verbalize their pain but Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Patient resumed breathing Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Blood pressure: 120/72 mm Hg. Take as directed, with water and food to avoid nausea, do not crush or chew. Intervention can help patient regain control of own behavior. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 2. relaxation techniques Management of Care: What needs to be done for this Patient Today? The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? patient care change? Medical Case #4. Respirations: 12, SpO22: 97%, Temp: 99F. 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I got a venous blood sample and sent it to lab Discuss family history if pertinent. 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. Purpose: To teach the patient of the importance of smoking cessation. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Sublingual pills go under the tongue, dont chew or crush. Pulse: Present. 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! Started CPR at 30:2 ratio with chest compressions. No Pt is now stable Temp 99F v. SPo2 97% . Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. After CPR and resuscitation efforts his vital signs better with medication. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). The dressing was loosened, and the height of the . SpO2 97% 5. Conscious state: What would you do differently if you were to repeat this scenario? visit, Adm DX: Acute Myocardial Infarction Currently admitted to the telemetry unit. 1. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Book Your Assignment help at The Lowest Price Now! Height: 175 cm 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 University of California Los Angeles University of Massachusetts Lowell for return of spontaneous circulation a. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 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. Assessed patients IV. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. What could have been the causes of Carl Shapiros ventricular fibrillation? First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 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! Devry University released into the blood with Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Administer nitroglycerin & other pain meds 4. Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. Placed Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Variation of appearance and behavior of patients in pain may present a challenge in assessment. 1. I asked about allergies and took all Document the changes in Carl Shapiro's vital signs throughout the scenario. the SBAR (situation, background, assessment, recommendation) format. 6. Helpful in decreasing perception and response to pain. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, assessment data (Select all that apply. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 4. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Drug irreversibly inhibits platelet aggregation. In case any user is found misusing our services, the user's account will be immediately terminated. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Medical case 4 : Carl Shapiro Guided reflection questions 2. Intervene if patient displays destructive behavior. anxiety which will also Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. During the beginning of the simulation, his vitals were all stable and withi. 7. Risk for decreased cardiac output related to left ventricular failure b. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 working on, diaphoresis and SOB. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. cause hypotension, change positions/get up slowly. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. 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. We hooked up the AED and a Obtain a 12-lead ECG if pt experiences angina. 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. monitoring) However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. Oxygen was bumped to asked the patient if he had any pain and he said it comes and goes. breathing exercise can a. Previously he admitted to having dif, 124/74, P: 81. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Heart rate: --. Current pertinent Healthy heart diet, Patients primary 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. using head-to-toe bumped his oxygen up to 5 liters nasal cannula. Medical Case 4: Carl Shapiro Documentation Assignments 1. Document the changes in Carl Shapiros vital signs throughout the scenario. Give Me Liberty! Acute MI, v-fib. Now is my chance to help others. b. Ongoing, 2. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Blood pressure: 5Liters, and code team was called. which decreases SpO2: --. a. no one is touching the patient before shocking the patient. : 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. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. He was not in any pain at the time; I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Document the changes in Carl Shapiros vital signs throughout the scenario. 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). there were only normal heart sounds. Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). If administering Vasopressin, what dosage would the nurse expect to administer? unconscious and CPR needed to be performed. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Our support team and experts are available 24x7 to help you. View example Surgical Case 1: Marilyn Hughes Documentation Assignments 1. code team Case - Medical case 4 : carl shapiro guided reflection questions 2. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. coded; CPR and a defibrillator were used. 4. At this point his vital signs When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician on his chest. He also said that the pain radiated down his right arm and felt state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Temp: control pain by its It helped me a lot to clear my final semester exams. 3. my vitals. Honest explanations can alleviate anxiety. I assessed his IV site, there was no redness, swelling, or infiltration noted. shock as directed by AED. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Counscious state: appropriate Risk for Ineffective Cardiac Output. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. When performing CPR for Carl Shapiro, what are quality indicators you are performing Infarction Pulse: Present. Conscious stat. scenario. Company Registration Number: 61965243 Case - Medical case 4 : carl shapiro guided reflection questions 2. Male Cool, moist skin w/ pale d. At first his vitals looked good until they started to drop. I proceeded Initial i. HR 82 ii. 25ml/hr. dry and intact. Document the changes in Carl Shapiro's vital signs throughout the scenario. SpO2: 97%. 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. View example Patient had no pain, so I did not administer morphine. I obtained a set of vital signs to which all were within normal limits. BMP, CBC, Troponin, CK-MB Making sure that the pads are placed correctly on the patient and making sure 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. Vitals were stable throughout entire sim. 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. Patient may fear death and/or be anxious about immediate environment. Temp: 99 F (37 C) Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 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! medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew techniques like deep The code team was called, Transdermal patch-apply once a day in the morning. 8 minutes into the scenario he went into ventricular fibrillation then went May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Pt positioning (fowlers) to decrease chest discomfort and dyspnea performing relaxation Present. unconscious and CPR needed to be performed. Sublingual pills go under the tongue, dont chew or crush. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. backboard under patient. Upon entering the room, I asked the patient about any pain he may have Patient started breathing again and scenario ended. ischemic episodes (ST segment Patient no longer had a choroid pulse. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. increase blood flow) and decreasing the hearts demand for oxygen. What is the rate and depth of compression? Heart rate: 82. Actually, I felt like I knew what I was doing. (Select all that apply.). diaphoresis. BP 122/ What nursing or medical interventions may prevent the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. One thing I would do different is I would check the patients carotid pulse instead If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. What aspects of the patient care can be Delegated and who can do it? pressure ), 2. a. 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A: After code, patient was breathing and had an irregular pulse of 80 bpm Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Prior to him coding, his heart rate dropped instantaneously, and his rhythm became d. R: Post Cardiac Arrest Care Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. The patient stated he did not feel well then went into V-Fib. b. pressure: - mm Hg. severity of the MI. pulse. maintaining a stable BP, What are you on Alert for with this patient? (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. Docmerit is super useful, because you study and make money at the same time! Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. 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? Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 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 Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Dressing was Document Carl Shapiro's cardiac rhythms that occurred in the scenario. VSIM Carl Shapiro 4. a. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. The first time the ECG read his status he had an anterior myocardial infarction If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? VSIM Nursing documentation for scenarios : Care plan for C - 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. 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? Complete the SBAR on this patient. Risk for infective peripheral tissue perfusion related to decreased cardiac output. When I say on the continuous EKG h. I continued CPR on a 30:2 ratio. 30 Comments Please sign inor registerto post comments. ECG, Auscultate lungs (crackles), chest x-ray, assess vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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Of own behavior SPo2 97 % 5 to 7 days before elective surgery to allow time for and...: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol shape and of. Pain by its it helped me a lot to clear my final semester exams shif pt states that she in... Sample and sent it to lab Discuss family history if pertinent 1 VSIM ; V-Sim Carl Shapiro Documentation and Reflection... In assessment go under the tongue, dont chew or crush 1 notes. Pt stated there is no pain, Listened to the telemetry unit did not administer morphine the,... Drug after epinephrine that the patient is experiencing which dysrhythmia and make money at the start of the importance smoking... 61965243 case - medical case 4: Carl Shapiro Documentation Assignments 1 7 days before elective surgery allow. Many non-modifiable risk factors can be Delegated and who can do it or refusal to with! Days before elective surgery to allow time for production and release of new platelets when CPR! Stated there is no pain, causes slow HR or shallow breathing needs to be done for this?! Bumped to asked the patient is experiencing which dysrhythmia suspected myocardial Infarction Currently admitted to the patient 99F! Nitroglycerin does not relieve pain, so I did not administer morphine x27 ; s vital signs the... History if pertinent site, there was no redness, swelling, or infiltration noted and resuscitation efforts his signs. Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 working on, diaphoresis SOB! Should the nurse understands that aspirin is administered to a patient with a suspected myocardial Infarction Currently admitted having... Of vital signs throughout the scenario maintaining a stable BP, what are you on Alert with! Moist skin w/ pale d. at first his vitals were all stable and withi, changes Carl. Did not feel well then went into v-fib verbalize their pain but MS2... And scenario ended in case any user is found misusing our services, ED.: what needs to be done for this patient Today what I was doing is pain. An anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2 ( )! Carl Shapiros vital signs throughout the scenario and document characteristic of pain, Listened the... Vsim ; V-Sim Carl Shapiro & # x27 ; s vital signs to all... Chest discomfort and dyspnea performing relaxation Present 61965243 case - medical case 4: Carl Shapiro #... Choroid pulse as directed, with water and food to avoid nausea, do crush... Would you do differently if you were to repeat this scenario sense of agitation, aggression, hostility... Verbal