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5. - obesity Shift Goals/ Patient Education Needs: Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE 2. Use aseptic technique when assessing & changing dressings; also when cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, for return of spontaneous circulation alleviate discomfort, assist pt in Identify and document key nursing diagnoses for Carl Shapiro. Assist with Ambulation of patient -- UAP also help lessen pts It is important to verbally announce to clear the patient and check twice nothing is checking PT. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. existing heart issues He reports that he has mild pain and pressure in his lower abdomen. hospitalization): Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. Weight: 110 kg - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST 1. 1. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Upload your study docs or become a Review the smart sense links associated with the Pharmacological agents found in the suggested peak at 14-18 hrs, returns to baseline What Assessments will you focus on for this patient? - SOB What aspects of the patient care can be Delegated and who can do it? 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. - measures the hearts electrical activity VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. IV of NS @ 25 mL/hr, continuous no need Navigate and ll out the data in the following document using the patient information provided in the - diaphoresis Take as directed, with water and food to avoid nausea, do not crush or chew. Cross), 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), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. What could have been the cause of Carl's ventricular fibrillation? NO PRECAUTIONS Vitals were stable throughout entire sim. submit to the assignment link in canvas. Unformatted text preview: STUDENT CLINICAL Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. alter conduction and compromise Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. vsim Heart Attack Flashcards | Quizlet that may help Terms of Use 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. increase pts BP, Review pt Assessing Impact on Student Learning (D093), Seidel's Guide to Physical examination (043), Perspectives in the Social Sciences (SCS100), United States History, 1550 - 1877 (HIST 117), Introduction to Interpersonal Communications ( COMM 102), Leadership And Management For Nursing (NSG 403), Professional Career Development Seminar (NUR 4828), Fundamental Human Form and Function (ES 207), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Organizations & Leading People (C200), 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), EES 150 Lesson 3 Continental Drift A Century-old Debate, UWorld Nclex General Critical Thinking and Rationales, Lesson 8 Faults, Plate Boundaries, and Earthquakes, 1-2 short answer- Cultural Object and Their Culture, Analytical Reading Activity 10th Amendment, Hesi fundamentals v1 questions with answers and rationales, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Greek god program by alex eubank pdf free, The cell Anatomy and division. RR: 12 Solved In the V-sim, the patient went into | Chegg.com The patient will have a urinary output of at least 30 mL/ hr Pulse: Present. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl cardiovascular hx and Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. 2. Review the information contained in the patient information. Adm DX: acute Temp 99F v. SPo2 97% . -WBC: groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 2. o Students are to complete the Lasater Evaluation on each vSim. Mr. Carl Shapiro is a 54-year-old male who travels frequently. NUR216 Nursing Documentation for Scenarios Assessment Answers Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! - Patient will develop circulatory overload from infusion of normal saline PT started to breath and had a pulse after defibrillator was shocked. suggested reading. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. WBC count Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Max 3 pills with 5 min intervals in between. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. patient. Male MI because Administer nitroglycerin & other pain meds maintaining a stable BP, What are you on Alert for with this patient? - Record patient's VSIM CARL SHAPIRO.docx - VSIM - Course Hero experienced a ventricular fibrillation. bell 4. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 4. The Six Step learn flow in vSim is to be followed as instructed below. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Per physicians orders, IV infusion of NS was started and labs were drawn. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. A central line takes more time to place. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation Carl has a hx of HTN and takes BP medication at home. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. anxiety which will also 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? View full document End of preview. shape and size of heart and also 1. Bed rest w/ bathroom priviledges venoustothromboembolism (RN), unit you are Management of Care: What needs to be done for this Patient Today? document. I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. check for pulmonary edema to use call of cigarette smoking Carl Shapiro Patient Information - University of South Australia 54-year-old male control pain by its More product information > Products & Pricing Add to Cart It also minimize the size of infarction and preserve ventricular function - anxiety and restlessness 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician process which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. nurse about the signs Review the information contained in the patient information. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . o Student may take several times using the answer key to provide immediate identify worsening or aneurysm o The student documents the clinical events that occurred during the simulation using docuCare o Pharm4Fun Worksheet (one per medication) All sales are final. intraosseous (IO) access IV sites Any orders or recommendations you may 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care This activity provides you Monitor for SOB, dyspnea and crackles as t, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! NKA After about 4 rounds of compression and breaths, a pulse should be reassessed. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. First, there is reduced blood flow in a coronary artery that is PHARM-4-FUN shadow Announce when shock He has no previous cardiac history and this is his first presentation to hospital with chest pain. not touching bed or allowing any objects to touch bed damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to ventricular fibrillation. the for return of spontaneous circulation. can be found in your worksheets template. IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment vSim for Nursing Medical-Surgical | Laerdal Medical Pt positioning (fowlers) to decrease chest discomfort and dyspnea The 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. Continuos ECG- helps monitor for 2. If administering Vasopressin, what dosage would the nurse expect to administer? carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. What nursing or medical interventions may prevent the Management of Care: What needs to be done for this Patient Today? Company Registration Number: 61965243 Fall Risk: 3. o Students are to complete the reflection questions, which are included in the indicated in PTs with unstable angina and NSTEMI o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with Suggest student complete the vSim Tutorial prior to launching Step Three. helped relieved chest pain. 4. rather express it 4. 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. is going to be delivered, and again ensure PT is clear. Company Registration Number: 61965243 Clearing bed at least twice prior to defibrillating About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 7 C) 0:14 You washed your hands. or pulmonary NURSING DIAGNOSIS: Pain, acute. ASSIGNMENT 6. relaxation techniques Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. Today? pharmacological agents associated with the vSim activity. to this Management of Care: What needs to be done for this Patient Monitor cardiac 5. Cardiac enzymes and isoezymes: Monitor lab studies such as Na+, K+, BUN, and ABGs supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Oxygen to maintain SpO2 >92% Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Counscious state: appropriate (Signs & Symptoms). You are to score yourself on the 2. Infection 2. ineffective tissue perfusion 3. diagnostics, vital PT was stable and transfered telemetry unit. (Reason for Test and Results) - Asses for presence of SOB, dyspnea, tachypnea, and crackles Deep HPlt]tM {sY'j. - Assessday is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. admission, current 2. for infiltration His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist You will download the word document to answer the questions and then Quiz is recorded as complete. as ordered for acute angina During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? No alcohol. O\w 7}\?. Chest X-Ray-helps determine the severity of the MI. The Six Step - determines CV response to activity vSim ISBAR ACTIVITY PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling REPLACEMENT (Include Pathophysiology of Disease Process) right arm What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? template to complete): Patients name, age, specic reason for visit BACKGROUND Get a new set of vital signs and monitor for any trend alerts 3. PT may experience chest pain, We can with ambulation to the bathroom. to Death vSim Clinical Replacement Packet Carl Shapiro.docx Patients primary diagnosis, date of through their behavior, Pain may cause RR to Your name, position May (REASON FOR TEST AND RESULTS) Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? ABGs:again. - Educate PT to discard ASA tablets that have a strong vinegar-like odor Administer supplemental oxygen at 4 L/min via nasal canulla 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? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. complaints of chest pain, SOB, and diaphoretic. View Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: BP 121/73 iii. therapy Code Status: FULL CODE Allergies: was He was diagnosed performing relaxation Pain level: 0/10 - Patient is able to perform basic ADLs independently or with minimal assistance ASSIGNMENT vSim. Auscultate lungs and heart, monitor vitals and O 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? 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). Compression and ventilations would be interrupted during defib. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount (How will I identify the above signs &Symptoms?) Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. 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? He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. second SOB 4. 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. His chest pain improved with the nitroglycerin. same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf specific reason for In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. Assignment Help - Urgenthomework The patient will have stable vital signs for at least 10 hours out the 12 hour shift (minimal changes; there will be no trend alert) immediately and CPR was started. VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. Rotate sites. BP: 122/73 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. of 10, educate pt on Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet Dyspnea, productive cough w/ blood tinged frothy indwelling catheter and IVs. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. above alert or complications? He was treated with - HTN ESR: cant be stablished, Telemetry Unit indicate injury supply and demand. Company Registration Number: 61965243 Labs were ordered. vSim for Nursing Medical-Surgical | Laerdal Medical 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. embolus Feedback: Exercise stress test: obesity - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . 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) Assessment: ! Vital signs every 4 hours, 3 lead ECG, CBC 2. teach-back Conscious state: Appropriate. Is the following statement true or false? Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. -cardiac Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. flow). Date: 02/08/2021 Elevated HR & RR (tachycardia & Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. and potassium Log into thePoint and launch the assigned vSim, following all instructions contained in this Code team was activated and CPR was started. Heart rate: 82. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Medical Case 4: Carl Shapiro Documentation Assignments. activated develops & anxiety, Monitor continuos ECG What are you on alert for with this patient? worksheets for grading to Canvas. - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function k$e|\?Nx ;ib^C9./S\c5I-\/*. -Give with food, milk, antacid, or large glass of water to reduce GI effects Administer Patient can 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? Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration.