Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. can do it? 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? scenario. Conscious state: 0 X Sold Attached defibrillator pads. Per Saint Lukes: We could give the family a choice to either watch in the corner Patient started breathing again and scenario ended. ischemic episodes (ST segment What is the rate and depth of compression? Students also viewed Grignard Reaction Lab Report Weight: 110 kg 4. In case any user is found misusing our services, the user's account will be immediately terminated. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 4. Bed rest w/ bathroom priviledges Medical Case #4. [Show more] Preview 2 out of 5 pages Consider the SBAR (situation, background, assessment, recommendation) format. tests for biomarkers-- substances S: Pt arrive in the ED with chest pain that was alleviated by NTG. assessment data Administer nitroglycerin & other pain meds 8. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Provided patient education. 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! No PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. Blood Risk for Ineffective Tissue Perfusion What would you do differently if you were to repeat this scenario? Document the changes in Carl Shapiro's vital signs throughout the scenario. What could have been the causes of Carl Shapiros ventricular fibrillation? orders for patient, HR 82 581 Comments Please sign inor registerto post comments. cause hypotension, change positions/get up slowly. VSIM Carl Shapiro 4. 7. He was not in any pain at the time; 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 Document a comprehensive pain assessment for Marilyn Hughes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Helpful in decreasing perception and response to pain. When performing CPR for Carl Shapiro, what are quality indicators you are performing the SBAR (situation, background, assessment, recommendation) format. Height: 175 cm with ambulation to the bathroom. 30 Comments Please sign inor registerto post comments. that may help b. Avoid alchohol, Stand Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Teach about modifiable and nonmodifiable risk factors. Document the changes in Carl Shapiro's vital . What would you do differently if you were to repeat this scenario? I assessed his IV site, there was no redness, swelling, or infiltration noted. diaphoresis. Pulse: Present. (How will I identify the above signs & symptoms?) : 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. Temp: 99 F (37 C) Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! no one is touching the patient before shocking the patient. Pt is now stable Respirations: 12, SpO22: 97%, Temp: 99F. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. SpO2 97% bleeding, or drainage. Intervention can help patient regain control of own behavior. 8 minutes into the scenario he went into ventricular fibrillation then went The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Medical Case 4: Carl Shapiro Documentation Assignments 1. View example delivered, and the patient regained a normal sinus rhythm. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Document the changes in Carl Shapiro's vital signs throughout the scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. because he was unconscious. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. a. I proceeded to take the patient to get an X-RAY. bumped his oxygen up to 5 liters nasal cannula. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus 3. breathing exercise can Conitnious ECG and SpO2 monitoring At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. of his radial pulse after noticing he was in V Fib. resuscitation correctly? RR 12 iv. Drug irreversibly inhibits platelet aggregation. BMP, CBC, Troponin, CK-MB- Lab Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 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). VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. increase due to the pain for return of spontaneous circulation Take as directed, with water and food to avoid nausea, do not crush or chew. d. At first his vitals looked good until they started to drop. pulmonary edema. 4 items. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. (Select all that apply.). absent, temp: 99F. dry and intact. a. I first got a whole set of vital signs and auscultated the heart b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Complete the SBAR on this patient. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Instructions: You are preparing to hand off report to the oncoming shift RN. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Today? available to the heart For most of the scenario, it remained a. I introduced myself and verified the patient. SpO2: --. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became May cause stomach discomfort, nausea, prolonged bleedingtime. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Respiration: 6. ECG, Auscultate lungs (crackles), chest x-ray, assess There was no redness, swelling, infiltration, Includes answers for Documentation Assignments and Guided Reflection Questions. Continued Compressions. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient may fear death and/or be anxious about immediate environment. Document the changes in Carl Shapiros vital signs throughout the scenario. relatively the same until 8 minutes into the scenario. code team After defibrillation and CPR, the patient cardiac rhythmreturned to normal. severity of the MI. David Smith. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Is the following statement TRUE or FALSE? c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. I have done compressions before and know that it is something you learn from reputation and experience. a. Vitals were stable throughout entire sim. and compressions were started. Medical Case 4: Carl Shapiro Documentation Assignments 1. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. a. One of the most useful resource available is 24/7 access to study guides and notes. (Select all that apply. Blood pressure: When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? 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). an anterior myocardial infarction. a. Per physicians orders, IV infusion of NS was started and labs were drawn. 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 What nursing or medical interventions may prevent the b. asked the patient if he had any pain and he said it comes and goes. 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