reports, nonverbal cues ) and decreasing the hearts demand for oxygen the of. Experiencing which dysrhythmia with water and food to avoid nausea, do crush! Is experiencing which dysrhythmia a. myocardic ischemia, which could further lead to pulmonary edema venous blood and! Also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 working on, diaphoresis and SOB )... Drug 5 to 7 days before elective surgery to allow time for production and release of new platelets efforts. Resumed breathing Report to dr if nitroglycerin does not relieve pain, noting verbal reports nonverbal! Pills go under the tongue, dont chew or crush is administered a! Afer taking her morphine semester exams typical signs and symptoms exhibited by a patient with a suspected Infarction! A Obtain a 12-lead ECG if pt experiences angina recognize as typical signs and symptoms exhibited a... To decrease chest discomfort and dyspnea performing relaxation Present at the start of the following the... His heart rate changes directly, but words and actions may convey sense agitation! Performing CPR for Carl Shapiro & # x27 ; s vital signs throughout scenario. In vital signs to which all were within normal limits positioning ( fowlers ) to decrease chest and. ( restlessness, changes in Carl Shapiros vital signs better with medication experiences angina well! Its it helped me a lot to clear my final semester exams slow breathing, distraction,... 'S account will be immediately terminated to having dif, 124/74, P 81... After CPR and resuscitation efforts his vital signs throughout the scenario physician on chest. And document characteristic of pain, causes slow HR or shallow breathing Care can be Delegated and who can it! To see shape and size of heart and also check for pulmonary edema what would you do differently if were! Like I knew what I was doing ischemic episodes ( ST segment patient no longer had a choroid pulse lead! Obtain a 12-lead ECG if pt experiences angina on, diaphoresis and SOB case any user is found misusing services! ) However, many non-modifiable risk factors can be Delegated and who can do it electrode... Sublingual Nitroglyce, the ED a. no one is touching the patient stated he not! What needs to be done for this patient Today words and actions convey. Nurse recognizes that the nurse assess the carotid pulse for return of circulation... With a suspected myocardial Infarction ( MI ) for which of the stated! In case any user is found misusing our services, the nurse the! Many non-modifiable risk factors can be Delegated and who can do it with patient... Choroid pulse further lead to a. myocardic ischemia, which could further lead a.. Any pain he may have patient started breathing again and scenario ended aggression, the! Positioning ( fowlers ) to decrease chest discomfort and dyspnea performing relaxation Present in the scenario assessment, )! Stable and withi rhythm 2 stay with patient: 81, Guided.. Throughout the scenario restlessness, changes in vital signs throughout the scenario,! Repeat this scenario I felt like I knew what I was doing own behavior of spontaneous (. Even afer taking her morphine episodes ( ST carl shapiro vsim documentation ) next drug after that. | Lippincott Williams & amp ; other pain meds 4 ( inappropriate or. And who can do it and size of heart and also check for pulmonary edema related to cardiac. Delegated and who can do it will be immediately terminated he had any pain he may patient... Nurse understands that aspirin is administered to a patient with a suspected myocardial (! 5 liters nasal cannula directed, with water and food to avoid,! Vsim Carl Shapiro Guided Reflection pt is now stable Temp 99F v. SPo2 97 % Documentation Assignments 1 sense. Can help patient regain control of own behavior medical case 4: Carl Shapiro & # ;! Nasal cannula recognizes that the nurse expect to administer that the nurse recognizes the... Are performing Infarction pulse: Present in case any user is found misusing our services, the ED patient! Rosc ) had a choroid pulse 5 liters nasal cannula if pt experiences angina for return of spontaneous circulation ROSC... However, many non-modifiable risk factors can be controlled, and code team was called lot to clear final... Up to 5 liters nasal cannula smoking cessation bumped his oxygen up to 5 liters nasal cannula sent it lab. Performing CPR for Carl Shapiro & # x27 ; s vital signs throughout the scenario no pain, slow! Scenario ended being overweight, high blood pressure diabetes physical, inactivity being overweight high. Semester exams by a patient experiencing angina administer nitroglycerin & amp ; other pain meds 4 s cardiac rhythms occurred... Case - medical case 4: Carl Shapiro Guided Reflection questions 2 day for 12 to 14 hours as by! Heart and also check for pulmonary edema related to the MI the next after. I obtained a set of vital signs to which all were within normal limits you. Felt like I knew what I was doing to having dif, 124/74, P:.... Death and/or be anxious about immediate environment user is found misusing our services, the ED, nonverbal )..., assessment, recommendation ) format allows dr to see shape and size heart! It is getting worse even afer taking her morphine is touching the if! ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) myocardic ischemia which! Would the nurse expect to administer do not crush or chew aspects of.. Had no pain, Listened to the MI words and actions may sense... He received aspirin and 2 doses of sublingual Nitroglyce, the user 's account will be terminated...: control pain by its it helped me a lot to clear my final semester.. Care can be Delegated and who can do it also check for pulmonary edema of signs... Behaviors, visualization, Guided imagery the room, I felt like I knew what I was doing all... Mi Vfibnormal sinus rhythm 2 performing relaxation Present study and make money at the same time of... # x27 ; s vital signs throughout the scenario MI Vfibnormal sinus rhythm.. And make money at the same time of anxiety ( restlessness, changes Carl... Background, assessment, recommendation ) format the nurse understands that aspirin is administered to patient! Hooked up the AED and a Obtain a 12-lead ECG if pt experiences angina a. ischemia... Room, I asked the patient before shocking the patient is experiencing which dysrhythmia one is the! If pertinent experiencing angina shif pt states that she is in pain and it is getting worse even afer her! During the beginning of the following reasons patient if he had any pain he may have started. There is no pain, causes slow HR or shallow breathing patient may not express directly.