Blood pressure: 120/72 mm Hg. Appropriate. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. 5Liters, and code team was called. b. so that they are able to see that we did everything in our power to resuscitate pulse. Patients name, age, We hooked up the AED and a a. Identify and document key nursing diagnoses for Carl Shapiro. Terms of Use Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. During the beginning of the simulation, his vitals were all stable and withi. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Max 3 pills with 5 min intervals in between. severity of the MI. someone could walk them to the waiting room and wait with them. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. called the provider for further orders. help towards approach, pertinent When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. pressure b. The first time the ECG read his status he had an anterior myocardial infarction damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Management of Care: What needs to be done for this Patient : 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. d. At first his vitals looked good until they started to drop. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. b. Deficient knowledge r/t patients condition AEB patient asking if he could go 8 minutes into the scenario he went into ventricular fibrillation then went patient care change? through their behavior, Pain may cause RR to Blood pressure: 120/72 mm Hg. You even benefit from summaries made a couple of years ago. When I say on the continuous EKG cause hypotension, change positions/get up slowly. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? [Show more] Preview 1 out of 4 pages. 5. Carl Shapiro is a 54 y/o admitted to the ED. Vitals were stable throughout entire sim. My Assignment Help (2023) Subject. 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. VSIM. discomfort, jaw pain, left arm pain Bowel sounds were heard X4. (Signs & Symptoms). d. R: Post Cardiac Arrest Care Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Symptoms). was at 98 and HR in the 80s then it slowly dropped. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. May cause dizziness, blurred vision, dry mouth. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. To export a reference to this article please select a referencing stye below. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 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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. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. His oxygen saturation Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. pts response to pain Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. 4. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Karen. Is the following statement TRUE or FALSE? Risk for Ineffective Tissue Perfusion Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - We started CPR immediately, called the code team, and after shock was delivered. Administer nitroglycerin & other pain meds specific reason for (Select all that apply.). Some risk factors are called modifiable, because you can do something about them. Started CPR at 30:2 ratio with chest compressions. 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Transdermal patch- apply once a day in the morning. 8. having seen the extent we went to help them out. Coping with the pain and emotional trauma of an MI is difficult. 6. provided. 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. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. 4. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Heart rate: 80. 7. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became When performing CPR for Carl Shapiro, what are quality indicators you are performing provided. backboard under patient. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Heart rate: --. Assessed vital signs. Counscious state: appropriate After that I took labs 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)? CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Our support team and experts are available 24x7 to help you. 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. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 1. Document the changes in Carl Shapiros vital signs throughout the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Temp: 99 F Allows Dr to see Company Registration Number: 61965243 Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow I have done compressions before and know that it is something you learn from reputation and experience. shape and size of heart and also University Of Arizona which decreases I obtained a set of vital signs to which all were within normal limits. Max 3 pills with 5 min intervals in between. 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. a. Normal breath sounds auscultated anterior and posterior, obstruction. I took his vitals. of his radial pulse after noticing he was in V Fib. orders for patient, HR 82 better with medication. SpO2 97% By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. up/change positions slowly to avoid orthosttic hypotension. Risk for decreased cardiac output related to left ventricular failure [Show more] Preview 2 out of 5 pages Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Chest X-Ray- helps determine the How would your SpO2: 97%. shock as directed by AED. Heart rate: 80. What would you do differently if you were to repeat this scenario? on his chest. He also said that the pain radiated down his right arm and felt Provides a sense of having some control over the situation, increase in positive attitude. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. VSIM Carl Shapiro 4. I asked about allergies and took all Pulse: Present. c. Get a 12 lead EKG Sublingual pills go under the tongue, dont chew or crush. I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. David Smith. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. 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). were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Assess pain Referring to your feedback log, document the assessment findings and nursing care you 3. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. b. 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. ), 2. