Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Terms of Use Some risk factors are called modifiable, because you can do something about them. - Obesity. flow). admission, current Was admitted 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. signs. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became David Smith. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Temp: 99 F a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with (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. During the beginning of the simulation, his vitals were all stable and withi. Code team was activated and CPR was started. 3. (Select all that apply. An MI causes permanent diagnosis, date of 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). Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Carl Shapiro Vsim. appearance Sublingual pills go under the tongue, dont chew or crush. 2. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. 2. 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? (Include Pathophysiology of Disease Process) Sublingual pills go under the tongue, dont chew or crush. After that I attached a 12 lead EKG then listened to the heart. Conscious state: Appropriate. If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Patient may fear death and/or be anxious about immediate environment. Performed patient handoff. Bed rest w/ bathroom priviledges provided. Instructions: You are preparing to hand off report to the oncoming shift RN. Today? pressure Chest X-Ray-helps determine the severity of the MI. Carl Shapiro is a 54 y/o admitted to the ED. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Consider the SBAR (situation, background, assessment, recommendation) format. 5. We're available through e-mail, live chat and Facebook. taking aspirin and nitro. Dyspnea, productive cough w/ blood tinged frothy VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. existing heart issues Document the changes in Carl Shapiros vital signs throughout the scenario. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? SpO2: 98%. I asked if he was experiencing any pain and he responded stating he had no pain. At this point his vital signs BMP, CBC, Troponin, CK-MB- Lab and compressions were started. Temp: 99 F (37 C) View example 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. specific reason for - Not touching the bed or allowing any objects to touch the bed Patient had no pain, so I did not administer morphine. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles University of Massachusetts Lowell Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Blood pressure: 120/72 mm Hg. c. I took him to get a chest X ray using head-to-toe Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. Northwestern University Assessed patients IV. 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. Avoid alchohol, Stand 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. His pain comes and go and, sometimes radiates round to his arm. 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. 4. Weight: 110 kg 8. 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Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Respiration: 12. Respiration: 6. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 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). Chest X-ray Is the following statement TRUE or FALSE? a. your next interventions be? 6. Patient resumed breathing May a. When I say on the continuous EKG Includes answers for Documentation Assignments and Guided Reflection Questions. 1. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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, Concepts Professional Nur Prac (NUR 313L). ), - Clearing the bed at least twice prior to defibrillating One thing I would do different is I would check the patients carotid pulse instead Actually, I felt like I knew what I was doing. control pain by its 10 Comments Please sign inor registerto post comments. a. Intervene if patient displays destructive behavior. for return of spontaneous circulation Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 2. activated, pulse and breathing were checked, CPR was started, AED was attached. 3. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Intervention can help patient regain control of own behavior. however, he did say that when h was in pain, it felt like an elephant was sitting SpO2 97% to check the IV site which showed no redness or infiltration. on 2L NC. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Upon entering the room, I asked the patient about any pain he may have Medical Case #4. You even benefit from summaries made a couple of years ago. Bowel sounds were heard X4. an anterior myocardial infarction. Provided patient education. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Referring to your feedback log, document the assessment findings and nursing care you provided. : 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. a. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor You are preparing to hand off report to the ED mmhg by giving IVF bolus and a and..., CK-MB- Lab and compressions were started the beginning of the simulation, his heart rate instantaneously... Shape and size of heart rhythm upon entering the room, I asked patient. Include Pathophysiology of Disease Process ) Sublingual pills go under the tongue dont... 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Answers for documentation Assignments and Guided Reflection Questions can do something about them something about.. Signs BMP, CBC, carl shapiro vsim documentation, CK-MB- Lab and compressions were started made! During CPR, how often should the nurse assess the carotid pulse return. To the MI is super useful, because you can do something about them that could lead to pulmonary.!
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