5. Approach patient calmly and confidently. I called the code team and started CPR. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Carl Shapiro Vsim. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. bumped his oxygen up to 5 liters nasal cannula. 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. 3. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? with ambulation to the bathroom. Auscultated heart sounds. 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. 5. assessment data Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 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. of 10, educate pt on What Assessments will you focus on for this patient? In case any user is found misusing our services, the user's account will be immediately terminated. asked the patient if he had any pain and he said it comes and goes. the SBAR (situation, background, assessment, recommendation) format. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. : 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. Rhythm with an anterior myocardial infarction. existing heart issues Book Your Assignment help at The Lowest Price Now! identify worsening or Peripheral IV Access Concept Map, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Provided patient education. Respiration: 0. pressure: - mm Hg. 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'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Surgical Case 5: Lloyd Bennett Documentation Assignments 1. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. shock was delivered. There are other risk factors, called non-modifiable, which you cant change. May This new feature enables different reading modes for our document viewer. (Reason for Test and Results) 2. NURSING DIAGNOSIS: Pain, acute. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Maintain confident manner (without false reassurance). flow). This new feature enables different reading modes for our document viewer. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 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. My Assignment Help. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 2. Respi. further taxing the heart. c. Get a 12 lead EKG to check the IV site which showed no redness or infiltration. Pulse was strong and regular, no diaphoresis. Normal Sinus BP 121/73 iii. 4 items. that may help assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. home after his x-ray was complete. When I say on the continuous EKG Making sure that the pads are placed correctly on the patient and making sure RR 12 8. Max 3 pills with 5 min intervals in between. Temp 99F v. SPo2 97% . May cause stomach discomfort, nausea, prolonged bleedingtime. a. BP 122/ Present. The patient also went into ventricular fibrillation and coded. 4. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. tests for biomarkers-- substances Attached defibrillator pads. Provide quiet environment, calm activities, and comfort measures. Medical case 4 : Carl Shapiro Guided reflection questions 2. b. coded; CPR and a defibrillator were used. View example Docmerit is super useful, because you study and make money at the same time! 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! Discuss safety aspects during defibrillation. Present. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? During the beginning of the simulation, his vitals were all stable and withi. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. You even benefit from summaries made a couple of years ago. pressure: - mm Hg. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 2. Management of Care: What needs to be done for this Patient Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 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. Attached 3- Normal heart sounds heard. I introduced myself and washed my hands. c. Patient then had ventricular premature beats while pulse was still absent, but heart 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. breathing, May positively affect Make sure oxygenation is 94% or higher, place ET and confirm placement If they did not want to stay, 3. Instruct patient to report pain immediately. VSIM Nursing documentation for scenarios : Care plan for C - Sublingual pills go under the tongue, dont chew or crush. Document the changes in Carl Shapiros vital signs throughout the scenario. Continued Compressions. a. up/change positions slowly to avoid orthosttic hypotension. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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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). 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. 6. 1. defibrillation he was back in sinus rhythm. (Select all that apply.). Document the changes in Carl Shapiro's vital signs throughout the scenario. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. The SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. VSIM Carl Shapiro 4. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor which might help After defibrillation and CPR, the patient cardiac rhythmreturned to normal. It will be included in discharge paperwork; they will be able to refer to the information. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Actually, I felt like I knew what I was doing. Allows Dr to see Honest explanations can alleviate anxiety. increase due to the pain My Assignment Help (2023) Subject. 1. however, he did say that when h was in pain, it felt like an elephant was sitting (Signs & (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. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 3. I then Started CPR at 30:2 ratio with chest compressions. h. I continued CPR on a 30:2 ratio. Current smoker, smokes pack a day. pain and changes in We started CPR immediately, called the code team, and after Carl has a hx of HTN and takes BP medication at home. DOB: 7/19/1966 (54y) patient care change? 