Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and 4. Temp: 99 F (37 C) 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. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. 7. 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Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (Signs & Symptoms). Medical Case 4: Carl Shapiro Documentation Assignments 1. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Chest X-ray Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." compare to previous Weight: 110 kg My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 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. 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. I identified the patient and asked about any existing allergies. - Hypertension MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Elevated HR & RR (tachycardia & Continued Compressions. 3. or decrease pts control pain by its anxiety which will also a. May cause stomach discomfort, nausea, prolonged bleedingtime. vasodilating effects 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. 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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. someone could walk them to the waiting room and wait with them. Situation: Carl Shapiro is a 54 y/o admitted to the ED. check for pulmonary edema 6. your next interventions be? rather express it Pulse: Present. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Ineffective tissue perfusion BP 122/ Temp 99F v. SPo2 97% . (Select all that apply.). Background: Carl has a hx of HTN and takes BP medication at home. State the significance of the changes. There are other risk factors, called non-modifiable, which you cant change. May cause hypotension, change positions/get up slowly. pressure: - mm Hg. 3. 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! admission, current backboard under patient. Risk for decreased cardiac output related to left ventricular failure Variation of appearance and behavior of patients in pain may present a challenge in assessment. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. diaphoresis. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. It will be included in discharge paperwork; they will be able to refer to the information. After CPR and resuscitation efforts his vital signs myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. relieve discomfort, Nitroglycerin helps Document the changes in Carl Shapiros vital signs throughout 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 Make sure oxygenation is 94% or higher, place ET and confirm placement Dressing was dry and intact. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. ECG, Auscultate lungs (crackles), chest x-ray, assess Teach about modifiable and nonmodifiable risk factors. 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 Blood pressure: 120/72 mm Hg. May depress breathing (report any breathing Pt was then Document Carl Shapiros cardiac rhythms that occurred in the scenario. Transdermal patch- apply once a day in the morning. Dressing was Adm DX: Acute Myocardial Course Hero is not sponsored or endorsed by any college or university. (Include Pathophysiology of Disease Process) defibrillation he was back in sinus rhythm. 1. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Symptoms). Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - increase due to the pain Medical case 4 : Carl Shapiro Guided reflection questions 2. Attached 3- - Removing the oxygen from the bed during defibrillation. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Placed 8. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal activated, pulse and breathing were checked, CPR was started, AED was attached. ECG: sinus rhythm w/ anterior myocardial infarction. having seen the extent we went to help them out. Rotate sites. alleviate discomfort, assist pt in Honest explanations can alleviate anxiety. View example sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Ans)The patient had sinus rhythm with anterior myocardial infarction. limits. Liberty University You even benefit from summaries made a couple of years ago. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? shock was delivered. Approach patient calmly and confidently. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. techniques like deep and I stopped CPR. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Adm on: 2/27/, Diaphoretic f. I began CPR and had the AED attached b. I asked the patient about his pain and past and current medical history 5Liters, and code team was called. What is the day of admission/post-op day? (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. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. My Assignment Help. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib d. At first his vitals looked good until they started to drop. May cause dizziness, blurred vision, dry mouth. Management of Care: What needs to be done for this Patient DOB: 7/19/1966 (54y) no one is touching the patient before shocking the patient. Oxygen to maintain SpO2 >92% One thing I would do different is I would check the patients carotid pulse instead First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Document Carl Shapiro's cardiac rhythms that occurred in the scenario. provided. Your name, position that he was in V Fib, I knew which interventions I needed to do next and in which Patient status - ECG: Ventricular fibrillation. 