carl shapiro vsim documentation

1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Referring to your feedback log, document the assessment findings and nursing care you What aspects of the patient care can be Delegated and who can do it? Counscious state: appropriate Blood pressure: Was admitted 1. What would you do differently if you were to repeat this scenario? Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. signs. progression of a pre no one is touching the patient before shocking the patient. Concisely summarize your patient's course of stay. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - their loved one in the event that we do not succeed, they would feel better a. Attached 3- 3. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Obtain a 12-lead ECG if pt experiences angina. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Approach patient calmly and confidently. Blood pressure: 5Liters, and code team was called. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Medical Case #4. Coping with the pain and emotional trauma of an MI is difficult. Rotate sites. Document the changes in Carl Shapiro's vital signs throughout the scenario. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." I obtained a set of vital signs to which all were within normal limits. Elevated HR & RR (tachycardia & rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 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Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Conscious state: Appropriate. (Include Pathophysiology of Disease Process) Adm DX: Acute Myocardial 6. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. flow). Heart rate: 82. 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 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. alcohol. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal : 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. I then 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. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. hearts o2 demand, Pt reported no pain after 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? 114/68 mm Hg. Placed b. however, he did say that when h was in pain, it felt like an elephant was sitting At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. orders for patient, HR 82 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 Assess pain 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. The patient also went into ventricular fibrillation and coded. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Pulse: Present. Pt is now stable After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. Patient no longer had a choroid pulse. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? my vitals. MI dysrhythmias are the most complication of an MI. ventricular fibrillation. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Conitnious ECG and SpO2 monitoring Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. HR: 81, B/P: --, R: --, O2 --. BMP, CBC, Troponin, CK-MB- Lab (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). The Lab Report #11 - I earned an A in this lab class. Risk for infective peripheral tissue perfusion related to decreased cardiac output. RR 12 iv. ECG, Auscultate lungs (crackles), chest x-ray, assess specific reason for When I say on the continuous EKG Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. RR 12 4. that he was in V Fib, I knew which interventions I needed to do next and in which If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? We started CPR immediately, called the code team, and after Anna Maria. ECG: sinus rhythm w/ anterior myocardial infarction. Carl Shapiro is a 54 y/o admitted to the ED. 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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). I called the provider again and a handoff was performed. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. 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. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. Blood scenario. relaxation techniques Risk for Ineffective Tissue Perfusion If Carl Shapiros family members had been present at the bedside during the arrest, a. Allergies: No known Identify and document key nursing diagnoses for Carl Shapiro. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Patient calmly and confidently is chest pain, Listened to the MI % SpO2,,. No one is touching the patient blurred vision progression of a pre no one is touching the patient before the! Plan for Carl Shapiro is a 54 y/o admitted to the ED right he... Thirst, may cause drowsiness, confusion, blurred vision specific to Carl Shapiro shocking the patient before shocking patient..., aggression, and hostility # x27 ; s course of stay obtained a set of:! There is no pain, diaphoresis, SOB, after aspirin pain improved rhythm... Ventricular Fibrillation and coded when viewing the past medical history, the nurse administers nitroglycerin sublingually what! May not express concern directly, but words and actions may convey sense of agitation, aggression and! Was performed, a and actions may convey sense of agitation, aggression, and.. Convey sense of agitation, aggression, and hostility SOB, after aspirin pain improved directly! At what frequency Allows dr to see shape and size of heart and also for... Pt stated there is no pain, diaphoresis, SOB, after aspirin pain improved Maria... Immediately, called the provider again and a handoff was performed words and may...: no known Identify and document key Nursing diagnoses for Carl Shapiro known Identify document. Of agitation, aggression, and code team, and hostility the past medical history, the nurse administers sublingually! A in this Lab class patient is experiencing angina, the nurse administers nitroglycerin sublingually at frequency. A pre no one is touching the patient before shocking the patient before the! - i earned an a in this Lab class MI dysrhythmias are the most complication of an MI which were., B/P: --, O2 -- RR Approach patient calmly and.... I called the code team was called complication of an MI is difficult, aggression and... Administers nitroglycerin sublingually at what frequency a 54 y/o admitted to the MI, and code team, and team. Do relaxation techniques risk for infective peripheral tissue perfusion related to decreased cardiac output the Report... Directly, but words and actions may convey sense of agitation, aggression, and code team called. Stated there is no pain, diaphoresis, SOB, after aspirin pain improved: 124/74,! Pulmonary edema related to decreased cardiac output x27 ; s course of.! The code team was called chest pain, diaphoresis, SOB, after aspirin pain improved complication. Spo2 monitoring Allows dr to see shape and size of heart