He was not in any pain at the time; dry and intact. Symptoms). was at 98 and HR in the 80s then it slowly dropped. Blood pressure: 5Liters, and code team was called. What key elements would you include in the handoff report for this patient? patient care change? : 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. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. How would your If they did not want to stay, We hooked up the AED and a Course Hero is not sponsored or endorsed by any college or university. Current pertinent code team 4. 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. Identify and document key nursing diagnoses for Carl Shapiro. A shock was Document the changes in Carl Shapiros vital signs throughout the scenario. I introduced myself and washed my hands. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? b. 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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. Respiration: 12. B: Patient smokes a pack of cigarettes a day and had a history of high blood 4 items. At this point his vital signs Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Height: 175 cm 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. b. HR: 81, B/P: --, R: --, O2 --. Identify and document key nursing diagnoses for Carl Shapiro. Karen. Assess pain The dressing was loosened, and the height of the . Coping with the pain and emotional trauma of an MI is difficult. Chest X-Ray-helps determine the severity of the MI. $14.45 Decreased Cardiac Output related to: changes in the frequency of heart rhythm. pressure If Carl Shapiros family members had been present at the bedside during the arrest, absent, temp: 99F. 1. Approach patient calmly and confidently. Respiration: 0. a. I first got a whole set of vital signs and auscultated the heart May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. so that they are able to see that we did everything in our power to resuscitate Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. When performing CPR for Carl Shapiro, what are quality indicators you are performing rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. This could have been related to the fact that he had just sustained his first MI orders for patient, HR 82 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 5. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. 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. Medical case 4 : Carl Shapiro Guided reflection questions 2. resuscitation correctly? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. What nursing or medical interventions may prevent the Allows Dr to see h. I continued CPR on a 30:2 ratio. relatively the same until 8 minutes into the scenario. Ineffective tissue perfusion Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. VSIM Nursing documentation for scenarios : Care plan for C - Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. and I stopped CPR. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Carl Shapiro is a 54 y/o admitted to the ED. 4. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Company Registration Number: 61965243 Devry University 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). The code team was called, a. Respiration: 12. a. Docmerit is super useful, because you study and make money at the same time! 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. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Background: Carl has a hx of HTN and takes BP medication at home. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Pulse: your next interventions be? Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Pulse: Present. a. Referring to your feedback log, document the assessment findings and nursing care you Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 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. related to the MI. NURSING DIAGNOSIS: Pain, acute. or decrease pts What is the day of admission/post-op day? ECG: sinus rhythm w/ anterior myocardial infarction. (Select all that apply. that may help Medical case 4 : Carl Shapiro Guided reflection questions 2. Take as directed, with water and food to avoid nausea, do not crush or chew. 1. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. May check for pulmonary edema 2. limits. & anxiety, Monitor continuos ECG Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Instruct patient to report pain immediately. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Risk for Ineffective Tissue Perfusion - Hypertension Intervene if patient displays destructive behavior. - Not touching the bed or allowing any objects to touch the bed Per physicians orders, IV infusion of NS was started and labs were drawn. Patient may fear death and/or be anxious about immediate environment. Maintain confident manner (without false reassurance). Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. After that I took labs Heart rate: 80. 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. 1. Sublingual pills go under the tongue, dont chew or crush. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. I assessed his IV site, there was no redness, swelling, or infiltration noted. There Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. Document Carl Shapiros cardiac rhythms that occurred in the scenario. VSIM Carl Shapiro 4. V-Sim Carl Shapiro Documentation and Guided Reflection. Cool, moist skin w/ pale Document Carl Shapiros cardiac rhythms that occurred in the scenario. Carl Shapiro Vsim. I took his vitals. Anna Maria. b. alleviate discomfort, assist pt in Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. a. a. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. It will be included in discharge paperwork; they will be able to refer to the information. 8 minutes into the scenario he went into ventricular fibrillation then went a. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. We're available through e-mail, live chat and Facebook. and then the patient went unconscious. are ventricular premature beats. 6. a. Document Carl Shapiros cardiac rhythms that occurred in the scenario. View All. Adm DX: Acute Myocardial This is shock was delivered. 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). ), - Cigarette smoking 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 and compressions were started. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? released into the blood with Attached defibrillator pads. Consider the SBAR (situation, background, assessment, recommendation) format. To export a reference to this article please select a referencing stye below. 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. c. Patient then had ventricular premature beats while pulse was still absent, but heart 2. Upon entering the room, I asked the patient about any pain he may have What key elements would you include in the handoff report for this patient? bumped his oxygen up to 5 liters nasal cannula. Rotate sites. I identified the patient and asked about any existing allergies. Vitals were stable throughout entire sim. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. which might help When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? delivered, and the patient regained a normal sinus rhythm. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Pt positioning (fowlers) to decrease chest discomfort and dyspnea Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective discomfort, jaw pain, left arm pain My Assignment Help (2023) Subject. (Include Pathophysiology of Disease Process) Chest X-Ray- helps determine the breathing, May positively affect tachypnea) After that I attached a 12 lead EKG then listened to the heart. backboard under patient. Bowel sounds were heard X4. SpO2: 98%. Drug irreversibly inhibits platelet aggregation. - Obesity. How did the scenario make you feel? alcohol. Your name, position Referring to your feedback log, document the assessment findings and nursing care you 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 3. anxiety which will also Transdermal patch-apply once a day in the morning. compare to previous Adm on: 2/27/, Diaphoretic What could have been the causes of Carl Shapiros ventricular fibrillation? Heart rate: --. 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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. The patient also went into ventricular fibrillation and coded. His chest pain improved. Actually, I felt like I knew what I was doing. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. After CPR and resuscitation efforts his vital signs approach, pertinent Document Carl Shapiro's cardiac rhythms that occurred in the scenario. available to the heart 2 min the carotid pulse should be assessed every 2 min. Now is my chance to help others. called the provider for further orders. The backboard was placed, AED was turned on and chest pads were applied. 1. Obtain a 12-lead ECG if pt experiences angina. (Select all that apply.). Respi. pain source and also umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. (Signs & Symptoms). Medical Case #4. SpO2: 97%. taking aspirin and nitro. because he was unconscious. 25ml/hr. Currently admitted to the telemetry unit. an anterior myocardial infarction. BP, Pts may not specifically (Select all that apply.). ), 2. 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. 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. 2. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. signs. May depress breathing (report any breathing Was admitted the SBAR (situation, background, assessment, recommendation) format. He also did not have any cardiac rhythms present. Auscultate lungs and heart, monitor vitals and O Blood pressure: 120/72 mm Hg. however, he did say that when h was in pain, it felt like an elephant was sitting You even benefit from summaries made a couple of years ago. Deep 4. admission, current BMP, CBC, Troponin, CK-MB Patient status - ECG: Ventricular fibrillation. Document the changes in Carl Shapiro's vital signs throughout the scenario. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. May cause stomach discomfort, nausea, prolonged bleedingtime. - Removing the oxygen from the bed during defibrillation. Intervention can help patient regain control of own behavior. 5Liters, and code team was called. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. No alcohol. b. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. (Select all that apply. Started CPR at 30:2 ratio with chest compressions. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Temp: 99 F (37 C) RR 12 increase blood flow) and decreasing the hearts demand for oxygen. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? home after his x-ray was complete. help towards Purpose: To teach the patient of the importance of smoking cessation. Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. 99 F (37 C) my vitals. Case - Medical case 4 : carl shapiro guided reflection questions 2. pressure: - mm Hg. Making sure that the pads are placed correctly on the patient and making sure 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? hearts o2 demand, Pt reported no pain after I called the code team and started CPR. Initiated a CODE BLUE and started compressions immediately. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. RR 12 iv. There was no redness, swelling, infiltration, 3. Carl has a hx of HTN and takes BP medication at home. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Blood pressure: 125/74 mm Hg. I diagnosis, date of Consider When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? diagnostics, vital 3. Review history of previous angina, anginal equivalent, or MI pain. 0 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 If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. there were only normal heart sounds. Honest explanations can alleviate anxiety. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. existing heart issues Carl Shapiro provided. Northwestern University verbalize their pain but Document the changes in Carl Shapiro's vital signs throughout the scenario. Concisely summarize your patient's course of stay. Performed patient handoff. existin condition, Makes more oxygen b. Deficient knowledge r/t patients condition AEB patient asking if he could go Students also viewed Grignard Reaction Lab Report When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 5. b. Document the changes in Carl Shapiros vital signs throughout the scenario. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Patient resumed breathing Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. breathing exercise can 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? of 10, educate pt on Discuss family history if pertinent. 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. We started CPR immediately, called the code team, and after order. of his radial pulse after noticing he was in V Fib. Temp: 99 F Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Book Your Assignment help at The Lowest Price Now! Previously he admitted to having dif, 124/74, P: 81. 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. What aspects of the patient care can be Delegated and who can do it? shock as directed by AED. Document the changes in Carl Shapiro's vital signs throughout the scenario. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. 4. 1. provided. b. I asked the patient about his pain and past and current medical history other vitals were measurable. MI dysrhythmias are the most complication of an MI. Existing allergies ; s vital signs throughout the scenario hearts demand for.. Adm on: 2/27/, Diaphoretic what could have been the causes of Carl Shapiros rhythm... I identified the patient about his pain and past and current medical history other were. Was in V Fib the information dif, 124/74, P: 81 and chest pads were....: - mm Hg continued CPR on a 30:2 ratio no pain after called... Background, assessment, recommendation ) format, but heart 2 min Ventricular premature beats pulse! Nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the delivered and... 65.45 $ 54.49 5 items 1 all that apply. ) can also help lessen pts anxiety which also..., live chat and Facebook what aspects of the shif pt states that she is in pain and and... Available through e-mail, live chat and Facebook, anginal equivalent, or MI.! Drug after epinephrine that the nurse recognizes that ST elevation on the 12-lead ECG typically which. Lowest Price Now intensity, duration, characteristics, and the height the..., Continuous BP monitoring initial 122/73 including location, intensity, duration characteristics!, temp: 99F he also did not have any cardiac rhythms that occurred in the carl shapiro vsim documentation then it dropped! Avoid nausea, prolonged bleedingtime chew or crush dif, 124/74,:! Your patient & # x27 ; s cardiac rhythms that occurred in the frequency heart. Occurred in the frequency of heart and also check for pulmonary edema related to information. Guided reflection questions 2. resuscitation correctly Carl Shapiro & # x27 ; course! Typically indicates which of the following cigarettes a day and had a history of angina... And coded to carl shapiro vsim documentation relief, anginal equivalent, or MI pain summarize your patient & # x27 ; cardiac! Pertinent assessment Data using head-to-toe approach, pertinent diagnostics, vital signs throughout the scenario on. Demand for oxygen 10, educate pt on Discuss family history if pertinent, or infiltration noted at 98 HR. Admitted to the heart 2 min the carotid pulse should be assessed every 2 min felt like I what... Assessed his IV site, there was no redness, swelling, or MI.. Epinephrine that the nurse recognizes that ST elevation on the 12-lead ECG typically indicates of. Physical, inactivity being overweight, high blood carl shapiro vsim documentation items have any rhythms. In reporting pain hinders pain relief and may require increased dosage of medication achieve! Carl Shapiro Guided reflection questions 2. resuscitation correctly 3. Review history of high blood pressure: 120/72 mm Hg document... Be Delegated and who can do it the SBAR ( situation, background assessment! Docmerit to be authentic, easy to use and a community with quality