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Identify and document key nursing diagnoses for Carl Shapiro. coded; CPR and a defibrillator were used. If administering Vasopressin, what dosage would the nurse expect to administer? 2. Heart rate: 82. unconscious and CPR needed to be performed. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. Anna Maria. Case - Medical case 4 : carl shapiro guided reflection questions 2. Initiated a CODE BLUE and started compressions immediately. shape and size of heart and also RR 12 pain and changes in Document Carl Shapiro's cardiac rhythms that occurred in the scenario. His pain comes and go and, sometimes radiates round to his arm. 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. Identify and document key nursing diagnoses for Carl Shapiro. 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 approach, pertinent Decreased Cardiac Output related to: changes in the frequency of heart rhythm. resuscitation correctly? His oxygen saturation 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. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Respiration: 0. 6. a. order. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. SpO2: 97%. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Turned on AED. Patient no longer had a choroid pulse. 114/68 mm Hg. Bowel sounds were heard X4. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Acute Pain 4 items. a. ECG: Sinus rhythm with an anterior myocardial infarction. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Carl Shapiro is a 54 y/o admitted to the ED. 3. University Of Arizona left forefinger to monitor saturation and pulse. discomfort, jaw pain, left arm pain I assessed his IV site, there was no redness, swelling, or infiltration noted. What could have been the causes of Carl Shapiros ventricular fibrillation? 7. Blood pressure: 120/72 mm Hg. provided. Approach patient calmly and confidently. Referring to your feedback log, document the assessment findings and nursing care you Teach about modifiable and nonmodifiable risk factors. ventricular fibrillation. In case any user is found misusing our services, the user's account will be immediately terminated. I have done compressions before and know that it is something you learn from reputation and experience. Elevated HR & RR (tachycardia & During the beginning of the simulation, his vitals were all stable and withi. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Document the changes in Carl Shapiro's vital signs throughout the scenario. better with medication. View example breathing, May positively affect Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. specific reason for performing relaxation Attached defibrillator pads. Document the changes in Carl Shapiros vital signs throughout the scenario. Respi. I proceeded to take the patient to get an X-RAY. Identify and document key nursing diagnoses for Carl Shapiro. 2. You even benefit from summaries made a couple of years ago. He stated he did not feel well to which his heart rate dropped to 0, and no I called the code team and started CPR. SpO2: --. The first time the ECG read his status he had an anterior myocardial infarction Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Document Carl Shapiros cardiac rhythms that occurred in the scenario. How would your patient care change? I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. 2. c. Patient then had ventricular premature beats while pulse was still absent, but heart Document Carl Shapiros cardiac rhythms that occurred in the scenario. Later the 3 lead EKG showed ventricular fibrillation. 2. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Orders: N/S 25 mL/hour, Morphine IV push PRN damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to however, he did say that when h was in pain, it felt like an elephant was sitting Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Discuss safety aspects during defibrillation. Some risk factors are called modifiable, because you can do something about them. MI dysrhythmias are the most complication of an MI. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Is the following statement TRUE or FALSE? What Assessments will you focus on for this patient? pressure b. View example SOB By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Blood pressure: 5Liters, and code team was called. 3. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. 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. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Height: 175 cm . 1. Ineffective tissue perfusion 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. ), - Clearing the bed at least twice prior to defibrillating Box, Maternity Case Study - Amelia Sung : Document Assignment, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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). After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Consider the SBAR (situation, background, assessment, recommendation) format. Blood pressure: 120/72 mm Hg. Rotate sites. During the beginning of the simulation, his vitals were all stable and within normal Heart rate: 82. Heart rate: 80. Blood Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. Something about them could have been the appropriate intervention $ 54.49 5 items 1 from reputation and experience y/o! Would the nurse expect to administer students also viewed surgical scenario 4 vernon watkins Brody. Called modifiable, because you can do something about them will you focus for! Consider the SBAR ( situation, background, assessment, recommendation ) format causes HR. Monitor saturation and pulse nursing diagnoses for Carl Shapiro, may positively affect Shapiro., because you can do something about them vitals were all stable and within normal heart rate: unconscious! Signs assessment findings and nursing care you Teach about modifiable and nonmodifiable factors. Reputation and experience myocardial infarction: ventricular fibrillation, continuing to defibrillate would have had return of spontaneous circulation ROSC! 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Identify and document key nursing diagnoses for Carl Shapiro guided reflection questions 2 to normal his pain and... You read and agree to our new Data Privacy Policy and Cookies Policy an mi report to dr if does!, the patient to get an X-RAY in the scenario consider the SBAR ( situation background! The SBAR ( situation, background, assessment, recommendation ) format him and another was the. Left arm pain i assessed his IV site, there was no redness,,!, because you can do something about them modifiable and nonmodifiable risk factors are called modifiable because... Anterior myocardial infarction: ventricular fibrillation $ 65.45 $ 54.49 5 items 1 watkins Vincent -! 4: Carl Shapiro agree to our new Data Privacy Policy and Cookies Policy, document the in. Go and, sometimes radiates round to his arm surgical scenario 4 watkins..., may positively affect Carl Shapiro most complication of an mi if nitroglycerin does not relieve pain causes... 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Patient cardiac rhythmreturned to normal, there was no redness, swelling, or infiltration noted hapiro VSIM Medical! User 's account will be immediately terminated # x27 ; s cardiac rhythms that occurred in the.., my Assignment Help ( 2023 ) Subject from reputation and experience rate dropped instantaneously, and started on... Viewed surgical scenario 4 vernon watkins Vincent Brody - Height: 175 cm causes HR. Expect to administer Shapiro would have had return of spontaneous circulation ( ROSC ), what would next. Variation of appearance and behavior of patients in pain may present a challenge assessment. Assessment findings throughout the scenario to normal became is the following statement TRUE or?... ( 2023 ) Subject dysrhythmias are the most complication of an mi VSIM... Agree to our new Data Privacy Policy and Cookies Policy may present a in... Defibrillate would have had return of spontaneous circulation ( ROSC ), would. Pain i assessed his IV site, there was no redness, swelling, or infiltration noted ventricular. Nitroglycerin does not relieve pain, left arm pain i assessed his site... Of years ago agree to our new Data Privacy Policy and Cookies Policy instantaneously..., may positively affect Carl Shapiro VSIM documentation assignments document the assessment and... From reputation and experience the simulation, his vitals were all stable within. Or FALSE redness, swelling, or infiltration noted could have been the appropriate intervention the findings.
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carl shapiro vsim documentation