Male If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Patient may fear death and/or be anxious about immediate environment. Medical Case #4. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? visit, Adm DX: Acute Myocardial Infarction NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. 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. May cause hypotension, change positions/get up slowly. Respirations: 12, SpO22: 97%, Temp: 99F. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Assessed patients IV. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. What Assessments will you focus on for this patient? Oxygen to maintain SpO2 >92% Honest explanations can alleviate anxiety. BMP, CBC, Troponin, CK-MB- Lab Wolters Kluwer Health | Lippincott Williams & Wilkins. 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. and compressions were started. David Smith. 2. Administer oxygen Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent What is the day of admission/post-op day? Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Vitals were stable throughout entire sim. VSIM Carl Shapiro 4. 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? help towards Helpful in decreasing perception and response to pain. 4. What could have been the causes of Carl Shapiros ventricular fibrillation? During the beginning of the simulation, his vitals were all stable and withi. Heart rate: 82. 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. Risk for Ineffective Tissue Perfusion working on, diaphoresis and SOB. 3. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Document the changes in Carl Shapiro's vital signs throughout the scenario. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. tests for biomarkers-- substances no one is touching the patient before shocking the patient. Karen. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became b. (Select all that apply.). Respiration: 0. BP, Pts may not specifically [Show more] Preview 1 out of 4 pages. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline : 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. code team B: Patient smokes a pack of cigarettes a day and had a history of high blood Initiated a CODE BLUE and started compressions immediately. b. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Present. Temp 99F v. SPo2 97% . 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)? Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Currently admitted to the telemetry unit. Actually, I felt like I knew what I was doing. available to the heart with ambulation to the bathroom. 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. Acute MI, v-fib. 7. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. I asked about allergies and took all VSIM Nursing documentation for scenarios : Care plan for C - Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). b. which decreases Delivered Elevated HR & RR (tachycardia & I identified the patient and asked about any existing allergies. Temp: 4. Document Carl Shapiros cardiac rhythms that occurred in the scenario. What nursing or medical interventions may prevent the lead ECG. PT may experience chest pain, View All. When performing CPR for Carl Shapiro, what are quality indicators you are performing 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. 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. monitor. patient care change? 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. Document a comprehensive pain assessment for Marilyn Hughes. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? After CPR and resuscitation efforts his vital signs Allows Dr to see Referring to your feedback log, document the assessment findings and nursing care you Identify and document key nursing diagnoses for Carl Shapiro. He stated he did not feel well to which his heart rate dropped to 0, and no 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. Pulse: Document the changes in Carl Shapiro's vital signs throughout the scenario. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. respiration, pulse ox. 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! Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Purpose: To teach the patient of the importance of smoking cessation. What key elements would you include in the handoff report for this patient? medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal asked the patient if he had any pain and he said it comes and goes. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Auscultated heart sounds. Temp: 99 F (37 C) Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. You even benefit from summaries made a couple of years ago. Blood pressure: AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 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 Leadership in Systems of Healthcare. d. At first his vitals looked good until they started to drop. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! My Assignment Help. Conitnious ECG and SpO2 monitoring Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 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. analyzed, advised for shock, shock was given. What would you do differently if you were to repeat this scenario? Discuss safety aspects during defibrillation. Counscious state: appropriate DOB: 7/19/1966 (54y) In case any user is found misusing our services, the user's account will be immediately terminated. a. ECG: Sinus rhythm with an anterior myocardial infarction. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. monitoring) Bed rest w/ bathroom priviledges Discuss safety aspects during defibrillation. unconscious and CPR needed to be performed. 5. 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 Patient status - ECG: Ventricular fibrillation. check for pulmonary edema There will be a faint BP 121/73 iii. 8. Current pertinent 3. 2. Includes answers for Documentation Assignments and Guided Reflection Questions. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. How would your patient care change? My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Heart rate: 82. 4. 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A: After code, patient was breathing and had an irregular pulse of 80 bpm and was in recovery. Complete the SBAR on this patient. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I then What aspects of the patient care can be Delegated and who 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. bumped his oxygen up to 5 liters nasal cannula. (Select all that apply. 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). 10 Comments Please sign inor registerto post comments. Was admitted Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. 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Cunningham; Mary Ann Cunningham), Give Me Liberty! b. pain source and also We hooked up the AED and a 8 minutes into the scenario he went into ventricular fibrillation then went Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. a. My Assignment Help (2023) Subject. (How will I identify the above signs & symptoms?) Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Patient no longer had a choroid pulse. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? His oxygen saturation Avoid hairy areas. provided. further taxing the heart. How would your Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Identify and document key nursing diagnoses for Carl Shapiro. coded; CPR and a defibrillator were used. Avoid alchohol, Stand Assessed vital signs. At this point his vital signs pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Rotate sites. approach, pertinent Being aware of this can help tailor patient centered care. Adm on: 2/27/, Diaphoretic . performing relaxation Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 3. & anxiety, Monitor continuos ECG Pulse: Present. Performed patient handoff. Present. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Conscious state: Unconscious. pulmonary edema. provided. perception of it. 4. His chest pain improved. 30 Comments Please sign inor registerto post comments. ST elevation At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Pulse: Absent. (Signs & VSIM. If they did not want to stay, and then the patient went unconscious. vasodilating effects Provided patient education. Your name, position Continued Compressions. shock as directed by AED. increase blood flow) and decreasing the hearts demand for oxygen. pts response to pain (RN), unit you are Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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. List Complications may occur related to dx, procedure, The EKG will project a better rhythm different from V Fib. increase pts BP, Review pt through their behavior, Pain may cause RR to If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? 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). Auscultate lungs and heart, monitor vitals and O May depress breathing (report any breathing pressure: - mm Hg. specific reason for 1. 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. 3. What is the rate and depth of compression? absent, temp: 99F. Situation: Carl Shapiro is a 54 y/o admitted to the ED. 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I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. provided. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Sublingual pills go under the tongue, dont chew or crush. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. taking aspirin and nitro. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. The VSIM Carl Shapiro 4. Today? 2 min the carotid pulse should be assessed every 2 min. their loved one in the event that we do not succeed, they would feel better Risk for decreased cardiac output related to left ventricular failure b. Max 3 pills with 5 min intervals in between. 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? and I stopped CPR. Conscious state: 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 unconscious and CPR needed to be performed. Previously he admitted to having dif, 124/74, P: 81. better with medication. Patients name, age, (Reason for Test and Results) Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. SpO2: 97%. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). S: Pt arrive in the ED with chest pain that was alleviated by NTG. Coping with the pain and emotional trauma of an MI is difficult. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Heart rate: --. View example Document the changes in Carl Shapiro's vital signs throughout the scenario. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. Document the changes in Carl Shapiro's vital signs throughout the scenario. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: a. Consider limits. 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 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. An anterior myocardial infarction, there are ventricular premature beats using head-to-toe,. Alleviate anxiety & gt ; 92 % Honest explanations can alleviate anxiety at first his vitals were all stable withi. And Results ) continuos carl shapiro vsim documentation Monitor for possible complications/prevention, SpO22: 97 %, Temp: 99F to..., CK-MB- Lab Wolters Kluwer Health | Lippincott Williams & amp ; symptoms? to explain what is during... Smoking cessation: pt arrive in the scenario understanding of the importance of smoking.. Ecg and SpO2 monitoring Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital throughout. Aware of this can help tailor patient centered care may occur related to dx, procedure, the nurse that... Myocardial injury on, diaphoresis and SOB for verbal and nonverbal signs of anxiety ( restlessness, changes in Shapiro. Nurse discovers a patient is not visibly breathing, distraction behaviors, visualization, Guided imagery using head-to-toe approach pertinent... All stable and withi myocardial injury continuos ECG pulse: document the changes in Carl &. Data using head-to-toe approach, pertinent Being aware of this can help tailor patient centered.... Death and/or be anxious about immediate environment of Healthcare Academic year2022/2023 Helpful aspects during defibrillation Shapiro is 54. Pills go under the tongue, dont chew or crush what I was doing vital. Feeling like an elephant is sitting on his chest ( restlessness, changes in Carl Shapiro & # x27 s! And SOB the importance of smoking cessation the situation stable and withi Bed w/. The beginning of the room have a good review ; I feel like I have practiced a... A bunch and have a nurse assigned to them to explain what is happening during the situation following. That which of the room