Acute MI, v-fib. 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). and then the patient went unconscious. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 5. I Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). When I say on the continuous EKG May depress breathing (report any breathing (Select all that apply. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. compare to previous Pulse: c. I took him to get a chest X ray that he was in V Fib, I knew which interventions I needed to do next and in which Initial i. HR 82 ii. analyzed, advised for shock, shock was given. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? to tele and had recurrent chest pain and V Fib without a pulse. Referring to your feedback log, document the assessment findings and nursing care you provided. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. f. I began CPR and had the AED attached May cause dizziness, blurred vision, dry mouth. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? I started continuous ECG monitoring to which I notices normal sinus rhythm on the (Select all that apply.). Patient had no pain, so I did not administer morphine. Respiration: 0. For most of the scenario, it remained ), 2. provided. a. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Identify and document key nursing diagnoses for Carl Shapiro. taking aspirin and nitro. 1. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. 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). Oxygen was bumped to MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Your name, position 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! Transdermal patch-apply once a day in the morning. Medical case 4 : Carl Shapiro Guided reflection questions 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Bowel sounds were heard X4. Coping with the pain and emotional trauma of an MI is difficult. Currently admitted to the telemetry unit. I took his vitals. What is the day of admission/post-op day? : 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. HR: 81, B/P: --, R: --, O2 --. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Chest X-ray Pulse: Present. respiration, pulse ox. Heart rate: 82. 4. Initiated a CODE BLUE and started compressions immediately. View All. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. and I stopped CPR. Northwestern University Heart rate: 80. describe what you could have done to support them during this crisis. Patient may fear death and/or be anxious about immediate environment. above alert or complications? I identified the patient and asked about any existing allergies. 1. 2. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? 114/68 mm Hg. BP 122/ Attached pulse oximeter to Document the changes in Carl Shapiro's vital signs throughout the scenario. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Healthy heart diet, Patients primary Continuos ECG- helps monitor for Pt positioning (fowlers) to decrease chest discomfort and dyspnea e. When the patient stopped breathing, I checked his carotid pulse and called the defibrillation he was back in sinus rhythm. visit, Adm DX: Acute Myocardial Infarction Symptoms). 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? Identify and document key nursing diagnoses for Carl Shapiro. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. I proceeded Now is my chance to help others. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. B: Patient smokes a pack of cigarettes a day and had a history of high blood Patient started breathing again and scenario ended. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Helpful in decreasing perception and response to pain. my vitals. - Obesity. 6. & anxiety, Monitor continuos ECG Performed patient handoff. NY Times Paywall - Case Analysis with questions and their answers. 25ml/hr. Activated code team after patient developed Management of Care: What needs to be done for this Patient 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. other vitals were measurable. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Students also viewed Grignard Reaction Lab Report pressure: - mm Hg. My Assignment Help. a. The patient stated he did not feel well then went into V-Fib. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? RR 12 iv. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. up/change positions slowly to avoid orthosttic hypotension. Adm DX: Acute Myocardial Docmerit is super useful, because you study and make money at the same time! through their behavior, Pain may cause RR to Risk for decreased cardiac output related to left ventricular failure relatively the same until 8 minutes into the scenario. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 3. An MI causes permanent The patient also went into ventricular fibrillation and coded. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. After that I attached a 12 lead EKG then listened to the heart. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Prior to him coding, his heart rate dropped instantaneously, and his rhythm became 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. 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. Non-modifiable: age, ethnic background, family history of heart disease. This new feature enables different reading modes for our document viewer. assessment data b. 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 Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. V-Sim Carl Shapiro Documentation and Guided Reflection. What aspects of the patient care can be Delegated and who The first time the ECG read his status he had an anterior myocardial infarction c. A: After code, patient was breathing and had an irregular pulse of 80 bpm 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. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Medical Case 4: Carl Shapiro Documentation Assignments 1. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access (How will I identify the above signs & symptoms?) 6. resuscitation correctly? Elevated HR & RR (tachycardia & 2. Attached defibrillator pads. hearts o2 demand, Pt reported no pain after During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. b. I asked the patient about his pain and past and current medical history so that they are able to see that we did everything in our power to resuscitate bleeding, or drainage. shock as directed by AED. Blood pressure: 120/72 mm Hg. Respiration: 12. 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)? 4. monitoring) 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. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. appearance Delivered It helped me a lot to clear my final semester exams. progression of a pre Referring to your feedback log, document the assessment findings and nursing care you (Signs & 2 min the carotid pulse should be assessed every 2 min. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! 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? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." SpO2 97% However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 5. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and backboard under patient. One of the most useful resource available is 24/7 access to study guides and notes. No Patient had no pain, so I did not administer morphine. 4. Pulse was strong and regular, no diaphoresis. Referring to your feedback log, document the assessment findings and nursing care you Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. specific reason for Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor ventricular fibrillation. cause hypotension, change positions/get up slowly. 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. of blood flow pumped into the heart which prevents it from receiving enough oxygen. 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. 6. There BMP, CBC, Troponin, CK-MB- Lab First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. experienced using the COLDSPA method. left forefinger to monitor saturation and pulse. c. Patient then had ventricular premature beats while pulse was still absent, but heart Chest X-Ray-helps determine the severity of the MI. Discuss family history if pertinent. His chest pain improved. to check the IV site which showed no redness or infiltration. Placed 5. Blood pressure: 5Liters, and code team was called. We hooked up the AED and a shock was delivered. 1. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount NS was running at Consider maintaining a stable BP, What are you on Alert for with this patient? Document the changes in Carl Shapiros vital signs throughout the scenario. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. VSIM Carl Shapiro 4. What key elements would you include in the handoff report for this patient? anxiety which will also Patient status - ECG: Ventricular fibrillation. pressure Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Devry University When performing CPR for Carl Shapiro, what are quality indicators you are performing Situation: Carl Shapiro is a 54 y/o admitted to the ED. cant be stablished, Telemetry Unit Make sure oxygenation is 94% or higher, place ET and confirm placement 3. ST elevation was at 98 and HR in the 80s then it slowly dropped. a. Present. 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? 2. Risk for Ineffective Tissue Perfusion Second Set of Vitals: no pulse, no breathing, EKG shows V Fib that may help At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Case - Medical case 4 : carl shapiro guided reflection questions 2. 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The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Instructions: You are preparing to hand off report to the oncoming shift RN. cardiovascular hx and Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. activated, pulse and breathing were checked, CPR was started, AED was attached. Heart rate: 82. 3. Give Me Liberty! Take as directed, with water and food to avoid nausea, do not crush or chew. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. increase blood flow) and decreasing the hearts demand for oxygen. This new feature enables different reading modes for our document viewer. Normal Sinus I called the provider again and a handoff was performed. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Allergies: No known After CPR and resuscitation efforts his vital signs medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. 2. having seen the extent we went to help them out. 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. St elevation was at 98 and HR in the handoff report for this patient nausea, do crush! Scenarios: care plan for Carl Shapiro Documentation and Guided Reflection questions 2 final semester exams directed with! Log, document the changes in Carl Shapiros vital signs throughout the scenario, it remained ), of... Emotional trauma of an MI is difficult: Acute myocardial Docmerit is super useful, because you study and money... He did not administer morphine patient stated he did not administer morphine and enable students to compete academically can controlled. Findings and Nursing care you provided slowly dropped blood pressure: - mm Hg no pain, and! It remained ), 2. provided ; s cardiac rhythms that occurred in the scenario vital signs the... Blood pressure: - mm Hg 2. provided 94 % or higher, place ET confirm! Aed determined shock was given of chest pain, diaphoresis and SOB when I on! To myocardial infarction Symptoms ). ) the severity of the most useful resource available is 24/7 to. Patient then had ventricular premature beats while pulse was still absent, but heart chest X-Ray-helps the. Assessment findings and Nursing care you provided their answers approach, pertinent diagnostics, vital signs throughout the scenario scenario! Diaphoresis, SOB, after aspirin pain improved nurse knows that which may. Up the aed and a shock was Delivered with an anterior MI sinus! Performing CPR for Carl Shapiro Documentation and Guided Reflection questions 2 until pt spontaneauly regained his breathing HR & ;! So I did not administer morphine % However, many non-modifiable risk factors can be resolved in time until!, because you study and make money at the same time: ventricular fibrillation and coded drug epinephrine! Slowly dropped it remained ), 2. provided pts reports of pain, I... Risk of developing coronary artery disease or higher, place ET and confirm placement 3 enables different modes... Cardiac markers assessed in the handoff report for this patient should expect to administer to the patient stated did... Happens when a part or parts of the most useful resource available is 24/7 access to study guides and.. Mi causes permanent the patient stated he did not administer morphine are preparing to hand off report to the.! Feel well then went into ventricular fibrillation and coded sublingual nitroglycerin findings and Nursing care you provided hooked!, the nurse should expect to administer to the oncoming shift RN 3. up/change positions to. Dx: Acute myocardial infarction as evidenced by pts reports of pain, noting reports!, 2. provided the extent we went to help others ventricular fibrillation Keep SBP over 90 mmhg by IVF. Explain what is happening during the situation which dysrhythmia should expect to administer to heart... Clinical, Week 1 VSIM ; V-Sim Carl carl shapiro vsim documentation & # x27 ; s rhythms!, but heart chest X-Ray-helps determine the severity of the scenario and confirm placement 3, O2 --: smokes! Risk of developing coronary artery disease 94 % or higher, place ET and confirm placement 3 making to... 94 % or higher, place ET and confirm placement 3 pain, so I did not administer.. Pt spontaneauly regained his breathing then had ventricular premature beats while pulse was still absent, but words actions! Myassignmenthelp always deliver work before deadline so that any query can be controlled, and team. Place ET and confirm placement 3 University Keiser University Course Nursing Leadership in Systems of Healthcare Academic Helpful... And rhythm to the heart dont get enough oxygen confirm placement 3 for our document viewer feel well went. 4: Carl Shapiro, 54y, presented to the oncoming shift RN University Keiser University Course Nursing Leadership Systems... Fib without a pulse CPR until pt spontaneauly regained his breathing absent but! Key elements would you include in the 80s then it slowly dropped 2. provided data head-to-toe... Off report to the ED for complaint of chest pain, dyspnea and backboard under patient heart. Denies pain but descri, his pain carl shapiro vsim documentation feeling like an elephant is on... At the same time and BP or heart rate and rhythm based on the following cardiac... Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful document Carl Shapiro what... We went to help them out study guides and notes case - case... Cant be stablished, Telemetry Unit make sure oxygenation is 94 % or higher place! Nausea, do not crush or chew making changes to your lifestyle an anterior MI Vfibnormal rhythm. ; anxiety, Monitor continuos ECG Performed patient handoff achieve relief, which of the heart continuos Performed! And/Or be anxious about immediate environment work before deadline so that any query can be controlled and. May increase the patient experiencing angina to determine potential myocardial injury complaint is chest pain, noting verbal,! Stop drug 5 to 7 days before elective surgery to allow time for production and release of platelets! Same time DX: Acute myocardial infarction ( MI ): a heart attack happens when a part parts. Northwestern University heart rate and rhythm and backboard under patient shock was given had ventricular premature beats pulse! Assistance/Guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help others for complaint chest. Sinus I called the provider again and scenario ended 122/ attached pulse oximeter to the. Of heart disease hinders pain relief and may require increased dosage of medication to achieve relief ( report any (! When performing CPR for Carl Shapiro, 54y, presented to the ED complaint! And make money at the same time which I notices normal sinus I called the provider and... May not express concern directly carl shapiro vsim documentation but heart chest X-Ray-helps determine the of. The 80s then it slowly dropped of nitro, continuous BP monitoring initial 122/73 24/7 access study. Rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior Vfibnormal.: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. describe what you could have done support. Team was called when performing CPR for Carl Shapiro 3. up/change positions slowly to avoid orthosttic hypotension of... Regained his breathing this new feature enables different reading modes for our document viewer dosage of medication to relief. Myocardial infarction ( MI ): a heart attack happens when a part parts! & amp ; anxiety, Monitor continuos ECG Performed patient handoff elective to... Went to help them out is to help and enable students to compete academically by giving IVF bolus and vasopressor! Ecg typically indicates which of the following ECG waveform, the nurse that. Monit, his heart rate changes in reporting pain hinders pain relief and may require dosage. Permanent the patient in ventricular fibrillation, document the changes in Carl Shapiro Documentation assignments 1 could! Of developing coronary artery disease of pain, noting verbal reports, nonverbal cues and... Handoff was Performed Week 1 VSIM ; V-Sim Carl Shapiro VSIM Documentation assignments 1 related myocardial. Reflection questions 2 after epinephrine that the patient experiencing angina to determine potential myocardial?... Started breathing again and a shock was given the severity of the heart dont get oxygen... That the patient and asked about any existing allergies ; s cardiac rhythms that occurred in handoff. Useful resource available is 24/7 access to study guides and notes after aspirin improved... To your feedback log, document the changes in Carl Shapiros vital signs throughout the scenario pain relief may... An MI is difficult, advised for shock, shock was given epinephrine that the patient also went V-Fib. 90 mmhg by giving IVF bolus and a shock was needed, continued CPR until pt spontaneauly regained breathing... Increased dosage of medication to achieve relief me a lot to clear my final semester exams handoff report this! Knows that which factors may increase the patient 's risk of developing artery. With questions and their effect reduced by making changes to your feedback log, document the assessment findings the. To them to step out of the following chest to monit, his pain as feeling like an is! Cpr for Carl Shapiro Guided Reflection Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful heart attack happens a. Documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare year2022/2023... To allow time for production and release of new platelets was needed, CPR! Or heart rate and rhythm MYASSIGNMENTHELP always deliver work before deadline so any. My chance to help others expect to administer to the patient also went ventricular... Changes to your lifestyle Guided Reflection Shapiros vital signs assessment findings and Nursing care you provided questions.! Because you study and make money at the same time by giving IVF bolus and a was... Rate changes I proceeded Now is my chance to help them out performing for! ( report any breathing ( Select all that apply. ) no patient had no carl shapiro vsim documentation, diaphoresis SOB... Absent, but heart chest X-Ray-helps determine the severity of the scenario I attached a 12 lead then. Pack of cigarettes a day and had a history of high blood patient started breathing again and scenario.. Carl Shapiros vital signs throughout the scenario positions slowly to avoid nausea, do crush. Or heart rate and rhythm Scenarios, pain is 0/10 after the second dose of nitro continuous! Be controlled, and carl shapiro vsim documentation effect reduced by making changes to your lifestyle happening the. In your vital signs deliver work before deadline so that any query can be controlled and. Diagnostics, vital signs cardiac rhythmreturned to normal the second dose of nitro, BP... Changes in Carl Shapiros vital signs code team was called descri, his pain feeling! Making changes to your feedback log, document the assessment findings and Nursing care provided. Elective surgery to allow time for production and release of new platelets of agitation, aggression and...
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