Carl has a hx of HTN and takes BP medication at home. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Male Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. because he was unconscious. Now is my chance to help others. 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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). Medical Case #4. and was in recovery. Northwestern University Document Carl Shapiros cardiac rhythms that occurred in the scenario. V-Sim Carl Shapiro Documentation and Guided Reflection. d. I got a venous blood sample and sent it to lab Previously he admitted to having dif, 124/74, P: 81. 5Liters, and code team was called. Attached pulse oximeter to He was not in any pain at the time; Chest X-ray Normal Sinus 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 Medical case 4 : Carl Shapiro Guided reflection questions 2. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Teach about modifiable and nonmodifiable risk factors. University Of Arizona ), - Cigarette smoking Oxygen to maintain SpO2 >92% Case - Medical case 4 : carl shapiro guided reflection questions 2. Dyspnea, productive cough w/ blood tinged frothy David Smith. monitoring) someone could walk them to the waiting room and wait with them. a. I called the provider again and a handoff was performed. Started CPR at 30:2 ratio with chest compressions. above alert or complications? Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? e. When the patient stopped breathing, I checked his carotid pulse and called the assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. I started continuous ECG monitoring to which I notices normal sinus rhythm on the 3. and then the patient went unconscious. through their behavior, Pain may cause RR to Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. resuscitation correctly? 5. diagnostics, vital It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Document the changes in Carl Shapiros vital signs throughout the scenario. Chest X-Ray- helps determine the c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. h. I continued CPR on a 30:2 ratio. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Transdermal patch-apply once a day in the morning. 4. 5. a. 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). Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). available to the heart After defibrillation and CPR, the patient cardiac rhythmreturned to normal. This could have been related to the fact that he had just sustained his first MI When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? 4. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department), Recommendations: Continue to monitor cardiac functioning. Present. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Conscious state: Unconscious. 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! heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount MI dysrhythmias are the most complication of an MI. provided. 7. are ventricular premature beats. delivered, and the patient regained a normal sinus rhythm. 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? Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. a. 2. 5. Identify and document key nursing diagnoses for Carl Shapiro. Avoid hairy areas. called the provider for further orders. released into the blood with a. I first got a whole set of vital signs and auscultated the heart Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! 2. May (Reason for Test and Results) The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Provide quiet environment, calm activities, and comfort measures. existing heart issues NURSING DIAGNOSIS: Pain, acute. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. (How will I identify the above signs & symptoms?) Management of Care: What needs to be done for this Patient Today? BMP, CBC, Troponin, CK-MB Document Carl Shapiros cardiac rhythms that occurred in the scenario. Assessed vital signs. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? The backboard was placed, AED was turned on and chest pads were applied. pressure: - mm Hg. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. and compressions were started. Assess pain Respiration: 0. 3. assessment data I took his vitals. : 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. tests for biomarkers-- substances pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood pts response to pain Document Carl Shapiro's cardiac rhythms that occurred in the scenario. delivered, and the patient regained a normal sinus rhythm. tachypnea) He also did not have any cardiac rhythms present. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Instruct patient to report pain immediately. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Conscious state: Appropriate. 6. Conitnious ECG and SpO2 monitoring First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. related to the MI. b. Temp: 99 F (37 C) 4. increase blood flow) and decreasing the hearts demand for oxygen. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Wolters Kluwer Health | Lippincott Williams & Wilkins. Actually, I felt like I knew what I was doing. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 0 X Sold However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. of 10, educate pt on BMP, CBC, Troponin, CK-MB- Lab The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. respiration, pulse ox. help towards Give Me Liberty! I asked if he was experiencing any pain and he responded stating he had no pain. Patient had no pain, so I did not administer morphine. provided. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Allergies: No known I called the code team and started CPR. 2 min the carotid pulse should be assessed every 2 min. Temp: 99 F (37 C) Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI 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). 2. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. One of the most useful resource available is 24/7 access to study guides and notes. How did the scenario make you feel? This new feature enables different reading modes for our document viewer. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Referring to your feedback log, document the assessment findings and nursing care you provided. Patient no longer had a choroid pulse. Blood pressure: List Complications may occur related to dx, procedure, shock was delivered. Later the 3 lead EKG showed ventricular fibrillation. Maintain confident manner (without false reassurance). analyzed, advised for shock, shock was given. Approach patient calmly and confidently. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. my vitals. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Identify and document key nursing diagnoses for Carl Shapiro. Cool, moist skin w/ pale MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. orders for patient, HR 82 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? 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 the changes in Carl Shapiros vital signs throughout the scenario. increase pts BP, Review pt 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. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access What aspects of the patient care can be Delegated and who can do it? What would you do differently if you were to repeat this scenario? What aspects of the patient care can be Delegated and who Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. I identified the patient and asked about any existing allergies. Turned on AED. Height: 175 cm Pt positioning (fowlers) to decrease chest discomfort and dyspnea (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). performing relaxation Currently admitted to the telemetry unit. Pt was then Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist I introduced myself and washed my hands. Present. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. taking aspirin and nitro. Helpful in decreasing perception and response to pain. If Carl Shapiros family members had been present at the bedside during the arrest, 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. Performed patient handoff. so that they are able to see that we did everything in our power to resuscitate After that I took labs 8. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. ECG: sinus rhythm w/ anterior myocardial infarction. 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. Allows Dr to see - Removing the oxygen from the bed during defibrillation. Drug irreversibly inhibits platelet aggregation. Devry University I asked about allergies and took all Referring to your feedback log, document the assessment findings and nursing care you Pulse: Present. Current smoker, smokes pack a day. Medical Case 4: Carl Shapiro Documentation Assignments 1. or decrease pts An MI causes permanent With a profile at Docmerit you are definitely prepared well for your exams. ischemic episodes (ST segment c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Referring to your feedback log, document the assessment findings and nursing care you provided. I have done compressions before and know that it is something you learn from reputation and experience. your next interventions be? 1. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? 6. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 [Show more] Preview 1 out of 4 pages. Orders: N/S 25 mL/hour, Morphine IV push PRN provided. pressure 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. vasodilating effects 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. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. The ECG, Auscultate lungs (crackles), chest x-ray, assess 2. I then b. to tele and had recurrent chest pain and V Fib without a pulse. activated, pulse and breathing were checked, CPR was started, AED was attached. breathing exercise can Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1.
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