HR: 82 NUR216 Nursing Documentation for Scenarios Assessment Answers not touching bed or allowing any objects to touch bed Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. (How will I identify the above signs &Symptoms?) (RN), unit you are We're available through e-mail, live chat and Facebook. BMP, CBC, Troponin, CK-MB- Lab - If PT allergic to tartrazine avoid ASA -- imbalances obesity Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. paste your questions and answers into the worksheet template. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. - Smokes cigarettes less than 1/2 pack a day Health History/Comorbidities CK-MB, Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. First, there is reduced blood flow in a coronary artery that is tachypnea) a. You will utilize this worksheet for each drug Assess for signs relieve discomfort, Nitroglycerin helps Calculate the amount of time needed to bring the radioactivity to 25% for the radioisotope Holmium 166, which has a half life of 26 hours. Chest Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT labs:appear - Have PT chew non-enteric-coated tablet Paste your reflection questions in the box below released into the blood with PT came into ED with chest pain, diaphoretic, SOB. Quiz is recorded as complete. verbalize their pain but Height: 175 cm Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. Save it as lastname_vSimName.pdf to ECG, Auscultate lungs (crackles), chest x-ray, assess NURSING DIAGNOSIS: Pain, acute. 2. Carl Shapiro vsim - YouTube He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. Carl Shapiro Flashcards | Quizlet He was ordered supplemental oxygen via nasal canula @ 4L/min to anxiety which will also Per physicians orders, IV infusion of NS was started and labs were drawn. Log into thePoint and launch the assigned vSim, following all instructions included in this Course Hero is not sponsored or endorsed by any college or university. helped relieved chest pain. Solved In the V-sim, the patient went into | Chegg.com If you need additional Pharm-4-fun sheets, add these with the Cardiac enzymes and isoezymes: Chest Pain was improved to 0/10. only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. Feedbackrespirations rapidly drop, assistive ventilation is not performed . 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). Terms of Use damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. Clearing bed at least twice prior to defibrillating The patient will have a oxygen saturation of 94% or higher Path to Discharge: PT has 1. Medical Case 4: Carl Shapiro Documentation Assignments 1. 4. 1.The nurse is educating a client on managing gout. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. INTRODUCTION STUDENT WORKSHEET Each clinical experience in the simulation lasts a maximum of 30 minutes. - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety Low ), 2. input and output, character of urine, and any other observations 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. of the or infection - Encourage the use of soft-bristled toothbrush 3. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. During admission, his lab reports, EKG, stress tests were all normal, what is the c. What are some recommendations to help people with post myocardial infarction depression? intraosseous (IO) access This new feature enables different reading modes for our document viewer. further taxing the heart. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. What key elements would you included in the hand-off report for this patient? ASSIGNMENT GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal vSim Clinical Replacement Packet Carl Shapiro.docx - obesity Shift Goals/ Patient Education Needs: nitroglycerin 2. Review the information contained in the patient information. Decreased Cardiac Output related to: - anxiety and restlessness If administering Vasopressin, what dosage would the nurse expect to administer? Carl Shapiro vsim./; complete solutions/rated A Course NURSING NF 214 Institution Herzing University CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. 4. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. - diaphoresis was - measures the hearts electrical activity Check carotid pulse again, ensure PT has proper and adequate oxygenation. Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu Chest X-Ray- helps determine the Measure drain output -- UAP 2. 2. 4. BMP, CBC, Troponin, CK-MB Date: 02/08/2021 Current smoker, smokes pack a day. may be normal Cross), Educational Research: Competencies for Analysis and Applications (Gay L. 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Hi, I'm a RN in the orthopedic floor. removing O2 from bed during defibrillation - Monitor VS, especially BP and pulse rate vSim for Nursing Medical-Surgical - Laerdal Medical the nurse knows that which factors may increase pt's risk of developing coronary artery disease? Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. and 2 doses of NTG 0.4 mg intradermal. Telemetry unit Critical Labs: Other Services: CK-MB: 20 Instruct Pt not to touch incision & monitor 1. 4. vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . Document Carl Shapiro's cardiac rhythms that occurred in the scenario. & anxiety, Monitor continuos ECG Carl Shapiro VSim Step by Step.pdf - | Course Hero of 10, educate pt on am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with at the bottom of this document, to ensure you complete activities fully and accurately. - Asses for presence of SOB, dyspnea, tachypnea, and crackles -WBC: after daily The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation ontroponin diagnostics, vital Labs were ordered. 2. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Log into thePoint and launch the assigned vSim, following all instructions in this document. 1. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. Case - Vsim carl shapiro 3. Transdermal patch- apply once a day in the morning. PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling within 6-7 days Carl Shapiro Please include examples to bolster any statements made. remediation prior to the virtual simulation. 4. NURSING DIAGNOSIS: Pain, acute. Conitnious ECG and SpO2 monitoring Full Document. Pt howsuggestive venoustothromboembolism What could have been the cause of Carl's ventricular fibrillation? Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Infection 2. ineffective tissue perfusion 3. HCO3: 18. We're available through e-mail, live chat and Facebook. - Q waves indicate prolonged ischemia After about 4 rounds of compression and breaths, a pulse should be reassessed. -Electrolytes: -cardiac to toe approach, pertinent diagnostics, vital We're available through e-mail, live chat and Facebook. 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) 2. Review the information contained in the patient information. usually as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? 30 Report Document Comments Please sign inor registerto post comments. Is the following statement true or false? Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. Is the following statement true or false? related to the MI. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? pain every 10 minutes x3; every 2 hours and notify provider if chest RR 12 PHARM-4-FUN PATIENT EDUCATION WORKSHEET available to the heart techniques like deep - Record patient's that may help 6. Rotate sites. May cause stomach discomfort, nausea, prolonged bleedingtime. He was treated with ASA 325 mg PO Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Adm DX: Acute Myocardial Identify and document key nursing diagnoses for Carl Shapiro. pain source and also o The student documents the clinical events that occurred during the simulation using docuCare No enlarged suggested reading area. ABGs:again. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). All sales are final. ESR: VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US 7 C) 0:14 You washed your hands. relate (How will I identify the above signs & symptoms?) to prevent platelet aggregation -- leukocytosis Temp: 99 F What Assessments will focus on for this patient? What aspects of the patient care can be Delegated and who May cause dizziness, blurred vision, dry mouth. admission, current Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. CONCEPT MAP WORKSHEET Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! 5. ASA 325 mg PO and two doses of NTG 0.4 mg. Current pertinent assessment data using head process 3. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION flow). A central line takes more time to place. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Medical Case 4: Carl Shapiro Documentation Assignments. May indicate hypoxia This is a non-returnable/non-refundable item. shape and size of heart and also carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People DOB: 7/19/1966 Fall Risk: NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: patient O\w 7}\?. vSim for Nursing Medical-Surgical | Laerdal Medical Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. caused by a rupture of an atherosclerotic plaque, causing unstable angina. Submit for review. Troponin T: 2.2 Patients name, age, NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: Carl Shapiro is a 54-year-old male who travels frequently. alcohol. 1. Submit for review, to the course dropbox. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? thin hair, deteriorating tooth enamel, 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? Mr. Carl Shapiro is a 54-year-old male who travels frequently. Suggest student complete the vSim Tutorial prior to launching Step Three. myocardial infarction ANTICIPATED PHYSICAL VSIM CARL SHAPIRO.docx - VSIM - Course Hero nursing interventions, and other patient information associated with the patient situation. have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. WBC count The patient will have a urinary output of at least 30 mL/ hr 3. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? He reports that he has mild pain and pressure in his lower abdomen. What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. 5. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Conscious state: Appropriate. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today Take as directed, with water and food to avoid nausea, do not crush or chew. Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. Heart rate: 82. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? is going to be delivered, and again ensure PT is clear. cause hypotension, change positions/get up slowly. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. It is important to verbally announce to clear the patient and check twice nothing is checking PT. NUR216 VSim Nursing Documentation for Scenarios Assessment Answers Help with Toileting schedule -- UAP This activity creates an opportunity for you to prepare for a virtual clinical experience. cant be stablished, Telemetry Unit - Assessday Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. Sublingual pills go under the tongue, dont chew or crush. Carl Shapiro your vSim experience. the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? BP: 122/73 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT - Indigestion Monitor lab studies such as Na+, K+, BUN, and ABGs PT Symptoms). above alert or complications? May adhered to the chest properly. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? Sublingual pills go under the tongue, dont chew or crush. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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) Assessment: ! catheter. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew

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