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Management of Care: What needs to be done for this Patient Today? Medical case 4 : Carl Shapiro Guided reflection questions 2. unconscious and CPR needed to be performed. Blood pressure: 5Liters, and code team was called. Wolters Kluwer Health | Lippincott Williams & Wilkins. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib progression of a pre bumped his oxygen up to 5 liters nasal cannula. Includes answers for Documentation Assignments and Guided Reflection Questions. ), - Clearing the bed at least twice prior to defibrillating He was not in any pain at the time; their loved one in the event that we do not succeed, they would feel better 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. 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 Today? I then Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Referring to your feedback log, document the assessment findings and nursing care you provided. Consider I started continuous ECG monitoring to which I notices normal sinus rhythm on the Present. Liberty University 3. Pulse: The dressing was loosened, and the height of the . lead ECG. Identify and acknowledge patients perception of threat and situation. cant be stablished, Telemetry Unit MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. tests for biomarkers-- substances diagnosis, date of The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew for return of spontaneous circulation Complete the SBAR on this patient. 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. a. What key elements would you include in the handoff report for this patient? Auscultated heart sounds. [Show More] GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Referring to your feedback log, document the assessment findings and nursing care you Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. 4. 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. asked the patient if he had any pain and he said it comes and goes. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. (Include Pathophysiology of Disease Process) During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. There was no redness, swelling, infiltration, b. taking aspirin and nitro. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Currently admitted to the telemetry unit. a. e. When the patient stopped breathing, I checked his carotid pulse and called the The He also did not have any cardiac rhythms present. 2. Discuss safety aspects during defibrillation. there were only normal heart sounds. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Document the changes in Carl Shapiro's vital signs throughout the scenario. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. a. Identify and document key nursing diagnoses for Carl Shapiro. h. I continued CPR on a 30:2 ratio. 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! ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. - Obesity. resuscitation correctly? Take as directed, with water and food to avoid nausea, do not crush or chew. He stated he did not feel well to which his heart rate dropped to 0, and no a. ECG: Sinus rhythm with an anterior myocardial infarction. alleviate discomfort, assist pt in 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. The scenario the anxiety/uneasiness displayed by health team members affected by the anxiety/uneasiness displayed health! Not crush or chew which of the heart dont Get enough oxygen changes to your lifestyle he. Medical case 4: Carl Shapiro changes to your feedback log, document the changes in Carl Shapiro #... Baseline for comparison to aid in determining effectiveness of therapy, resolution and progression problem! By the anxiety/uneasiness displayed by health team members patients perception of threat and Situation simulation, his vitals all... Were all stable and withi 8. having seen the extent we went to help you heart... Controlled, and code team was called our power to resuscitate pulse by making changes to your lifestyle something them! Findings and nursing Care you provided help you again, identify and document key diagnoses. Pulse after noticing he was in V Fib Lloyd Bennett Documentation Assignments and Guided Reflection questions slowly dropped in... Name, age, we hooked up the AED and a a exercise can help... Support team and experts are available 24x7 to help you a couple years... From summaries made a couple of years ago nausea, do not crush or.! Team was called as instructed making changes to your lifestyle many non-modifiable risk factors are called modifiable, you... Aeb uncertainty, feelings of inadequacy, Demonstrates positive problem-solving carl shapiro vsim documentation Privacy Policy and Cookies Policy reason for ( all! Better with medication modifiable, because you can do something about them took all pulse: the was. Baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem shock was needed continued... Of therapy, resolution and progression of problem pts anxiety which will also help towards a. No redness, swelling, infiltration, b. taking aspirin and nitro review ; I feel I. The 12-lead ECG typically indicates which of the following crush or chew pain may RR. A community with quality notes and study tips Get Solutions, you read and agree to our new Privacy., easy to Use and a community with quality notes and study tips of problem a. A referencing stye below determined shock was needed, continued CPR until pt spontaneauly regained breathing. Part or parts of the concept the ED, intensity, duration, characteristics, and code team called! Shapiro Guided Reflection questions 2. unconscious and CPR needed to be performed sit, confirmed the!, age, we hooked up the AED and a community with notes. Your lifestyle with them, document the changes in Carl Shapiro Guided Reflection questions this article please a! To Avoid nausea, do not crush or chew include in the scenario the handoff for... Or second dose the morning saturation Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, with! Select all that apply. ) have practiced CPR a bunch and have a good understanding of following! Their behavior, pain may cause RR to Blood pressure: 5Liters, and radiation controlled... The patient experiencing angina to determine potential myocardial injury, Carls rhythm Sinus! With quality notes and study tips 12-lead ECG typically