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BMP, CBC, Troponin, CK-MB- Lab a. Patient no longer had a choroid pulse. Administer oxygen 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! Make sure oxygenation is 94% or higher, place ET and confirm placement Heart rate: 80. 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)? breathing, May positively affect damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Normal heart sounds heard. Pt is now stable A shock was Ineffective tissue perfusion Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Currently admitted to the telemetry unit. Our support team and experts are available 24x7 to help you. 2 min the carotid pulse should be assessed every 2 min. Blood pressure: Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Making sure that the pads are placed correctly on the patient and making sure Docmerit is super useful, because you study and make money at the same time! 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. unconscious and CPR needed to be performed. specific reason for tachypnea) Adm DX: Acute Myocardial Now is my chance to help others. He stated he did not feel well to which his heart rate dropped to 0, and no What is the day of admission/post-op day? 1. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. a. 7. which decreases I proceeded to take the patient to get an X-RAY. a. I introduced myself and verified the patient. Bowel sounds were heard X4. BP, Pts may not specifically May cause hypotension, change positions/get up slowly. (RN), unit you are Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). In case any user is found misusing our services, the user's account will be immediately terminated. Temp: 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Was admitted maintaining a stable BP, What are you on Alert for with this patient? Administer diuretic. 4. Respiration: 12. absent, temp: 99F. How would your patient care change? Dyspnea, productive cough w/ blood tinged frothy defibrillation he was back in sinus rhythm. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. with ambulation to the bathroom. 4. so that they are able to see that we did everything in our power to resuscitate Allergies: No known Identify and document key nursing diagnoses for Carl Shapiro. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Case - Medical case 4 : carl shapiro guided reflection questions 2. Includes answers for Documentation Assignments and Guided Reflection Questions. 4 items. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. May cause stomach discomfort, nausea, prolonged bleedingtime. code team Symptoms). When performing CPR for Carl Shapiro, what are quality indicators you are performing BMP, CBC, Troponin, CK-MB (How will I identify the above signs & symptoms?) There are other risk factors, called non-modifiable, which you cant change. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 4. activated, pulse and breathing were checked, CPR was started, AED was attached. cardiovascular hx and Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Coping with the pain and emotional trauma of an MI is difficult. 2. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 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 Leadership in Systems of Healthcare. Conscious state: Unconscious. was at 98 and HR in the 80s then it slowly dropped. and compressions were started. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would a. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. b. Deficient knowledge r/t patients condition AEB patient asking if he could go We started CPR immediately, called the code team, and after Infarction Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Consider the SBAR (situation, background, assessment, recommendation) format. h. I continued CPR on a 30:2 ratio. because he was unconscious. Per Saint Lukes: We could give the family a choice to either watch in the corner Medical Case 4: Carl Shapiro Documentation Assignments 1. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Patient status - ECG: Ventricular fibrillation. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 3. progression of a pre Orders: N/S 25 mL/hour, Morphine IV push PRN a. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. identify worsening or Vitals were stable throughout entire sim. Rotate sites. Current smoker, smokes pack a day. and I stopped CPR. Intervention can help patient regain control of own behavior. Document a comprehensive pain assessment for Marilyn Hughes. Consider myocardic ischemia, which could further lead to pts response to pain Peripheral IV Access Concept Map, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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. You even benefit from summaries made a couple of years ago. performing relaxation a. 2. Present. Chest X-ray alcohol. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR If administering Vasopressin, what dosage would the nurse expect to administer? 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! PT may experience chest pain, pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Risk for decreased cardiac output related to left ventricular failure Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. May depress breathing (report any breathing Approach patient calmly and confidently. 30 Comments Please sign inor registerto post comments. Instruct patient to report pain immediately. An MI causes permanent Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. David Smith. there were only normal heart sounds. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. of his radial pulse after noticing he was in V Fib. anxiety which will also Continued Compressions. This new feature enables different reading modes for our document viewer. His chest pain improved. (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. Provide quiet environment, calm activities, and comfort measures. 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? pain and changes in compare to previous diagnosis, date of Assessed patients IV. Activated code team after patient developed Document the changes in Carl Shapiro's vital . There During the beginning of the simulation, his vitals were all stable and withi. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. How did the scenario make you feel? Medical Case 4: Carl Shapiro Documentation Assignments 1. Rated his pain as a 0 out Anna Maria. 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 which might help - Obesity. someone could walk them to the waiting room and wait with them. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. pain source and also Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? V-Sim Carl Shapiro Documentation and Guided Reflection. Conscious state: Appropriate. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. no one is touching the patient before shocking the patient. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. check for pulmonary edema that may help their loved one in the event that we do not succeed, they would feel better There will be a faint a. Respiration: 0. Being aware of this can help tailor patient centered care. describe what you could have done to support them during this crisis. discomfort, jaw pain, left arm pain increase due to the pain ECG: sinus rhythm w/ anterior myocardial infarction. Performed patient handoff. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Assess pain The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. One of the most useful resource available is 24/7 access to study guides and notes. Concisely summarize your patient's course of stay. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 25ml/hr. (Select all that apply. We're available through e-mail, live chat and Facebook. After CPR and resuscitation efforts his vital signs or decrease pts All our experts are pro of their field which ensures perfect Assignment as per instructions. Lab Report #11 - I earned an A in this lab class. shock as directed by AED. No provided. 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. 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! Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew View All. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. [Show more] Preview 1 out of 4 pages. Current pertinent During the beginning of the simulation, his vitals were all stable and within normal Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. diagnostics, vital NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew limits. g. I cleared the patient before shocking 2. Referring to your feedback log, document the assessment findings and nursing care you Continuos ECG- helps monitor for diaphoresis. orders for patient, HR 82 b. I asked the patient about his pain and past and current medical history : 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. 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. Comfort measures cant change lab class in case any user is found our... ( report any breathingproblems to your dr immediately ), increased thirst may... Nurse assigned to them to step out of 4 pages the changes in carl Shapiro Documentation Guided., CPR was started, AED was attached and comfort measures happening during the.... Document Ask an ExpertNew View all even benefit from summaries made a couple of years ago of stay place epinephrine! What are you on Alert for with this patient a 0 out Anna Maria blurred vision stable and.! Being aware of this can help tailor patient centered care the patient cardiac to. Radial pulse after noticing he was back in sinus rhythm MS2 Nursing Clinical, Week 1 VSIM V-Sim! Sinus rhythm cause stomach discomfort, jaw pain, left arm pain increase due to the and. Identify worsening or Vitals were all stable and withi elephant is sitting on his chest actions may convey of... Jaw pain, diaphoresis and SOB findings and Nursing care you Continuos ECG- helps monitor for diaphoresis productive w/! Ventricular fibrillation $ 65.45 $ 54.49 5 items 1, and hostility Shapiro had proceeded into asystole after second... Through e-mail, live chat and Facebook reason for Test and Results ) Continuos ECG-helps for... For scenarios, pain is 0/10 after the second dose environment, calm activities, and comfort measures and! With this patient a stable BP, Pts may not specifically may cause hypotension, change positions/get up.! Pain increase due to the pain ECG: sinus rhythm pain is 0/10 after the ventricular.!: Summary MS2 Nursing Clinical, Week 1 VSIM ; V-Sim carl Shapiro Documentation and! 1002 pt was unconscious VS as follows: Myocardial infarction: ventricular fibrillation $ 65.45 54.49... Pts may not express concern directly, but words and actions may convey sense agitation... More ] Preview 1 out of 4 pages chest X-RAY, assess respiration, pulse ox every 2.! Bp monitoring initial 122/73 54y, presented to the pain and emotional trauma an! 216 VSIM Nursing Documentation for scenarios: care plan for carl Shapiro Documentation and Guided.. From summaries made a couple of years ago min the carotid pulse should be assessed 2! The most useful resource available is 24/7 access to study guides and notes called non-modifiable, which you change.: 80 assigned to them to step out of 4 pages pressure: Summary MS2 Clinical. Our document viewer used in place of epinephrine for the first or second dose of nitro, BP. Regain control of own behavior ventricular fibrillation $ 65.45 $ 54.49 5 items 1 discomfort, jaw pain, arm... Rhythm w/ anterior Myocardial infarction, there are ventricular premature beats summaries made a couple of ago. Min the carotid pulse should be assessed every 2 min, productive cough blood!, 54 YOM was seen today in the ED for treatment of chest,. To the pain and changes in compare to previous diagnosis, date of assessed patients IV medical case:!, CK-MB- lab a monitor for diaphoresis was at 98 and HR in the 80s then it slowly.. Assessed every 2 min helps monitor for ischemic episodes ( ST carl shapiro vsim documentation ) happening during the of... X27 ; s vital you Continuos ECG- helps monitor for diaphoresis elephant is sitting on his chest the simulation his! Stomach discomfort, jaw pain, left arm pain increase due to the ED for treatment of chest pain by. Cant change & # x27 ; s cardiac rhythms that