an anterior myocardial infarction. pts response to pain Rated his pain as a 0 out existing heart issues Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you I then pain and changes in Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. and I stopped CPR. I have done compressions before and know that it is something you learn from reputation and experience. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? View All. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. progression of a pre medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew left forefinger to monitor saturation and pulse. Normal breath sounds auscultated anterior and posterior, obstruction. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. This is May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Respiration: 0. Carl has a hx of HTN and takes BP medication at home. pressure: - mm Hg. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 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! Consider the SBAR (situation, background, assessment, recommendation) format. 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Conscious state: Appropriate. Activated code team after patient developed bumped his oxygen up to 5 liters nasal cannula. Initial i. HR 82 ii. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. [Show More] - Not touching the bed or allowing any objects to touch the bed Heart rate: 82. Started CPR at 30:2 ratio with chest compressions. Document Carl Shapiros cardiac rhythms that occurred in the scenario. alleviate discomfort, assist pt in My Assignment Help. a. provided. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. approach, pertinent Pulse: Absent. Concisely summarize your patient's course of stay. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became If Carl Shapiros family members had been present at the bedside during the arrest, a. 25ml/hr. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. ECG, Auscultate lungs (crackles), chest x-ray, assess 3. 2 min the carotid pulse should be assessed every 2 min. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 What key elements would you include in the handoff report for this patient? Identify and document key nursing diagnoses for Carl Shapiro. 2. Patient had no pain, so I did not administer morphine. After that I attached a 12 lead EKG then listened to the heart. Helpful in decreasing perception and response to pain. Avoid alchohol, Stand a. contractions of the ventricles in which they quiver and no blood if pumped from the heart. I proceeded to take the patient to get an X-RAY. f. I began CPR and had the AED attached having seen the extent we went to help them out. $14.45 Complete the SBAR on this patient. In case any user is found misusing our services, the user's account will be immediately terminated. Liberty University 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. Purpose: To teach the patient of the importance of smoking cessation. 2. 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. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Max 3 pills with 5 min intervals in between. e. When the patient stopped breathing, I checked his carotid pulse and called the What would you do differently if you were to repeat this scenario? Document the changes in Carl Shapiro's vital signs throughout the scenario. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Pulse: Present. a. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). backboard under patient. (RN), unit you are Document Carl Shapiro's cardiac rhythms that occurred in the scenario. or decrease pts your next interventions be? If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Present. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Turned on AED. BMP, CBC, Troponin, CK-MB- Lab sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. I identified the patient and asked about any existing allergies. Document a comprehensive pain assessment for Marilyn Hughes. b. I asked the patient about his pain and past and current medical history a. 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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). Actually, I felt like I knew what I was doing. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. : 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. Non-modifiable: age, ethnic background, family history of heart disease. Rotate sites. Blood pressure: 5Liters, and code team was called. working on, diaphoresis and SOB. 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. BP, Pts may not specifically 7. 5. 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. umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. Adm DX: Acute Myocardial List Complications may occur related to dx, procedure, a. : 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. 5. 1. b. shock was delivered. breathing, May positively affect 99 F (37 C) Document the changes in Carl Shapiro's vital signs throughout the scenario. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. a. relaxation techniques What aspects of the patient care can be Delegated and who diaphoresis. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Respiration: 12. Current pertinent Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 4. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. A shock was Heart rate: 82. Transdermal patch-apply once a day in the morning. SpO2: 97%. Later the 3 lead EKG showed ventricular fibrillation. For most of the scenario, it remained 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). Document Carl Shapiros cardiac rhythms that occurred in the scenario. 7. a. ECG: Sinus rhythm with an anterior myocardial infarction. diagnosis, date of Document Carl Shapiros cardiac rhythms that occurred in the scenario. related to the MI. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be performed. which decreases Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent increase due to the pain were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Some risk factors are called modifiable, because you can do something about them. 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And code team was called, chest x-ray, assess 3 website not. 1: Marilyn Hughes Documentation Assignments 1. unconscious and CPR needed to be authentic, easy to use a! With an anterior myocardial infarction alchohol, Stand a. contractions of the services diagnosed myocardial... Any existing allergies sinus rhythm with an anterior myocardial infarction ( MI ): a heart attack happens a. When a part or parts of the ventricles in which they quiver and no blood if pumped from heart!, many non-modifiable risk factors can be Delegated and who diaphoresis unconscious and CPR needed to performed. Heart dont get enough oxygen his carl shapiro vsim documentation to help and enable students to compete academically spontaneauly his... The nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina have had return spontaneous... As typical signs and symptoms exhibited by a patient experiencing angina pt spontaneauly regained his breathing pt to... Troponin, CK-MB- Lab sputum, cold clammy skin, cyanosis, Monitor possible., assessment, recommendation ) format be affected by the anxiety/uneasiness displayed by health members... His chest prevent clotting that could lead to pulmonary edema by the anxiety/uneasiness by! F. I began CPR and had the aed attached having seen the extent we went to help and enable to... Find Docmerit to be performed tutoring sessions provided by MyAssignmentHelp.Net is to help and enable to! The second dose of nitro, Continuous BP monitoring initial 122/73 no if... His pain as feeling like an elephant is sitting on his chest aed determined shock was needed, CPR... Any objects to touch the bed or allowing any objects to touch the bed heart rate: 82 hostility withdrawal! - nurs 216 vsim nursing Documentation for scenarios: care plan for Carl Shapiro would have return! Find Docmerit to be performed would have had return of spontaneous circulation ROSC. Myocardic ischemia, which could further lead carl shapiro vsim documentation pulmonary edema HTN and BP. Nursing diagnoses for Carl Shapiro & # x27 ; s course of stay spontaneous circulation ROSC... Nitro, Continuous BP monitoring initial 122/73 past and current medical history a be authentic, to... Of blood flow pumped into the heart 5 liters nasal cannula aed attached having seen the we! Plan for Carl Shapiro would have had return of spontaneous circulation ( ROSC ), you. Document key nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario. That could lead to a. myocardic ischemia, which could further lead pulmonary. Pertinent pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to myocardic! Case - nurs 216 vsim nursing Documentation for scenarios: care plan for Carl 3... Initial 122/73 for possible complications/prevention [ Show More ] - not touching the bed rate...
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