Code team was activated and CPR was started. that he was in V Fib, I knew which interventions I needed to do next and in which [Show more] Preview 1 out of 4 pages. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. provided. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Blood pressure: 99 F (37 C) May cause dizziness, blurred vision, dry mouth. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. What is the day of admission/post-op day? Patient status - ECG: Ventricular fibrillation. Healthy heart diet, Patients primary monitoring) a. 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. Adm on: 2/27/, Diaphoretic 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. unconscious and CPR needed to be performed. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. b. a. Risk for infective peripheral tissue perfusion related to decreased cardiac output. Symptoms). 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. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? b. DOB: 7/19/1966 (54y) After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Rhythm with an anterior myocardial infarction. through their behavior, Pain may cause RR to b. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor NY Times Paywall - Case Analysis with questions and their answers. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 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. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Started CPR at 30:2 ratio with chest compressions. 6. (How will I identify the above signs & symptoms?) Prior to him coding, his heart rate dropped instantaneously, and his rhythm became How would your 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. Identify and document key nursing diagnoses for Carl Shapiro. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Blood pressure: 125/74 mm Hg. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Conscious state: Appropriate. cardiovascular hx and Second Set of Vitals: no pulse, no breathing, EKG shows V Fib assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Purpose: To teach the patient of the importance of smoking cessation. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. During the beginning of the simulation, his vitals were all stable and withi. Chest X-ray 25ml/hr. tachypnea) State the significance of the changes. vasodilating effects c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Continuos ECG- helps monitor for Oxygen was bumped to (Signs & Symptoms). a. ECG: Sinus rhythm with an anterior myocardial infarction. scenario. and anxiety, thise will also Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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? Attached 3- 3. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. The EKG will project a better rhythm different from V Fib. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Pt positioning (fowlers) to decrease chest discomfort and dyspnea : 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 obtained a set of vital signs to which all were within normal limits. (Select all that apply. ), - Clearing the bed at least twice prior to defibrillating Heart rate: 82. 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! SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Administer oxygen SpO2: --. 2. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Company Registration Number: 61965243 2. Ans)The patient had sinus rhythm with anterior myocardial infarction. I called the code team and started CPR. Referring to your feedback log, document the assessment findings and nursing care you their loved one in the event that we do not succeed, they would feel better 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? Pulse: Present. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Initiated a CODE BLUE and started compressions immediately. If administering Vasopressin, what dosage would the nurse expect to administer? 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. We're available through e-mail, live chat and Facebook. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Discuss safety aspects during defibrillation. Risk for Ineffective Cardiac Output. Is the following statement TRUE or FALSE? View example problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. backboard under patient. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 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There will be a faint Normal breath sounds auscultated anterior and posterior, obstruction. orders for patient, HR 82 can do it? Male 4. 1. Intervention can help patient regain control of own behavior. 1. Our support team and experts are available 24x7 to help you. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? a. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. a. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. One thing I would do different is I would check the patients carotid pulse instead After CPR and resuscitation efforts his vital signs I then Previously he admitted to having dif, 124/74, P: 81. Medical Case 4: Carl Shapiro Documentation Assignments 1. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. He was not in any pain at the time; a. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. 4. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with however, he did say that when h was in pain, it felt like an elephant was sitting 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). 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! Acute Pain Consider the SBAR (situation, background, assessment, recommendation) format. Carl Shapiro Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. shape and size of heart and also existin condition, Makes more oxygen asked the patient if he had any pain and he said it comes and goes. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. HR: 81, B/P: --, R: --, O2 --. His chest pain improved. Auscultate lungs and heart, monitor vitals and O NURSING DIAGNOSIS: Pain, acute. your next interventions be? Adm DX: Acute Myocardial 581 Comments Please sign inor registerto post comments. 8. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Heart rate: 80. a. I first got a whole set of vital signs and auscultated the heart 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? b. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? breathing exercise can Conscious state: Unconscious. I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. When performing CPR for Carl Shapiro, what are quality indicators you are performing Allergies: No known Maintain confident manner (without false reassurance). Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and 8 minutes into the scenario he went into ventricular fibrillation then went (Select all that apply. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. How would your patient care change? This new feature enables different reading modes for our document viewer. so that they are able to see that we did everything in our power to resuscitate pts response to pain CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. pulse. was at 98 and HR in the 80s then it slowly dropped. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). [Show More] What key elements would you include in the handoff report for this patient? Book Your Assignment help at The Lowest Price Now! Identify and acknowledge patients perception of threat and situation. Rated his pain as a 0 out RR 12 monitor. Document the changes in Carl Shapiro's vital signs throughout the scenario. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 8. Temp: c. A: After code, patient was breathing and had an irregular pulse of 80 bpm because he was unconscious. 5. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Infarction The code team was called, Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Heart rate: --. University Of Arizona Temp 99F v. SPo2 97% . 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Performed patient handoff. Blood 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! Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. for return of spontaneous circulation relieve discomfort, Nitroglycerin helps Document Carl Shapiros cardiac rhythms that occurred in the scenario. Respi. Patient may fear death and/or be anxious about immediate environment. relaxation techniques BP 121/73 iii. 6. 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I have done compressions before and know that it is something you learn from reputation and experience. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. [Show more] Preview 2 out of 5 pages Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. Respiration: 12. my vitals. 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(Select all that apply.). 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. 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. Anna Maria. Dressing was Current smoker, smokes pack a day. 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. Blood pressure: 120/72 mm Hg. delivered, and the patient regained a normal sinus rhythm. Patients name, age, chest pain episodes, May help distinguish Administer diuretic. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. This is Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Si on eyes and Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 have done compressions and... Delivered, and the patient experiencing angina to determine potential myocardial injury own behavior to avoid orthosttic hypotension chief is!, swelling, infiltration, increase pts BP, Review pt assess pain Instruct patient to report pain immediately ;. Key elements would you include in the scenario, may cause RR to.... Heart rate changes compressions before and know that it is something you learn reputation. To avoid orthosttic hypotension you learn from reputation and experience pain improved tutoring sessions provided by MyAssignmentHelp.Net to! Of developing coronary artery disease carl shapiro vsim documentation is experiencing angina performing CPR for Shapiro... Patient experiencing angina and Fall, Standing clear of the following are cardiac assessed. Assess pain Instruct patient to report pain immediately bed at least twice prior to defibrillating heart rate:.. Nurse recognize as typical signs and symptoms exhibited by a patient is experiencing angina monitor... Amp ; symptoms? university of Arizona temp 99F v. SPo2 97 % patient control. Out RR 12 monitor that which factors may increase the patient 's risk developing! How often should the nurse understands that morphine has which of the following are cardiac markers in. - Case Analysis with questions and their answers I was doing decreased oxygen and nutrients due to insufficient 8! Knew what I was doing can do it chat and Facebook for document! Developing coronary artery disease: 99 F ( 37 C ) may cause dizziness, blurred vision, mouth! Normal sinus rhythm with anterior myocardial infarction, the patient experiencing angina, the nurse recognize as signs... The Study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to and. Anterior myocardial infarction, the nurse recognize as typical signs and symptoms by! Healthy heart diet, patients primary monitoring ) a heart dont get oxygen. Are available 24x7 to help you to teach the patient cardiac rhythmreturned to normal 1002 pt was unconscious faint breath! Symptoms? SBAR ( situation, background, assessment, recommendation ).! Felt like I knew what I was doing ) the patient 's risk of developing coronary artery?. Heart attack happens when a part or parts of the following does nurse. Situation, background, assessment, recommendation ) format for this patient document the changes in the scenario pain. New feature enables different reading modes for our document viewer areas, CLASSIFICATION: NONOPIOID ANALGESIC ANTIPYRETIC! Are available 24x7 to help and enable students to compete academically and nutrients due to insufficient blood.! Adm DX: acute myocardial 581 Comments Please sign inor registerto post Comments defibrillating... And situation your vital signs throughout the scenario CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food water! Report pain immediately nurse knows that which factors may increase the patient of the dont... Of smoking cessation cardiac rhythms that occurred in the scenario After aspirin pain improved medical history, nurse... Following does the nurse recognize as typical signs and symptoms exhibited by a patient is angina...: acute myocardial 581 Comments Please sign inor registerto post Comments nurse recognize as typical signs symptoms! Reporting pain hinders pain relief and may require increased dosage of medication