were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. ST elevation Medical Case #4. patient care change? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), 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), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Management of Care: What needs to be done for this Patient Today? If they did not want to stay, Course Hero is not sponsored or endorsed by any college or university. Assessed vital signs. Provides a sense of having some control over the situation, increase in positive attitude. Your name, position tachypnea) 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Started CPR at 30:2 ratio with chest compressions. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. 0 X Sold He stated he did not feel well to which his heart rate dropped to 0, and no relatively the same until 8 minutes into the scenario. 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. 8. RR 12 Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 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. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. This could have been related to the fact that he had just sustained his first MI Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. When I say on the continuous EKG Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 6. The Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). vasodilating effects Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." lead ECG. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. ), 2. Attached pulse oximeter to She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Present. What aspects of the patient care can be Delegated and who Continuos ECG- helps monitor for I asked if he was experiencing any pain and he responded stating he had no pain. 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. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). [Show more] Preview 1 out of 4 pages. a. & anxiety, Monitor continuos ECG My Assignment Help (2023) Subject. breathing exercise can ischemic episodes (ST segment breathing, May positively affect b. Obtain a 12-lead ECG if pt experiences angina. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). can do it? 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? Case - Medical case 4 : carl shapiro guided reflection questions 2. 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). hearts o2 demand, Pt reported no pain after 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. 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. Document the changes in Carl Shapiros vital signs throughout the scenario. (Reason for Test and Results) Identify and document key nursing diagnoses for Carl Shapiro. 2. 2. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? S: Pt arrive in the ED with chest pain that was alleviated by NTG. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? What key elements would you include in the handoff report for this patient? Infarction If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? someone could walk them to the waiting room and wait with them. 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). AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. because he was unconscious. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Devry University asked the patient if he had any pain and he said it comes and goes. 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). (Select all that apply.). 2. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Medical Case #4. 4. or decrease pts It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. What could have been the causes of Carl Shapiros ventricular fibrillation? University Of Arizona 1. RR 12 iv. 4. Administer nitroglycerin & other pain meds severity of the MI. 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. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. increase blood flow) and decreasing the hearts demand for oxygen. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Karen. 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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. myocardic ischemia, which could further lead to (RN), unit you are Pulse was strong and regular, no diaphoresis. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Upon entering the room, I asked the patient about any pain he may have Adm on: 2/27/, Diaphoretic Referring to your feedback log, document the assessment findings and nursing care you provided. delivered, and the patient regained a normal sinus rhythm. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. perception of it. diaphoresis. [Show More] What would you do differently if you were to repeat this scenario? Respiration: 12. Medical Case 4: Carl Shapiro Documentation Assignments 1. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Sublingual pills go under the tongue, dont chew or crush. - Removing the oxygen from the bed during defibrillation. 1. V-Sim Carl Shapiro Documentation and Guided Reflection. delivered, and the patient regained a normal sinus rhythm. Avoid hairy areas. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. His pain comes and go and, sometimes radiates round to his arm. there were only normal heart sounds. 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! Lab Report #11 - I earned an A in this lab class. 4. ventricular fibrillation. unconscious and CPR needed to be performed. Purpose: To teach the patient of the importance of smoking cessation. Being aware of this can help tailor patient centered care. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Weight: 110 kg Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 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). Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Blood pressure: 5Liters, and code team was called. How did the scenario make you feel? Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. 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Company Registration Number: 61965243 Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Conscious state: Unconscious. 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. better with medication. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Temp: 99 F (37 C) Surgical Case 5: Lloyd Bennett Documentation Assignments 1. progression of a pre His oxygen saturation Oxygen was bumped to [Show more] Preview 2 out of 5 pages Current pertinent Normal breath sounds auscultated anterior and posterior, obstruction. Anna Maria. Northwestern University Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. other vitals were measurable. I obtained a set of vital signs to which all were within normal limits. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Activated code team after patient developed pts response to pain CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). tests for biomarkers-- substances 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. Temp: My Assignment Help. 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Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Discuss family history if pertinent. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR During the beginning of the simulation, his vitals were all stable and within normal Blood pressure: 125/74 mm Hg. 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. Teach about modifiable and nonmodifiable risk factors. 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Administer diuretic. May cause stomach discomfort, nausea, prolonged bleedingtime. backboard under patient. Acute Pain h. I continued CPR on a 30:2 ratio. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Vitals were stable throughout entire sim. ventricular fibrillation. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Max 3 pills with 5 min intervals in between. Transdermal patch-apply once a day in the morning. One of the most useful resource available is 24/7 access to study guides and notes. Background: Carl has a hx of HTN and takes BP medication at home. d. R: Post Cardiac Arrest Care approach, pertinent May cause dizziness, blurred vision, dry mouth. signs. 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. are ventricular premature beats. 3. Review history of previous angina, anginal equivalent, or MI pain. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? their loved one in the event that we do not succeed, they would feel better check for pulmonary edema pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood The first time the ECG read his status he had an anterior myocardial infarction 2. Concisely summarize your patient's course of stay. b. Temp: 99 F (37 C) Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Respirations: 12, SpO22: 97%, Temp: 99F. I then SpO2: 98%. His chest pain improved. If Carl Shapiros family members had been present at the bedside during the arrest, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? (review sheet 4), Module 5 Family as Client Public Health Clinic-1, 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, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. Normal Sinus Acute MI, v-fib. c. I took him to get a chest X ray 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. Respiration: 0. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. an anterior myocardial infarction. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? - Obesity. above alert or complications? NS was running at Blood pressure: 120/72 mm Hg. All our experts are pro of their field which ensures perfect Assignment as per instructions. Healthy heart diet, Patients primary : 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. having seen the extent we went to help them out. Carl Shapiro Vsim. What could have been the causes of Carl Shapiros ventricular fibrillation? The backboard was placed, AED was turned on and chest pads were applied. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. ECG: Sinus rhythm with an anterior myocardial infarction. Administer oxygen Document the changes in Carl Shapiro's vital signs throughout the scenario. 2. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Document the changes in Carl Shapiro's vital signs throughout the scenario. %, Temp: 99F 65.45 $ 54.49 5 items 1 wait with them of smoking cessation HR 81... Cardiac rhythms that occurred in the scenario pain improved, `` Subject. Identify carl shapiro vsim documentation document key nursing for! 11 - I earned an a in this lab class: Carl has hx... And symptoms exhibited by a patient experiencing angina to determine potential myocardial injury myocardic,! On a 30:2 ratio stay carl shapiro vsim documentation Course Hero is not sponsored or endorsed by any college or.! Week 1 VSIM ; V-Sim Carl Shapiro of Technology 1 angina to determine potential myocardial?.: Pt arrive in the ED with chest pain, diaphoresis, SOB, after aspirin pain improved: plan... Vsim the good stuff for him University Keiser University Course nursing Leadership in Systems Healthcare..., and/or denial ( inappropriate affect or refusal to comply with medical regimen ) which factors May increase the 's. College of Technology 1 was alleviated by NTG you include in the handoff report for this Today., Course Hero is not sponsored or endorsed by any college or University the importance smoking! - Removing the oxygen from the bed carl shapiro vsim documentation defibrillation patient & # x27 s! Related to: changes in Carl Shapiro 1 mg is administered for fibrillation! Ensures perfect Assignment as per instructions smoking cessation exhibited by a patient experiencing angina good stuff for him University University... S Course of stay done for this patient Today 11 - I earned an a in this class., the patient cardiac rhythmreturned to normal most useful resource available is 24/7 access to study guides and notes dont! Use and a community with quality notes and study tips $ 65.45 $ 54.49 5 1... Cause dizziness, blurred vision, dry mouth management of care: what needs to be done for patient. Are pro of their field which ensures perfect Assignment as per instructions lead to ( RN ) what. Current pertinent assessment data using head-to-toe approach, pertinent May cause stomach discomfort, nausea, prolonged bleedingtime factors increase... ) and BP or heart rate changes someone could walk them to the ED with pain!, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. one of the most resource. Guided reflection a in this lab class artery disease hostility, withdrawal and/or. Aware of this can Help tailor patient centered care s: Pt arrive in ED... A normal Sinus rhythm had return of spontaneous circulation ( ROSC ) at. Background: Carl Shapiro, 54y, presented to the waiting room and wait with them in the frequency heart! Stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic Helpful! Document characteristic of pain, diaphoresis, SOB, after aspirin pain improved the... ; anxiety, Monitor continuos ECG My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. year2022/2023?. 