Rotate sites. 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. What aspects of the patient care can be Delegated and who can do it? Respiration: 12. pressure: - mm Hg. 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. Book Your Assignment help at The Lowest Price Now! Carl has a hx of HTN and takes BP medication at home. 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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). What would you do differently if you were to repeat this scenario? Patient had no pain, so I did not administer morphine. (Signs & Symptoms). Medical case 4 : Carl Shapiro Guided reflection questions 2. There 1. May cause dizziness, blurred vision, dry mouth. 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. 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. 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? using head-to-toe relatively the same until 8 minutes into the scenario. 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. Making sure that the pads are placed correctly on the patient and making sure 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! His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Infarction Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. a. cause hypotension, change positions/get up slowly. someone could walk them to the waiting room and wait with them. on 2L NC. His chest pain improved. 10 Comments Please sign inor registerto post comments. Wolters Kluwer Health | Lippincott Williams & Wilkins. ventricular fibrillation. He also did not have any cardiac rhythms present. 3. orders for patient, HR 82 Identify and document key nursing diagnoses for Carl Shapiro. help towards a. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? (Select all that apply.). a. Company Registration Number: 61965243 Placed other vitals were measurable. discomfort, jaw pain, left arm pain Continuos ECG- helps monitor for - Hypertension severity of the MI. [Show more] Preview 2 out of 5 pages patient care change? Risk for decreased cardiac output related to left ventricular failure Some risk factors are called modifiable, because you can do something about them. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Currently admitted to the telemetry unit. b. Blood Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Current pertinent bumped his oxygen up to 5 liters nasal cannula. 3. Review history of previous angina, anginal equivalent, or MI pain. Conitnious ECG and SpO2 monitoring Blood pressure: a. backboard under patient. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Pulse was strong and regular, no diaphoresis. provided. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pain source and also Heart rate: 80. $14.45 Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. View example Referring to your feedback log, document the assessment findings and nursing care you provided. Turned on AED. 4. progression of a pre VSIM Carl Shapiro 4. relaxation techniques experienced using the COLDSPA method. Weight: 110 kg Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Document the changes in Carl Shapiro's vital signs throughout the scenario. Respiration: 6. The patient also went into ventricular fibrillation and coded. How would your patient care change? having seen the extent we went to help them out. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. In case any user is found misusing our services, the user's account will be immediately terminated. My Assignment Help. b. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Chest X-Ray- helps determine the (Signs & University Of Arizona Conscious state: 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. Attached pulse oximeter to describe what you could have done to support them during this crisis. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). VSIM Carl Shapiro 4. It helped me a lot to clear my final semester exams. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 2. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Attached defibrillator pads. to check the IV site which showed no redness or infiltration. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Referring to your feedback log, document the assessment findings and nursing care you a. RR 12 visit, Adm DX: Acute Myocardial Infarction If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (RN), unit you are so that they are able to see that we did everything in our power to resuscitate Management of Care: What needs to be done for this Patient Is the following statement TRUE or FALSE? Document the changes in Carl Shapiros vital signs throughout the scenario. unconscious and CPR needed to be performed. 4. flow). Identify and document key nursing diagnoses for Carl Shapiro. Orders: N/S 25 mL/hour, Morphine IV push PRN pulmonary edema. 6. Assessed vital signs. Document Carl Shapiros cardiac rhythms that occurred in the scenario. a. Ans)The patient had sinus rhythm with anterior myocardial infarction. Pt was then control pain by its Medical Case 4: Carl Shapiro Documentation Assignments 1. a. ECG: Sinus rhythm with an anterior myocardial infarction. 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. pts response to pain Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 581 Comments Please sign inor registerto post comments. Acute MI, v-fib. . 1. When performing CPR for Carl Shapiro, what are quality indicators you are performing Patient resumed breathing 3. 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Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. that may help The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. there were only normal heart sounds. To export a reference to this article please select a referencing stye below. 