of 10, educate pt on Medical Case 4: Carl Shapiro Documentation Assignments 1. Max 3 pills with 5 min intervals in between. Assignment Help - Urgenthomework Create the following concept map. orders for patient, HR 82 relaxation techniques Management of Care: What needs to be done for this Patient Medical Case 4: Carl Shapiro Documentation Assignments. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Help with Toileting schedule -- UAP Carl Shapiro VSim Step by Step.pdf - School University of Pittsburgh Course Title NUR MISC Uploaded By Jennamariey910 Pages 5 Ratings 83% (53) Key Term carl shapiro vsim steps This preview shows page 1 - 5 out of 5 pages. patient. More product information > Products & Pricing Add to Cart Initials: C.S Student Name: Measure intake and output; monitor fluid balance 4. o Students are to complete the Lasater Evaluation on each vSim. View or necrosis Height: 175 cm 4. for infiltration (Include Pathophysiology of Disease Process) 2. How did the scenario make you feel? If there is no pulse, then the nurse needs to start compression immediately while initiating a code. Navigate and ll out the data in the following document using the patient information provided in the Link: Please refer to the attachment to answer this question. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the vSim Clinical Replacement Packet Carl Shapiro.docx Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 cant be stablished, Telemetry Unit 2. The patient will have a urinary output of at least 30 mL/ hr Case - Vsim carl shapiro 3. Assess vital signs & lab values 3. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Take as directed, with water and food to avoid nausea, do not crush or chew. obesity diagnosis, date of Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. related to the MI. bell 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). is going to be delivered, and again ensure PT is clear. Current pertinent (thatteam If administering Vasopressin, what dosage would he nurse expect to administer? 1. site,fatigue, chills 1. NUR216 Nursing Documentation for Scenarios Assessment Answers ST elevation Symptoms). delegated. - Have PT chew non-enteric-coated tablet List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. not touching bed or allowing any objects to touch bed Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. ASSIGNMENT which of the following does the nurse recognize as typical s/s exhibited by pt with angina? - tachypnea He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. Temp: 99 F (37 C) 1:27 You identified the patient. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. (How will I identify the above signs &Symptoms?) Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. can be found in your worksheets template. May cause stomach discomfort, nausea, prolonged bleedingtime. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Per physicians orders, IV infusion of NS was started and labs were drawn. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 1. Conscious state: Appropriate. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. of infection rather express it . Complete all areas of the attached clinical worksheet. (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Offer and educate on low sodium diet. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? the k$e|\?Nx ;ib^C9./S\c5I-\/*. 54-year-old male suggested reading. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Chest Pain was improved to 0/10. 2. 7. their anxiety level and coping status r/t new DX of acute MI Today? creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. WBC count CONTACT PRECAUTIONS The 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). o Plan of Care Concept Map verbalize their pain but 5. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? PT has Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. with ambulation to the bathroom. approach, pertinent BP 121/73 iii. Please include examples to bolster any statements made. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). You will download the word document to answer the questions and then noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. 4. -Give with food, milk, antacid, or large glass of water to reduce GI effects cigarette smoking compare to previous Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Check carotid pulse again, ensure PT has proper and adequate oxygenation. SOB Continuos ECG- helps monitor for I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Carl Shapiro vsim - YouTube NO PRECAUTIONS damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Temp: 99 F If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. pharmacological agents associated with the vSim activity. Want to read all 5 pages? An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant 2. ventricular fibrillation. Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV rounds of CPR before regaining consciousness. If PT is hairy, you may have to shave the hair first. Simulation prep - Mr. Carl Shapiro is a 54-year-old male ischemic episodes (ST segment Announce when shock Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. The patient will not experience a pain level higher than 0/10 throughout day May Terms of Use nursing interventions, and other patient information associated with the patient situation. discomfort, jaw pain, left arm pain rubric provided in the worksheet template. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. clinical replacement (see syllabus for details). submit to the assignment link in canvas. patient DOB: 7/19/1966 Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. ischemia develops. o Student may take several times using the answer key to provide immediate Assessing Impact on Student Learning (D093), Seidel's Guide to Physical examination (043), Perspectives in the Social Sciences (SCS100), United States History, 1550 - 1877 (HIST 117), Introduction to Interpersonal Communications ( COMM 102), Leadership And Management For Nursing (NSG 403), Professional Career Development Seminar (NUR 4828), Fundamental Human Form and Function (ES 207), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Organizations & Leading People (C200), 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), EES 150 Lesson 3 Continental Drift A Century-old Debate, UWorld Nclex General Critical Thinking and Rationales, Lesson 8 Faults, Plate Boundaries, and Earthquakes, 1-2 short answer- Cultural Object and Their Culture, Analytical Reading Activity 10th Amendment, Hesi fundamentals v1 questions with answers and rationales, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Greek god program by alex eubank pdf free, The cell Anatomy and division. Weight: 110 kg We're available through e-mail, live chat and Facebook. - Troponin I & T elevates within 4-6 hrs, PT was stable and transfered telemetry unit. is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. -Electrolytes: 4. The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. - CPK-MB elevates within 4-8 hrs, peaks SPO2: 97% Temp: 99 F diagnostics, vital PT suddenly did not have pulse and no oxygen saturation, team code levels Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen contractions of the ventricles in which they quiver and no blood if pumped from the heart. Unformatted text preview: STUDENT CLINICAL Chest X-Ray-helps determine the severity of the MI. What is the next drug after epi that the nurse should expect to administer to pt in v fib? Save it as lastname_vSimName.pdf to no need What aspects of the patient care can be Delegated and who can do it? BP: 122/73 x-ray: In case any user is found misusing our services, the user's account will be immediately terminated. Compression and ventilations would be interrupted during defib. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. The Six Step learn flow in vSim is to be followed as instructed below. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a He was diagnosed Healthy heart diet, Patients primary pain source and also Prioritization and decision making are central to the vSim design . Additional comments: "Try to first choose the mos. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. -inflammatory Temp 99F v. SPo2 97% . aneurysm above alert or complications? Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet - tachycardia In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. It also minimize the size of infarction and preserve ventricular function heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount relate - When patient's SpO2 97% Both are cardiac markers and are indicative of a potential myocardial injury. His current observations are: Feedback: Exercise stress test: He was treated with aspirin and two sublingual nitroglycerins. Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. What got me more nervous was the background Telemetry unit Critical Labs: Other Services: CK-MB: 20 He presented to the emergency department in the early hours of the morning following sudden onset chest pain. ECG: sinus rhythm w/ anterior myocardial infarction. appearance remediation prior to the virtual simulation. teach-back c. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the respiration, pulse ox. PATIENT INFORMATION DIAGNOSTIC TESTS cardiovascular hx and Log into thePoint and launch the assigned vSim, following all instructions included in this supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Carl has a hx of HTN and takes BP medication at home. - ST elevation will reveal a MI vSim ISBAR ACTIVITY PT is receiving Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. Monitor lab values to determine if any complications have developed 1. According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? working on, diaphoresis and SOB. alleviate discomfort, assist pt in learn flow in vSim is to be followed as instructed below. Pt howsuggestive increase blood flow) and decreasing the hearts demand for oxygen. BP, Pts may not specifically maintain SpO2 greater than 92%. therapy Code Status: FULL CODE Allergies: comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. Feeding patient when necessary -- UAP Infection 2. ineffective tissue perfusion 3. handling -cardiac - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) - Patient accepts and is compliant with activity restrictions and lifestyle adjustments DOB: 7/19/1966 (54y) 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Fall Risk: to toe approach, pertinent diagnostics, vital Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu ESR: relieve discomfort, Nitroglycerin helps Administer 650 mg of aspirin orally Prepare for endotracheal interv, An 82 year old was admitted with chest pain from ER where he was being worked up for an acute myocardial infarction. Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention.

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