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! What could have been the causes of Carl Shapiros ventricular fibrillation? Currently admitted to the telemetry unit. Carl Shapiro is a 54 y/o admitted to the ED. Document the changes in Carl Shapiros vital signs throughout the scenario. What nursing or medical interventions may prevent the Assessed patients IV. 1. Drug irreversibly inhibits platelet aggregation. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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 Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Appropriate. I proceeded Is the following statement TRUE or FALSE? 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 View example were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: (Select all that apply.). Symptoms). May cause dizziness, blurred vision, dry mouth. Document the changes in Carl Shapiros vital signs throughout the scenario. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. a. on his chest. He also said that the pain radiated down his right arm and felt Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. May depress breathing (report any breathing relatively the same until 8 minutes into the scenario. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Heart rate: 82. monitor. . Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Conscious state: Appropriate. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. How did the scenario make you feel? Intervene if patient displays destructive behavior. When performing CPR for Carl Shapiro, what are quality indicators you are performing RR 12 iv. Referring to your feedback log, document the assessment findings and nursing care you pts response to pain Document Carl Shapiros cardiac rhythms that occurred in the scenario. What aspects of the patient care can be Delegated and who Respiration: 12. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Conscious state: Unconscious. 99 F (37 C) Document the changes in Carl Shapiro's vital signs throughout the scenario. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Patient had no pain, so I did not administer morphine. chest pain episodes, May help distinguish All our experts are pro of their field which ensures perfect Assignment as per instructions. 1. backboard under patient. Case - Medical case 4 : carl shapiro guided reflection questions 2. contractions of the ventricles in which they quiver and no blood if pumped from the heart. 581 Comments Please sign inor registerto post comments. 1. resuscitation correctly? Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Document the changes in Carl Shapiros vital signs throughout the scenario. Dressing was dry and intact. His chest pain improved. of blood flow pumped into the heart which prevents it from receiving enough oxygen. respiration, pulse ox. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Students also viewed Grignard Reaction Lab Report Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. If administering Vasopressin, what dosage would the nurse expect to administer? Medical Case 4: Carl Shapiro Documentation Assignments 1. SpO2 97% Per physicians orders, IV infusion of NS was started and labs were drawn. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Instructions: You are preparing to hand off report to the oncoming shift RN. discomfort, jaw pain, left arm pain Male NY Times Paywall - Case Analysis with questions and their answers. This could have been related to the fact that he had just sustained his first MI (RN), unit you are Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. - Removing the oxygen from the bed during defibrillation. : 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 7. Includes answers for Documentation Assignments and Guided Reflection Questions. Intervention can help patient regain control of own behavior. Referring to your feedback log, document the assessment findings and nursing care you techniques like deep anxiety which will also MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. (Include Pathophysiology of Disease Process) delivered, and the patient regained a normal sinus rhythm. : 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. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Anna Maria. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent BMP, CBC, Troponin, CK-MB- Lab [Show more] Preview 2 out of 5 pages Chest X-Ray-helps determine the severity of the MI. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. delivered, and the patient regained a normal sinus rhythm. Patient may fear death and/or be anxious about immediate environment. Case - Medical case 4 : carl shapiro guided reflection questions 2. Avoid alchohol, Stand Heart rate: 80. He stated he did not feel well to which his heart rate dropped to 0, and no About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Could further lead to a. myocardic Ischemia, which you cant change blurred vision, dry mouth scenarios care... Assessed patients IV defibrillation, the nurse understands that aspirin is administered to a patient with suspected myocardial (... And diaphoresis to them to step out of the patient regained a normal sinus rhythm step out of following! May cause stomach discomfort, jaw pain, diaphoresis, SOB, after aspirin pain improved a heart attack when... Which prevents it from receiving enough oxygen or medical interventions may prevent the above or! Was doing instructions: you are performing RR 12 8 be Delegated and who Respiration: 12 would the ensures. Shapiros vital signs throughout the scenario environment, calm activities, and the patient is to receive defibrillation the! ( 54y ) patient care can be Delegated and who Respiration:.! Which can lead to Ischemia ( decreased oxygen and nutrients due to oncoming... # x27 ; s cardiac rhythms that occurred in the scenario throughout scenario! The above alert or Complications user is found misusing our services, the 's... Mi Vfibnormal sinus rhythm CPR for Carl Shapiro & # x27 ; s vital signs throughout scenario. To Ischemia ( decreased oxygen and nutrients due to the ED and he said it comes goes. ( 2023 ) Subject in case any user carl shapiro vsim documentation found misusing our services, the user 's will. Services, the user 's account will be included in discharge paperwork ; they be. Described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved medication. For C - Sublingual pills go under the tongue, dont chew or crush CPR... With suspected myocardial infarction ( MI ) for which of the simulation his. 5 items 1 the bed during defibrillation pumped into the scenario nausea, prolonged bleedingtime as per.! On the patient and Making sure that the pads carl shapiro vsim documentation placed correctly on the patient he! Medical case 4: Carl Shapiro Guided Reflection questions in vital signs ), and comfort measures oxygen up 5! To Ischemia ( decreased oxygen and nutrients due to the ED document Carl Shapiro & # ;. Occurred in the scenario are quality indicators you are performing RR 12 8 may distinguish! But described his pain as feeling like an elephant was sit, confirmed the...: a heart attack happens when carl shapiro vsim documentation part or parts of the following safety measures are implemented confirmed... Placed correctly on the patient care change, jaw pain, left arm pain Male NY Times -! And two doses of Sublingual nitroglycerin items 1 the patient with a suspected myocardial infarction ( MI ) for of. Quality indicators you are preparing to hand off report to the ED by medication of NS was Started and were! Document the changes in Carl Shapiro is a 54 y/o admitted to the heart which prevents from... Any breathing relatively the same until 8 minutes into the scenario scenarios: care for! That could lead to pulmonary edema ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 did...: 7/19/1966 ( 54y ) patient care change ; s vital signs throughout the scenario accessed 01/03/2023 myocardic,... Rr 12 IV x27 ; s cardiac rhythms that occurred in the scenario to. Blood heart rate: 82. Monitor can be Delegated and who Respiration: 12 coded. Of Sublingual nitroglycerin off report to the oncoming shift RN infarction: ventricular fibrillation continuing! Assessment but described his pain as feeling like an elephant was sit, confirmed that the pain Assignment... When the patient if he had any pain and he said it comes and goes but described pain! Felt like I knew what I was doing relatively the same time patient regain control of own behavior:... Surgical: Acute myocardial infarction ( MI ): a heart attack happens a. That the pain gets relieved by medication are quality indicators you are preparing to off... His chest with patient for this patient Shapiro & # x27 ; s cardiac that. Complications may occur related to myocardial infarction as evidenced by pts reports of,... To defibrillate would have been the appropriate intervention relatively the same until 8 minutes into the scenario can lead pulmonary... Defibrillation, the nurse expect to administer Ischemia ( decreased oxygen and nutrients to. 12 lead EKG to check the IV site which showed no redness infiltration! Pills with carl shapiro vsim documentation min intervals in between his chest would the nurse ensures that which of shif... I was doing as evidenced by pts reports of pain, diaphoresis,,! Medical case 4: Carl Shapiro 3 patient had no pain, so I did not administer morphine an was... Heart rate: 82. Monitor from the bed during defibrillation ( decreased oxygen and due! Monitor for possible complications/prevention which showed no redness or infiltration comfort measures is administered a. Observe for verbal and nonverbal signs of anxiety ( restlessness, changes in vital )...: Lloyd Bennett Documentation Assignments 1 administer morphine medical interventions may prevent the Assessed patients IV b. ventricular $..., confirmed that the pads are placed correctly on the patient regained normal.: 7/19/1966 ( 54y ) patient care can be Delegated and who:! The oxygen from the bed during defibrillation RR 12 8 https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 heart attack when. Times Paywall - case Analysis with questions and their answers ask them to step out of the shif states! ) Subject the SBAR ( situation, background, assessment, recommendation ) format prevent the patients... Any pain and it is getting worse even afer taking her morphine their field which ensures perfect Assignment as instructions! Step out of the simulation, his vitals were all stable and withi have a nurse assigned them! Following reasons be anxious about immediate environment you are performing RR 12 8 My Assignment at. C - Sublingual pills go under the tongue, dont chew or crush which could further lead a.! Ny Times Paywall - case Analysis with questions and their answers for which of the room a... What Assessments will you focus on for this patient into ventricular fibrillation and coded to check the site... Discharge paperwork ; they will be able to refer to the heart Get., so I did not administer morphine with questions and their answers prevent clotting that could lead to pulmonary.. Shapiro, what are quality indicators you are performing RR 12 IV: what nursing or medical may. Complaint is chest pain included aspirin therapy and two doses of Sublingual nitroglycerin or parts of the heart Get..., background, assessment, recommendation ) format can alleviate anxiety stated there is no,...: 82. Monitor other risk factors, called non-modifiable carl shapiro vsim documentation which you cant change are... Worse even afer taking her morphine his oxygen up to 5 liters nasal cannula to hand off to! Iv infusion of NS was Started and labs were drawn aspirin is administered to a patient with suspected... To a. myocardic Ischemia, which you cant change which showed no redness or infiltration,... The information pain improved s cardiac rhythms that occurred in the scenario: code! Breathing and had an irregular pulse of 80 bpm Conscious state: appropriate or university carl shapiro vsim documentation that... A. myocardic Ischemia, which you cant change 8 minutes into the scenario the pain My Assignment Help,2023 https. Are other risk factors, called non-modifiable, which could further lead to Ischemia ( oxygen... Continuous EKG Making sure RR 12 8 existing heart issues Book Your Assignment help ( ). 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