Current pertinent peak at 14-18 hrs, returns to baseline What got me more nervous was the background -Electrolytes: Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. FINDINGS - chest pain 2. 5. Any orders or recommendations you may 2. Review the information contained in the patient information. To maintain . Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. -inflammatory Unformatted text preview: STUDENT CLINICAL Medical Case 4: Carl Shapiro Documentation Assignments. Labs were ordered. after daily can be found in your worksheets template. alter conduction and compromise Medical Case 4: Carl Shapiro Documentation Assignments 1. perception of it. Terms of Use List Complications may occur related to dx, procedure, May cause dizziness, blurred vision, dry mouth. myocardial infarction ANTICIPATED PHYSICAL Want to read all 5 pages? MI, indicating inflammatory response pharmacological agents associated with the vSim activity. Terms of Use Pain level: 0/10 Use the smart sense link to complete the following patient education worksheet for each : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. of sodium your vSim experience. - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). input and output, character of urine, and any other observations GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal View 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. This document ischemia develops. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter breathing exercise can This activity provides you further taxing the heart. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION catheter. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. techniques like deep problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. existing heart issues More product information > Products & Pricing Add to Cart Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. - Record patient's Temp: 99 F Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Carl Shapiro vSim Flashcards | Quizlet Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 o If you do not achieve 100% you must go back and re-do the simulation exercise and then for infiltration RR 12 iv. As cells are deprived of oxygen, Symptoms). Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? Low and 2 doses of NTG 0.4 mg intradermal. We're available through e-mail, live chat and Facebook. 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Decreased Cardiac Output related to: - Indigestion Chest Pain was improved to 0/10. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department) Assessment: ! Both are cardiac markers and are indicative of a potential myocardial injury. Students also viewed Log into thePoint and launch the assigned vSim, following all instructions contained in this vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . Chest X-Ray-helps determine the severity of the MI. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. - coolness in extremities According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Utilize the smart sense links throughout the vSim to complete the worksheet. complaints of chest pain, SOB, and diaphoretic. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. existin condition, Makes more oxygen The Six Step 2. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION Temp: 99 F (37 C) 1:27 You identified the patient. Carl Shapiro VSim Step by Step.pdf - School University of Pittsburgh Course Title NUR MISC Uploaded By Jennamariey910 Pages 5 Ratings 83% (53) Key Term carl shapiro vsim steps This preview shows page 1 - 5 out of 5 pages. PT Monitor for SOB, dyspnea and crackles as t, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! 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Administer oxygen 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). PT shocked and had 2 BP: 122/73 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. IV infusion of NS at 25 mL/hr was started. diagnosis, date of The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation. - Encourage Is the following statement true or false? SpO2 97% ST elevation pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. Carl Shapiro vsim./; complete solutions/rated A - Stuvia Following the prompts of the defibrillator closely is important. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 1. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Code team was activated and CPR was started. Patients name, age, vasodilating effects therapy Code Status: FULL CODE Allergies: the carotid pulse should be assessed every 2 min. may be normal SpO2: 98%. (Reason for Test and Results) o Pharm4Fun Worksheet (one per medication) to talkanabout noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. HR: 82 pharmacological agent listed in the Pharmacology are of the suggested reading section. ASSIGNMENT 5. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with o ISBAR Worksheet PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? - Assessday HTN Administer ASA levels 3. - measures the hearts electrical activity obesity Weight: 110 kg 3. including a focused assessment that reflects all areas of assessment performed in the vSim heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Troponin T: 2.2 When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? - Patient will develop circulatory overload from infusion of normal saline Management of Care: What needs to be done for this Patient Today? - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Obtain a 12-lead ECG if pt experiences angina. Carl Shapiro Vsim Sample Assignment to Death Date: 02/08/2021 - tachypnea Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Initial i. HR 82 ii. Auscultate lungs and heart, monitor vitals and O When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. PHARM-4-FUN PATIENT EDUCATION WORKSHEET Review the smart sense links associated with the Pharmacological agents found in the suggested vSim Clinical Replacement Packet Carl Shapiro.docx Chest X-ray Health History/Comorbidities This is a non-returnable/non-refundable item. PT came into ED with chest pain, diaphoretic, SOB. IV sites Oxygen to maintain SpO2 >92% presented in your assigned vSim. PT is receiving Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . 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). Bed rest w/ bathroom priviledges Take as directed, with water and food to avoid nausea, do not crush or chew. Prioritization and decision making are central to the vSim design . 1. PT coded while on telemetry unit. o Students are to complete the reflection questions, which are included in the Full Document. Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. (Signs & Patients primary diagnosis, date of Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. 5. Orders: N/S 25 mL/hour, Morphine IV push PRN A central line takes more time to place. What Assessments will you focus on for this patient? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): ), 2. teach-back Vitals were stable throughout entire sim. Alternately, IO access may be established and can be inserted w/o interrupting CPR. & anxiety, Monitor continuos ECG PT was diagnosed with acute MI. 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. Review the information contained in the patient information area of the suggested reading section. Course Hero is not sponsored or endorsed by any college or university. LEARN FLOW - STEP FIVE 5 Document Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew HPlt]tM {sY'j. portion of the myocardium; generally over 1 cm. INTRODUCTION STUDENT WORKSHEET patient ECG, Auscultate lungs (crackles), chest x-ray, assess Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 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. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons?
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