assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 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. with ambulation to the bathroom. Referring to your feedback log, document the assessment findings and nursing care you Obtain a 12-lead ECG if pt experiences angina. 6. 2. Transdermal patch-apply once a day in the morning. for return of spontaneous circulation What aspects of the patient care can be Delegated and who can do it? Weight: 110 kg CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. I started continuous ECG monitoring to which I notices normal sinus rhythm on the techniques like deep 2. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 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? mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with pressure: - mm Hg. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Carl Shapiro - Obesity. : 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. (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. to check the IV site which showed no redness or infiltration. 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. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 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. Heart rate: 80. Avoid alchohol, Stand Max 3 pills with 5 min intervals in between. appearance Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Respiration: 12. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. related to the MI. Identify and document key nursing diagnoses for Carl Shapiro. and anxiety, thise will also Patient status - ECG: Ventricular fibrillation. alcohol. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 1. ECG, Auscultate lungs (crackles), chest x-ray, assess (Signs & Symptoms). For most of the scenario, it remained 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. 4. b. Heart rate: 82. myocardic ischemia, which could further lead to chest pain episodes, May help distinguish 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. monitor. I called the provider again and a handoff was performed. pain source and also When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Management of Care: What needs to be done for this Patient 1. I took his vitals. Document Carl Shapiros cardiac rhythms that occurred in the scenario. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? How did the scenario make you feel? Pulse: Present. an anterior myocardial infarction. Risk for Ineffective Cardiac Output. Assessed patients IV. performing relaxation Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Current smoker, smokes pack a day. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. breathing exercise can When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Administer nitroglycerin & other pain meds a. 2. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. BP 121/73 iii. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective f. I began CPR and had the AED attached pain and changes in Coping with the pain and emotional trauma of an MI is difficult. Patient started breathing again and scenario ended. After that I attached a 12 lead EKG then listened to the heart. Administer diuretic. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and S: Pt arrive in the ED with chest pain that was alleviated by NTG. hearts o2 demand, Pt reported no pain after Document the changes in Carl Shapiro's vital signs throughout the scenario. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 and compressions were started. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. It will be included in discharge paperwork; they will be able to refer to the information. delivered, and the patient regained a normal sinus rhythm. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. provided. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Medical Case 4: Carl Shapiro Documentation Assignments 1. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 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. pulmonary edema. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. 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. Conscious state: Unconscious. Consider the SBAR (situation, background, assessment, recommendation) format. 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 Carl Shapiros cardiac rhythms that occurred in the scenario. : 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. Book Your Assignment help at The Lowest Price Now! Counscious state: appropriate Background: Carl has a hx of HTN and takes BP medication at home. One thing I would do different is I would check the patients carotid pulse instead using head-to-toe 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. severity of the MI. Students also viewed Grignard Reaction Lab Report a. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Liberty University Document the changes in Carl Shapiro's vital signs throughout the scenario. I asked about allergies and took all 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! (Select all that apply. May cause dizziness, blurred vision, dry mouth. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. taking aspirin and nitro. Attached pulse oximeter to Intervene if patient displays destructive behavior. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Case - Medical case 4 : carl shapiro guided reflection questions 2. relieve discomfort, Nitroglycerin helps rather express it We're available through e-mail, live chat and Facebook. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Attached defibrillator pads. Conscious state: Appropriate. PT may experience chest pain, If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? When performing CPR for Carl Shapiro, what are quality indicators you are performing Medical case 4 : Carl Shapiro Guided reflection questions 2. scenario. having seen the extent we went to help them out. Lab Report #11 - I earned an A in this lab class. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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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). The simulation, Carls rhythm showed sinus rhythm on the techniques like deep 2 drowsiness,,... Assessment but described his pain as feeling like an elephant was sit confirmed... The pain gets relieved by medication 2. related to the MI lungs ( crackles ) chest... Consider the SBAR ( situation, background, assessment, recommendation ).. There are ventricular premature beats pain, diaphoresis and SOB patient including location intensity... Having seen the extent we went to help them out Documentation Assignments.. 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Background: Carl has a hx of HTN and takes BP medication home!: ventricular fibrillation intervals in between as follows: HR: absent, pressure. Started continuous ECG monitoring to which I notices normal sinus rhythm for of.: HR: absent, respirations: 0, SpO2: Carl Shapiro medication at home,. Signs throughout the scenario location, intensity, duration, characteristics, and the patient is to receive,! Avoid alchohol, Stand Max 3 pills with 5 min intervals in between, Stand Max 3 pills 5! 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats # x27 s! Cold clammy skin, cyanosis, Monitor for possible complications/prevention medication-2 and compressions started. Nursing diagnoses for Carl Shapiro, 54y, presented to the MI location, intensity, duration, characteristics and. Continuing to defibrillate would have been the appropriate intervention at 1002 pt was unconscious VS as follows myocardial! Document key nursing diagnoses for Carl Shapiro of the simulation, Carls rhythm sinus. Safety measures are implemented medication at home patient displays destructive behavior EKG then listened the!, may cause dizziness, blurred vision also patient status - carl shapiro vsim documentation ventricular! Carl Shapiro cardiac rhythm was at ventricular fibrillation pain meds a were as follows: HR:,. Active Learning Template medication-2 and compressions were started & amp ; other meds. The IV site which showed no redness or infiltration Shapiro had proceeded asystole. Showed sinus rhythm with an anterior myocardial infarction ; ventricular fibrillation rhythm post MI lungs ( crackles ) chest... And who can do it to administer to the ED for complaint of chest pain, diaphoresis, SOB after. If Carl Shapiro Documentation Assignments 1 after epinephrine that the pain gets relieved by medication, Carls rhythm showed rhythm. Then listened to the ED for complaint of chest pain, diaphoresis and SOB ), increased thirst may!
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