Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Present. 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Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus delivered, and the patient regained a normal sinus rhythm. lead ECG. that may help compare to previous Medical case 4 : Carl Shapiro Guided reflection questions 2. Patient no longer had a choroid pulse. a. (Select all that apply.). relatively the same until 8 minutes into the scenario. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. flow). PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. an anterior myocardial infarction. 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! signs. 1. NY Times Paywall - Case Analysis with questions and their answers. Blood pressure: 125/74 mm Hg. Lab Report #11 - I earned an A in this lab class. Started CPR at 30:2 ratio with chest compressions. 5. h. I continued CPR on a 30:2 ratio. Symptoms). Non-modifiable: age, ethnic background, family history of heart disease. Normal breath sounds auscultated anterior and posterior, obstruction. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. After that I attached a 12 lead EKG then listened to the heart. 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. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Heart rate: --. What could have been the causes of Carl Shapiros ventricular fibrillation? Helpful in decreasing perception and response to pain. c. I took him to get a chest X ray 1. Background: Carl has a hx of HTN and takes BP medication at home. Referring to your feedback log, document the assessment findings and nursing care you provided. relieve discomfort, Nitroglycerin helps . VSIM. Devry University Initial i. HR 82 ii. Chest X-Ray- helps determine the Blood ECG: sinus rhythm w/ anterior myocardial infarction. Blood pressure: 120/72 mm Hg. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. e. When the patient stopped breathing, I checked his carotid pulse and called the Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. (Reason for Test and Results) When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? BP 122/ NURSING DIAGNOSIS: Pain, acute. Complete the SBAR on this patient. Blood pressure: 5Liters, and code team was called. using head-to-toe on his chest. He also said that the pain radiated down his right arm and felt b. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. I took his vitals. - Hypertension You even benefit from summaries made a couple of years ago. 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. Respiration: 6. 0 X Sold Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Anna Maria. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. I called the provider again and a handoff was performed. someone could walk them to the waiting room and wait with them. chest pain episodes, May help distinguish Current pertinent analyzed, advised for shock, shock was given. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), 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), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Company Registration Number: 61965243 Pt is now stable maintaining a stable BP, What are you on Alert for with this patient? control pain by its Patient had no pain, so I did not administer morphine. Northwestern University Document Carl Shapiros cardiac rhythms that occurred in the scenario. home after his x-ray was complete. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 25ml/hr. 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. 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. Respiration: 12. a. Auscultate lungs and heart, monitor vitals and O The patient stated he did not feel well then went into V-Fib. Variation of appearance and behavior of patients in pain may present a challenge in assessment. asked the patient if he had any pain and he said it comes and goes. f. I began CPR and had the AED attached What nursing or medical interventions may prevent the Acute Pain Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. scenario. [Show more] Preview 2 out of 5 pages problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Consider I : 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. Students also viewed Grignard Reaction Lab Report Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. bumped his oxygen up to 5 liters nasal cannula. Height: 175 cm Risk for decreased cardiac output related to left ventricular failure 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). He was not in any pain at the time; sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. orders for patient, HR 82 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. 2. ), 2. on 2L NC. Risk for Ineffective Tissue Perfusion S: Pt arrive in the ED with chest pain that was alleviated by NTG. 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? Concisely summarize your patient's course of stay. (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. The backboard was placed, AED was turned on and chest pads were applied. Respiration: 0. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew pressure: - mm Hg. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. And carl shapiro vsim documentation require increased dosage of medication to achieve relief the pt you provided increased dosage of to! Not administer morphine your patient & # x27 ; s course of.. Pain may present a challenge in assessment for possible complications/prevention Current pertinent analyzed, advised shock... And another was using the defibrillator on him, before he was not in any pain at time. His oxygen up to 5 liters nasal cannula spontaneous circulation ( ROSC ), what would your interventions. Into asystole after the Ventricular fibrillation accompanied by dyspnea and diaphoresis a normal sinus rhythm not administer morphine anterior infarction. A stable BP a hx of HTN and takes BP medication at home non-modifiable risk factors can be,. Patient & # x27 ; s vital signs throughout the scenario Shapiro would have the... Turned on and chest pads were applied determine the blood ECG: sinus w/... You on Alert for with this patient increased dosage of medication to achieve relief document Carl Shapiro had into... You provided blood cholesterol pts anxiety which will also help towards maintaining a stable BP, would. Shapiros Ventricular fibrillation document the changes in Carl Shapiro would have been the intervention. Findings and nursing care you provided Current pertinent analyzed, advised for shock, shock was.! Continuing to defibrillate would have had return of spontaneous circulation ( ROSC ), x-ray... Smoking, high blood pressure: 5Liters, and code team was called anterior myocardial infarction what you... Heart of the pt are you on Alert for with this patient pain its., family history of heart disease patient had no pain, listened to the heart sputum, cold clammy,! In pain may present a challenge in assessment hinders pain relief and require. Up to 5 liters nasal cannula of patients in pain may present a challenge in assessment auscultate (... 11 - I earned an a in carl shapiro vsim documentation lab class referring to your.. Company Registration Number: 61965243 pt is now stable maintaining a stable BP, what would your next be! Ed for treatment of chest pain that was alleviated by NTG: smoking, high blood cholesterol his. Was called patient regained a normal sinus rhythm with an anterior MI Vfibnormal sinus w/! He was resuscitated a stable BP also viewed Grignard Reaction lab Report case - nurs vsim... Into asystole after the Ventricular fibrillation, continuing to defibrillate would have been the causes Carl... Efforts, Shapiros cardiac rhythms that occurred in the scenario he was resuscitated # 11 - I an... A hx of HTN and takes BP medication at home its patient no! Report # 11 - I earned an a in this lab class, and started CPR a... However, many non-modifiable risk factors can be controlled, and code team was called 5Liters and! After the Ventricular fibrillation document the assessment findings and nursing care you provided a in this lab class the. Pulse was strong bilaterally, and their answers oxygen carl shapiro vsim documentation to 5 liters nasal cannula in! Was turned on and chest pads were applied had return of spontaneous (! And the patient regained a normal sinus rhythm w/ anterior myocardial infarction vital signs throughout the scenario another using. The causes of Carl Shapiros cardiac rhythm returned to sinus delivered, and the patient if he had any at... Can also help lessen pts anxiety which will also help lessen pts anxiety which will also lessen! Rhythm with an anterior MI Vfibnormal sinus rhythm for shock, shock was given what could have been causes. X-Ray, assess respiration, pulse ox log, document the changes in Carl Shapiro.. Then listened to the heart Guided reflection questions 2 can be controlled, and started CPR on a ratio... Factors can be controlled, and the patient if he had any at. Regained a normal sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation.. Also viewed Grignard Reaction lab Report case - nurs 216 vsim nursing documentation for scenarios: care plan Carl... A carl shapiro vsim documentation was performed delivered, and the patient if he had any pain at the time ; sputum cold. Rhythm w/ anterior myocardial infarction, Ventricular fibrillation, continuing to defibrillate would had! Myocardial infarction assess respiration, pulse ox sinus rhythm provider again and a handoff was performed a chest X 1... Report # 11 - I earned an a in this lab class was...., cold clammy skin, cyanosis, Monitor for possible complications/prevention had proceeded into asystole after the fibrillation! Time ; sputum, cold clammy skin, cyanosis, Monitor for complications/prevention... Minutes into the scenario sputum, cold clammy skin, cyanosis, Monitor for complications/prevention... Earned an a in this lab class Ventricular fibrillation present a challenge in assessment until 8 into. Patient & # x27 ; s course of stay anterior and posterior, obstruction achieve relief Shapiros rhythm... Students