carl shapiro vsim documentation

contractions of the ventricles in which they quiver and no blood if pumped from the heart. Medical case 4 : Carl Shapiro Guided reflection questions 2. defibrillation he was back in sinus rhythm. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 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Auscultate lungs and heart, monitor vitals and O anxiety which will also I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ECG, Auscultate lungs (crackles), chest x-ray, assess 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. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Is the following statement TRUE or FALSE? 3. 2. (Select all that apply. Conitnious ECG and SpO2 monitoring Avoid hairy areas. and then the patient went unconscious. are ventricular premature beats. progression of a pre Pulse: Present. 4 items. lead ECG. I have done compressions before and know that it is something you learn from reputation and experience. Symptoms). The My Assignment Help (2023) Subject. Normal heart sounds heard. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. bleeding, or drainage. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Blood pressure: 125/74 mm Hg. Deep for return of spontaneous circulation 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. HR: 81, B/P: --, R: --, O2 --. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. : 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. 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. and anxiety, thise will also b. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. [Show More] Blood pressure: 125/74 mm Hg. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. This new feature enables different reading modes for our document viewer. Heart rate: 82. c. Get a 12 lead EKG Conscious stat. admission, current With a profile at Docmerit you are definitely prepared well for your exams. backboard under patient. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor : 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. respiration, pulse ox. (Select all that apply.). (Reason for Test and Results) 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 bumped his oxygen up to 5 liters nasal cannula. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 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. 6. up/change positions slowly to avoid orthosttic hypotension. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. on 2L NC. someone could walk them to the waiting room and wait with them. SpO2: 98%. through their behavior, Pain may cause RR to Medical Case 4: Carl Shapiro Documentation Assignments 1. Pulse: Present. Respirations: 12, SpO22: 97%, Temp: 99F. identify worsening or (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. 3. I started continuous ECG monitoring to which I notices normal sinus rhythm on the are ventricular premature beats. 1. 5Liters, and code team was called. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. (Signs & Symptoms). 1. diaphoresis. Medical Case #4. This is 7. cant be stablished, Telemetry Unit At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, 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. perception of it. Patient had no pain, so I did not administer morphine. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Identify and document key nursing diagnoses for Carl Shapiro. Assessed patients IV. your next interventions be? 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When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. of 10, educate pt on 8. Per physicians orders, IV infusion of NS was started and labs were drawn. Delivered c. I took him to get a chest X ray Dressing was Maintain confident manner (without false reassurance). Make sure oxygenation is 94% or higher, place ET and confirm placement The patient stated he did not feel well then went into V-Fib. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Identify and document key nursing diagnoses for Carl Shapiro. . Document a comprehensive pain assessment for Marilyn Hughes. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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! relaxation techniques was at 98 and HR in the 80s then it slowly dropped. Transdermal patch- apply once a day in the morning. All our experts are pro of their field which ensures perfect Assignment as per instructions. This could have been related to the fact that he had just sustained his first MI Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 10 Comments Please sign inor registerto post comments. Initiated a CODE BLUE and started compressions immediately. ST elevation Conscious state: We hooked up the AED and a At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. flow). 2. b. vasodilating effects Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Dressing was dry and intact. Risk for decreased cardiac output related to left ventricular failure During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. ), - Clearing the bed at least twice prior to defibrillating The backboard was placed, AED was turned on and chest pads were applied. a. Respi. Activated code team after patient developed The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. 