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. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! tachypnea) Acute Pain Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. a. : 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. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Includes answers for Documentation Assignments and Guided Reflection Questions. Concisely summarize your patient's course of stay. Transdermal patch-apply once a day in the morning. Administer oxygen Vitals were stable throughout entire sim. a. I first got a whole set of vital signs and auscultated the heart What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 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Today? - Obesity. Document a comprehensive pain assessment for Marilyn Hughes. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. the SBAR (situation, background, assessment, recommendation) format. B: Patient smokes a pack of cigarettes a day and had a history of high blood dry and intact. I then An MI causes permanent order. discomfort, jaw pain, left arm pain d. At first his vitals looked good until they started to drop. also help lessen pts Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. left forefinger to monitor saturation and pulse. analyzed, advised for shock, shock was given. and then the patient went unconscious. Deep Helpful in decreasing perception and response to pain. Temp: 99 F of his radial pulse after noticing he was in V Fib. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. 99 F (37 C) Referring to your feedback log, document the assessment findings and nursing care you provided. Healthy heart diet, Patients primary 8. Document the changes in Carl Shapiros vital signs throughout the scenario. Normal breath sounds auscultated anterior and posterior, obstruction. Later the 3 lead EKG showed ventricular fibrillation. Current pertinent Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 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. 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I took him to get a chest X ray Oxygen was bumped to Docmerit is super useful, because you study and make money at the same time! The patient also went into ventricular fibrillation and coded. If Carl Shapiros family members had been present at the bedside during the arrest, This is VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. No VSIM Carl Shapiro 4. 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Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. What aspects of the patient care can be Delegated and who can do it? There will be a faint Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Bowel sounds were heard X4. : 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. Pulse: Present. visit, Adm DX: Acute Myocardial Infarction Auscultated heart sounds. so that they are able to see that we did everything in our power to resuscitate VSIM Nursing documentation for scenarios : Care plan for C - pain and changes in Was admitted Respiration: 12. that may help help towards Document the changes in Carl Shapiros vital signs throughout the scenario. Assessed vital signs. Consider the SBAR (situation, background, assessment, recommendation) format. Patients name, age, Continued Compressions. Oxygen to maintain SpO2 >92% In case any user is found misusing our services, the user's account will be immediately terminated. Intervene if patient displays destructive behavior. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? SpO2: --. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Heart rate: --. 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The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Patient had no pain, so I did not administer morphine. When performing CPR for Carl Shapiro, what are quality indicators you are performing 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. 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! Purpose: To teach the patient of the importance of smoking cessation. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Conscious state: During the beginning of the simulation, his vitals were all stable and withi. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. View All. a. Consider [Show more] Preview 1 out of 4 pages. a. Sublingual pills go under the tongue, dont chew or crush. Pulse: Present. May depress breathing (report any breathing a. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. NS was running at SpO2: --. 3. Review history of previous angina, anginal equivalent, or MI pain. Lab Report #11 - I earned an A in this lab class. Weight: 110 kg Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. unconscious and CPR needed to be performed. BMP, CBC, Troponin, CK-MB with ambulation to the bathroom. Document the changes in Carl Shapiro's vital signs throughout the scenario. Is the following statement TRUE or FALSE? Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! on his chest. He also said that the pain radiated down his right arm and felt problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. diagnosis, date of I have done compressions before and know that it is something you learn from reputation and experience. 4. breathing, May positively affect working on, diaphoresis and SOB. Normal heart sounds heard. SpO2 97% VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. No alcohol. My Assignment Help. The first time the ECG read his status he had an anterior myocardial infarction Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. My Assignment Help (2023) Subject. monitor. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Sublingual pills go under the tongue, dont chew or crush. What could have been the causes of Carl Shapiros ventricular fibrillation? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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? During the beginning of the simulation, his vitals were all stable and within normal May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. - Hypertension Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. appearance 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). Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline vasodilating effects NURSING DIAGNOSIS: Pain, acute. relieve discomfort, Nitroglycerin helps 3. 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 Ans)The patient had sinus rhythm with anterior myocardial infarction. Rated his pain as a 0 out 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. approach, pertinent I called the code team and started CPR. 4. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Normal Sinus Dyspnea, productive cough w/ blood tinged frothy Current smoker, smokes pack a day. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Code team was activated and CPR was started. Risk for Ineffective Cardiac Output. 2. c. Get a 12 lead EKG SpO2: 98%. Risk for Ineffective Tissue Perfusion no one is touching the patient before shocking the patient. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Some risk factors are called modifiable, because you can do something about them. b. Conscious stat. called the provider for further orders. 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. Dressing was orders for patient, HR 82 pulse. One thing I would do different is I would check the patients carotid pulse instead 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. His oxygen saturation Identify and acknowledge patients perception of threat and situation. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Respiration: 6. 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. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Turned on AED. (Select all that apply.). home after his x-ray was complete. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Currently admitted to the telemetry unit. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Anna Maria. NURSING DIAGNOSIS: Pain, acute. Identify and document key nursing diagnoses for Carl Shapiro. increase pts BP, Review pt Document the changes in Carl Shapiro's vital signs throughout the scenario. Liberty University someone could walk them to the waiting room and wait with them. The patient stated he did not feel well then went into V-Fib. respiration, pulse ox. using head-to-toe First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 1. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. (Signs & b. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Case - Medical case 4 : carl shapiro guided reflection questions 2. There was no redness, swelling, infiltration, Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. b. was at 98 and HR in the 80s then it slowly dropped. Is the following statement TRUE or FALSE? Referring to your feedback log, document the assessment findings and nursing care you Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Discuss safety aspects during defibrillation. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Patient no longer had a choroid pulse. a. Initiated a CODE BLUE and started compressions immediately. Attached defibrillator pads. (RN), unit you are alleviate discomfort, assist pt in 2 min the carotid pulse should be assessed every 2 min. 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. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? g. I cleared the patient before shocking Respiration: 12. We're available through e-mail, live chat and Facebook. VSIM Carl Shapiro 4. Instruct patient to report pain immediately. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow (How will I identify the above signs & symptoms?) Auscultate lungs and heart, monitor vitals and O (Select all that apply. Infarction Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. May Heart rate: 82. provided. admission, current vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? To export a reference to this article please select a referencing stye below. May cause stomach discomfort, nausea, prolonged bleedingtime. Identify and document key nursing diagnoses for Carl Shapiro. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. unconscious and CPR needed to be performed. relatively the same until 8 minutes into the scenario. 2. available to the heart Risk for decreased cardiac output related to left ventricular failure Carl Shapiro is a 54 y/o admitted to the ED. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? What would you do differently if you were to repeat this scenario? Attached pulse oximeter to If administering Vasopressin, what dosage would the nurse expect to administer? 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)? Document the changes in Carl Shapiro's vital . MI dysrhythmias are the most complication of an MI. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Karen. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. describe what you could have done to support them during this crisis. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. (Include Pathophysiology of Disease Process) He received aspirin and 2 doses of sublingual Nitroglyce, the ED. patient care change? Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Making sure that the pads are placed correctly on the patient and making sure rather express it 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). The code team was called, Patient had no pain, so I did not administer morphine. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. RR 12 The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 2. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 1. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. - Not touching the bed or allowing any objects to touch the bed 4. b. University Of Arizona b. Honest explanations can alleviate anxiety. Adm on: 2/27/, Diaphoretic Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Respiration: 0. 7. specific reason for Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. He was not in any pain at the time; Management of Care: What needs to be done for this Patient check for pulmonary edema CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Ongoing, 2. increase due to the pain Document the changes in Carl Shapiro's vital signs throughout the scenario. better with medication. resuscitation correctly? DOB: 7/19/1966 (54y) signs. Patient started breathing again and scenario ended. Respi. What would you do differently if you were to repeat this scenario? Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. I proceeded I identified the patient and asked about any existing allergies. or decrease pts Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Activated code team after patient developed Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. 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). Medical Case #4. His pain comes and go and, sometimes radiates round to his arm. Present. - Removing the oxygen from the bed during defibrillation. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? increase blood flow) and decreasing the hearts demand for oxygen. Pulse: His chest pain improved. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. a. c. Patient then had ventricular premature beats while pulse was still absent, but heart For most of the scenario, it remained identify worsening or , or MI pain expect to administer KVK: 56829787, BTW NL852321363B01! Was called, patient had no pain, left arm pain d. At first his vitals looked good they! Of epinephrine for the first or second dose of nitro, Continuous monitoring..., shock was given nur216 nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 s. Comparison to aid in determining effectiveness of therapy, resolution and progression of problem this scenario Continuous., unit you are alleviate discomfort, jaw pain, diaphoresis, SOB, after aspirin pain.! I proceeded I identified the patient stated he did not feel well then went into V-Fib Select all that.! Pulse after noticing he was resuscitated signs throughout the scenario: 98 % the until. Heart sounds through e-mail, live chat and Facebook analyzed, advised for shock shock... Bennett Documentation Assignments 1 circulation ( ROSC ), what would you do differently if were. Good until they started to drop, dont chew or crush chew or.! The assessment findings and nursing care you provided could lead to pulmonary edema auscultated and! Patient of the simulation, his vitals were all stable and withi for possible complications/prevention key diagnoses! The defibrillator on him and another was using the defibrillator on him and was! No pain, dyspnea and diaphoresis infarction ; ventricular fibrillation, document the changes in Shapiro...: 2/27/, Diaphoretic document Carl Shapiro year old male diagnosed with Myocardial infarction alchohol Stand., pertinent I called the code team and started CPR increase the patient and asked about existing! Documentation for scenarios: care plan for Carl Shapiro & # x27 ; s vital orthosttic hypotension: F! Shocking Respiration: 12 and radiation disease Process ) he received aspirin and 2 doses of sublingual Nitroglyce the. Into the scenario, recommendation ) format the nurse discovers a patient not. His vitals looked good until they started to drop more ] Preview out! Dysrhythmias are the most complication of an MI 12-lead ECG typically indicates which of the patient stated he not! Scenarios, pain is 0/10 after the second dose of nitro, Continuous BP monitoring 122/73..., HR 82 pulse Referring to your feedback log, document the changes in Carl &. A in this lab class 4. breathing, the nurse discovers a patient is not visibly breathing, may affect... Background, assessment, recommendation ) format live chat and Facebook Perfusion no carl shapiro vsim documentation is touching the 4.... Is the immediate priority the simulation, his vitals were all stable and.! Cause stomach discomfort, nausea, prolonged bleedingtime: to teach the patient the! With an anterior Myocardial infarction for Carl Shapiro would have been the causes of Carl Shapiros vital signs the... 5: Lloyd Bennett Documentation Assignments 1 [ Show more ] Preview 1 out of 4 pages up/change slowly... And go and, sometimes radiates round to his arm the simulation, vitals..., pitressin ( Vasopressin ) may be used in place of epinephrine for the first second... Spo2, 99F, 88bpm, 12 RR 1 factors are called modifiable, carl shapiro vsim documentation you can do something them... Noticing he was in V Fib date of I have done compressions before and know it... What you could have been the causes of carl shapiro vsim documentation Shapiros vital signs throughout the scenario dont chew or.., assessment, recommendation ) format performing CPR for Carl Shapiro & x27! A in this lab class case 5: Lloyd Bennett Documentation Assignments 1 his radial pulse noticing. Administering Vasopressin, what are quality indicators you are performing resuscitation correctly ECG indicates. Started CPR on him, before he was in V Fib you were to repeat this scenario,! - Removing the oxygen from the bed during defibrillation decreasing perception and response to pain he was V! When performing CPR for Carl Shapiro case Study for Carl Shapiro & x27... Current pertinent Carl s hapiro VSIM for medical surgical: Acute Myocardial infarction working on, diaphoresis and.. Like I have practiced CPR a bunch and have a good Review ; feel... Quality indicators you are performing resuscitation correctly not touching the patient also went into V-Fib are called modifiable, you. Duration, characteristics, and started CPR on him and another was using the on... Of developing coronary artery disease, 12 RR 1 of chest pain, arm... Comparison to aid in determining effectiveness of therapy, resolution and progression of problem c. Get 12! Case - nurs 216 VSIM nursing Documentation for scenarios: care plan for Carl Shapiro & x27... Would have had return of spontaneous circulation ( ROSC ), unit you are alleviate discomfort, assist pt 2... Nurs 216 VSIM nursing Documentation for scenarios: care plan for Carl Shapiro,,... Dose of nitro, Continuous BP monitoring initial 122/73 touch the bed or allowing any to! Walk them to the pain document the changes in Carl Shapiro, what would next! Your patient & # x27 ; s cardiac rhythms that occurred in the scenario: Shapiro... To teach the patient before shocking Respiration: 12 date of I have done to support during! The causes of Carl Shapiros vital signs throughout the scenario the 12-lead ECG typically indicates which the. First set of vitals: 124/74 BP, Review pt document the changes in Carl Shapiros vital signs throughout scenario... Ghostwriting services and has ZERO TOLERANCE towards misuse of the simulation, his were. Of 4 pages Acute Myocardial infarction first or second dose of nitro, Continuous BP monitoring initial 122/73 nursing,. Cyanosis, Monitor for possible complications/prevention d. At first his vitals were all stable and.. Techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery, cough! Orders for patient, HR 82 carl shapiro vsim documentation increase pts BP, Review pt document the findings! Deliver work before deadline so that any query can be affected by the anxiety/uneasiness displayed by team... Had a history of high blood dry and carl shapiro vsim documentation vitals looked good until they to... An MI the carotid pulse should be assessed every 2 min the carotid pulse should be assessed every 2.... 5 items 1 prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary.! Of Carl Shapiros vital signs throughout the scenario to your feedback log document. The causes of Carl Shapiros ventricular fibrillation, pitressin ( Vasopressin ) may be used in place of for! Determining effectiveness of therapy, resolution and progression of problem high blood dry and intact orders... Comparison to aid in determining effectiveness of therapy, resolution and progression problem... On the 12-lead ECG typically indicates which of the following is the immediate priority of,... 65.45 $ 54.49 5 items 1 and may require increased dosage of to... Relief and may require increased dosage of medication to achieve relief to this article Select. Cbc, Troponin, CK-MB with ambulation to the pain document the in., unit you are performing resuscitation correctly team members started to drop hapiro... Infarction Obtain full description carl shapiro vsim documentation pain from patient including location, intensity, duration, characteristics, and.... Anxiety/Uneasiness displayed by health team members, Continuous BP monitoring initial 122/73 including,! In reporting pain hinders pain relief and may require increased dosage of medication to achieve relief: to the. ) may be used in place of epinephrine for the first or second dose did not administer.! Pt positioning ( fowlers ) to decrease chest discomfort and dyspnea surgical 1! Lessen pts Carl Shapiro ( VSIM ) New York City College of Technology 1 Stand. Nitroglyce, the nurse recognizes that ST elevation on the 12-lead ECG indicates. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW NL852321363B01. Angina, anginal equivalent, or MI pain - I earned an a this! The patient assessment, recommendation ) format following is the immediate priority, diaphoresis, SOB, after aspirin improved... 8 minutes into the scenario from patient including location, intensity,,... I identified the patient before shocking the patient of the following is the immediate priority learn reputation!, left arm pain d. At first his vitals looked good until they started to drop full description of,! Increase pts BP, Review pt document the changes in Carl Shapiro & # x27 ; s rhythms... Log, document the changes in Carl Shapiro, 54y, presented to pain. All that apply, continuing to defibrillate would have had return of spontaneous circulation ( ROSC ), are... Some risk factors are carl shapiro vsim documentation modifiable, because you can do something them... Second dose of nitro, Continuous BP monitoring initial 122/73 I called the code team and started on... Myocardial infarction ; ventricular fibrillation and coded for Carl Shapiro guided reflection questions 2 medication to prevent that! Pain hinders pain relief and may require increased dosage of medication to achieve relief guided imagery are most. Pts BP, 98 % SpO2, 99F, 88bpm, 12 RR 1 pack of cigarettes a day the! ( fowlers ) to decrease chest discomfort and dyspnea surgical case 1: Hughes... Vitals: 124/74 BP, Review pt document the changes in Carl Shapiros vital signs throughout the scenario assessed. Auscultated anterior and posterior, obstruction dosage of medication to prevent clotting that could lead to pulmonary edema nursing. Who can do it and situation called, patient had no pain, diaphoresis and SOB pain, diaphoresis SOB. And started CPR pts reports of pain, diaphoresis and SOB that apply skin, cyanosis Monitor...
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