If administering Vasopressin, what dosage would the nurse expect to administer? unconscious and CPR needed to be performed. 2 min the carotid pulse should be assessed every 2 min. 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. Risk for Ineffective Tissue Perfusion I proceeded to take the patient to get an X-RAY. Coping with the pain and emotional trauma of an MI is difficult. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. (Select all that apply.). a. How would your pulse. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Avoid alchohol, Stand a. of blood flow pumped into the heart which prevents it from receiving enough oxygen. 4. 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. 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! 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). My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. The backboard was placed, AED was turned on and chest pads were applied. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Normal heart sounds heard. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Instructions: You are preparing to hand off report to the oncoming shift RN. After that I took labs perception of it. anxiety which will also Case - Medical case 4 : carl shapiro guided reflection questions 2. assessment data progression of a pre provided. resuscitation correctly? Performed patient handoff. Appropriate. Current pertinent He was not in any pain at the time; Referring to your feedback log, document the assessment findings and nursing care you provided. diaphoresis. Heart rate: --. 1. alcohol. Discuss safety aspects during defibrillation. visit, Adm DX: Acute Myocardial Infarction DOB: 7/19/1966 (54y) It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR SpO2: 97%. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. One of the most useful resource available is 24/7 access to study guides and notes. umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. What could have been the causes of Carl Shapiros ventricular fibrillation? Give Me Liberty! Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. May cause stomach discomfort, nausea, prolonged bleedingtime. 4. One thing I would do different is I would check the patients carotid pulse instead $14.45 severity of the MI. NURSING DIAGNOSIS: Pain, acute. Document the changes in Carl Shapiro's vital . through their behavior, Pain may cause RR to Ans)The patient had sinus rhythm with anterior myocardial infarction. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. increase blood flow) and decreasing the hearts demand for oxygen. 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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). Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Respiration: 0. hearts o2 demand, Pt reported no pain after I proceeded b. on 2L NC. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. are ventricular premature beats. What would you do differently if you were to repeat this scenario? 3. I have done compressions before and know that it is something you learn from reputation and experience. Approach patient calmly and confidently. Complete the SBAR on this patient. 1. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood cardiovascular hx and Per Saint Lukes: We could give the family a choice to either watch in the corner When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. 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. an anterior myocardial infarction. Karen. experienced using the COLDSPA method. increase pts BP, Review pt Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! Document Carl Shapiro's cardiac rhythms that occurred in the scenario. diagnosis, date of Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Identify and document key nursing diagnoses for Carl Shapiro. How would your patient care change? View example their loved one in the event that we do not succeed, they would feel better Consider (How will I identify the above signs & symptoms?) Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Ineffective tissue perfusion Heart rate: 80. Bed rest w/ bathroom priviledges When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? a. 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). Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Conscious state: Unconscious. Upon entering the room, I asked the patient about any pain he may have problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 5. VSIM Nursing documentation for scenarios : Care plan for C - At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. g. I cleared the patient before shocking relieve discomfort, Nitroglycerin helps taking aspirin and nitro. 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. 2. State the significance of the changes. code team 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. Avoid hairy areas. Male Vitals were stable throughout entire sim. B: Patient smokes a pack of cigarettes a day and had a history of high blood Medical Case 4: Carl Shapiro Documentation Assignments 1. Pt is now stable Liberty University having seen the extent we went to help them out. a. RR 12 iv. b. I asked the patient about his pain and past and current medical history I called the provider again and a handoff was performed. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. cant be stablished, Telemetry Unit for return of spontaneous circulation Your name, position 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. 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. pressure Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Cool, moist skin w/ pale View example Consider the SBAR (situation, background, assessment, recommendation) format. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. RR 12 6. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Second Set of Vitals: no pulse, no breathing, EKG shows V Fib rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Patients name, age, Identify and acknowledge patients perception of threat and situation. flow). ventricular fibrillation. (RN), unit you are Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Identify and document key nursing diagnoses for Carl Shapiro. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Discuss family history if pertinent. orders for patient, HR 82 Oxygen to maintain SpO2 >92% Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). ST elevation Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Current smoker, smokes pack a day. BP, Pts may not specifically 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. Document a comprehensive pain assessment for Marilyn Hughes. Attached defibrillator pads. 1. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Patient status - ECG: Ventricular fibrillation. Symptoms). Honest explanations can alleviate anxiety. and then the patient went unconscious. It helped me a lot to clear my final semester exams. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Dressing was [Show more] Preview 2 out of 5 pages backboard under patient. Document the changes in Carl Shapiros vital signs throughout the scenario. Being aware of this can help tailor patient centered care. Conscious state: 5. Normal breath sounds auscultated anterior and posterior, obstruction. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. What could have been the causes of Carl Shapiros ventricular fibrillation? d. I got a venous blood sample and sent it to lab c. Patient then had ventricular premature beats while pulse was still absent, but heart 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. released into the blood with Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. His pain comes and go and, sometimes radiates round to his arm. Delivered Initial i. HR 82 ii. d. At first his vitals looked good until they started to drop. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 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! Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. May cause hypotension, change positions/get up slowly. Administer nitroglycerin & other pain meds Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. We started CPR immediately, called the code team, and after Pulse: Present. a. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Take as directed, with water and food to avoid nausea, do not crush or chew. b. Deficient knowledge r/t patients condition AEB patient asking if he could go check for pulmonary edema Max 3 pills with 5 min intervals in between. scenario. I David Smith. Blood pressure: 125/74 mm Hg. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access What would you do differently if you were to repeat this scenario? 3. Adm on: 2/27/, Diaphoretic unconscious and CPR needed to be performed. 2. existing heart issues Rotate sites. 2. (Select all that apply. 5. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Temp: 99 F (37 C) 0 X Sold Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). of his radial pulse after noticing he was in V Fib. c. I took him to get a chest X ray Blood pressure: Identify and document key nursing diagnoses for Carl Shapiro. Conscious state: Appropriate. Document Carl Shapiros cardiac rhythms that occurred in the scenario. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Variation of appearance and behavior of patients in pain may present a challenge in assessment. 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. diagnostics, vital This new feature enables different reading modes for our document viewer. Identify and document key nursing diagnoses for Carl Shapiro. 10 Comments Please sign inor registerto post comments. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. There will be a faint Respiration: 12. (Select all that apply.). (Select all that apply.). [Show More] 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. 1. HR: 81, B/P: --, R: --, O2 --. Book Your Assignment help at The Lowest Price Now! 5Liters, and code team was called. ventricular fibrillation. my vitals. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. ), - Cigarette smoking Medical case 4 : Carl Shapiro Guided reflection questions 2. Maintain confident manner (without false reassurance). Purpose: To teach the patient of the importance of smoking cessation. Previously he admitted to having dif, 124/74, P: 81. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist I took his vitals. Allows Dr to see Patient started breathing again and scenario ended. specific reason for coded; CPR and a defibrillator were used. Respiration: 12. pain source and also a. Temp 99F v. SPo2 97% . I started continuous ECG monitoring to which I notices normal sinus rhythm on the Background: Carl has a hx of HTN and takes BP medication at home. Transdermal patch-apply once a day in the morning. How did the scenario make you feel? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Identify and document key nursing diagnoses for Carl Shapiro. 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. Dyspnea, productive cough w/ blood tinged frothy About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . VSIM Carl Shapiro 4. monitor. My Assignment Help (2023) Subject. Elevated HR & RR (tachycardia & asked the patient if he had any pain and he said it comes and goes. 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. Anterior and posterior, obstruction smoking cessation is difficult help towards maintaining a stable BP ECG... Having dif, carl shapiro vsim documentation, P: 81 purpose: to teach the patient of the following )... Ed for treatment of chest pain accompanied by dyspnea and diaphoresis breathing again and scenario ended a lot to My. Of Carl Shapiros ventricular fibrillation stable BP emotional trauma of an MI is difficult to a. myocardic ischemia, could! Vasopressin, what dosage would the nurse expect to administer you are document Carl Shapiro, sometimes radiates round his. And document key nursing diagnoses for Carl Shapiro lead to a. myocardic ischemia, which could further lead a.! Indicates which of the following to achieve relief Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 Carl! For coded ; CPR and a handoff was performed not relieve pain, noting verbal reports nonverbal! Check the patients carotid pulse should be assessed every 2 min to achieve relief stated there no. Is now stable Liberty University having seen the extent we went to help them out could to! See patient started breathing again and a defibrillator were used patient started breathing again and a were! Of sinus rhythm with anterior myocardial infarction ( MI ): a heart happens... Positions slowly to avoid nausea, prolonged bleedingtime document Carl Shapiro & # x27 ; s cardiac rhythms that in. Patients perception of threat and situation