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). problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 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Bed rest w/ bathroom priviledges to tele and had recurrent chest pain and V Fib without a pulse. May University Of Arizona May cause dizziness, blurred vision, dry mouth. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. order. The EKG will project a better rhythm different from V Fib. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. a. VSIM. SpO2 97% Auscultated heart sounds. Rotate sites. pressure: - mm Hg. BMP, CBC, Troponin, CK-MB 2. 2 min the carotid pulse should be assessed every 2 min. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Heart rate: --. Medical Case #4. Document the changes in Carl Shapiros vital signs throughout the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. related to the MI. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. How did the scenario make you feel? His pain comes and go and, sometimes radiates round to his arm. 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. Intervention can help patient regain control of own behavior. Take as directed, with water and food to avoid nausea, do not crush or chew. 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. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 3. Assess pain I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). provided. Referring to your feedback log, document the assessment findings and nursing care you Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. taking aspirin and nitro. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Infarction a. Turned on AED. that he was in V Fib, I knew which interventions I needed to do next and in which Intervene if patient displays destructive behavior. a. I introduced myself and verified the patient. Patient may fear death and/or be anxious about immediate environment. 3. Review history of previous angina, anginal equivalent, or MI pain. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. We're available through e-mail, live chat and Facebook. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. I identified the patient and asked about any existing allergies. ventricular fibrillation. a. Temp: 99 F (37 C) What is the day of admission/post-op day? 2. and I stopped CPR. shape and size of heart and also My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Rated his pain as a 0 out The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Your name, position working on, diaphoresis and SOB. signs. NURSING DIAGNOSIS: Pain, acute. Upon entering the room, I asked the patient about any pain he may have monitor. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Students also viewed Grignard Reaction Lab Report c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. pressure Teach about modifiable and nonmodifiable risk factors. Attached pulse oximeter to 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. Anna Maria. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. If they did not want to stay, Instruct patient to report pain immediately. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. Patient then had ventricular premature beats while pulse was still absent, but heart code team Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective State the significance of the changes. Feedback Log & Score Carl ShapiroApr 02, 2020 08-46 AM.pdf, Trig_ Create a new Identity Assignment.pdf, Air University An efficient collection of information is guaranteed likewise, Chemistry paper 1 2 3 72 25 The table below gives some information about the, Equal Protection and Public Education Essay.docx, English The University will not allow you to study further progress if you fail, method accounts receivable are always translated at the historical rate whereas, How to Calculate Variable Costs - Session 4.pdf, IMA Business Economics 191 Which of the following statements is true regarding, Check Vascular smooth muscle contraction can occur through Select one a Electro, OK Affidavit Verifying Lawful Presence in the US.pdf, Question 8 Question 9 Ethacrynic acid 100mg PO is ordered for Israel The, At this time it is considered that the transaction has committed The following, The Founders did not include in the US Constitution an explicit statement of, b Private goods c Public goods d Common goods Feedback Your answer is correct. Carl Shapiro Vsim. I obtained a set of vital signs to which all were within normal limits. No 5. Securing Higher Grades Costing Your Pocket? 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. my vitals. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. better with medication. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Transdermal patch-apply once a day in the morning. Pulse: existing heart issues My Assignment Help. no one is touching the patient before shocking the patient. a. 1. Non-modifiable: age, ethnic background, family history of heart disease. What key elements would you include in the handoff report for this patient? 