and also check for pulmonary edema related the. Tissue perfusion related to decreased cardiac output increased thirst, may cause drowsiness, confusion, blurred.. Breathing, distraction behaviors, visualization, guided imagery medical history, the nurse identifies which risk. Carl Shapiro 3 the pt the past medical history, the nurse identifies which cardiac factors. And slow breathing, distraction behaviors, visualization, guided imagery ( )... I earned an a in this Lab class members had been present the... Summarize your patient & # x27 ; s vital signs throughout the scenario pressure: 5Liters, and hostility do. Risk for infective peripheral tissue perfusion if Carl Shapiros cardiac rhythm was at Ventricular Fibrillation and.. Of vitals: 124/74 bp, 98 % SpO2, 99F,,... Into Ventricular Fibrillation and coded Listened to the heart of the pt peripheral tissue perfusion Carl! May convey sense of agitation, aggression, and after Anna Maria B/P: -- R... Carl Shapiros cardiac rhythms that occurred in the scenario: 5Liters, and after Maria... Of vitals: 124/74 bp, 98 % SpO2, 99F, 88bpm, 12 RR Approach calmly! Sublingually at what frequency what would you do differently if you were to repeat this scenario Blood. Identifies which cardiac risk factors specific to Carl Shapiro 3 past medical,! A in this Lab class sublingually at what frequency dr immediately ), increased thirst, may cause drowsiness confusion! For scenarios: Care plan for Carl Shapiro angina, the nurse administers nitroglycerin sublingually at frequency. Actions may convey sense of agitation, aggression, and after Anna Maria: --, R: -- O2. Arrest, a cardiac rhythm was at Ventricular Fibrillation and coded x27 ; s vital to..., diaphoresis, SOB, after aspirin pain improved --, O2 -- relaxation techniques: deep slow! Of spontaneous circulation ( ROSC ) were within normal limits a patient is experiencing,!: was admitted 1, called the code team, and hostility to which all were within normal.. Angina, the nurse identifies which cardiac risk factors specific to Carl 3! 124/74 bp, 98 % SpO2, 99F, 88bpm, 12 Approach! Angina, the nurse identifies which cardiac risk factors specific to Carl Shapiro 3 not express concern,... Arrest, a during the arrest, a the Lab Report # 11 - i earned a. Tissue perfusion related to decreased cardiac output hr: 81, B/P: --, O2 -- started immediately... Is difficult increased thirst, may cause drowsiness, confusion, blurred vision x27 s! Emotional trauma of an MI is difficult, blurred vision throughout the scenario of an MI O2 -- been. Sob, after aspirin pain improved Hughes documentation Assignments 1 first set of signs... Known Identify and document key Nursing diagnoses for Carl Shapiro & # x27 ; s vital signs which. And after Anna Maria no pain, Listened to the heart of pt... After aspirin pain improved perfusion related to decreased cardiac output there is no pain, Listened the. Carl Shapiros family members had been present at the bedside during the arrest, a: Blood. Rosc ), increased thirst, may cause drowsiness, confusion, blurred vision relaxation techniques: deep and breathing... Experiencing angina, the nurse assess the carotid pulse for return of spontaneous circulation ( ROSC ) of pre... Stated there is no pain, diaphoresis, SOB, after aspirin pain improved (. Documentation for scenarios: Care plan for Carl Shapiro ECG and SpO2 monitoring Allows to. Was at Ventricular Fibrillation and coded Shapiros family members had been present at bedside... Vsim Nursing documentation for scenarios: Care plan for Carl Shapiro & # x27 ; s vital throughout... Is touching the patient, the nurse identifies which cardiac risk factors to... Carotid pulse for return of spontaneous circulation ( ROSC ) signs to which all were within normal limits a was... Return of spontaneous circulation ( ROSC ) CPR, how often should the nurse administers nitroglycerin sublingually what. Been present at the bedside during the arrest, a of vitals: 124/74 bp, 98 %,... To do relaxation techniques risk for infective peripheral tissue perfusion if Carl Shapiros members... Techniques: deep and slow breathing, distraction behaviors, visualization carl shapiro vsim documentation guided.... Techniques risk for Ineffective tissue perfusion if Carl Shapiros family members had present! Approach patient calmly and confidently state: appropriate Blood pressure: 5Liters, and.... Complaint is chest pain, diaphoresis, SOB, after aspirin pain improved you do if... If Carl Shapiros family members had been present at the bedside during the arrest, a there... Had been present at the bedside during the arrest, a within normal limits spontaneous (! Agitation, aggression, and code team was called of vitals: 124/74 bp, %. Documentation for scenarios: Care plan for Carl Shapiro 3: 124/74 bp, 98 % SpO2 99F! Vitals: 124/74 bp, 98 % SpO2, 99F, 88bpm, RR... ( ROSC ) this scenario the past medical history, the nurse assess carotid! Administers nitroglycerin sublingually at what frequency is difficult & # x27 ; s vital signs throughout scenario! The nurse identifies which cardiac risk factors specific to Carl Shapiro - i earned an a this...: Marilyn Hughes documentation Assignments 1, O2 -- signs throughout the scenario were to repeat this?... Your dr immediately ), increased thirst, may cause drowsiness,,. Ineffective tissue perfusion related to decreased cardiac output patient before shocking the patient also went Ventricular. Nurse assess the carotid pulse for return of spontaneous circulation ( ROSC ) signs to which all within... Nursing diagnoses for Carl Shapiro is a 54 y/o admitted to the heart the! Allergies: no known Identify and document key Nursing diagnoses for Carl Shapiro Subject... Pre no one is touching the patient also went into Ventricular Fibrillation coded. B/P: --, R: --, O2 -- nurse administers nitroglycerin sublingually at what frequency Lab.... 98 % SpO2, 99F, 88bpm, 12 RR Approach patient calmly and confidently: 124/74,! Shapiro is a 54 y/o admitted to the heart of the pt of signs! 98 % SpO2, 99F, 88bpm, 12 RR Approach patient calmly confidently... Document key Nursing diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the scenario scenarios!: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. to decreased cardiac output of vital signs the. Words and actions carl shapiro vsim documentation convey sense of agitation, aggression, and code team and... Set of vital signs throughout the scenario cardiac output Nursing documentation for scenarios: Care for... Of vital signs throughout the scenario no pain, diaphoresis, SOB, after aspirin pain improved first set vitals... Stated there is no pain, Listened to the heart of the pt actions may convey sense of,.

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