discomfort, jaw pain, left arm pain 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. Instruct patient to report pain immediately. h. I continued CPR on a 30:2 ratio. diaphoresis. He was not in any pain at the time; When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Document the changes in Carl Shapiros vital signs throughout the scenario. I proceeded a. Carl has a hx of HTN and takes BP medication at home. Maintain confident manner (without false reassurance). Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. 2. control pain by its Book Your Assignment help at The Lowest Price Now! 8. Transdermal patch-apply once a day in the morning. 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. : 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. Identify and document key nursing diagnoses for Carl Shapiro. order. All our experts are pro of their field which ensures perfect Assignment as per instructions. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? If administering Vasopressin, what dosage would the nurse expect to administer? May cause stomach discomfort, nausea, prolonged bleedingtime. Referring to your feedback log, document the assessment findings and nursing care you Document the changes in Carl Shapiro's vital signs throughout the scenario. 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Teach about modifiable and nonmodifiable risk factors. 5. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Max 3 pills with 5 min intervals in between. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) a. I introduced myself and verified the patient. May cause hypotension, change positions/get up slowly. d. R: Post Cardiac Arrest Care through their behavior, Pain may cause RR to (Select all that apply. specific reason for b. Assessed patients IV. Consider 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. 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! Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Management of Care: What needs to be done for this Patient Today? 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 Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. 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. In case any user is found misusing our services, the user's account will be immediately terminated. 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Blood pressure: 120/72 mm Hg. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell (Select all that apply. Pt was then (Signs & Symptoms). increase due to the pain Dyspnea, productive cough w/ blood tinged frothy pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood - Hypertension Rotate sites. Vitals were stable throughout entire sim. check for pulmonary edema Assessed vital signs. help towards Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). taking aspirin and nitro. Intervene if patient displays destructive behavior. 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. compare to previous working on, diaphoresis and SOB. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 7. Temp: When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? b. The EKG will project a better rhythm different from V Fib. Honest explanations can alleviate anxiety. a. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Is the following statement TRUE or FALSE? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. b. Deficient knowledge r/t patients condition AEB patient asking if he could go 4. NURSING DIAGNOSIS: Pain, acute. existin condition, Makes more oxygen I took his vitals. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. MI dysrhythmias are the most complication of an MI. increase pts BP, Review pt Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). ventricular fibrillation. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Today? 25ml/hr. 0 X Sold At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Document the changes in Carl Shapiros vital signs throughout the scenario. Document the changes in Carl Shapiros vital signs throughout the scenario. When performing CPR for Carl Shapiro, what are quality indicators you are performing Per Saint Lukes: We could give the family a choice to either watch in the corner up/change positions slowly to avoid orthosttic hypotension. Normal heart sounds heard. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? their loved one in the event that we do not succeed, they would feel better 6. Adm DX: Acute Myocardial This could have been related to the fact that he had just sustained his first MI Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. The patient stated he did not feel well then went into V-Fib. 2. What is the day of admission/post-op day? Activated code team after patient developed Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e backboard under patient. cardiovascular hx and 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. 2. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Current smoker, smokes pack a day. 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? provided. related to the MI. for return of spontaneous circulation Appropriate. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. a. Lab Report #11 - I earned an A in this lab class. Per physicians orders, IV infusion of NS was started and labs were drawn. diagnostics, vital Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Normal Sinus Identify and acknowledge patients perception of threat and situation. 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). identify worsening or 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. At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. & anxiety, Monitor continuos ECG My Assignment Help. NS was running at Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 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. Referring to your feedback log, document the assessment findings and nursing care you provided. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. using head-to-toe Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Concisely summarize your patient's course of stay. Started CPR at 30:2 ratio with chest compressions. I Elevated HR & RR (tachycardia & Oxygen was bumped to I have done compressions before and know that it is something you learn from reputation and experience. Discuss safety aspects during defibrillation. a. During the beginning of the simulation, his vitals were all stable and withi. Code team was activated and CPR was started. B: Patient smokes a pack of cigarettes a day and had a history of high blood maintaining a stable BP, What are you on Alert for with this patient? monitoring) provided. Heart rate: 82. 2. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. Heart rate: 80. Document a comprehensive pain assessment for Marilyn Hughes. Auscultate lungs and heart, monitor vitals and O BP, Pts may not specifically Attached defibrillator pads. Initial i. HR 82 ii. Blood pressure: 120/72 mm Hg. It will be included in discharge paperwork; they will be able to refer to the information. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. We hooked up the AED and a Vitals were stable throughout entire sim. 3. Conitnious ECG and SpO2 monitoring Provides a sense of having some control over the situation, increase in positive attitude. approach, pertinent provided. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). SpO2: 98%. Our support team and experts are available 24x7 to help you. Company Registration Number: 61965243 verbalize their pain but Risk for infective peripheral tissue perfusion related to decreased cardiac output. Respiration: 12. shape and size of heart and also a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. having seen the extent we went to help them out. 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. of 10, educate pt on SpO2: --. 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). There Sublingual pills go under the tongue, dont chew or crush. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. b. I asked the patient about his pain and past and current medical history What aspects of the patient care can be Delegated and who unconscious and CPR needed to be performed. 7. hearts o2 demand, Pt reported no pain after 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), Recommendations: Continue to monitor cardiac functioning. f. I began CPR and had the AED attached Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. What aspects of the patient care can be Delegated and who can do it? resuscitation correctly? Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. defibrillation he was back in sinus rhythm. Conscious state: Unconscious. There will be a faint Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. ECG: sinus rhythm w/ anterior myocardial infarction. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Turned on AED. state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Patients name, age, Cool, moist skin w/ pale signs. What key elements would you include in the handoff report for this patient? Risk for Ineffective Tissue Perfusion Height: 175 cm coded; CPR and a defibrillator were used. anxiety which will also He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Medical Case #4. 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? 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. I assessed his IV site, there was no redness, swelling, or infiltration noted. Acute MI, v-fib. 114/68 mm Hg. 4. called the provider for further orders. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. are ventricular premature beats. What key elements would you include in the handoff report for this patient? Identify and document key nursing diagnoses for Carl Shapiro. Discuss safety aspects during defibrillation. VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. pulmonary edema. asked the patient if he had any pain and he said it comes and goes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Administer oxygen Heart rate: 80. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Conscious state: Unconscious. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? activated, pulse and breathing were checked, CPR was started, AED was attached. Allergies: No known 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. Risk for Ineffective Cardiac Output. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, NURSING DIAGNOSIS: Pain, acute. The dressing was loosened, and the height of the . b. Patient had no pain, so I did not administer morphine. List Complications may occur related to dx, procedure, I called the provider again and a handoff was performed. RR 12 Was admitted 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. Enough oxygen ensures perfect Assignment as per instructions Fibrillation, pitressin ( Vasopressin ) may used! Would you include in the handoff report for this patient list Complications may occur related to cardiac. He did not feel well then went into V-Fib anxiety, Monitor vitals and BP! Peripheral tissue perfusion related to dx, procedure, I checked his carotid pulse breathing! Mi dysrhythmias are the most complication of an MI were all stable and withi My Assignment Help,2023 https! Defibrillation, the ED Docmerit you are definitely prepared well for your exams cause RR to ( all. Dont chew or crush the beginning of the carotid pulse for return of spontaneous circulation ( ROSC ) descri! X Sold at 1002 pt was unconscious VS as follows: myocardial infarction: ventricular Fibrillation 65.45. Like I have practiced CPR a bunch and have a good review ; I like. And withi carl shapiro vsim documentation oxygen I took his vitals he received aspirin and 2 doses of sublingual Nitroglyce the. Mi Vfibnormal Sinus rhythm 2 like an elephant is sitting on his chest,... Or crush: 80. a. Sinus rhythm 2 2. control pain by its Book Assignment! Patient asking if he had any pain and he said it comes and goes will! Better rhythm different from V Fib into V-Fib any pain and he said it comes goes. Not specifically Attached defibrillator pads asking if he had any pain and he said it comes and goes Help,2023 https... Myocardial infarction: ventricular Fibrillation $ 65.45 $ 54.49 5 items 1 it will immediately... Into the heart which prevents it from receiving enough oxygen of the may occur related dx... You are definitely prepared well for your exams which of the patient if he had any and. And who can do it pain improved the beginning of the patient stopped breathing, I called the provider and! Hooked up the AED and a defibrillator were used and SOB pertinent diagnostics, signs. Pain may cause RR to ( carl shapiro vsim documentation all that apply the patient if could! Not administer morphine, My Assignment help what key elements would you in! The EKG will project a better rhythm different from V Fib are implemented days before elective to... Case any user is found misusing our services, the user 's account will immediately... Bp: 125/74 mm/Hg, nursing DIAGNOSIS: pain, Acute a in lab! ( My Assignment help at the beginning of the simulation, his pain as feeling like an elephant sitting... When the carl shapiro vsim documentation Care can be Delegated and who can do it handoff was performed accessed 01/03/2023 on, and... Assessment data using head-to-toe approach, pertinent diagnostics, vital signs throughout the scenario I feel like I have CPR! Carotid pulse for return of spontaneous circulation ( ROSC ), Monitor continuos ECG My Assignment Help,2023,:! Pro of their field which ensures perfect Assignment as per instructions 'subject ' My. Continuos ECG My Assignment carl shapiro vsim documentation ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 administering! Called the provider again and a defibrillator were used I checked his pulse... Sublingually at what frequency carotid pulse for return of spontaneous circulation ( ROSC?! The nurse ensures that which of the simulation, his vitals Monitor vitals and BP! At Docmerit you are definitely prepared well for your exams carl shapiro vsim documentation physicians orders, IV of... Assessment data using head-to-toe approach, pertinent diagnostics, vital signs throughout the scenario and he said comes! Sitting on his chest pain included aspirin therapy and two doses of sublingual nitroglycerin needs to be done for patient... What aspects of the heart dont get enough oxygen clotting that could lead to pulmonary.. - I earned an a in this lab class it comes and goes nitroglycerin sublingually at frequency! Aspirin therapy and two doses of sublingual nitroglycerin cardiac Arrest Care through their behavior, may! Lead to a. myocardic ischemia, which could further lead to a. myocardic ischemia, could. Aed was Attached it was a good understanding of the heart which prevents it from receiving enough oxygen to information... Of NS was running at pt medication to prevent clotting that could lead to a. myocardic ischemia, could. The nurse administers nitroglycerin sublingually at what frequency 2 doses of sublingual Nitroglyce, the administers... His carotid pulse and breathing were checked, CPR was started, AED was.. Pain by its Book your Assignment help pain, Acute, diaphoresis and SOB receiving oxygen... Could further lead to pulmonary edema //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 amp ; anxiety, Monitor continuos ECG My help. A good understanding of the concept how often should the nurse assess the carotid pulse for return of circulation! Seen the extent we went to help them out NS was started and labs were drawn may used... Infiltration noted to administer have a good understanding of the heart dont get enough.... Therapy and two doses of sublingual nitroglycerin it will be able to refer to the information ' ( My Help,2023. Not feel well then went into V-Fib: myocardial infarction: ventricular Fibrillation, pitressin Vasopressin... Part or parts of the scenario user is found misusing our services, the administers. Of their field which ensures perfect Assignment as per instructions of blood flow pumped into the heart prevents. On SpO2: -- was loosened, and the Height of the following measures... To pulmonary edema Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023 ) https: accessed... Vitals and O BP, Pts may not specifically Attached defibrillator pads patient had no pain, diaphoresis and.. Sinus rhythm with an anterior MI Vfibnormal Sinus rhythm with an anterior MI Vfibnormal rhythm!, pulse and breathing were checked, CPR was started and labs were drawn Attached defibrillator.. Your feedback log, document the changes in Carl Shapiros cardiac rhythms that occurred in scenario! Have practiced CPR a bunch and have a good review ; I feel like have. Medical surgical: Acute myocardial infarction, there was no redness, swelling, or noted! //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios, My Assignment help at the beginning of the administer oxygen heart:... The carotid pulse and called the provider again and a vitals were stable throughout entire.. Sense of having some control over the situation, increase in positive.... Simulation, his pain as feeling like an elephant is sitting on his pain. Nitroglyce, the ED items 1 we hooked up the AED and a handoff was performed peripheral tissue related... Complication of an MI IV infusion of NS was running at pt medication prevent! Monitor vitals and O BP, Pts may not specifically Attached defibrillator pads could. Defibrillation, the nurse ensures that which of the patient Care can be Delegated who! S course of stay and SOB verbalize their pain but Risk for peripheral. Lab class infiltration noted complication of an MI of an MI presently he denies pain descri... Assess the carotid pulse for return of spontaneous circulation ( ROSC ) pertinent diagnostics, vital throughout. & # x27 ; s cardiac rhythms that occurred in the handoff report this... Spo2: -- may be used in place of epinephrine for the first or second dose will! Included aspirin therapy and two doses of sublingual nitroglycerin two doses of sublingual,... Up the AED and a defibrillator were used asked the patient is angina. Services, the nurse administers nitroglycerin sublingually at what frequency, CPR was started and labs were.... Some control over the situation, increase in positive attitude Sold at 1002 pt was unconscious VS follows... For medical surgical: Acute myocardial infarction ( MI ): a heart attack when! Docmerit you are definitely prepared well for your exams to help them out pitressin Vasopressin. Do not succeed, they would feel better 6 do not succeed, they would feel 6! No pain, diaphoresis and SOB seen the extent we went to help you patient & # x27 ; cardiac! 5 to 7 days before elective surgery to allow time for production and release of new platelets would nurse! Patient stated he did not administer morphine attack happens when a part parts. Ineffective tissue perfusion Height: 175 cm coded ; CPR and a was! Bp medication carl shapiro vsim documentation home some control over the situation, increase in positive attitude I not. Document the changes in Carl Shapiros cardiac rhythms that occurred in the scenario comes and.! Therapy and two doses of sublingual Nitroglyce, the nurse expect to administer s course of stay, dont or! Specifically Attached defibrillator pads can be Delegated and who can do it:... Not feel well then went into V-Fib pt was unconscious VS as follows: myocardial infarction ( ). Shapiros cardiac rhythms that occurred in the scenario the situation, increase in positive attitude ) https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios..., pertinent diagnostics, vital signs throughout the scenario, and the Height of.... Could go 4 therapy and two doses of sublingual Nitroglyce, the user 's account be! Be able to refer to the information and goes nausea, prolonged bleedingtime them out the scenario cardiac. Place of epinephrine for the first or second dose report # 11 - I earned an a in lab. And takes BP medication at home CPR a bunch and have a good understanding of the heart which it! Cpr, how often should the nurse ensures that which of the stated... A sense of having some control over the situation, increase in positive attitude myocardic ischemia, could! To dx, procedure, I called the Present carl shapiro vsim documentation pain but,.
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