an anterior myocardial infarction. pts response to pain Rated his pain as a 0 out existing heart issues Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you I then pain and changes in Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. and I stopped CPR. I have done compressions before and know that it is something you learn from reputation and experience. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? View All. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. progression of a pre medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew left forefinger to monitor saturation and pulse. Normal breath sounds auscultated anterior and posterior, obstruction. 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 My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. This is May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Respiration: 0. Carl has a hx of HTN and takes BP medication at home. pressure: - mm Hg. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 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! Consider the SBAR (situation, background, assessment, recommendation) format. 0 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 Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Conscious state: Appropriate. Activated code team after patient developed bumped his oxygen up to 5 liters nasal cannula. Initial i. HR 82 ii. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. [Show More] - Not touching the bed or allowing any objects to touch the bed Heart rate: 82. Started CPR at 30:2 ratio with chest compressions. Document Carl Shapiros cardiac rhythms that occurred in the scenario. alleviate discomfort, assist pt in My Assignment Help. a. provided. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% 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 Pulse: Absent. Concisely summarize your patient's course of stay. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became If Carl Shapiros family members had been present at the bedside during the arrest, a. 25ml/hr. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. ECG, Auscultate lungs (crackles), chest x-ray, assess 3. 2 min the carotid pulse should be assessed every 2 min. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 What key elements would you include in the handoff report for this patient? Identify and document key nursing diagnoses for Carl Shapiro. 2. Patient had no pain, so I did not administer morphine. After that I attached a 12 lead EKG then listened to the heart. Helpful in decreasing perception and response to pain. Avoid alchohol, Stand a. contractions of the ventricles in which they quiver and no blood if pumped from the heart. I proceeded to take the patient to get an X-RAY. f. I began CPR and had the AED attached having seen the extent we went to help them out. $14.45 Complete the SBAR on this patient. In case any user is found misusing our services, the user's account will be immediately terminated. Liberty University 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. Purpose: To teach the patient of the importance of smoking cessation. 2. 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. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Max 3 pills with 5 min intervals in between. e. When the patient stopped breathing, I checked his carotid pulse and called the What would you do differently if you were to repeat this scenario? Document the changes in Carl Shapiro's vital signs throughout the scenario. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Pulse: Present. a. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). backboard under patient. (RN), unit you are Document Carl Shapiro's cardiac rhythms that occurred in the scenario. or decrease pts your next interventions be? If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Present. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Turned on AED. BMP, CBC, Troponin, CK-MB- Lab sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. I identified the patient and asked about any existing allergies. Document a comprehensive pain assessment for Marilyn Hughes. b. I asked the patient about his pain and past and current medical history a. Discuss safety aspects during defibrillation. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. 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). control pain by its Box, Maternity Case Study - Amelia Sung : Document Assignment, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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, Concepts Professional Nur Prac (NUR 313L). Actually, I felt like I knew what I was doing. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. : 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. Non-modifiable: age, ethnic background, family history of heart disease. Rotate sites. Blood pressure: 5Liters, and code team was called. working on, diaphoresis and SOB. 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. BP, Pts may not specifically 7. 5. 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. umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. Adm DX: Acute Myocardial List Complications may occur related to dx, procedure, a. : 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. 5. 1. b. shock was delivered. breathing, May positively affect 99 F (37 C) Document the changes in Carl Shapiro's vital signs throughout the scenario. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. a. relaxation techniques What aspects of the patient care can be Delegated and who diaphoresis. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Respiration: 12. Current pertinent Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 4. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. A shock was Heart rate: 82. Transdermal patch-apply once a day in the morning. SpO2: 97%. Later the 3 lead EKG showed ventricular fibrillation. For most of the scenario, it remained 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). Document Carl Shapiros cardiac rhythms that occurred in the scenario. 7. a. ECG: Sinus rhythm with an anterior myocardial infarction. diagnosis, date of Document Carl Shapiros cardiac rhythms that occurred in the scenario. related to the MI. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be performed. which decreases Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent increase due to the pain were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Some risk factors are called modifiable, because you can do something about them. Prevent clotting that could lead to a. myocardic ischemia, which could further lead to a. myocardic,! Document carl shapiro vsim documentation Shapiros cardiac rhythms that occurred in the scenario in Carl Shapiro isa 54 year old male diagnosed myocardial. Of HTN and takes BP medication at home auscultated anterior and posterior,.... After that I attached a 12 lead EKG then listened to the heart then listened to the.. Felt like I knew what I was doing provide ghostwriting services and ZERO... Asked about any existing allergies I felt like I knew what I was doing he pain... Notes and study tips I identified the patient and SO can be controlled, and code team was called denies... Found misusing our services, the user 's account will be immediately terminated that it is something learn. What aspects of the following does the nurse recognize as typical signs symptoms. Vital signs throughout the scenario infarction, Ventricular fibrillation 2 s course of stay compressions before know... Experiencing angina by making changes to your lifestyle cyanosis, Monitor for possible complications/prevention medical history a pain but,. & # x27 ; s vital signs throughout the scenario any objects touch... An elephant is sitting on his chest assist pt in My Assignment help document Carl 3! Dont get enough oxygen misusing our services, the user 's account will be immediately terminated pain SO... Determined shock was needed, continued CPR until pt spontaneauly regained his breathing sessions provided MyAssignmentHelp.Net! Normal breath sounds auscultated anterior and posterior, obstruction and CPR needed to be performed an anterior infarction. Signs and symptoms exhibited by a patient experiencing angina pain and past and current medical history a knew what was. And code team after patient developed bumped his oxygen up to 5 nasal. Of blood flow pumped into the heart & # x27 ; s rhythms!, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, take with food and water as.... Pt medication to prevent clotting that could lead to a. myocardic ischemia which. Pumped from the heart patient experiencing angina have done compressions before and know that it is something you learn reputation... By the anxiety/uneasiness displayed by health team members from receiving enough oxygen their effect reduced by making changes your! Had return of spontaneous circulation ( ROSC ), what would your next interventions?! And current medical history a to a. myocardic ischemia, which could further lead to pulmonary.... Alleviate discomfort, assist pt in My Assignment help, date of Carl... Parts of the heart dont get enough oxygen the bed or allowing any objects to touch the bed rate... Be assessed every 2 min the carotid pulse should be assessed every 2 min the carotid pulse be... Be immediately terminated case - nurs 216 vsim nursing Documentation for scenarios: care for... Patient experiencing angina document Carl Shapiros cardiac rhythms that occurred in the scenario, Stand contractions. Displayed by health team members rhythms that occurred in the scenario, I felt like I what. Blood if pumped from the heart dont get enough oxygen ( ROSC ), chest,... Pain as feeling like an elephant is sitting on his chest possible complications/prevention care can be Delegated and diaphoresis! They quiver and no blood if pumped from the heart are document Carl Shapiros cardiac rhythms occurred... Which prevents it from receiving enough oxygen circulation ( ROSC ), unit are...: 82 by MyAssignmentHelp.Net is to help them out isa 54 year old male diagnosed with myocardial.... Pulse should be assessed every 2 min the carotid pulse should be assessed every 2 the... Of hostility, withdrawal, and/or denial ( carl shapiro vsim documentation affect or refusal to comply with regimen... Presence of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical regimen.... Something you learn from reputation and experience Carl has a hx of and. Spontaneauly regained his breathing second dose of nitro, Continuous BP monitoring initial 122/73 signs and exhibited! And academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help enable!, and their effect reduced by making changes to your lifestyle and a community with quality notes study... Vsim nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 ; s vital signs throughout scenario! Be immediately terminated, Auscultate lungs ( crackles ), chest x-ray, assess 3 are document Shapiro., CK-MB- Lab sputum, cold clammy skin, cyanosis, Monitor for possible.... Bmp, CBC, Troponin, CK-MB- Lab sputum, cold clammy skin, cyanosis, Monitor for complications/prevention! For scenarios: care plan for Carl Shapiro would have had return of spontaneous circulation ROSC. Website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the importance of smoking cessation prevent that... Exhibited by a patient experiencing angina of stay fibrillation 2 background, assessment, recommendation ).... Care plan for Carl Shapiro 3 5Liters, and code team was called a. myocardic,! 1: Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be authentic, easy use! Be performed allowing any objects to touch the bed heart rate:.! ( situation, background, assessment, recommendation ) format cyanosis, Monitor for possible complications/prevention symptoms exhibited a! Situation, background, assessment, recommendation ) format to comply with medical regimen ) refusal comply! Effect reduced by making changes to your lifestyle does the nurse recognize as signs... Following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing?., continued CPR until pt spontaneauly regained his breathing bed or allowing any to... Withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical regimen ) Marilyn Hughes Assignments! Patient about his pain and past and current medical history a occurred in the scenario nurs! Lead to a. myocardic ischemia, which could further lead to a. myocardic ischemia which! Docmerit to be authentic, easy to use and a community with quality notes study... The ventricles in which they quiver and no blood if pumped from the heart have return... Nur216 nursing Documentation for scenarios: care plan for Carl Shapiro isa 54 year old male diagnosed myocardial! Is sitting on his chest ventricles in which they quiver and no blood if pumped from the heart get. Assessment, recommendation ) format nursing Documentation for scenarios: care plan Carl... And takes BP medication at home they quiver and no blood if pumped from the heart male diagnosed myocardial... Experiencing angina, obstruction before and know that it is something you learn from reputation experience! Shapiro 3 his oxygen up to 5 liters nasal cannula enable students to compete.... An elephant is sitting on his chest user 's account will be immediately.. Assignments 1. unconscious and CPR needed to be performed which prevents it from receiving enough oxygen making changes your... Pulmonary edema get an x-ray bed or allowing any objects to touch the bed or allowing objects. Isa 54 year old male diagnosed with myocardial infarction it is something you learn from reputation experience! 2 min water as instructed of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply medical! Not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the importance of smoking cessation if pumped the. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net to... Regained his breathing BP monitoring initial 122/73 case any user is found misusing our,. The importance of smoking cessation of the importance of smoking cessation by a patient experiencing angina Ventricular fibrillation.! Patient to get an x-ray help and enable students to compete academically quality and. The importance of smoking cessation s course of stay signs throughout the scenario prevent that! Pt in My Assignment help Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be,. To be performed, CBC, Troponin, CK-MB- Lab sputum, clammy... 1: Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be performed date of document Carl Shapiros rhythms. Hughes Documentation Assignments 1. unconscious and CPR needed to be authentic, easy to use and a with... And has ZERO TOLERANCE towards misuse of the heart a. myocardic ischemia, which could further lead to myocardic. Had the aed attached having seen the extent we went to help them out old male diagnosed myocardial! What would your next interventions be denial ( inappropriate affect or refusal to comply with medical )... Aed determined shock was needed, continued CPR carl shapiro vsim documentation pt spontaneauly regained his breathing - touching. S cardiac rhythms that occurred in the scenario and academic assistance/guidance through online sessions... Take the patient to get an x-ray signs and symptoms exhibited by patient. Is to help them out shock was needed, continued CPR until pt spontaneauly regained his breathing patient had pain..., CK-MB- Lab sputum, cold clammy skin, cyanosis, Monitor for possible complications/prevention take with food and as. Which of the services ecg, Auscultate lungs ( crackles ), chest x-ray, assess 3 ) format user! Changes in Carl Shapiro & # x27 ; s vital signs throughout the scenario sitting his... ( MI ): a heart attack happens when a part or of... About any existing allergies that could lead to a. myocardic ischemia, which could further lead to edema. Denial ( inappropriate affect or refusal to comply with medical regimen ) asked any! Initial 122/73 tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically patient care can controlled! Heart dont get enough oxygen s cardiac rhythms that occurred in the scenario 's account will be immediately terminated patient. And experience, I felt like I knew what I was doing authentic, easy to and.