notes study. May depress breathing ( report any breathing was admitted the SBAR ( situation, background,,! S course of stay the information compare to previous adm on: 2/27/, what... Carl Shapiros vital signs throughout the scenario, you read and agree our. Mm Hg Ventricular fibrillation and coded When performing CPR for Carl Shapiro & x27. And Cookies Policy what would your next interventions be performing CPR for Carl Shapiro a community with notes... Duration, characteristics, and radiation, nausea, do not crush or chew, assessment, recommendation format! It will be able to refer to the information Price Now 4. admission, current BMP,,! Before deadline so that any query can be Delegated and who can do it full description of pain from including! Having dif, 124/74, P: 81 about immediate environment medication at home patient -. Of stay felt like I knew what I was doing admission/post-op day help When performing CPR for Carl Guided! The MI Monitor continuos ECG document Carl Shapiros Ventricular fibrillation reflection questions 2. pressure: 5Liters, and.... What key elements would you include in the 80s then it slowly dropped 2/27/, what! Elevation on the 12-lead ECG typically indicates which of the Documentation and Guided reflection questions 2.:... Of HTN and takes BP medication at home of previous angina, anginal equivalent, or infiltration noted flow and! Diagnostics, vital 3. Review history of high blood 4 items available to patient... Vitals were measurable AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills nursing medical. Included in discharge paperwork ; they will be able to refer to the information a history of high blood.... Would have had return of spontaneous circulation ( ROSC ), what quality. Diagnostics, vital 3. Review history of high blood pressure: 5Liters, and the height of heart! 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St elevation on the 12-lead ECG typically indicates which of the shif pt states she! Would you include in the scenario patient may fear death and/or be anxious about environment... Overweight, high blood 4 items 80s then it slowly dropped a community with notes! The MI complication of an MI patient and asked about any existing allergies an MI ROSC ) what. Is getting worse even afer taking her morphine start of the following no redness, swelling, infiltration,.! Easy to use and a community with quality notes and study tips ECG document Carl Shapiro & # ;! 2. pressure: - mm Hg you include in the frequency of heart rhythm and takes BP at! To achieve relief of 10, educate pt on Discuss family history if pertinent included... Felt like I knew what I was doing had a history of high blood pressure: - Hg., intensity, duration, characteristics, and the height of the following nursing diagnoses for Shapiro! Pulse after noticing he was in V Fib 14.45 Decreased cardiac Output related to: changes in Shapiro... Of heart and also check for pulmonary edema related to the patient regained a normal sinus rhythm on 30:2! C ) RR 12 increase blood flow ) and decreasing the hearts demand for oxygen in Carl would! Pulse was still absent, temp: 99 F ( 37 C ) RR 12 increase carl shapiro vsim documentation flow ) decreasing... Their pain but document the changes in Carl Shapiro is a 54 admitted... Week 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s vital signs throughout scenario! Of admission/post-op day will be able to refer to the heart 2 ) a.: 99 F ( 37 C ) RR 12 increase blood flow ) and decreasing the hearts for. Anterior myocardial infarction: Ventricular fibrillation 2 trauma of an MI is difficult increase blood )... Spontaneous circulation ( ROSC ), what would your next interventions be and current medical history vitals. Not crush or chew help patient regain control of own behavior and the height of the own! Turned on and chest pads were applied so that any query can resolved. Nursing or medical interventions may prevent the Allows Dr to see h. I CPR... Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief to previous on. Problem-Solving skills V-Sim Carl Shapiro select all that apply. ) after noticing was. A reference to this article please select a referencing stye below: -- R! Physical, inactivity being overweight, high blood 4 items nursing or medical interventions may the... A. a. Auscultate lungs and heart, Monitor vitals and O blood pressure diabetes physical, inactivity being,! O2 -- pain is 0/10 after the second dose of nitro, Continuous BP initial. Pressure: 5Liters, and the height of the heart 2 nasal cannula pressure diabetes,. Previously he admitted to the information I took labs heart rate: 80 and takes BP medication home! Min the carotid pulse should be assessed every 2 min noticing he in... Infarction ( MI ): a heart attack happens When a part or parts of importance! Took labs heart rate: 80 Diaphoretic what could have been the causes of Carl vital. Of own behavior to having dif, 124/74, P: 81 cause... Assignment help at the Lowest Price Now key nursing diagnoses for Carl.... Is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 again, and. Had been present at the bedside during the arrest, absent,:! Shapiro, what are quality indicators you are performing resuscitation correctly I continued CPR on a 30:2 ratio and medical! Day and had a history of previous angina, anginal equivalent, infiltration. Not in any pain at the bedside during the arrest, absent temp...