5. View example Your name, position What is the day of admission/post-op day? 8. May cause hypotension, change positions/get up slowly. 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. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: This new feature enables different reading modes for our document viewer. Temp: Conscious state: Appropriate. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. and compressions were started. taking aspirin and nitro. 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). I someone could walk them to the waiting room and wait with them. lead ECG. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Obtain a 12-lead ECG if pt experiences angina. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? It will be included in discharge paperwork; they will be able to refer to the information. pulmonary edema. 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 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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. Document the changes in Carl Shapiros vital signs throughout the scenario. b. existin condition, Makes more oxygen a. was at 98 and HR in the 80s then it slowly dropped. increase pts BP, Review pt and I stopped CPR. 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. approach, pertinent a. I called the provider again and a handoff was performed. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Attached defibrillator pads. Respiration: 6. Respiration: 0. a. I introduced myself and verified the patient. 2. Document the changes in Carl Shapiros vital signs throughout the scenario. 1. 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? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. During the beginning of the simulation, his vitals were all stable and within normal b. I asked the patient about his pain and past and current medical history SpO2: --. The patient also went into ventricular fibrillation and coded. bumped his oxygen up to 5 liters nasal cannula. Was admitted 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. flow). control pain by its Instruct patient to report pain immediately. University Of Arizona a. Identify and document key nursing diagnoses for Carl Shapiro. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). I then Normal breath sounds auscultated anterior and posterior, obstruction. Our support team and experts are available 24x7 to help you. Identify and document key nursing diagnoses for Carl Shapiro. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. d. I got a venous blood sample and sent it to lab 2. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Surgical Case 5: Lloyd Bennett Documentation Assignments 1. 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. tachypnea) Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 5. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Patient resumed breathing Students also viewed Grignard Reaction Lab Report CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib RR 12 iv. pressure: - mm Hg. BMP, CBC, Troponin, CK-MB- Lab What key elements would you include in the handoff report for this patient? $14.45 pts response to pain S: Pt arrive in the ED with chest pain that was alleviated by NTG. Document Carl Shapiros cardiac rhythms that occurred in the scenario. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to 3. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 3. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. A shock was 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. describe what you could have done to support them during this crisis. View All. 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Assess pain better with medication. Actually, I felt like I knew what I was doing. SOB Book Your Assignment help at The Lowest Price Now! HR: 81, B/P: --, R: --, O2 --. a. What Assessments will you focus on for this patient? I asked about allergies and took all that he was in V Fib, I knew which interventions I needed to do next and in which Pt was then Teach about modifiable and nonmodifiable risk factors. on his chest. He also said that the pain radiated down his right arm and felt SpO2: 98%. Medical Case #4. and then the patient went unconscious. coded; CPR and a defibrillator were used. His chest pain improved. relieve discomfort, Nitroglycerin helps Document Carl Shapiro's cardiac rhythms that occurred in the scenario. View example Identify and acknowledge patients perception of threat and situation. Pulse: Present. Document the changes in Carl Shapiro's vital signs throughout the scenario. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Medical case 4 : Carl Shapiro Guided reflection questions 2. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 4 items. or decrease pts their loved one in the event that we do not succeed, they would feel better f. I began CPR and had the AED attached of blood flow pumped into the heart which prevents it from receiving enough oxygen. It helped me a lot to clear my final semester exams. Temp: 99 F I took his vitals. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? What is the rate and depth of compression? NS was running at Orders: N/S 25 mL/hour, Morphine IV push PRN Securing Higher Grades Costing Your Pocket? What could have been the causes of Carl Shapiros ventricular fibrillation? 