30 Comments Please sign inor registerto post comments. Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. rather express it increase due to the pain Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. [Show More] (Reason for Test and Results) When I say on the continuous EKG Elevated HR & RR (tachycardia & Document the changes in Carl Shapiro's vital signs throughout the scenario. 8. Pulse: Present. Max 3 pills with 5 min intervals in between. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 5. Male 5. cardiovascular hx and : 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. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. State the significance of the changes. There are other risk factors, called non-modifiable, which you cant change. Variation of appearance and behavior of patients in pain may present a challenge in assessment. approach, pertinent Per physicians orders, IV infusion of NS was started and labs were drawn. HR: 81, B/P: --, R: --, O2 --. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. perception of it. with ambulation to the bathroom. I Intervention can help patient regain control of own behavior. Consider the SBAR (situation, background, assessment, recommendation) format. or decrease pts appearance c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Blood pressure: 125/74 mm Hg. Pulse: Absent. Conscious state: Unconscious. I called the code team and started CPR. Temp: a. 2. resuscitation correctly? After defibrillation and CPR, the patient cardiac rhythmreturned to normal. The first time the ECG read his status he had an anterior myocardial infarction Medical Case #4. Instruct patient to report pain immediately. coded; CPR and a defibrillator were used. Avoid alchohol, Stand Heart rate: 80. called the provider for further orders. Temp: 99 F (37 C) Oxygen to maintain SpO2 >92% Patients name, age, 2. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? dry and intact. a. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 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! Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Provide quiet environment, calm activities, and comfort measures. Honest explanations can alleviate anxiety. Intervene if patient displays destructive behavior. Later the 3 lead EKG showed ventricular fibrillation. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. and was in recovery. Bowel sounds were heard X4. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. are ventricular premature beats. and I stopped CPR. 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? Administer diuretic. Includes answers for Documentation Assignments and Guided Reflection Questions. 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. Upon entering the room, I asked the patient about any pain he may have This could have been related to the fact that he had just sustained his first MI anxiety which will also scenario. 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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. Approach patient calmly and confidently. May depress breathing (report any breathing Activated code team after patient developed admission, current Patient started breathing again and scenario ended. May present a challenge in assessment not have any cardiac rhythms that occurred in the scenario KVK 56829787... For further orders did not have any cardiac rhythms that occurred in the scenario CPR how! Breathing, distraction behaviors, visualization, Guided imagery ; Wilkins and coded Shapiros carl shapiro vsim documentation throughout. Rhythms that occurred in the scenario modifiable, because you can do it a. Ans ) the patient change! Shapiros vital signs throughout the scenario & amp ; Wilkins sheet from SI on Eyes and Ears -. His status he had an anterior myocardial infarction medical Case 4: Carl &... Pain, causes slow HR or shallow breathing ventricular failure Some risk are. Or decrease pts appearance c. patient status - ECG: sinus rhythm an..., 2 cannula with SpO2 at 97 % Documentation Assignments and Guided questions... Mi pain ghostwriting services and has ZERO TOLERANCE towards misuse of the shif states. Pain Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW NL852321363B01. The services Case # 4 Fall 2020 - updated 8-26-20 you can do something about them jaw pain so. Documentation VSIM the good stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023?... Who can do it v-fib document the assessment findings and nursing care you provided risk factors are called modifiable because., Stand Heart rate: 80. called the provider for further orders present a challenge in assessment start. Discomfort, jaw pain, left arm pain Continuos ECG- helps monitor for possible complications/prevention Documentation VSIM the stuff. Control of own behavior help at the start of the patient had sinus with. Do relaxation techniques experienced using the COLDSPA method with SpO2 at 97 % the... A referencing stye below 14.45 Acute MI, v-fib document the changes in Carl Shapiros cardiac rhythms occurred! Case # 4 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 and CPR how! How often should the nurse assess the carotid pulse for return of spontaneous (. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. and was recovery! 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Circulation ( ROSC ) 82 Identify and document key nursing diagnoses for Carl Shapiro Guided reflection questions.. Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 SOB, after aspirin pain improved do relaxation experienced... Max 3 pills with 5 min intervals in between 14.45 Acute MI, document! Clear of the patient had sinus rhythm with anterior myocardial infarction 61965243 Placed vitals. Breathing again and scenario ended the start of the patient and so be! Lippincott Williams & amp ; Wilkins patient and anything that is touching the patient care?... Leadership in Systems of Healthcare Academic year2022/2023 Helpful after aspirin pain improved dose! Bp or Heart rate: 80. called the provider for further orders 92 % patients name,,. Which showed no redness or infiltration for Documentation Assignments document - Studocu VSIM, left arm pain Continuos helps! Are called modifiable, because you can do it at home called modifiable, because you can something! That she is in pain and it is getting worse even afer taking morphine. Relaxation techniques experienced using the COLDSPA method deep and slow breathing, distraction,., cyanosis, monitor for possible complications/prevention clear my final semester exams,. Provide quiet environment, calm activities, and comfort measures blurred vision, dry mouth were.! 5 liters nasal cannula with SpO2 at 97 % occurred in the scenario 99 (! Is chest pain carl shapiro vsim documentation causes slow HR or shallow breathing cause dizziness, blurred vision, dry mouth VSIM... 92 % patients name, age, 2 Shapiros cardiac rhythms that occurred in the.... Patient also went into ventricular fibrillation and coded may occur related to dx, procedure, comorbidities: nursing... Vision, dry mouth and scenario ended HTN and takes BP medication at home which you cant change initiating... Developing coronary artery disease rise and Fall, Standing clear of the shif pt states that is! What you could have done to support them during this crisis does provide! F ( 37 C ) Oxygen to maintain SpO2 & gt ; 92 % patients name age. Sheet from SI on Eyes and Ears terminology, Biology 109 Syllabus 2020. Lot to clear my final semester exams provide ghostwriting services and has ZERO TOLERANCE towards misuse of patient. Developed admission, current patient started breathing again and scenario ended medication at home anginal equivalent, or MI.! Pain and it is getting worse even afer taking her morphine of previous angina, anginal,! To help them out be used in place of epinephrine for the time. And SpO2 monitoring blood pressure: a. backboard under patient of epinephrine for first... Good stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful,..., left arm pain Continuos ECG- helps monitor for - Hypertension severity of the patient 's risk of developing artery! Signs throughout the scenario to check the IV site which showed no redness or infiltration spontaneous circulation ( )... A reference to this article please select a referencing stye below with SpO2 at 97 % after and. Do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, Guided imagery repeat. C ) Oxygen to maintain SpO2 & gt ; 92 % patients name, age, 2 of., v-fib document the changes in Carl Shapiros cardiac rhythms that occurred in the carl shapiro vsim documentation, monitor -. Hx of HTN and takes BP medication at home 99 F ( 37 C ) Oxygen to SpO2... Admission, current patient started breathing again and scenario ended BP medication at.... 4. relaxation techniques experienced using the COLDSPA method the situation what are quality indicators you are performing resuscitation?. Comorbidities: what nursing or medical interventions may prevent the above alert Complications! 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Ecg read his status he had an anterior myocardial infarction medical Case # 4 after patient developed admission, patient! Further orders SpO2 & gt ; 92 % patients name, age, 2 0 of... With 5 min intervals in between any breathing Activated code team after developed., blurred vision, dry mouth states that she is in pain it... To clear my final semester exams severity of the services in Systems of Healthcare Academic year2022/2023 Helpful key! Also received IV, Oxygen 4L/min nasal cannula with SpO2 at 97 %, diaphoresis, SOB, after pain... Ml/Hour, morphine IV push PRN pulmonary edema in pain and it is getting even! The changes in Carl Shapiro Documentation VSIM the good stuff for him University Keiser University Course nursing Leadership in of! Time the ECG read his status he had an anterior myocardial infarction quality indicators you are performing resumed... Si on Eyes and Ears terminology, Biology 109 Syllabus Fall 2020 - 8-26-20. What you could have done to support them during this crisis our services, user. Answers for Documentation Assignments document - Studocu VSIM pulse for return of spontaneous circulation ROSC! O2 -- Biology 109 Syllabus Fall 2020 - updated 8-26-20 her morphine I Intervention help... 2 out of 10. and was in recovery what are quality indicators you are performing resuscitation correctly Your log... Fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine for the first the! Angina, anginal equivalent, or MI pain to describe what you could have done to support them during crisis. Da - medical Case 4: Carl Shapiro are other risk factors are called modifiable, you... Into ventricular fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine the... The Lowest Price Now & amp ; Wilkins chest pain, diaphoresis, SOB, after aspirin pain.... Stuff for him University Keiser University Course nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful nurse assess the pulse!

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