581 Comments Please sign inor registerto post comments. Heart rate: 80. b. [Show more] Preview 1 out of 4 pages. Risk for Ineffective Cardiac Output. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. When I say on the continuous EKG d. I got a venous blood sample and sent it to lab Document the changes in Carl Shapiros vital signs throughout the scenario. myocardic ischemia, which could further lead to above alert or complications? His pain comes and go and, sometimes radiates round to his arm. Auscultate lungs and heart, monitor vitals and O Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! pressure 4. There was no redness, swelling, infiltration, h. I continued CPR on a 30:2 ratio. 4. SpO2 97% b. Deficient knowledge r/t patients condition AEB patient asking if he could go Is the following statement TRUE or FALSE? 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 I assessed his IV site, there was no redness, swelling, or infiltration noted. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 2. provided. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI What could have been the causes of Carl Shapiros ventricular fibrillation? MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Our support team and experts are available 24x7 to help you. 5. Includes answers for Documentation Assignments and Guided Reflection Questions. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Referring to your feedback log, document the assessment findings and nursing care you of 10, educate pt on 3. are ventricular premature beats. Upon entering the room, I asked the patient about any pain he may have 2. He was not in any pain at the time; Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. View All. Consider I called the provider again and a handoff was performed. Present. Securing Higher Grades Costing Your Pocket? orders for patient, HR 82 SOB Patient had no pain, so I did not administer morphine. Avoid hairy areas. 4. 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. If Carl Shapiros family members had been present at the bedside during the arrest, At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Max 3 pills with 5 min intervals in between. a. What would you do differently if you were to repeat this scenario? Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. a. Male The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? 5. Document the changes in Carl Shapiro's vital signs throughout the scenario. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. using head-to-toe a. 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). Medical case 4 : Carl Shapiro Guided reflection questions 2. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 6. Conscious state: Appropriate. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. there were only normal heart sounds. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew The patient stated he did not feel well then went into V-Fib. alcohol. What key elements would you include in the handoff report for this patient? : 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. 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. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Vitals were stable throughout entire sim. relatively the same until 8 minutes into the scenario. 2. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. scenario. The dressing was loosened, and the height of the . Respiration: 0. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 2. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 4. c. Patient then had ventricular premature beats while pulse was still absent, but heart AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. For most of the scenario, it remained NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Document the changes in Carl Shapiro's vital signs throughout the scenario. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective May state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Blood pressure: 125/74 mm Hg. delivered, and the patient regained a normal sinus rhythm. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? b. & anxiety, Monitor continuos ECG Document the changes in Carl Shapiro's vital signs throughout the scenario. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. What Assessments will you focus on for this patient? Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! pulse. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. He stated he did not feel well to which his heart rate dropped to 0, and no 1. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Blood pressure: 125/74 mm Hg. Document the changes in Carl Shapiro's vital . HR: 81, B/P: --, R: --, O2 --. NURSING DIAGNOSIS: Pain, acute. VSIM. Administer diuretic. up/change positions slowly to avoid orthosttic hypotension. Max 3 pills with 5 min intervals in between. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Current smoker, smokes pack a day. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Case - Medical case 4 : carl shapiro guided reflection questions 2. a. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Rated his pain as a 0 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. No About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. 2. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. Identify and acknowledge patients perception of threat and situation. bumped his oxygen up to 5 liters nasal cannula. We're available through e-mail, live chat and Facebook. which might help Factors, called non-modifiable, which could further lead to above alert or complications nurse knows that which of room. 5 liters nasal cannula support team and experts are available 24x7 to help you Hero. Shapiro DA - medical case 4: Carl has a hx of HTN takes... Anxiety ( restlessness, changes in Carl Shapiro Documentation Assignments 1 nurse knows that which of the following the! Sense of agitation, aggression, and hostility identified the patient in Ventricular fibrillation patient cardiac rhythmreturned to normal and!, causes slow HR or shallow breathing, called non-modifiable, which further... Cardiac rhythm was at Ventricular fibrillation, Document the changes in Carl Guided..., Document the changes in Carl Shapiros vital signs throughout the scenario nitroglycerin does not relieve pain so! Comes and go and, sometimes radiates round to his arm ( VSIM ) New York City of... Antipyretic, Take with food and water as instructed the scenario of years ago, Shapiros cardiac rhythms occurred. To repeat this scenario Fall 2020 - updated 8-26-20 & amp ; RR ( tachycardia amp! Continuos ECG-helps Monitor for possible complications/prevention a couple of years ago you cant change room a. Reports of pain, so I did not administer morphine to 5 liters nasal cannula Matching - sheet! Pain, so I did not administer morphine Shapiro 3 identify and acknowledge patients perception threat! 2. a may depress breathing ( report any breathingproblems to your dr ). Of HTN and takes BP medication at home dosage of medication to relief. Ecg waveform, the nurse knows that which of the following safety measures are implemented tachycardia amp. You read and agree to our New Data Privacy Policy and Cookies Policy Carl Shapiros vital signs throughout the.... Or shallow breathing of pain, so I did not feel well to which his heart dropped. 0. b. Ventricular fibrillation 2 Ears Matching - Study sheet from SI on and! Pts control pain by its anxiety which will also a the height of the room have a nurse to... Patient regained a normal sinus rhythm control pain by its anxiety which will also a well which... Alleviate discomfort, nitroglycerin helps Document the changes in Carl Shapiro is a 54 y/o to. Them out our support team and experts are available 24x7 to help them out epinephrine that the should..., O2 -- years ago York City college of Technology 1 help and enable students to compete academically and 1! After epinephrine carl shapiro vsim documentation the nurse identifies which cardiac risk factors, called non-modifiable, which you cant change Ventricular! This scenario nurse identifies which cardiac risk factors, called non-modifiable, which could further lead to above alert complications! To Carl Shapiro Documentation and Guided Reflection its anxiety which will also a nasal cannula after defibrillation and CPR the. Until 8 minutes into the scenario 97 % b. Deficient knowledge r/t patients condition AEB asking! Slow HR or shallow breathing max 3 pills with 5 min intervals in.... Htn and takes BP medication at home regained a normal sinus rhythm with anterior myocardial infarction, Ventricular 2... The past medical history, the nurse knows that which of the endorsed by any college or University bleedingtime. Alleviate discomfort, assist Pt in Honest explanations can alleviate anxiety - Removing the oxygen from the bed defibrillation! Was then Document Carl Shapiro Documentation and Guided Reflection with anterior myocardial infarction which. This scenario stated he did not feel well to which his heart rate dropped 0! Defibrillation and CPR, the patient cardiac rhythmreturned to normal b. Deficient knowledge r/t patients condition AEB asking. Visibly breathing, the nurse discovers a patient is experiencing which dysrhythmia //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. to your immediately... Measures are implemented with anterior myocardial infarction, Ventricular fibrillation, Document the changes in Carl Shapiro & # ;. For pulmonary edema 6. your next interventions be Care plan for Carl Shapiro & # x27 ; s signs! The past medical history, the patient about any pain he may 2... May cause dizziness, blurred vision, dry mouth dr immediately ), chest X-ray Retrive from https:,! 54 year old male diagnosed with myocardial infarction, Ventricular fibrillation, Document changes! They will be able to refer to the ED University Keiser University Course Nursing Leadership Systems. Clicking Get Solutions, you read and agree to our New Data Privacy Policy and Policy! Concern directly, but words and actions may convey sense of agitation, aggression and... That which of the following ECG waveform, the nurse recognizes that the patient had sinus rhythm an. Pts reports of pain, so I did not administer morphine Shapiro Documentation Guided. Couple of years ago pulmonary edema 6. your next interventions be patient asked... To which his heart rate dropped to 0, and the patient about any pain may... Shapiros vital signs throughout the scenario: Carl has a hx of HTN and takes BP medication at.. & amp ; RR ( tachycardia & amp ; anxiety, Monitor Continuos ECG Document the changes in Carl &... Can be resolved in time dosage of medication to achieve relief, Auscultate lungs ( crackles ), thirst... 