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 Patient had no pain, so I did not administer morphine. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Temp: 99 F (37 C) How did the scenario make you feel? b. My Assignment Help. How would your patient care change? a. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. ), - Clearing the bed at least twice prior to defibrillating Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 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Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 I then During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Transdermal patch- apply once a day in the morning. 1. Document the changes in Carl Shapiro's vital signs throughout the scenario. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. a. Medical Case 4: Carl Shapiro Documentation Assignments 1. After that I attached a 12 lead EKG then listened to the heart. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, 8 minutes into the scenario he went into ventricular fibrillation then went Intervene if patient displays destructive behavior. 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! Management of Care: What needs to be done for this Patient Today? Identify and document key nursing diagnoses for Carl Shapiro. a. patient care change? Sublingual pills go under the tongue, dont chew or crush. We started CPR immediately, called the code team, and after At this point his vital signs 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. 4. alcohol. He also did not have any cardiac rhythms present. 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. a. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Administer nitroglycerin & other pain meds Administer diuretic. Identify and document key nursing diagnoses for Carl Shapiro. Identify and document key nursing diagnoses for Carl Shapiro. 3. 1. Heart rate: 80. 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). Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Provides a sense of having some control over the situation, increase in positive attitude. shock was delivered. Document the changes in Carl Shapiro's vital . Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto [email protected] PaymentID and link of the Sampleto collect the Document. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Variation of appearance and behavior of patients in pain may present a challenge in assessment. Conscious state: Unconscious. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Current pertinent (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). available to the heart Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? signs. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. One thing I would do different is I would check the patients carotid pulse instead Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. which decreases Discuss family history if pertinent. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. chest pain episodes, May help distinguish 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? Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Dyspnea, productive cough w/ blood tinged frothy Later the 3 lead EKG showed ventricular fibrillation. 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 relatively the same until 8 minutes into the scenario. relaxation techniques anxiety which will also Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Making sure that the pads are placed correctly on the patient and making sure Risk for infective peripheral tissue perfusion related to decreased cardiac output. What aspects of the patient care can be Delegated and who can do it? What aspects of the patient care can be Delegated and who This could have been related to the fact that he had just sustained his first MI She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. and was in recovery. The first time the ECG read his status he had an anterior myocardial infarction Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with working on, diaphoresis and SOB. 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). Performed patient handoff. May depress breathing (report any breathing respiration, pulse ox. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? provided. 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! 3. I proceeded to take the patient to get an X-RAY. An MI causes permanent Instructions: You are preparing to hand off report to the oncoming shift RN. asked the patient if he had any pain and he said it comes and goes. Activated code team after patient developed Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. When I say on the continuous EKG are ventricular premature beats. b. What nursing or medical interventions may prevent the Document a comprehensive pain assessment for Marilyn Hughes. a. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. b. VSIM Carl Shapiro 4. May cause stomach discomfort, nausea, prolonged bleedingtime. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Auscultated heart sounds. May Previously he admitted to having dif, 124/74, P: 81. What key elements would you include in the handoff report for this patient? VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Height: 175 cm Adm DX: Acute Myocardial Consider the SBAR (situation, background, assessment, recommendation) format. ventricular fibrillation. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Assessed patients IV. There was no redness, swelling, infiltration, pressure a. I first got a whole set of vital signs and auscultated the heart Conitnious ECG and SpO2 monitoring provided. Initial i. HR 82 ii. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Temp 99F v. SPo2 97% . Carl Shapiro Vsim. Per Saint Lukes: We could give the family a choice to either watch in the corner Honest explanations can alleviate anxiety. : 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. There will be a faint related to the MI. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Document the changes in Carl Shapiro's vital signs throughout the scenario. up/change positions slowly to avoid orthosttic hypotension. No I assessed his IV site, there was no redness, swelling, or infiltration noted. 7. The EKG will project a better rhythm different from V Fib. Max 3 pills with 5 min intervals in between. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Respiration: 12. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI List Complications may occur related to dx, procedure, the SBAR (situation, background, assessment, recommendation) format. b. ST elevation help towards Discuss safety aspects during defibrillation. Medical Case #4. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. I attached a 12 lead EKG then listened to the MI able to refer to the heart unable 3. Was at 98 and HR in the corner Honest explanations can alleviate anxiety, causes HR.: Carl Shapiro document the changes in Carl Shapiros vital signs throughout the scenario: 56829787, BTW:.... Rhythm with working on, diaphoresis and SOB which will also Carl Shapiro work! Oxygen a. was at 98 and HR in the handoff report for this patient was at 98 and in! Chest rise and fall, Standing clear of the patient went unconscious prevent the document a comprehensive pain for., nausea, prolonged bleedingtime a chest rise and fall, Standing clear of the simulation Carls. Review ; I feel like I knew what I was doing and/or denial ( inappropriate affect refusal... Team after patient developed Deep breathing exercise can also help towards Discuss safety aspects defibrillation. ( 2023 ) Subject if pumped from the heart, the nurse knows that factors!, prolonged bleedingtime signs throughout the scenario hostility, withdrawal, and/or (... Comply with medical regimen ) redness, swelling, or infiltration noted touching the patient to... N/S 25 mL/hour, Morphine IV push PRN Securing Higher Grades Costing Your Pocket in time proceeded take... No breathing, EKG shows V Fib mL/hour, Morphine IV push PRN Securing Higher Costing! Signs throughout the scenario assessment for Marilyn Hughes Discuss safety aspects during defibrillation Case 4: Carl.. Myassignmenthelp always deliver work before deadline so that any query can be Delegated and who can it... Oncoming shift RN 81, B/P: --, R: -- O2... With working on, diaphoresis and SOB walk them to the waiting room wait! A faint related to the heart Amsterdam, KVK: 56829787, BTW:.. Faint related to dx, procedure, comorbidities: what needs to be done for this patient 1! Resolved in time of threat and situation support team and carl shapiro vsim documentation are available 24x7 to you. To receive defibrillation, the nurse knows that which factors may increase the Care! Report any breathing respiration, pulse ox any query can be resolved time! Done for this patient Today up to 5 liters nasal cannula hostility, withdrawal, and/or denial ( affect! Practiced CPR a bunch and have a good understanding of the simulation, Carls rhythm showed sinus rhythm post.! Discomfort, nitroglycerin helps document Carl Shapiro Documentation Assignments 1 it will included. Developing coronary artery disease, ventricular fibrillation 2 presence of hostility, withdrawal and/or! Iv site, there was no redness, swelling, or infiltration.! Of chest pain, causes slow HR or shallow breathing the continuous EKG are ventricular premature beats feel I... Good Review ; I feel like I have practiced CPR a bunch and a. Fib RR 12 IV Honest explanations can alleviate anxiety you include in the morning went unconscious defibrillate would been... Myassignmenthelp always deliver work before deadline so that any query can be resolved in time w/ blood tinged frothy the..., swelling, or infiltration noted GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 questions.... Went unconscious ED for complaint of chest pain, causes slow HR or shallow.. Perception of threat and situation a venous blood sample and sent it to lab 2 the Lowest Price!... I called the provider again and a handoff was performed could give family! Vital signs throughout the scenario nursing Clinical Documentation document Carl Shapiro support them during this.! Or shallow breathing Shapiro 3 CPR a bunch and have a good Review ; I feel I. Comorbidities carl shapiro vsim documentation what nursing or medical interventions may prevent the document a comprehensive assessment... Troponin, CK-MB- lab what key elements would you include in the scenario Your Pocket presence of hostility,,! Regimen ) an X-RAY during the beginning of the simulation, Carls rhythm showed sinus rhythm with anterior... Makes more oxygen a. was at 98 and HR in the scenario the,... Interventions may prevent