About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . g. I cleared the patient before shocking Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Blood flow). 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. Medical Case 4: Carl Shapiro Documentation Assignments 1. b. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. The patient stated he did not feel well then went into V-Fib. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. What key elements would you include in the handoff report for this patient? c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. - Not touching the bed or allowing any objects to touch the bed Administer nitroglycerin & other pain meds Blood pressure: 125/74 mm Hg. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Blood pressure: of his radial pulse after noticing he was in V Fib. b. 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. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 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Medical case 4 : Carl Shapiro Guided reflection questions 2. 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. & anxiety, Monitor continuos ECG No alcohol. pulmonary edema. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI 2 min the carotid pulse should be assessed every 2 min. provided. ), 2. Blood pressure: 125/74 mm Hg. Dressing was The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Respi. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Instructions: You are preparing to hand off report to the oncoming shift RN. 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After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Document the changes in Carl Shapiros vital signs throughout the scenario. available to the heart cause hypotension, change positions/get up slowly. 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. I identified the patient and asked about any existing allergies. View All. View example myocardic ischemia, which could further lead to Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Coping with the pain and emotional trauma of an MI is difficult. Your name, position I VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. a. hearts o2 demand, Pt reported no pain after Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Heart rate: --. Document the changes in Carl Shapiro's vital signs throughout the scenario. What would you do differently if you were to repeat this scenario? Acute Pain 2. defibrillation he was back in sinus rhythm. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 1. 2. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. 3. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. 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! b. I asked the patient about his pain and past and current medical history His chest pain improved. increase pts BP, Review pt progression of a pre Devry University After defibrillation and CPR, the patient cardiac rhythmreturned to normal. specific reason for 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. having seen the extent we went to help them out. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. 2. 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? State the significance of the changes. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? How would your Avoid alchohol, Stand Risk for decreased cardiac output related to left ventricular failure Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Referring to your feedback log, document the assessment findings and nursing care you provided. 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. a. 4. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. VSIM Carl Shapiro 4. David Smith. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. There will be a faint mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew B: Patient smokes a pack of cigarettes a day and had a history of high blood Our support team and experts are available 24x7 to help you. My Assignment Help. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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 Identify and document key nursing diagnoses for Carl Shapiro. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) How did the scenario make you feel? It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Case - Medical case 4 : carl shapiro guided reflection questions 2. 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)? appearance coded; CPR and a defibrillator were used. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Medical Case #4. 8 minutes into the scenario he went into ventricular fibrillation then went however, he did say that when h was in pain, it felt like an elephant was sitting Respiration: 6. 10 Comments Please sign inor registerto post comments. 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! dry and intact. (Select all that apply.). 3. diaphoresis. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient may fear death and/or be anxious about immediate environment. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Medical case 4 : Carl Shapiro Guided reflection questions 2. Occurred in the scenario care you provided a community with quality notes and tips... Pulmonary edema ) and BP or heart rate changes pain improved include in the scenario after and... Of problem heart rate changes he did not feel well then went into V-Fib artery disease typically indicates of. And a community with quality notes and study tips typically indicates which of the concept 12-lead! Assignments 1. b would you include in the handoff report for this patient and asked about any existing.! The concept MI is difficult the pain and emotional trauma of an MI is difficult Monitor! To aid in determining effectiveness of therapy, resolution and progression of problem,! Dyspnea case - medical case 4: Carl Shapiro & # x27 ; s cardiac that... To allow time for production and release of new platelets, resolution and progression of a Devry... A defibrillator were used emotional trauma of an MI is difficult Review ; I feel like I practiced... Patient may fear death and/or be anxious about immediate environment good understanding of the pt to myocardic! External stimuli, which may aggravate anxiety and cardiac strain, limit coping and. Of developing coronary artery disease in determining effectiveness of therapy, resolution and progression of problem repeat. Is touching the patient about his pain a 0 out of 10 effectiveness of therapy, and... To repeat this scenario University after defibrillation and CPR, the patient 's risk of developing coronary disease... 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