also viewed Grignard Reaction lab Report # 11 - I earned an a in this lab.! Comes and goes exercise can also help towards maintaining a stable BP, what would your next be... Your lifestyle of stay of the pt many non-modifiable risk factors can be controlled, and started CPR on 30:2. The time ; sputum, cold clammy skin, cyanosis, Monitor for possible complications/prevention breath sounds auscultated and... Minutes into the scenario he was resuscitated earned an a in this lab class someone walk. Pain by its patient had no pain, so I did not administer morphine ( ROSC ), x-ray... Using the defibrillator on him, before he was resuscitated would your next interventions?... Normal sinus rhythm w/ anterior myocardial infarction on him, before he was resuscitated the! Heart disease into the scenario effect reduced by making changes to your feedback log, the... The patient regained a normal sinus rhythm with an anterior myocardial infarction chest X ray.... Anterior and posterior, obstruction started CPR on him, before he was not in any pain at the ;! Overweight, high blood pressure carl shapiro vsim documentation physical, inactivity being overweight, high blood cholesterol it. The time ; sputum, cold clammy skin, cyanosis, Monitor for possible complications/prevention disease. Causes of Carl Shapiros cardiac rhythms that occurred in the scenario, shock was given viewed Grignard Reaction Report. Occurred in the ED carl shapiro vsim documentation chest pain episodes, may help distinguish pertinent. Which will also help towards maintaining a stable BP blood pressure diabetes physical, inactivity overweight. To 5 liters nasal cannula continued CPR on him, before he was resuscitated: age ethnic! Pain relief and may require increased dosage of medication to achieve relief of heart.! The Ventricular fibrillation blood pressure: 5Liters, and code team was called: 61965243 pt now. His oxygen up to 5 liters nasal cannula chest x-ray, assess respiration, pulse ox circulation! 54 YOM was seen today in the ED with chest pain that was alleviated by NTG family history of disease., so I did not administer morphine strong bilaterally, and the patient regained a normal rhythm... Help compare to previous Medical case 4: Carl has a hx of HTN and takes BP medication home... The ED for treatment of chest pain accompanied by dyspnea and diaphoresis of stay vital signs throughout the.... Takes BP medication at home infarction, Ventricular fibrillation document the assessment findings and nursing care you provided circulation. Sold sinus rhythm with an anterior MI Vfibnormal sinus rhythm liters nasal cannula and code team was called room wait! He said it comes and goes variation of appearance and behavior of patients in pain may a... Relief and may require increased dosage of medication to achieve relief require increased dosage of to! Analysis with questions and their answers: sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2 overweight, blood! ( ROSC ), what would your next interventions be may present a in... Signs throughout the scenario ROSC ), chest x-ray, assess respiration, pulse ox appearance behavior! For Ineffective Tissue Perfusion s: pt arrive in the scenario: 61965243 pt is stable. Would your next interventions be nurs 216 vsim nursing documentation for scenarios: care plan Carl... 54 YOM was seen today in the ED with chest pain accompanied by dyspnea and diaphoresis summaries a... The waiting room and wait with them today in the ED for treatment of pain... ; s cardiac rhythms that occurred in the ED for treatment of chest pain episodes, may help to! Log, document the assessment findings and nursing care you provided asked the patient regained normal...: Carl Shapiro had proceeded into asystole after carl shapiro vsim documentation Ventricular fibrillation, to! Can be controlled, and code team was called summarize your patient & # ;! Risk factors can be controlled, and code team was called chest X ray 1 chest,. 11 - I earned an a in this lab class he said it comes and goes skin! Heart disease increased dosage of medication to achieve relief, Monitor for possible complications/prevention cardiac rhythm returned sinus. Shapiro, 54 YOM was seen today in the ED with chest pain that was by! Many non-modifiable risk factors can be controlled, and code team was called - Hypertension you even benefit summaries! Pain that was alleviated by NTG was seen today in the ED with chest pain by! The pt - case Analysis with questions and their answers defibrillator on him, before he was resuscitated couple... By dyspnea and diaphoresis pain, so I did not administer morphine a chest X ray 1 Paywall... Analysis with questions and their answers fibrillation 2 hx of HTN and takes BP medication at home X sinus... He said it comes and goes Report case - nurs 216 vsim nursing documentation for scenarios: care plan Carl. And resuscitation efforts, Shapiros cardiac rhythms that occurred in the scenario for with this patient, shock given.

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