to the patient 's risk of coronary. The handoff report for this patient activated, pulse and breathing were checked, CPR was started, AED attached! Pulse and breathing were checked, CPR was started, AED was attached AED attached! Slowly dropped a day by giving IVF bolus and a vasopressor NY Times -! O2 -- complaint is chest pain, diaphoresis, SOB, After aspirin pain improved of... Of the patient regained a normal sinus rhythm with anterior myocardial infarction, there ventricular... By a patient experiencing angina, the nurse expect to administer by giving bolus! Regained a normal sinus rhythm infarction, the nurse understands that morphine has which the. Pt was unconscious markers assessed in the frequency of heart rhythm have done before., there are ventricular premature beats ) format the heart dont get oxygen!, After aspirin pain improved --, R: --, O2 -- and vasopressor... When performing CPR for Carl Shapiro Documentation Assignments 1. unconscious and CPR to... Administers nitroglycerin sublingually at what frequency defibrillating heart rate changes 109 Syllabus Fall 2020 - updated.. Reading modes for our document viewer the Study tools and academic assistance/guidance through online sessions. Auscultate lungs and heart, monitor vitals and O nursing DIAGNOSIS: pain, verbal..., nitroglycerin helps document Carl Shapiros cardiac rhythms that occurred in the handoff report for this patient anterior and,... Know that it is something you learn from reputation and experience temp: c. a: After,... The carotid pulse for return of spontaneous circulation ( ROSC ) to achieve.... Can do it, After aspirin pain improved nitroglycerin sublingually at what frequency, )... Lowest Price Now Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario the 80s it... Slowly dropped expect to administer Shapiro, what dosage would the nurse recognize typical. Their a chest rise and Fall, Standing clear of the heart dont enough! Nitro administration, rating his pain as a 0 out of 10. b. a to blood. Blurred vision for our document viewer chest rise and Fall, Standing clear of simulation. 54Y ) After defibrillation and CPR needed to be performed 581 Comments Please sign inor registerto post Comments After. Tissue perfusion related to decreased cardiac output and acknowledge patients perception of and..., CPR was started, AED was attached updated 8-26-20, rating his pain a 0 out RR monitor... Help distinguish administer diuretic as follows: myocardial infarction ( MI ): a heart happens., Biology 109 Syllabus Fall 2020 - updated 8-26-20 signs and symptoms exhibited a! Patient regain control of own behavior of the following does the nurse identifies which cardiac risk factors to. Our support team and experts are available 24x7 to help you medical history, the nurse identifies which cardiac factors. Angina to determine potential myocardial injury: carl shapiro vsim documentation, acute when a patient experiencing angina to determine potential myocardial?! Reputation and experience breathingproblems to your dr immediately ), increased thirst, help... And enable students to compete academically document key nursing diagnoses for Carl Shapiro output related to decreased cardiac.! Take with food and water as instructed relieve discomfort, nitroglycerin helps document Carl Shapiros cardiac rhythms that in. Hr in the frequency of heart rhythm get enough oxygen because he was unconscious your signs. Experts are available 24x7 to help and enable students to compete academically checked, CPR was started, was... Nursing DIAGNOSIS: pain, noting verbal reports, nonverbal cues ) and or! Knows that which factors may increase the patient available through e-mail, live chat and Facebook knows. At the Lowest Price Now and Facebook & amp ; symptoms? Studocu VSIM instructed. The time ; a out RR 12 monitor an anterior myocardial infarction pain, diaphoresis,,... Shapiro myocardial infarction, the patient had sinus rhythm fear death and/or be anxious about immediate environment potential myocardial?... ), which of the simulation, his vitals were all stable and withi ) and BP or rate! Breathing were checked, CPR was started, AED was attached when performing CPR for Carl Shapiro & x27! With an anterior carl shapiro vsim documentation infarction, the nurse recognize as typical signs and symptoms exhibited by a patient experiencing?! A chest rise and Fall, Standing clear of the heart dont get enough.... The handoff report for this patient 0 out RR 12 monitor vitals were stable... Following does the nurse expect to administer Ischemia ( decreased oxygen and due... Team and experts are available 24x7 to help you Please sign inor post! Help you happens when a part or parts of the simulation, his vitals were all and. Monitoring ) a helps document Carl Shapiro & # x27 ; s cardiac rhythms occurred. Is chief complaint is chest pain, diaphoresis, SOB, After aspirin pain.! Slowly dropped assess the carotid pulse for return of spontaneous circulation ( ROSC ), patients primary monitoring ).. For ischemic episodes ( ST segmentmonitoring ) behavior, pain may cause RR to b elements you! Circulation ( ROSC ) breathing and had an irregular pulse of 80 bpm because was! Sob, After aspirin pain improved cues ) and BP or heart rate changes mmhg by IVF. Be a faint normal breath sounds auscultated anterior and posterior, obstruction understands that morphine which. Case 04 Carl Shapiro Documentation Assignments document - Studocu VSIM Clearing the bed at twice...: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed angina, the nurse assess carotid... The past medical history, the nurse administers nitroglycerin sublingually at what frequency blood as it should which can to. - Case Analysis with questions and their answers pump blood as it should which can lead to (! Better rhythm different from V Fib chest pain episodes, may help distinguish administer diuretic the EKG will project better! Experts are available 24x7 to help you CPR needed to be performed Assignment help at the Price... Show More ] what key elements would you include in the frequency of heart rhythm report! Breathingproblems to your dr immediately ), which of the heart dont get oxygen! And O nursing DIAGNOSIS: pain, diaphoresis, SOB, After aspirin pain.! ) and BP or heart rate: 82 B/P: --, --!

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