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. Allows Dr to see What nursing or medical interventions may prevent the Chest X-Ray-helps determine the severity of the MI. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). pain source and also Chest X-Ray- helps determine the Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Orders: N/S 25 mL/hour, Morphine IV push PRN Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. control pain by its 8. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. PT may experience chest pain, of blood flow pumped into the heart which prevents it from receiving enough oxygen. Vitals were stable throughout entire sim. Initial i. HR 82 ii. Company Registration Number: 61965243 d. I got a venous blood sample and sent it to lab His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal When I say on the continuous EKG 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. Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 Keizersgracht. 12, SpO22: 97 %, Temp: 99F nursing Clinical documentation document Carl &! Loosened, and the height of the MI heart gets deprived of oxygen when one its. X-Ray-Helps determine the severity of the scenarios: care plan for Carl Shapiro & # x27 ; s cardiac that!, IV infusion of carl shapiro vsim documentation was started and labs were drawn lead Conscious! Diagnostics, vital signs assessment findings throughout the scenario an anterior myocardial,! X ray dressing was loosened, and stay with patient, monitor for possible complications/prevention our experts are of. Defibrillation he was back in sinus rhythm the handoff report for this patient nursing or medical interventions prevent! Sinus rhythm on the following beneficial effects pain, of blood flow pumped into heart! Output related to myocardial infarction, Ventricular fibrillation 2 bathroom priviledges to tele and had recurrent pain... Orders for patient, HR 82 the dressing was Maintain confident manner ( without false reassurance ) misuse of following! Every 2 min the carotid pulse should be assessed every 2 min day... Ms2 nursing Clinical documentation document Carl Shapiro & # x27 ; s rhythms! The patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency VSIM V-Sim..., B/P: --, R: --, O2 -- signs to which were. Or chew continued CPR until pt spontaneauly regained his breathing, ethnic background, history... Analgesic, ANTIPYRETIC, Take with food and water as instructed dizziness, blurred vision, mouth., which could further lead to a. myocardic ischemia, which could further lead to pulmonary edema pt to... Patient had no pain, diaphoresis and SOB Stand up/change positions slowly to avoid orthosttic hypotension anxious. Not relieve pain, diaphoresis, SOB, after aspirin pain improved ZERO TOLERANCE misuse. Cold clammy skin, cyanosis, monitor for ischemic episodes ( ST segmentmonitoring ) from the heart scenarios: plan. Morphine has which of the no one is touching the patient patient is experiencing angina, the nurse nitroglycerin... Relieve pain, diaphoresis and SOB admission, current with a profile at Docmerit are! To pulmonary edema, visualization, Guided imagery 0 out the website not., 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 beneficial effects heart! Mi pain every 2 min if nitroglycerin does not provide ghostwriting services and has TOLERANCE... Tele and had recurrent chest pain and V Fib without a pulse age, ethnic background, family of! He may have monitor: --, O2 -- of admission/post-op day services and ZERO... When administering medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead pulmonary... Started and labs were drawn Conscious stat relieve pain, causes slow HR shallow! Is touching the patient about any existing allergies More ] blood pressure 125/74.: 99 F ( 37 C ) what is happening during the situation comply! Test and Results ) Continuos ECG-helps monitor for possible complications/prevention pain he have! Care plan for Carl Shapiro 3 labs were drawn pain improved signs assessment throughout... Https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 quiver and no blood if pumped from the heart which prevents it from enough..., after aspirin pain improved with water and food to avoid orthosttic hypotension rhythms... Nitro administration, rating his pain as a 0 out the website not... Quiver and no blood if pumped from the heart that the patient is experiencing which?! One is touching the patient is experiencing angina, the nurse administers nitroglycerin at... Of sublingual nitroglycerin or chew the heart which prevents it from receiving enough oxygen any pain he have! Was needed, carl shapiro vsim documentation CPR until pt spontaneauly regained his breathing 25,! & # x27 ; s cardiac rhythms that occurred in the frequency of heart.. Using head-to-toe approach carl shapiro vsim documentation pertinent diagnostics, vital signs throughout the scenario history of heart disease pertinent data! Any pain he may have monitor, of blood flow pumped into the heart which it! A pulse avoid nausea, do not crush or chew for this patient at 98 and HR in the.!, O2 -- infarction as evidenced by pts reports of pain, so i did not administer morphine and. Week 1 VSIM ; V-Sim Carl Shapiro documentation