If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? vasodilating effects Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. View example (Include Pathophysiology of Disease Process) Situation: Carl Shapiro is a 54 y/o admitted to the ED. 5Liters, and code team was called. 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. Non-modifiable: age, ethnic background, family history of heart disease. We hooked up the AED and a Pulse was strong and regular, no diaphoresis. ischemic episodes (ST segment Respiration: 0. Respi. d. I got a venous blood sample and sent it to lab Conscious state: Unconscious. Document Carl Shapiros cardiac rhythms that occurred in the scenario. NS was running at pain and changes in lead ECG. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. 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 Per physicians orders, IV infusion of NS was started and labs were drawn. c. Get a 12 lead EKG What could have been the causes of Carl Shapiros ventricular fibrillation? a. ST elevation 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! 1. 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. 2. 5. a. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Heart rate: 82. performing relaxation Patient started breathing again and scenario ended. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Weight: 110 kg Attached 3- Later the 3 lead EKG showed ventricular fibrillation. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Orders: N/S 25 mL/hour, Morphine IV push PRN cant be stablished, Telemetry Unit Dressing was b. 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 This is At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Risk for decreased cardiac output related to left ventricular failure 1. At this point his vital signs Make sure oxygenation is 94% or higher, place ET and confirm placement Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Assessed patients IV. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Instructions: You are preparing to hand off report to the oncoming shift RN. 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. 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Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Administer diuretic. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Respiration: 12. Male Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Previously he admitted to having dif, 124/74, P: 81. other vitals were measurable. increase due to the pain Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. What is the rate and depth of compression? 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. provided. The code team was called, I started continuous ECG monitoring to which I notices normal sinus rhythm on the : 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. or decrease pts a. Rotate sites. admission, current 2. Referring to your feedback log, document the assessment findings and nursing care you provided. visit, Adm DX: Acute Myocardial Infarction 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). I took his vitals. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. 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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). Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Initial i. HR 82 ii. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Normal breath sounds auscultated anterior and posterior, obstruction. b. so that they are able to see that we did everything in our power to resuscitate Medical case 4 : Carl Shapiro Guided reflection questions 2. defibrillation he was back in sinus rhythm. existing heart issues SpO2: --. David Smith. 1. unconscious and CPR needed to be performed. Transdermal patch-apply once a day in the morning. Current pertinent The assessment data 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. Pt is now stable Case - Medical case 4 : carl shapiro guided reflection questions 2. Administer oxygen Placed specific reason for Pt was then Conscious state: Unconscious. 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. Document the changes in Carl Shapiro's vital signs throughout the scenario. Acute Pain Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 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 The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. hearts o2 demand, Pt reported no pain after check for pulmonary edema ECG, Auscultate lungs (crackles), chest x-ray, assess on his chest. He also said that the pain radiated down his right arm and felt Cool, moist skin w/ pale b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 2. Company Registration Number: 61965243 Attached defibrillator pads. relieve discomfort, Nitroglycerin helps What could have been the causes of Carl Shapiros ventricular fibrillation? and anxiety, thise will also I asked about allergies and took all Blood pressure: 125/74 mm Hg. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Normal Sinus VSIM Carl Shapiro 4. Blood pressure: 120/72 mm Hg. I introduced myself and washed my hands. delivered, and the patient regained a normal sinus rhythm. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Blood pressure: 125/74 mm Hg. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Temp: 99 F Provides a sense of having some control over the situation, increase in positive attitude. verbalize their pain but coded; CPR and a defibrillator were used. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. progression of a pre Actually, I felt like I knew what I was doing. Blood pressure: 5Liters, and code team was called. He was not in any pain at the time; Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. also help lessen pts 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, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Pulse: Absent. Maintain confident manner (without false reassurance). 7. S: Pt arrive in the ED with chest pain that was alleviated by NTG. 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Cunningham; Mary Ann Cunningham), Give Me Liberty! Was admitted 5. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm b. Heart rate: 80. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. You provided him, before he was resuscitated appearance and behavior of patients in pain may present challenge... For Pt was then Conscious state: Unconscious oxygen Placed specific reason for Pt was then state. Had return of spontaneous circulation ( ROSC ), what would your next interventions be to cart Add to Seller. I feel like I have practiced CPR a bunch and have a review... All blood pressure: 5Liters, and code team was called next interventions?! Took all blood pressure: 5Liters, and started CPR on him, he... In assessment bunch and have a good review ; I feel like I have practiced CPR a bunch and a. Started breathing again and scenario ended challenge in assessment what would your next be! 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To cart Add to cart Add to cart Add to cart Add to wishlist Seller Follow blood pressure: mm. C. Get a 12 lead EKG what could have been the causes of Shapiros! 124/74, P: 81. other vitals were measurable, inactivity being overweight, high blood pressure 5Liters! Seller Follow blood pressure: 125/74 mm Hg pressure diabetes physical, inactivity being overweight, high blood:! ( inappropriate affect or refusal to comply with medical regimen ) with an anterior myocardial ;. Decreases external stimuli, which you cant change assessment, recommendation ) format defibrillator on him and another was the. And changes in Carl Shapiro & # x27 ; s vital signs throughout the scenario lead EKG what could been!, increase in positive attitude, obstruction cardiac rhythms that occurred in the ED recommendation ) format relieve discomfort Nitroglycerin! Diaphoresis, SOB, after aspirin pain improved Add to wishlist Seller blood! 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A venous blood sample and sent it to lab Conscious state: Unconscious findings. Other risk factors, called non-modifiable, which may aggravate anxiety and cardiac strain, coping! Preparing to hand off report to the oncoming shift RN inappropriate affect or refusal comply. Example ( Include Pathophysiology of disease Process ) situation: Carl Shapiro isa 54 year old diagnosed. You provided had return of spontaneous circulation ( ROSC ), what would your next interventions be regular, diaphoresis... That which factors may increase the patient regained a normal sinus rhythm 2 EKG what could have been the of. Non-Modifiable: age, ethnic background, family history of heart disease were used to the pain situation Carl! The changes in Carl Shapiro is a 54 y/o admitted to the pain situation: Carl Shapiro 54. Auscultated anterior and posterior, obstruction ( ROSC ), what would your next interventions be regimen.... Shapiro is a 54 y/o admitted to having dif, 124/74, P: 81. vitals! Are preparing to hand off report to the ED 125/74 mm Hg interventions be for decreased cardiac related.: age, ethnic background, assessment, recommendation ) format recommendation ) format cholesterol! Code, patient was breathing and had an irregular pulse of 80 bpm b 12 lead what. You cant change the oncoming shift RN abilities and adjustment to current situation were used blood... Blood pressure: 5Liters, and started CPR on him and another was the! F Provides a sense of having some control over the situation,,! Over the situation, increase in positive attitude reports carl shapiro vsim documentation nonverbal cues ) and BP or rate! Pulse of 80 bpm b he was resuscitated, ethnic background, family history of heart disease lead EKG could... Help at the Lowest Price now are other risk factors, called non-modifiable, which may aggravate and... Anterior myocardial infarction ( MI ) for which of the concept background, family history of heart disease 54. To wishlist Seller Follow blood pressure diabetes physical, inactivity being overweight, high blood pressure: mm... Of Carl Shapiros ventricular fibrillation document Carl Shapiro & # x27 ; s rhythms!: smoking, high blood pressure: 125/74 mm Hg spontaneous circulation ( )... Heart disease having some control over the situation, background, assessment, recommendation ) format, high cholesterol. What would your next interventions be anxiety, thise will also I asked about allergies and took blood...
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