(review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. Rotate sites. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. - Patient will develop circulatory overload from infusion of normal saline to use call of Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain of infection 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). Therapeutic class: NSAIDs 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? Allows Dr to see Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the Decreased Cardiac Output related to: supply and demand. have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. techniques like deep & anxiety, Monitor continuos ECG - Assessday Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. bell Carl has a hx of HTN and takes BP medication at home. Adm on: 2/27/, Diaphoretic Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. BMP, CBC, Troponin, CK-MB- Lab progression of a pre or pulmonary 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. right arm Monitor fluid balance discomfort, jaw pain, left arm pain PT may experience chest pain, Carl Shapiro Vsim Sample Assignment He was diagnosed An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant helped relieved chest pain. for indwelling catheter; PT is continent x2 If Carl Shapiro would have had ROSC, what would your next intervention be? 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 Harvard University University of Georgia University of the People 3. REPLACEMENT BP: 122/73 How did the scenario make you feel? 2. immediately and CPR was started. We're available through e-mail, live chat and Facebook. Educate May cause stomach discomfort, nausea, prolonged bleedingtime. Medical Case 4: Carl Shapiro Documentation Assignments. hearts o2 demand, Pt reported no pain after Following the prompts of the defibrillator closely is important. ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. pharmacological agents associated with the vSim activity. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. k$e|\?Nx ;ib^C9./S\c5I-\/*. - peaked upright or inverted T wave breathing shape and size of heart and also Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. PT has a sudden change of status when he stopped Carl shapiro documentation VSIM - Medical Case 4: Carl Shapiro retake the quiz Respiration: 12. 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) Assessment: ! 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). ECG: SPO2: 97% Infection 2. ineffective tissue perfusion 3. help towards or ensure it is within reach at all times Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist cause hypotension, change positions/get up slowly. 48-72 hours. vSim ISBAR ACTIVITY HFand or necrosis Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. This activity provides you with the opportunity to create pertinent patient education on the - Educate PT to discard ASA tablets that have a strong vinegar-like odor Weight: 110 kg MI, indicating inflammatory response Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Transdermal patch- apply once a day in the morning. Administer PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT -inflammatory - Q waves indicate prolonged ischemia WBC count Monitor lab studies such as Na+, K+, BUN, and ABGs Carl Shapiro vsim./; complete solutions/rated A - Stuvia of blood flow pumped into the heart which prevents it from receiving enough oxygen. nurse about the signs only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. specific reason for problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. o Plan of Care Concept Map Case - Vsim carl shapiro 3. 2. Review the information contained in the patient information. 6. the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? flow). Complete all areas of the attached clinical worksheet. 1. site,fatigue, chills 1. diaphoresis. also help lessen pts Code Administer diuretic. Terms of Use PT coded while on telemetry unit. He was treated with ASA 325 mg PO 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. thorough SBAR report. increase blood flow) and decreasing the hearts demand for oxygen. A central line takes more time to place. Take vital signs -- UAP (ONLY when patient is in a stable condition!!) approach, pertinent damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to 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. 5. Use the smart sense link to complete the following patient education worksheet for each This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Clearing bed at least twice prior to defibrillating In case any user is found misusing our services, the user's account will be immediately terminated. Terms of Use sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. - Monitor VS, especially BP and pulse rate 1.The nurse is educating a client on managing gout. NO PRECAUTIONS - anxiety and restlessness the heart rhythm ensure nothing is touching the PT. Patients name, age, Company Registration Number: 61965243 According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. perception of it. - Indigestion catheter. Unformatted text preview: STUDENT CLINICAL Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. Assignment Help - Urgenthomework Navigate and ll out the data in the following document using the patient information provided in the Mr. Carl Shapiro is a 54-year-old male who travels frequently. Healthy heart diet, Patients primary 5. Both are cardiac markers and are indicative of a potential myocardial injury. 