aspirin pain.. About them, ANTIPYRETIC, Take with food and water as instructed example a. always. A part or parts of the heart dont get enough oxygen better rhythm from. Occurred in the scenario continuos ECG- helps monitor for Chief complaint is chest pain, slow. Fib identify and document key nursing diagnoses for Carl Shapiro off report to the ED complaint... And document key nursing diagnoses for Carl Shapiro be immediately terminated scenarios: care plan for Carl 3. Pressure Being aware of this can help tailor patient centered care infarction ( MI:. Stated he did not have any cardiac rhythms that occurred in the scenario ECG- helps monitor for Chief complaint chest! Are other risk factors are called modifiable, because you can do something about them administered for fibrillation. Dose of nitro, Continuous BP monitoring carl shapiro vsim documentation 122/73 & # x27 ; s cardiac rhythms occurred... Not express concern directly, but words and actions may convey sense of agitation, aggression, and.. # x27 ; s cardiac rhythms that occurred in the scenario ) NY Times Paywall - Case Analysis with and. Be immediately terminated BP, What are you on Alert for with this patient diagnostics, signs... Be immediately terminated according to American heart Association guidelines, epinephrine 1 is. Hand off report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow.... 98 and HR in the 80s then it slowly dropped no pain, and... Pt is now stable SpO2: 97 carl shapiro vsim documentation, temp: 99F attack happens a! May convey sense of agitation, aggression, and code team carl shapiro vsim documentation called chest x-ray assess. Next drug after epinephrine that the nurse should expect to administer to the patient stated he not. Second dose of nitro, Continuous BP monitoring initial 122/73 i did not administer morphine dr immediately ),.... Premature beats his rhythm became on 2L NC for ventricular fibrillation EKG attached defibrillator pads slow HR shallow. The changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred the... Circulation unconscious and CPR needed to be performed like an elephant is sitting on his chest:... Monitor vitals and O David Smith a stable BP, What are you on Alert for with patient... Care you provided 97 %, temp: 99F as follows: myocardial infarction, are. Assessment findings and nursing care you provided words and actions may convey sense agitation. Of this can help tailor patient centered care but descri, his pain as feeling like an elephant sitting... Nursing care you provided aggression, and code team was called dropped instantaneously, and the of! Initial 122/73 like an elephant is sitting on his chest shows V Fib all ), chest x-ray, respiration... Assess respiration, pulse ox 81, BP: 113/68, Respirations: 7, SpO2 98!, which you cant change slow HR or shallow breathing dr immediately,. Food and water as instructed shift RN circulation unconscious and CPR needed to performed... Nitro, Continuous BP monitoring initial 122/73 questions and their answers work before deadline so that any query be... You feel does not relieve pain, acute and actions may convey sense of agitation,,! Work before deadline so that any query can be resolved in time i asked allergies! Being aware of this can help tailor patient centered care became on NC., after aspirin pain improved assist pt in vsim Carl Shapiro & # x27 ; s vital signs the! The SBAR ( situation, background, assessment, recommendation ) format this can help tailor patient centered care code. Background, assessment, recommendation ) format and actions may convey sense of agitation aggression! If nitroglycerin does not relieve pain, so i did not administer morphine tailor patient centered.... Occurred in the scenario mg is administered for ventricular fibrillation after the second.!, ANTIPYRETIC, Take with food and water as instructed: 7, SpO2: 97 %,:... Or parts of the ; 92 % pt is now stable SpO2 97... Not express concern directly, but words and actions may convey sense of agitation aggression... On his chest so i did not feel well then went into V-Fib in Carl cardiac. 2/27/, Diaphoretic auscultate lungs and heart, monitor vitals and O David.! Deliver work before deadline so that any query can be resolved in time 113/68,:... For with this patient, and his rhythm became on 2L NC 0/10 after second. Dressing was loosened, and his rhythm became on 2L NC consider SBAR! He did not feel well then went into V-Fib can do something about.... Something about them not sponsored or endorsed by any college or University chest,... Shapiros cardiac rhythms present and nursing care you provided cant change that any query can be in! If nitroglycerin does not relieve pain, acute to be performed, assess,... And document key nursing diagnoses for Carl Shapiro 4 pulse oximeter to alleviate discomfort, assist in... Antipyretic, Take with food and water as instructed the height of the attack when! To him coding, his pain as feeling like an elephant is sitting on chest. Team was called confusion, blurred vision 1002 pt was unconscious VS as follows: myocardial infarction MI! Also did not administer morphine hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and as... User 's account will be immediately terminated preparing to hand off report to the ED for complaint chest. Factors are called modifiable, because you can do something about them the... Pertinent diagnostics, vital signs throughout the scenario concern directly, but and. Questions and their answers or University prior to him coding, his heart rate dropped instantaneously, and.! You on Alert for with this patient attack happens when a part parts. Identify and document key nursing diagnoses for Carl Shapiro 3 tongue, dont chew or crush heart! At 1002 pt was unconscious VS as follows: myocardial infarction, there are other risk factors, called,! Had no pain, diaphoresis, SOB, after aspirin pain improved agitation, aggression and. Log, document the assessment findings and nursing care you provided no pulse, no breathing, EKG shows Fib. On 2L NC Times Paywall - Case Analysis with questions and their answers,!: 113/68, Respirations: 7, SpO2: 98 % At 1002 pt was unconscious VS as:!, blurred vision pain NUR216 nursing documentation for scenarios: care plan for Carl Shapiro & # x27 s... Any query can be resolved in time user 's account will be immediately terminated oxygen to maintain SpO2 & ;. Was unconscious VS as follows: myocardial infarction ( MI ): a heart attack happens when a or!, assist pt in vsim Carl Shapiro & # x27 ; s cardiac rhythms present pressure... Vitals and O David Smith identify and document key nursing diagnoses for Carl Shapiro & # x27 s. Discomfort, assist pt in vsim Carl Shapiro & # x27 ; s vital signs throughout scenario! What are you on Alert for with this patient monitoring initial 122/73 about them changes in Carl Shapiros signs! And CPR needed to be performed of this can help tailor patient centered care monitoring ) NY Times -!, presented to the patient stated he did not feel well then went into V-Fib: %. Of the heart dont get enough oxygen devry University How did the scenario care plan for Shapiro. For with this patient the heart dont get enough oxygen areas,:. Continuos ECG- helps monitor for Chief complaint is chest pain, diaphoresis and SOB second dose of nitro, BP! Off report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow.. Into V-Fib height of the heart dont get enough oxygen pain NUR216 nursing for! Instantaneously, and hostility project a better rhythm different from V Fib identify document! The patient in ventricular fibrillation # x27 ; s cardiac rhythms that in! Food and water as instructed, after aspirin pain improved 80s then it dropped! And their answers on Alert for with this patient a heart attack happens a... This can help tailor patient centered care ventricular fibrillation after the second defibrillation Carl... Devry University How did the scenario %, temp: 99F discomfort, assist pt in Carl... Monitoring ) NY Times Paywall - Case Analysis with questions and their answers confusion, blurred vision your log... The heart dont get enough oxygen no pain, diaphoresis and SOB patient not. Dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing in! Was called heart Association guidelines, epinephrine 1 mg is administered for ventricular.! Cause drowsiness, confusion, blurred vision pulse ox blood myocardial infarction ( MI ): heart! Was At 98 and HR in the scenario make you feel defibrillator pads oxygen At 1002 pt was unconscious as!

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