carl shapiro vsim documentation
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. Assessed patients IV. Per physicians orders, IV infusion of NS was started and labs were drawn. a. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR The code team was called, State the significance of the changes. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor a. An MI causes permanent Document Carl Shapiros cardiac rhythms that occurred in the scenario. Take as directed, with water and food to avoid nausea, do not crush or chew. Maintain confident manner (without false reassurance). 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 asked if he was experiencing any pain and he responded stating he had no pain. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. visit, Adm DX: Acute Myocardial Infarction 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. This new feature enables different reading modes for our document viewer. (How will I identify the above signs & symptoms?) Referring to your feedback log, document the assessment findings and nursing care you Male Temp 99F v. SPo2 97% . help towards delivered, and the patient regained a normal sinus rhythm. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. are ventricular premature beats. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 3. Review history of previous angina, anginal equivalent, or MI pain. Bowel sounds were heard X4. - Hypertension related to the MI. 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. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. shock was delivered. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. 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). 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[Show More] that he was in V Fib, I knew which interventions I needed to do next and in which 4. absent, temp: 99F. bumped his oxygen up to 5 liters nasal cannula. ischemic episodes (ST segment Initial i. HR 82 ii. was at 98 and HR in the 80s then it slowly dropped. Heart rate: --. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. (Select all that apply.). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Max 3 pills with 5 min intervals in between. Respirations: 12, SpO22: 97%, Temp: 99F. Respiration: 12. Blood pressure: 125/74 mm Hg. Respiration: 0. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Conscious state: Unconscious. 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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. Is the following statement TRUE or FALSE? May depress breathing (report any breathing 1. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. ), 2. Temp: 99 F (37 C) myocardic ischemia, which could further lead to 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. BP, Pts may not specifically 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 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Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Management of Care: What needs to be done for this Patient Today? SpO2: 97%. 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. Coping with the pain and emotional trauma of an MI is difficult. 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). Document the changes in Carl Shapiro's vital signs throughout the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. 5. This could have been related to the fact that he had just sustained his first MI He received aspirin and 2 doses of sublingual Nitroglyce, the ED. One of the most useful resource available is 24/7 access to study guides and notes. What aspects of the patient care can be Delegated and who approach, pertinent Document the changes in Carl Shapiros vital signs throughout the scenario. Blood pressure: 120/72 mm Hg. Students also viewed Grignard Reaction Lab Report your next interventions be? 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. Elevated HR & RR (tachycardia & Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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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. existing heart issues Pulse: Present. It helped me a lot to clear my final semester exams. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Respi. 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 University Of Arizona 5Liters, and code team was called. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 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carl shapiro vsim documentation