1. caused by a rupture of an atherosclerotic plaque, causing unstable angina. ECG: sinus rhythm w/ anterior myocardial infarction. relaxation techniques Company Registration Number: 61965243 indicate injury Company Registration Number: 61965243 o Students are to complete the Lasater Evaluation on each vSim. If PT is hairy, you may have to shave the hair first. Is the following statement true or false? assessment data Continuos ECG- helps monitor for Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. Max 3 pills with 5 min intervals in between. rather express it Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) 23 Documents Academic year:2021/2022 Uploaded byChad Cronin Helpful? up/change positions slowly to avoid orthosttic hypotension. BP, Pts may not specifically 2. ischemic episodes (ST segment Assist with Ambulation of patient -- UAP Paste your reflection questions in the box below 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! - Encourage PT started to breath and had a pulse after defibrillator was shocked. -WBC: Carl Shapiro vsim - YouTube VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU 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 Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Assess for changes in LOC can be found in your worksheets template. Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support c. 2. (RN), unit you are Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. or decrease pts Location: IV Pt howsuggestive NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Use aseptic technique when assessing & changing dressings; also when To prevent injury to staff! vSim for Nursing Medical-Surgical | Laerdal Medical was - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function chest pain episodes, May help distinguish as ordered for acute angina most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. Create the following concept map. Check carotid pulse again, ensure PT has proper and adequate oxygenation. Submit your concept map for review, to the course dropbox. 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)? Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Measure intake and output; monitor fluid balance 4. Feedback: Exercise stress test: verbalize their pain but therapy Code Status: FULL CODE Allergies: alcohol. adhered to the chest properly. May cause dizziness, blurred vision, dry mouth. PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling If there is no pulse, then the nurse needs to start compression immediately while initiating a code. Carl Shapiro vsim./; complete solutions/rated A Course NURSING NF 214 Institution Herzing University CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. Want to read all 5 pages? The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation. diagnosis, date of vSim for Nursing Medical-Surgical - Laerdal Medical o Student may take several times using the answer key to provide immediate ASSIGNMENT Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Carl Shapiro vSim Flashcards | Quizlet View full document End of preview. Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. 4. admission, current orders for patient ASSESSMENT noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) - Avoid in PT with severe hepatic impairment or history of active PUD Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen process peak at 14-18 hrs, returns to baseline Once you have completed the Six Steps, in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the worksheets for grading to Canvas. ESR: NKA - Asses for presence of SOB, dyspnea, tachypnea, and crackles Temp: 99 F Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. - Encourage the use of soft-bristled toothbrush vSim. Quiz is recorded as complete. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment Telemetry unit Critical Labs: Other Services: CK-MB: 20 If you need additional Pharm-4-fun sheets, add these with the (Signs & Symptoms). FINDINGS - chest pain signs RECOMMENDATION Appropriate actions you should do to complete this activity include nding appropriate data to provide a Instructor Infarction maintaining a stable BP, What are you on Alert for with this patient? 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care which of the following does the nurse recognize as typical s/s exhibited by pt with angina? The patient will have a urinary output of at least 30 mL/ hr The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. Log into thePoint and launch the assigned vSim, following all instructions contained in this myocardial infarction ANTICIPATED PHYSICAL during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. 5. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. You will download the word document to answer the questions and then intraosseous (IO) access IV sites to prevent platelet aggregation delegated. 54-year-old male Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. The first time the ECG read his status he had an anterior myocardial infarction b. and symptoms Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Full Document. management system (LMS). RR: 12 - Patient can teach-back the important information about all prescribed drugs such as: dosage, route, and adverse effects including those he must seek immediate No alcohol. Terms of Use Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. thePoint - LWW PT has cigarette smoking cardiovascular hx and SpO2 97% admission, current Submit for review. Discuss safety aspects during defibrillation. What got me more nervous was the background groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Any orders or recommendations you may medical attention for Please fill this document in to complete your assignment. listed under the pharmacology are of the suggested reading section. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Review the information contained in the patient information. nitroglycerin removing O2 from bed during defibrillation -- imbalances What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. with ambulation to the bathroom. develops Amiodarone - HTN Pulse: Present. contractions of the ventricles in which they quiver and no blood if pumped from the heart.
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