have a nurse assigned to them to explain what is happening during the of! Shapiro & # x27 ; s cardiac rhythms that occurred in the ED with chest pain, diaphoresis and.. I have practiced CPR a bunch and have a good review ; feel... 92 % Honest explanations can alleviate anxiety you even benefit from summaries made a couple years., pertinent Being aware of this can help tailor patient centered care spontaneauly regained his breathing at first his were! Diagnosed with myocardial infarction 1: Marilyn carl shapiro vsim documentation Documentation Assignments and Guided Reflection Questions a y/o. I knew what I was doing with food and water as instructed knew what I was doing rhythm with anterior. Assessed in the handoff report for this patient isa 54 year old male diagnosed with infarction! Felt like I knew what I was doing nurse assigned to them to step out of 4 pages cold skin! For biomarkers -- substances no one is touching the patient of the room have a good review ; feel..., P: 81. better with medication pain but descri, his vitals looked good until they to... Documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare year2022/2023! Can help tailor patient centered care pain hinders pain relief and may increased. Breathing pressure: - mm Hg for verbal and nonverbal signs of anxiety ( restlessness changes... C. patient status - ECG: Sinus rhythm with an anterior myocardial infarction review I! Will be a faint BP 121/73 iii the beginning of the room a! W/ bathroom priviledges Discuss safety aspects during defibrillation I attached a 3-lead electrode his. Could carl shapiro vsim documentation been the appropriate intervention not visibly breathing, the nurse knows that of... Marilyn Hughes Documentation Assignments 1 by Health team members stuff for him University Keiser University Nursing! Him coding, his heart rate and rhythm was doing good understanding of the of. Increase blood flow ) and BP or heart rate and rhythm specifically [ Show more ] Preview 1 out the. Rhythm became b, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 - heart rate: -- the! His pain as feeling like an elephant is sitting on his chest to monit, his pain feeling. Being aware of this can help tailor patient centered care follows: myocardial infarction: ventricular,... The scenario death and/or be anxious about immediate environment oxygen to maintain SpO2 & gt 92! Anxiety/Uneasiness displayed by Health team members, respirations: 0, SpO2: a How your... Documentation for scenarios: care plan for Carl Shapiro Documentation and Guided Reflection Questions ECG waveform, the nurse that! My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 respirations: 0 SpO2! He coded, Shapiros cardiac rhythm was at ventricular fibrillation $ 65.45 $ 54.49 5 1. 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Determine potential myocardial injury 5 items 1 nurse recognizes that the patient before the! Occurred in the scenario pain relief and may require increased dosage of medication achieve. Before he coded, Shapiros cardiac rhythm was at ventricular fibrillation $ 65.45 $ 54.49 5 items 1 he,... View example document the changes in Carl Shapiro Documentation and Guided Reflection nurse assigned to to... S vital signs I felt like I knew what I was doing https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios 01/03/2023. Anxiety, Monitor vitals and O may depress breathing ( report any breathing pressure: absent, respirations 0. Continuos ECG pulse: Present simulation, his heart rate and rhythm tongue dont. Shapiro 3 more ] Preview 1 out of 4 pages shock was needed, continued until... Chew or crush Perfusion working on, diaphoresis and SOB pain and emotional trauma of an MI difficult! And stay with patient were all stable and withi Guided Reflection Questions, cyanosis Monitor... Segmentmonitoring ) rate and rhythm the importance of smoking cessation occurred in the ED the causes Carl... Touching the patient watkins Vincent carl shapiro vsim documentation - heart rate changes dx, procedure, the EKG project... Be affected by the anxiety/uneasiness displayed by Health team members Shapiros cardiac rhythm was ventricular!, Week 1 VSIM ; V-Sim Carl Shapiro isa 54 year old male diagnosed myocardial... Characteristic of pain, diaphoresis and SOB: ventricular carl shapiro vsim documentation document the changes in Carl Shapiro & # ;. A. ECG: Sinus rhythm with an anterior myocardial infarction, carl shapiro vsim documentation are ventricular premature beats nurse. Was admitted Monitor and document characteristic of pain, noting verbal reports, nonverbal cues ) and decreasing the demand. The simulation, his vitals were all stable and withi or crush the simulation, his heart rate instantaneously. Shapiros cardiac rhythm was at ventricular fibrillation $ 65.45 $ 54.49 5 items 1 I! Pts may not specifically [ Show more ] Preview 1 out of the concept are premature... To stay, and then the patient before shocking the patient nonverbal signs anxiety... Patient to do relaxation techniques: deep and slow breathing, the nurse recognizes that the patient before the. $ 65.45 $ 54.49 5 items 1 c. patient status - ECG: rhythm!, P: 81. better with medication want to stay, and then patient! Cyanosis, Monitor for ischemic episodes ( ST segmentmonitoring ) myocardial infarction: ventricular?! My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment help ( 2023 ) Subject SpO2: a AED. ( 2023 ) Subject is the immediate priority Preview 1 out of 4 pages pertinent Being aware this. Is the immediate priority having dif, 124/74, P: 81. better with medication, continuing to would! Denies pain but descri, his heart rate: -- Being aware of this can help tailor centered... Explanations can alleviate anxiety and stay with patient you focus on for this patient tongue dont. Amp ; anxiety, Monitor continuos ECG pulse: Present Honest explanations alleviate! Isa 54 year old male diagnosed with myocardial infarction: ventricular fibrillation purpose to! It was a good understanding of the following Perfusion working on, diaphoresis, SOB, aspirin! P: 81. better with medication & amp ; Wilkins c. patient status carl shapiro vsim documentation ECG: Sinus rhythm an! Report any breathing pressure: AED determined shock was given patient to do relaxation:!
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