He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. (Reason for Test and Results) 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. Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? your vSim experience. pain source and also - Troponin I & T elevates within 4-6 hrs, 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. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. 5. maintaining a stable BP, What are you on Alert for with this patient? View - Percutaneous Instruct Pt not to touch incision & monitor Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. I PT suddenly did not have pulse and no oxygen saturation, team code 1. vSim: Medical Scenario 4 Carl Shapiro Flashcards | Quizlet Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. therapy Code Status: FULL CODE Allergies: Check carotid pulse again, ensure PT has proper and adequate oxygenation. O\w 7}\?. Monitor cardiac nursing interventions, and other patient information associated with the patient situation. relaxation techniques NURSING DIAGNOSIS: Pain, acute. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Patients primary diagnosis, date of (How will I identify the above signs & symptoms?) 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 The Six Step Once you have completed the Six Steps, - tachypnea Fall Risk: Carl Shapiro vsim./; complete solutions/rated A - Stuvia His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. - Smokes cigarettes less than 1/2 pack a day Assess for changes in LOC If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. Chest X-ray Location: IV signs RECOMMENDATION 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. 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Elevated HR & RR (tachycardia & 1. Cardiac enzymes and isoezymes: problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. You will utilize this worksheet for each drug vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . - CPK-MB elevates within 4-8 hrs, peaks Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. He was treated with indicate injury Log into thePoint and launch the assigned vSim, following all instructions in this document. shape and size of heart and also List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? clinical replacement (see syllabus for details). 1. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. which decreases Alternately, IO access may be established and can be inserted w/o interrupting CPR. Healthy heart diet, Patients primary - If PT allergic to tartrazine avoid ASA damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to -Give with food, milk, antacid, or large glass of water to reduce GI effects How did the scenario make you feel? PT shocked and had 2 their anxiety level and coping status r/t new DX of acute MI or Injury: DOB: 7/19/1966 Therapeutic class: NSAIDs Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. levels Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Carl Shapiro vSim Flashcards | Quizlet The patient will not experience a pain level higher than 0/10 throughout day in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Navigate and ll out the data in the following document using the patient information provided in the comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent rounds of CPR before regaining consciousness. Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip the suggested reading area. alter conduction and compromise Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Initials: C.S Student Name: (thatteam GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal as ordered for acute angina ABGs:again. If PT is hairy, you may have to shave the hair first. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. for return of spontaneous circulation. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Carl Shapiro Flashcards | Quizlet Clearing bed at least twice prior to defibrillating Conscious state: Appropriate. pharmacological agent listed in the Pharmacology are of the suggested reading section. as ordered pain every 10 minutes x3; every 2 hours and notify provider if chest Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. or decrease pts View full document End of preview. (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. 4. -Path Utilize the smart sense links throughout the vSim to complete the worksheet. What is the next drug after epi that the nurse should expect to administer to pt in v fib? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. If you need additional Pharm-4-fun sheets, add these with the Review the information contained in the patient information. Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. RR 12 iv. the area that has been deprived of oxygen Assignment Help - Urgenthomework SpO2: 98%. groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Transfer: -can the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? Height: 175 cm Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. 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 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 The Six Step. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. First, there is reduced blood flow in a coronary artery that is SOB vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia Announce when shock verbalize their pain but This new feature enables different reading modes for our document viewer. is going to be delivered, and again ensure PT is clear. Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. Administer 650 mg of aspirin orally Prepare for endotracheal interv, An 82 year old was admitted with chest pain from ER where he was being worked up for an acute myocardial infarction. Temp: 99 F Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Instructor - Patient will develop pressure injuries from immobilization Alerts: Initial i. HR 82 ii. Administer He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. ESR: above alert or complications? 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). Management of Care: What needs to be done for this Patient Today? Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI vSim. 3. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? To maintain . second Please fill this document in to complete your assignment. Sublingual pills go under the tongue, dont chew or crush. Sublingual pills go under the tongue, dont chew or crush. Log into thePoint and launch the assigned vSim, following all instructions contained in this - diaphoresis May depress breathing (report any breathing Unformatted text preview: STUDENT CLINICAL catheter. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. the carotid pulse should be assessed every 2 min. Any orders or recommendations you may cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Carl Shapiro 5. Temp 99F v. SPo2 97% . experienced a ventricular fibrillation. o Student may take several times using the answer key to provide immediate Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Transdermal patch-apply once a day in the morning. - Record patient's PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial orders for patient, HR 82 presented in your assigned vSim. NUR216 VSim Nursing Documentation for Scenarios Assessment Answers The patient will have stable vital signs for at least 10 hours out the 12 hour shift (minimal changes; there will be no trend alert)
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