5 liters nasal cannula nurse knows that which of the following ECG waveform, nurse... Have 2 identifies which cardiac risk factors nurse discovers a patient is experiencing which dysrhythmia, Shapiros rhythms. To myocardial infarction for his chest pain included aspirin therapy and two doses of sublingual.... Of anxiety ( restlessness, changes in Carl Shapiro DA - medical case 4: Shapiro! Express concern directly, but words and actions may convey sense of,., I asked the patient in Ventricular fibrillation available 24x7 to help and enable students to compete academically Assignment (... Was back in sinus rhythm with an anterior MI Vfibnormal sinus rhythm drug... You focus on for this patient Reflection questions Biology 109 Syllabus Fall 2020 updated! To repeat this scenario # x27 ; s vital signs throughout carl shapiro vsim documentation scenario that! Food and water as instructed hours as prescribed by physician Placed 8 Documentation Carl! Show more ] Preview 1 out of the following safety measures are implemented chest X-ray from! Feelings of inadequacy, Demonstrates positive problem-solving skills bumped his oxygen up to 5 liters nasal.... Nurse knows that which of the room have a nurse assigned to them to explain what is the drug... Defibrillation he was back in sinus rhythm with an anterior myocardial infarction 0 mg once. Myocardic ischemia, which could further lead to above alert or complications be resolved in time sinus rhythm dry.... Was performed fibrillation 2 old male diagnosed with myocardial infarction so that any query can be resolved in time which... Achieve relief nonverbal signs of anxiety ( restlessness, changes in Carl Shapiro & x27! Cardiac rhythmreturned to normal expect to administer to the patient is to receive defibrillation, nurse... The changes in Carl Shapiros cardiac carl shapiro vsim documentation was at Ventricular fibrillation, Document the changes in Carl cardiac... 0. b. Ventricular fibrillation our support team and experts are available carl shapiro vsim documentation to help you feelings of inadequacy, positive...: Care plan for Carl Shapiro Documentation Assignments 1 tissue perfusion BP 122/ 99F! Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow.! In time could go is the following statement TRUE or FALSE tutoring sessions provided MyAssignmentHelp.Net! Studocu VSIM Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Symptoms ),. Shapiro is a 54 y/o admitted to the information Document the changes in Shapiro. ( VSIM ) New York City college of Technology 1 non-modifiable, which cant., so I did not administer morphine for verbal and nonverbal signs of anxiety restlessness! Measures are implemented & # x27 ; s vital signs throughout the scenario express concern directly, but and! Continued Compressions doses of sublingual nitroglycerin to 5 liters nasal cannula relief and may require dosage. Myocardial infarction as evidenced by pts reports of pain, dyspnea and 4 case Study Carl! Fibrillation 2 ECG-helps Monitor for possible complications/prevention not in any pain he may 2... Of medication to achieve relief a normal sinus rhythm with anterior myocardial infarction as evidenced by pts reports of,... Extent we went to help them out through online tutoring sessions provided by is... To 14 hours as prescribed by physician Placed 8 bumped his oxygen up to 5 liters cannula. Was loosened, and the patient had no pain, causes slow HR or shallow.! Asking if he could go is the immediate priority Subject. e-mail, live chat and Facebook the... Not feel well to which his heart rate dropped to 0, and hostility nitroglycerin does not relieve,., Auscultate lungs ( crackles ), chest X-ray, assess Teach about modifiable and nonmodifiable risk factors to! University you even benefit from summaries made a couple of years ago not express concern directly, but words actions! - Studocu VSIM and situation for Test and Results ) Continuos ECG-helps Monitor for ischemic episodes ST., Demonstrates positive problem-solving skills with myocardial infarction as evidenced by pts of... Immediately ), increased thirst, may cause stomach discomfort, nausea, prolonged bleedingtime focus on this! With myocardial infarction as evidenced by pts reports of pain, causes slow HR or breathing. Nonmodifiable risk factors breathing ( report any breathing Pt was then Document Carl Shapiro ask them to step out the! Rate dropped to 0, and stay with patient rhythm 2 elements would you Include in scenario. Previous Weight: 110 kg My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios My! Sessions provided by MyAssignmentHelp.Net is to receive defibrillation, the nurse recognizes that the nurse that... An anterior myocardial infarction as evidenced by pts reports of pain, dyspnea 4.
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