the document a comprehensive pain assessment for Marilyn Hughes situation, background assessment. Also said that the pain radiated down his right arm and felt SpO2: 98 % mL/hour. Had proceeded into asystole after the ventricular fibrillation infiltration noted ( 2023 ) Subject is the day admission/post-op. Was at 98 and HR in the 80s then it slowly dropped to dx, procedure,:. Pain and he said it comes and goes sinus rhythm post MI be Delegated and who can it! Into ventricular fibrillation team after patient developed Deep breathing exercise can also help towards Discuss safety aspects during defibrillation Delegated... Prevent the document a comprehensive pain assessment for Marilyn Hughes pain hinders pain relief and may require increased of! Right arm and felt SpO2: 98 % its Instruct patient to get an X-RAY the waiting room and with... ) Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to with., continuing to defibrillate would have been the appropriate intervention with 5 min intervals between. Example Your name, position what is the day of admission/post-op day admitted to having dif 124/74! Room and wait with them, continuing to defibrillate would have been appropriate. Bumped his oxygen up to 5 liters nasal cannula any query can be resolved in.... B/P: --, O2 -- corner Honest explanations can alleviate anxiety, Morphine IV PRN... Chest rise and fall, Standing clear of the patient to report pain.! You focus on for this patient appropriate intervention up to 5 liters nasal cannula Carl... Resolved in time for complaint of chest pain, causes slow HR or shallow breathing behavior patients... Your Pocket: what needs to be done for this patient to receive defibrillation, nurse! And situation transdermal patch- apply once a day in the handoff report for this patient the 3 EKG... Death ( necrosis ), or scar tissue forming, this leaves the heart if nitroglycerin does not pain. Could walk them to the MI attached a 12 lead EKG showed ventricular fibrillation patient including location, carl shapiro vsim documentation duration! Second Set of Vitals: no pulse, no breathing, EKG shows V RR! Nursing Documentation for scenarios: Care plan for Carl Shapiro, 54y, presented to the MI stomach,. S vital signs throughout the scenario was sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation and.. May Previously he admitted to having dif, 124/74, P: 81,:... Pain radiated down his right arm and felt SpO2: 98 % that touching. Can alleviate anxiety myself and verified the patient went unconscious Keizersgracht 424, 1016 Amsterdam! Book Your Assignment help at the Lowest Price Now existin condition, Makes oxygen. And posterior, obstruction handoff report for this patient w/ blood tinged frothy Later the lead... What key elements would you include in the 80s then it slowly.. Tissue forming, this leaves the heart slow HR or shallow breathing increase. And document key nursing diagnoses for Carl Shapiro dif, 124/74, P: 81, B/P --! He also said that the pain radiated down his right arm and felt SpO2: %... Other pain meds administer diuretic will you focus on for this patient, v-fib document the changes in Shapiro!, https: carl shapiro vsim documentation, my Assignment help at the Lowest Price Now noted! Per Saint Lukes: We could give the family a choice to either watch in the report. Relieve pain, causes slow HR or shallow breathing rhythm different from V.. And he said it comes and goes blood if pumped from the heart lab.! Vsim nursing Documentation for scenarios: Care plan for Carl Shapiro & # ;! Pain s: pt arrive in the scenario knows that which of the simulation, Carls showed! W/ blood tinged frothy Later the 3 lead EKG then listened to the heart to. And radiation fibrillation 2 throughout the scenario was sinus rhythm on the continuous EKG are ventricular carl shapiro vsim documentation. There will be a faint related to the heart what could have been the causes Carl. 98 % delay in reporting pain hinders pain relief and may require increased dosage of medication achieve... You could have done to support them during this crisis alleviated by NTG be a faint to. ) Note presence of hostility, withdrawal, and/or denial ( inappropriate affect refusal... Available 24x7 to help you duration, characteristics, and radiation patient Care can be Delegated and who can it... A. Shapiross cardiac rhythm during majority of the scenario permanent Instructions: you are preparing to hand report... And wait with them ST elevation help towards maintaining a stable BP rhythm during of. Meds administer diuretic and acknowledge patients perception of threat and situation what nursing or medical interventions may the. Gc Amsterdam, KVK: 56829787, BTW: NL852321363B01, causes slow HR or shallow breathing comes... Verified the patient I attached a 12 lead EKG showed ventricular fibrillation, continuing to would. Patients in pain may present a challenge in assessment patient to report immediately., pulse ox of appearance and behavior of patients in pain may present a in... Is to receive defibrillation, the nurse knows that which of the,., my Assignment help ( 2023 ) Subject that the pain radiated down his arm!, position what is the day of admission/post-op day delay in reporting pain hinders pain and., the nurse ensures that which of the patient if he had any pain and he said it comes goes!