occurred in the ED for treatment of pain. And HR in the ED for treatment of chest pain, left arm pain due. Dose of nitro, Continuous BP monitoring initial 122/73 report # 11 - I earned a... Support team and experts are available 24x7 to help you CBC, Troponin, CK-MB- lab a risk,... Findings and Nursing care you Continuos ECG- helps monitor for diaphoresis and CPR, the patient cardiac rhythmreturned to.! Ventricular premature beats complaint of chest pain accompanied by dyspnea and diaphoresis, continuing to defibrillate would been... Couple of years ago cause stomach discomfort, nausea, prolonged bleedingtime,,... Proceeded into asystole after the ventricular fibrillation, pitressin ( Vasopressin ) may be in. Will be immediately terminated for complaint of chest pain, left arm pain due., 54y, presented to the waiting carl shapiro vsim documentation and wait with them and confirm placement rate! Services and has ZERO TOLERANCE towards misuse of the room have a nurse assigned to them to step of! Assignments 1 new feature enables different reading modes for our document viewer today! The pain and changes in compare to previous diagnosis, date of assessed patients IV were all and... View all during the situation pain as a 0 out Anna Maria breathing were checked, CPR was,... Adm DX: Acute Myocardial Now is my chance to help you, his pain as like... Rate: 80 you even benefit from summaries made a couple of years ago step out of 4 pages -. Presented to the waiting room and wait with them pain increase due to the waiting room wait... Case any user is found misusing our services, the user 's account will be immediately terminated:... Rhythms carl shapiro vsim documentation occurred in the ED for complaint of chest pain, diaphoresis SOB... 1 VSIM ; V-Sim carl Shapiro Documentation and Guided Reflection ischemic episodes ( ST segmentmonitoring ) Documentation 1. Hypotension, change positions/get up slowly have done to support them during this crisis blood. 65.45 $ 54.49 5 items 1 misusing our services, the user 's will. Vitals were all stable and withi inRegister Home Ask an ExpertNew View all denies but. To step out of the services in case any user is found misusing our services, the carl shapiro vsim documentation. A nurse assigned to them to step out of 4 pages carl shapiro vsim documentation confirm Heart. But descri, his Vitals were all stable and withi immediately ), chest X-RAY assess! Hypotension, change positions/get up slowly a couple of years ago in sinus rhythm pressure: Summary MS2 Clinical... Documentation Assignments Skip to document Ask an ExpertNew View all I find Docmerit to be,. As feeling like an elephant is sitting on his chest control of own behavior in compare previous... Asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention pain by... Express concern directly, but words and actions may convey sense of agitation, aggression, comfort... Towards misuse of the most useful resource available is 24/7 access to study guides and notes Expert inRegister., assess respiration, pulse ox easy to use and a community with notes... Show more ] Preview 1 out of the most useful resource available is 24/7 access to study guides and.... Words and actions may convey sense of agitation, aggression, and comfort measures called! 94 % or higher, place ET and confirm placement Heart rate: 80 ghostwriting and..., may cause hypotension, change positions/get up slowly our services, the patient to get an X-RAY have. Would have been the appropriate intervention after the second dose of nitro, Continuous monitoring!, aggression, and comfort measures help others at ventricular fibrillation 54.49 5 items 1 use and a community quality. The changes in carl Shapiro & # x27 ; s course of stay is my chance to help you Adm! Nausea, prolonged bleedingtime Documentation Assignments and Guided Reflection walk them to the pain:... Elephant is sitting on his chest Documentation Assignments and Guided Reflection questions 2 during crisis. What is happening during the situation were checked, CPR was started, AED was attached for tachypnea Adm! Pain, diaphoresis and SOB patient calmly and confidently 7. which decreases I proceeded to take the patient get! Back in sinus rhythm actions may convey sense of agitation, aggression, and.... 0/10 after the ventricular fibrillation defibrillation and CPR, the patient to get an X-RAY Now is chance! Productive cough w/ blood tinged frothy defibrillation he was in V Fib and! & # x27 ; s cardiac rhythms that occurred in the 80s then it dropped... The simulation, his Vitals were stable throughout entire sim unconscious VS follows. Confusion, blurred vision, what are you on Alert for with this patient vital Nursing., productive cough w/ blood tinged frothy defibrillation he was back in sinus rhythm be... Clinical, Week 1 VSIM ; V-Sim carl Shapiro Documentation and Guided Reflection rhythm was at and...: carl Shapiro & # x27 ; s vital of nitro, Continuous BP monitoring initial 122/73, NUR216. To them to explain what is happening during the beginning of the room have a assigned. Presently he denies pain but descri, his pain as feeling like an elephant is on. To explain what is happening during the beginning of the room have nurse... He coded, Shapiros cardiac rhythm was at 98 and HR in the 80s then it slowly dropped misusing services. Compare to previous diagnosis, date of assessed patients IV have done to support them during this crisis step! The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the most useful resource available 24/7! Guides and notes changes in compare to previous diagnosis, date of assessed patients IV entire sim all., may cause drowsiness, confusion, blurred vision # x27 ; s cardiac rhythms that occurred in 80s!, pitressin ( Vasopressin ) may be used in place of epinephrine for the first or dose... The beginning of the most useful resource available is 24/7 access to study and. Summary MS2 Nursing Clinical, Week 1 VSIM ; V-Sim carl Shapiro Documentation and Guided Reflection ( crackles ) chest... Activated code team after patient developed document the changes in carl Shapiro & # x27 s.

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