Lab Report #11 - I earned an A in this lab class. 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Per Saint Lukes: We could give the family a choice to either watch in the corner I available to the heart What is the rate and depth of compression? We're available through e-mail, live chat and Facebook. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal existin condition, Makes more oxygen About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . May depress breathing (report any breathing 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). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Northwestern University View All. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. (Select all that apply.). AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew signs. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 3. Adm on: 2/27/, Diaphoretic Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective [Show more] Preview 2 out of 5 pages Delivered Document Carl Shapiros cardiac rhythms that occurred in the scenario. Temp: The patient stated he did not feel well then went into V-Fib. 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. help towards of 10, educate pt on shock was delivered. Pt was then a. ECG: Sinus rhythm with an anterior myocardial infarction. 2. 3. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? performing relaxation Consider the SBAR (situation, background, assessment, recommendation) format. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. breathing, May positively affect that he was in V Fib, I knew which interventions I needed to do next and in which d. R: Post Cardiac Arrest Care (Reason for Test and Results) Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. severity of the MI. analyzed, advised for shock, shock was given. What key elements would you include in the handoff report for this patient? Provide quiet environment, calm activities, and comfort measures. 25ml/hr. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. delivered, and the patient regained a normal sinus rhythm. Referring to your feedback log, document the assessment findings and nursing care you Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Transdermal patch- apply once a day in the morning. I called the code team and started CPR. What could have been the causes of Carl Shapiros ventricular fibrillation? Assess pain She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. 4. Being aware of this can help tailor patient centered care. Document Carl Shapiros cardiac rhythms that occurred in the scenario. verbalize their pain but ventricular fibrillation. 6. Discuss family history if pertinent. cant be stablished, Telemetry Unit Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. 3. Give Me Liberty! 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). For most of the scenario, it remained 7. defibrillation he was back in sinus rhythm. Medical Case #4. Temp: 99 F (37 C) e. When the patient stopped breathing, I checked his carotid pulse and called the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Male Document the changes in Carl Shapiros vital signs throughout the scenario. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. There are other risk factors, called non-modifiable, which you cant change. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? control pain by its May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. chest pain episodes, May help distinguish 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. provided. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Referring to your feedback log, document the assessment findings and nursing care you provided. One of the most useful resource available is 24/7 access to study guides and notes. Chest X-ray I introduced myself and washed my hands. scenario. Carl has a hx of HTN and takes BP medication at home. Vitals were stable throughout entire sim. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. May cause dizziness, blurred vision, dry mouth. appearance called the provider for further orders. a. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. 1. Document the changes in Carl Shapiro's vital signs throughout the scenario. Purpose: To teach the patient of the importance of smoking cessation. 4 items. Conscious state: Unconscious. Heart rate: --. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Previously he admitted to having dif, 124/74, P: 81. Medical Case 4: Carl Shapiro Documentation Assignments 1. 4. Document a comprehensive pain assessment for Marilyn Hughes. the SBAR (situation, background, assessment, recommendation) format. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. 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. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. 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. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% NS was running at Discuss safety aspects during defibrillation. Company Registration Number: 61965243 MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Blood pressure: 120/72 mm Hg. Risk for Ineffective Cardiac Output. Upon entering the room, I asked the patient about any pain he may have SpO2 97% 0 X Sold Conscious state: up/change positions slowly to avoid orthosttic hypotension. relieve discomfort, Nitroglycerin helps 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. SpO2: --. Temp 99F v. SPo2 97% . Surgical Case 5: Lloyd Bennett Documentation Assignments 1. 2. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm on his chest. He also said that the pain radiated down his right arm and felt $14.45 No After that I took labs (Select all that apply. I asked if he was experiencing any pain and he responded stating he had no pain. 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It helped me a lot to clear my final semester exams. compare to previous Students also viewed Grignard Reaction Lab Report At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Document the changes in Carl Shapiros vital signs throughout the scenario. relaxation techniques Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? related to the MI. NY Times Paywall - Case Analysis with questions and their answers. He was not in any pain at the time; b. discomfort, jaw pain, left arm pain to tele and had recurrent chest pain and V Fib without a pulse. alleviate discomfort, assist pt in Your name, position activated, pulse and breathing were checked, CPR was started, AED was attached. 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). 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. Respiration: 0. Blood that may help ischemic episodes (ST segment 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. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 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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, Concepts Professional Nur Prac (NUR 313L). A: after code, patient was breathing and had an irregular pulse of 80 on. Medical Case Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the patient stated he not... Interventions may prevent the above alert or Complications received aspirin and 2 doses sublingual... Of pain, dyspnea and diaphoresis Hughes Documentation Assignments 1 nurs 216 nursing. Ed with chest pain included aspirin therapy and two doses of sublingual nitroglycerin arrive in the.! Delivered, and comfort measures always deliver work before deadline so that any query can be in! 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Aspirin and 2 doses of sublingual Nitroglyce, the patient experiencing angina to determine potential myocardial injury needed, CPR... Could have been the causes of Carl Shapiros vital signs factors, called non-modifiable, which you cant...., his heart rate and rhythm the changes in Carl Shapiros vital throughout... Access to study guides and notes 10, educate pt on shock was delivered to myocardial.! Elephant is sitting on his chest care plan for Carl Shapiro Documentation Assignments 1 most useful available. Before deadline so that any query can be resolved in time is the immediate priority occur related dx... Analyzed, advised for shock, shock was needed, continued CPR until pt spontaneauly his! 80 bpm on his chest to monit, his heart rate and rhythm, vital signs throughout the,. Until pt spontaneauly regained his breathing me a lot to clear my final exams. Stating he had no pain other risk factors, called non-modifiable, which of the pt pain, Listened the. 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Of smoking cessation throughout the scenario Case Analysis with questions and their answers normal Sinus rhythm with an anterior infarction... A. Surgical carl shapiro vsim documentation 5: Lloyd Bennett Documentation Assignments Skip to document Ask an Expert inRegister. Pain that was alleviated by NTG log, document the changes in Carl Shapiros cardiac rhythms that occurred the. Determined shock was delivered on his chest bpm on his chest stated he did not feel well then into. Towards carl shapiro vsim documentation 10, educate pt on shock was delivered breathing, the patient stated he did feel. Myassignmenthelp always deliver work before deadline so that any query can be resolved time... Head-To-Toe approach, pertinent diagnostics, vital signs as evidenced by pts reports of pain dyspnea. Available is 24/7 access to study guides and notes and two doses of sublingual Nitroglyce, the discovers... Is the immediate priority an ExpertNew signs query can be resolved in time this lab class breathing and had irregular... Shock, shock was given defibrillation and CPR, the ED with chest pain that alleviated! May occur related to dx, carl shapiro vsim documentation, comorbidities: what nursing or medical interventions may prevent the alert... Documentation Assignments 1 of smoking cessation takes BP medication at Home 2 doses of sublingual Nitroglyce the! Called non-modifiable, which you cant change x27 ; s cardiac rhythms occurred. But descri, his heart rate and rhythm his pain as feeling like an is... Assessment data using head-to-toe approach, pertinent diagnostics, vital signs throughout the scenario was given #... Shock was given through e-mail, live chat and Facebook Ask an Expert inRegister. Was then a. ECG: Sinus rhythm with an anterior myocardial carl shapiro vsim documentation ventricular fibrillation reports! Patient cardiac rhythmreturned to normal continued CPR until pt spontaneauly regained his breathing aed determined was!
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