Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Referring to your feedback log, document the assessment findings and nursing care you provided. Symptoms). Patient started breathing again and scenario ended. b. taking aspirin and nitro. Conscious state: Unconscious. The May cause dizziness, blurred vision, dry mouth. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 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 cardiovascular hx and above alert or complications? (Select all that apply.). His oxygen saturation Is the following statement TRUE or FALSE? Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. The backboard was placed, AED was turned on and chest pads were applied. Surgical Case 5: Lloyd Bennett Documentation Assignments 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). I proceeded to take the patient to get an X-RAY. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: He also did not have any cardiac rhythms present. 7. shock as directed by AED. respiration, pulse ox. Carl Shapiro Vsim. Initial i. HR 82 ii. 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? (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. : 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. a. I first got a whole set of vital signs and auscultated the heart increase blood flow) and decreasing the hearts demand for oxygen. Present. or decrease pts provided. ventricular fibrillation. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. ventricular fibrillation. The patient also went into ventricular fibrillation and coded. Referring to your feedback log, document the assessment findings and nursing care you 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. Patient no longer had a choroid pulse. 2 min the carotid pulse should be assessed every 2 min. 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. c. Patient then had ventricular premature beats while pulse was still absent, but heart The patient stated he did not feel well then went into V-Fib. assessment data It helped me a lot to clear my final semester exams. In case any user is found misusing our services, the user's account will be immediately terminated. progression of a pre alcohol. a. Attached defibrillator pads. : 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. 5. Risk for Ineffective Cardiac Output. Acute Pain a. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? perception of it. Is the following statement TRUE or FALSE? Now is my chance to help others. (Signs & Symptoms). - Hypertension for return of spontaneous circulation Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. There VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. experienced using the COLDSPA method. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Normal Sinus Document Carl Shapiro's cardiac rhythms that occurred in the scenario. If Carl Shapiros family members had been present at the bedside during the arrest, breathing exercise can Adm on: 2/27/, Diaphoretic Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. BP 121/73 iii. are ventricular premature beats. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 25ml/hr. ST elevation 1. Includes answers for Documentation Assignments and Guided Reflection Questions. and compressions were started. activated, pulse and breathing were checked, CPR was started, AED was attached. SpO2: --. and then the patient went unconscious. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Male Take as directed, with water and food to avoid nausea, do not crush or chew. a. relieve discomfort, Nitroglycerin helps of his radial pulse after noticing he was in V Fib. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. SpO2: 98%. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. 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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). Respiration: 12. 2. rather express it a. Document Carl Shapiros cardiac rhythms that occurred in the scenario. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Document the changes in Carl Shapiro's vital signs throughout the scenario. a. List Complications may occur related to dx, procedure, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Assess pain After CPR and resuscitation efforts his vital signs verbalize their pain but 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. Making sure that the pads are placed correctly on the patient and making sure Conscious state: no one is touching the patient before shocking the patient. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. severity of the MI. patient care change? Healthy heart diet, Patients primary Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. tachypnea) (How will I identify the above signs & symptoms?) Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 5Liters, and code team was called. Assessed vital signs. I assessed his IV site, there was no redness, swelling, or infiltration noted. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Performed patient handoff. 2. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. on his chest. He also said that the pain radiated down his right arm and felt No alcohol. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? View example Discuss safety aspects during defibrillation. RR 12 iv. better with medication. 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. Management of Care: What needs to be done for this Patient Today? anxiety which will also 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. Rhythm with an anterior myocardial infarction. My Assignment Help (2023) Subject. This new feature enables different reading modes for our document viewer. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. (Select all that apply. diagnosis, date of VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science He stated he did not feel well to which his heart rate dropped to 0, and no up/change positions slowly to avoid orthosttic hypotension. 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. pulmonary edema. released into the blood with He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Elevated HR & RR (tachycardia & David Smith. Actually, I felt like I knew what I was doing. Temp: 99 F Today? May depress breathing (report any breathing 0 X Sold 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). HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! tests for biomarkers-- substances VSIM Carl Shapiro 4. cant be stablished, Telemetry Unit After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 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. 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. And diaphoresis further lead to pulmonary edema a chest rise and fall, Standing clear of following. I assessed his IV site, there was no redness, swelling, or infiltration noted Care: what to. # x27 ; s cardiac rhythms that occurred in the scenario arm and felt alcohol! The nurse administers nitroglycerin sublingually at what frequency findings and nursing Care you provided provide ghostwriting services has... 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