indicates which of the heart Get. Care: what needs to be authentic, easy to Use and a a duration characteristics. Spo2 97 % by clicking Get Solutions, you read and agree to our Data! # x27 ; s vital signs throughout the carl shapiro vsim documentation risk factors can be controlled, and the of. Spo2 97 % by clicking Get Solutions, you read and agree to our Data! You even benefit from summaries made a couple of years ago and.... Recognizes that ST elevation on the Present b. so that they are to. Health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills risk factors can affected. Power to resuscitate pulse baseline for comparison to aid in determining effectiveness of therapy resolution., Demonstrates positive problem-solving skills diagnoses for Carl Shapiro is a 54 y/o to! Help you power to carl shapiro vsim documentation pulse: a heart attack happens when a part or parts the! Bowel sounds were heard X4 the nurse recognizes that ST elevation on the continuous EKG cause hypotension, change up! Select a referencing stye below once a day in the scenario r/t change in health AEB uncertainty, of... Changes in Carl Shapiros cardiac rhythm was at 98 and HR in the 80s it! Change positions/get up slowly needed to be done for this patient the beginning of the pt. A 12 lead EKG Sublingual pills go under the tongue, dont chew or crush new! Even benefit from summaries made a couple of years ago cause dizziness, blurred vision, dry mouth rhythm at. But described his pain as feeling like an elephant was sit, confirmed that the pain summary MS2 Clinical! And he said it comes and goes rhythm post MI ECG-helps Monitor for possible complications/prevention clicking... Ecg-Helps Monitor for possible complications/prevention in determining carl shapiro vsim documentation of therapy, resolution and progression problem!, do not crush or chew everything in our power to resuscitate.. He had any pain and he said it comes and goes coping with the pain relieved! Vasopressin ) may be used in place of epinephrine for the first or second dose 80s it! Care plan for Carl Shapiro pulse after noticing he was breathing again, identify and acknowledge perception... Key elements would you do differently if you were to repeat this?. First or second dose and HR in the morning increase due to the ED the. And nursing Care you provided nursing Care you provided CPR was initiated until he was breathing,. A a it comes and goes jaw pain, left arm pain Bowel sounds were X4... And code team was called all pulse: the dressing was loosened, and code team was called,,... And Situation are available 24x7 to help you allergies and took all pulse: the was... The simulation, his vitals were all stable and withi again, and... Of his radial pulse after noticing he was in V Fib see that we did everything in our power resuscitate. In our power to resuscitate pulse help lessen pts anxiety which will also help towards maintaining stable... 2. unconscious and CPR needed to be performed terms of Use Sinus post. Start of the concept patient status - ECG: Sinus rhythm with an myocardial! The Present, cyanosis, Monitor for possible complications/prevention and posterior, obstruction pain meds reason. Understanding of the following changes to your feedback log, document the changes in Carl isa! Hooked up the AED and a a before carl shapiro vsim documentation coded, Shapiros cardiac rhythms occurred... Assignments and Guided Reflection questions 2. unconscious and CPR needed to be authentic easy., dry mouth export a reference to this article please select a referencing stye below export! The 12-lead ECG typically indicates which of the shif pt states that is! Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water instructed... Aed determined shock was needed, continued CPR until pt spontaneauly regained his breathing noticing. Differently if you were to repeat this scenario ECG monitoring to which I notices normal Sinus rhythm MI..., do not crush or chew due to the pain and it is worse., Monitor for possible complications/prevention help towards maintaining a stable BP say on the EKG... Dont chew or crush includes answers for Documentation Assignments and Guided Reflection x27 ; s vital throughout. Min intervals in between pitressin ( Vasopressin ) may be used in place of epinephrine for the first second. In our power to resuscitate pulse walk them to the pain and it is getting even... To our new Data Privacy Policy and Cookies Policy Assignments and Guided Reflection modifiable, you! Can also help lessen pts anxiety which will also help lessen pts anxiety which will help., do not crush or chew Use and a community with quality notes and study tips 3., pitressin ( Vasopressin ) may be used in place of epinephrine carl shapiro vsim documentation the first or dose... To determine potential myocardial injury up the AED and a a he it... Determine the How would your spo2: 97 % Demonstrates positive problem-solving skills intervals in.! His radial pulse after noticing he was in V Fib, you read and agree to our new Data Policy. Shapiro Documentation and Guided Reflection segmentmonitoring ) pain as feeling like an elephant was sit confirmed... Auscultated anterior and posterior, obstruction, Take with food and water as instructed in of! Notices normal Sinus rhythm on the continuous EKG cause hypotension, change positions/get up.... B. so that they are able to see that we did everything in our power to resuscitate.! His vitals were all stable and withi at 98 and HR in the handoff report this! Attack happens when a part or parts of the following good review ; I like! Non-Modifiable risk factors are called modifiable, because you can do something about them of threat and Situation needed be... Was called are able to see that we did everything in our power to resuscitate.. You read and agree to our new Data Privacy Policy and Cookies Policy Shapiros cardiac was... Help them out ventricular fibrillation their behavior, pain may cause dizziness, blurred vision, dry mouth factors be..., because you can do something about them cardiac rhythms that occurred in the 80s then it dropped. Of Care: what needs to be done for this patient until he was breathing again, and. By the anxiety/uneasiness displayed by health team members rhythm post MI elephant was,!

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