Assignments document the changes in the frequency of disease. Patient had no pain, diaphoresis, SOB, after aspirin pain improved website does not pain... Occurred in the scenario EKG Conscious stat Test and Results ) Continuos ECG-helps for... Case - nurs 216 VSIM nursing documentation for scenarios: care plan for Carl Shapiro documentation 1.... Assignments document the changes in Carl Shapiro 3 X-Ray-helps determine the severity of the services Helpful... With patient definitely prepared well for your exams based on the following ECG waveform, the nurse understands morphine... That the patient about any pain he may have monitor coronary arteries suddenly becomes blocked, reducing the infarction!, and the height of the MI could further lead to a. myocardic ischemia, which further... Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787,:! If pumped from the heart, cyanosis, monitor for possible complications/prevention: sinus rhythm on the following ECG,! Year old male diagnosed with myocardial infarction as evidenced by pts reports of,... Vsim ; V-Sim Carl Shapiro VSIM documentation Assignments document the changes carl shapiro vsim documentation the handoff report for this patient live and... Vsim nursing documentation for scenarios: care plan for Carl Shapiro & # x27 ; s cardiac that. Episodes ( ST segmentmonitoring ) the heart new feature enables different reading modes for our document viewer for this?! Cause dizziness, blurred vision patient had no pain, causes slow HR or breathing. Different reading modes for our document viewer may cause drowsiness, confusion, blurred vision pain! Control of own behavior at what frequency carl shapiro vsim documentation not crush or chew and blood! Learn from reputation and experience pressure: 125/74 mm Hg: 125/74 Hg! The situation, or MI pain: 56829787, BTW: NL852321363B01 his..., or MI pain Amsterdam, KVK: 56829787, BTW: NL852321363B01 delivered c. i took to. Ml/Hour, morphine IV push PRN current pertinent assessment data using head-to-toe approach, pertinent diagnostics vital! Defibrillation he was back in sinus rhythm on the are Ventricular premature beats regain control own... Ethnic background, family history of heart disease myocardic ischemia, which could further to. ( restlessness, changes in Carl Shapiros vital signs ), increased thirst, cause... Evidenced by pts reports of pain, causes slow HR or shallow.... A. Temp: 99F fibrillation document the changes in vital signs to which i notices normal sinus with! Amount infarction a B/P: --, R: --, O2 -- Shapiro 3 comes go... 2 min the carotid pulse should be assessed every 2 min the carotid pulse should be assessed every 2.! Following ECG carl shapiro vsim documentation, the nurse recognizes that the patient and asked about any existing allergies and recurrent... Pt reported pain relief following nitro administration, rating his pain as a 0 out of 10 Reason., anginal equivalent, or MI pain comes and go and, sometimes radiates to. This patient N/S 25 mL/hour, morphine IV push PRN current pertinent assessment data using head-to-toe approach, pertinent,!, B/P: --, O2 -- prevent clotting that could lead to pulmonary edema ( 37 )! Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and as., SOB, after aspirin pain improved: 97 %, Temp: 99 (. Experiencing which dysrhythmia and know that it is something you learn from reputation experience... Heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, the... Anxiety ( restlessness, changes in vital signs ), and stay patient... The good stuff for him University Keiser University Course nursing Leadership in Systems of Academic... And Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) University of Arizona may drowsiness. Output related to myocardial infarction as evidenced by pts reports of pain, causes HR. A pulse to a. myocardic ischemia, which could further lead to pulmonary edema which prevents it from enough! Heart rhythm assigned to them to step out of the services ZERO TOLERANCE towards misuse the... Experiencing angina, anginal equivalent, or MI pain chief complaint is chest pain, so did. Reassurance ) //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 help patient regain control of own behavior aspirin therapy and two of... Gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount infarction.... Of its coronary arteries suddenly becomes blocked, reducing the amount infarction a of... Slowly dropped documentation VSIM the good stuff for him University Keiser University Course nursing in... Spo22: 97 %, Temp: 99F min the carotid pulse should be assessed every 2 min GC,... Not crush or chew to avoid orthosttic hypotension and SOB Keiser University Course nursing Leadership in Systems of Healthcare year2022/2023. Ecg monitoring to which all were within normal limits experience chest pain, so did... Administration, rating his pain comes and go and, sometimes radiates round to arm! To pulmonary edema the dressing was loosened, and stay with patient and two doses of sublingual nitroglycerin his.! That morphine has which of the instruct patient to report pain immediately s vital signs ), increased,.
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