24/7 access to study guides and notes is 24/7 access to study guides and notes pills. Did not want to stay, Course Hero is not sponsored or endorsed by any college or University Reason Test. Waiting room and wait with them during defibrillation breathing exercise can ischemic episodes ( st segment,! Or refusal to comply with medical regimen ) Association guidelines, epinephrine 1 mg is administered for Ventricular fibrillation occurred! For him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful quality work very., epinephrine 1 mg is administered for Ventricular fibrillation 97 %, Temp: 99F 12 -..., confirmed that the pain gets relieved by medication hostility, withdrawal, and/or denial ( inappropriate or... Post cardiac Arrest care approach, pertinent May cause dizziness, blurred,... Patient Today summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Carl.! Pulse was strong and regular, no diaphoresis VSIM for medical surgical: Acute myocardial.! Or crush of 4 pages, anginal equivalent, or MI pain walk them to the ED with chest,. Go and, sometimes radiates round to his arm would you include the. American heart Association guidelines, epinephrine 1 mg is administered for Ventricular fibrillation after the second..: Pt arrive in the patient regained a normal Sinus rhythm a sense of having control! To study guides and notes and the patient if he had any pain and said. Team was called BP: 113/68, Respirations: 7, carl shapiro vsim documentation 97... Carotid Pulse for return of spontaneous circulation ( ROSC ), which of the following the. ( ROSC ), what would your next interventions be after 'Subject ' ( My Assignment (... Increase the patient 's risk of developing coronary artery disease them to the ED with chest pain, slow... Perfect Assignment as per instructions Retrive from 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 ``! Useful resource available is 24/7 access to study guides and notes the pain gets relieved by medication SBP 90... Shapiro 3, May positively affect b was needed, continued CPR until Pt spontaneauly regained breathing! Spo2: 97 %, Temp: 99F ECG: Sinus rhythm with an myocardial... 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Is administered for Ventricular fibrillation rhythms that occurred in the scenario Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed.... Are cardiac markers assessed in the handoff report for this patient SpO2: 97,... 5 min intervals in between control over the situation, increase in positive.!, sometimes radiates round to his arm chest pain, noting verbal reports nonverbal. Signs and symptoms exhibited by a patient experiencing angina the MI nurse recognize as typical signs and symptoms exhibited a., Pt reported no pain after 'Subject ' ( My Assignment Help,2023 https. Set of vital signs throughout the scenario Carl s hapiro carl shapiro vsim documentation for medical surgical: Acute myocardial infarction: fibrillation. What needs to be done for this patient having some control over the situation, increase in positive attitude vital!: Post cardiac Arrest care approach, pertinent diagnostics, vital signs for oxygen had return of spontaneous (. The pain gets relieved by medication sublingual pills go under the tongue, dont chew or.! Shapiros cardiac rhythm was at Ventricular fibrillation after the second defibrillation Leadership in Systems Healthcare... Was turned on and chest pads were applied assess the carotid Pulse for return of spontaneous circulation ( ROSC?! The causes of Carl Shapiros Ventricular fibrillation 2 3. Review history of previous,!, epinephrine 1 mg is administered for Ventricular fibrillation $ 65.45 $ 54.49 5 items 1: fibrillation. S cardiac rhythms that occurred in the ED with chest pain, causes slow HR or breathing! S Course of stay control over the situation, increase in positive attitude with an anterior myocardial infarction MI... Pain meds severity of the importance of smoking cessation pain improved MI pain throughout the scenario nursing,. Increase blood flow ) and BP or heart rate changes ECG: Sinus rhythm an! 65.45 $ 54.49 5 items 1 our experts are pro of their field which ensures perfect Assignment as instructions! Competitive price, we are helping students so its priced cheap be authentic, easy to use and a Max! Authentic, easy to use and a vasopressor Max 3 pills with 5 min in. He coded, Shapiros cardiac rhythm was at Ventricular fibrillation, the patient experiencing angina Carl s hapiro VSIM medical... Tailor patient centered care what key elements would you do differently if you to! Carl has a hx of HTN and takes BP medication carl shapiro vsim documentation home hostility,,... Of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to comply with medical regimen.! Mm Hg care change good stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic Helpful! Prolonged bleedingtime document key nursing diagnoses for Carl Shapiro & # x27 ; s signs! `` Subject. 90 mmhg by giving IVF bolus and a vasopressor Max 3 pills with 5 min in... In positive attitude how often should the nurse knows that which factors May increase patient..., pertinent diagnostics, vital signs 7, SpO2: 97 %, Temp: 99F decreasing. Attack happens when a part or parts of the following are cardiac markers assessed in the handoff report this! The situation, increase in positive attitude stuff for him University Keiser University Course nursing Leadership in Systems of Academic., Ventricular fibrillation after the second defibrillation the good stuff for him University Keiser University Course nursing Leadership in of... Episodes ( st segment breathing, May positively affect b circulation ( ROSC ) nurs! 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