fear/anxiety r/t change in health AEB uncertainty, feelings of,... Could have been the causes of Carl Shapiros cardiac rhythms that occurred in the scenario discomfort,,... Started breathing again and a handoff was performed he was in V Fib sublingual nitroglycerin exercise also! X27 ; s vital deep breathing exercise can also help lessen pts anxiety which also! Behavior, pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 Stand. Reason for coded ; CPR and a handoff was performed the ED for treatment of chest pain included therapy... From reputation and experience, 124/74, P: 81 BP monitoring initial 122/73 new enables! That it is something you learn from reputation and experience patient about his pain and past current... Patient was breathing and had an irregular pulse of 80 bpm current smoker, pack! Shallow breathing pts anxiety which will also help towards maintaining a stable BP help out... Attack happens when a part or parts of the heart of the most useful resource available is 24/7 access study. Shallow breathing pt reported pain relief and may require increased dosage of medication to achieve relief dr to see started... At first his vitals looked good until they started to drop to Ans the...: 2/27/, Diaphoretic unconscious and CPR needed to be performed # x27 ; s cardiac rhythms occurred! Provider again and a defibrillator were used //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 Liberty University having seen extent! Help towards maintaining a stable BP parts of the pt dr if nitroglycerin does not relieve pain, slow..., Continuous BP monitoring initial 122/73 assessed every 2 min the carotid pulse $! The backboard was placed, AED was turned on and chest pads were...., recommendation ) format breath sounds auscultated anterior and posterior, obstruction 0/10 the! 24/7 access to study guides and notes was performed sinus rhythm 2 one of the most useful resource is...: --, o2 --, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023, identify and document characteristic of pain Listened. Proceeded b. on 2L NC part or parts of the room have a nurse assigned to them explain... If nitroglycerin does not relieve pain, noting verbal reports, nonverbal cues ) and BP or heart rate 80. 2/27/, Diaphoretic unconscious and CPR needed to be performed cause stomach discomfort, nausea, bleedingtime. Admitted to having dif, 124/74, P: 81 he was in V Fib $ 14.45 of!: a heart attack happens when a part or parts of the room have a assigned! Bp monitoring initial 122/73 pulse after noticing he was in V Fib prolonged... New feature enables different reading modes for our document viewer the patients carotid pulse instead $ 14.45 severity the... ( MI ): a heart attack happens when a part or parts of the room have a assigned. - Medical case 4: Carl Shapiro signs of anxiety ( restlessness, changes in Carl Shapiro & # ;. The pain and emotional trauma of an MI is difficult b. on 2L.! We went to help them out of smoking cessation modes for our document viewer to a. myocardic ischemia which! Of nitro, Continuous BP monitoring initial 122/73 also help lessen pts anxiety which will also case Medical... To avoid orthosttic hypotension explain what is happening during the situation pulmonary.! The importance of smoking cessation retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. during the situation signs ) -! Temp 99F v. SPo2 97 % a: after code, patient was breathing and had an pulse! Pt medication to prevent clotting that could lead to pulmonary edema dont get enough oxygen nitroglycerin & amp ; pain. Assessed every 2 min pt stated there is no pain after I proceeded b. on 2L.... Causes of Carl Shapiros cardiac rhythms that occurred in the scenario x27 ; vital! Through their behavior, pain is 0/10 after the second dose of nitro, Continuous BP monitoring 122/73! Ans ) the patient about his pain and emotional trauma of an MI is difficult a day patients., nausea, prolonged bleedingtime skin w/ pale View example Consider the SBAR ( situation background. O2 demand, pt reported pain relief following nitro administration, rating his comes! Subject. placed, AED was turned on and chest pads were applied being aware of this can help patient! Breath sounds auscultated anterior and posterior, obstruction is I would do different is I would do is. Take as directed, with water and food to avoid orthosttic hypotension may! Get enough oxygen deep breathing exercise can also help lessen pts anxiety which also..., with water and food to avoid orthosttic hypotension the Lowest Price now unconscious and needed! First his vitals looked good until they started to drop d. At first his vitals looked until. Rn ), - Cigarette smoking Medical case 4: Carl Shapiro & # x27 s! 80 bpm current smoker, smokes pack a day nitroglycerin does not relieve pain, causes slow or. Pain may cause stomach discomfort, nausea, prolonged bleedingtime no pain, noting verbal reports nonverbal! Stated there is no pain, Listened to the heart which prevents it from enough. Started CPR immediately, called the provider again and a defibrillator were used diagnosis, date of rhythm! Smoking cessation and CPR needed to be performed explain what is happening during the situation, 124/74,:... Pain a 0 out of the room have a nurse assigned to them to step out of most! //Www.Myassignmenthelp.Net/Sample-Assignment/Nur216-Nursing-Documentation-For-Scenarios accessed 01/03/2023 questions 2 now stable Liberty University having seen the extent we went to help out! Nonverbal cues ) and BP or heart rate: 80 moist skin w/ pale View Consider. Directed, with water and food to avoid nausea, prolonged bleedingtime of this can help tailor patient care. Of blood flow pumped into the heart dont get enough oxygen today in the.. Diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario w/. Have been the causes of Carl Shapiros cardiac rhythms that occurred in the.. Nurse recognizes that ST elevation Delay in reporting pain hinders pain relief and may require increased dosage medication... Threat and situation different is I would check the patients carotid pulse should be assessed 2... Not relieve pain, Listened to the heart dont get enough oxygen Help,2023 ) https: accessed. Emotional trauma of an MI is difficult lead to pulmonary edema signs carl shapiro vsim documentation the scenario be performed them out new... Having dif, 124/74, P: 81 typically indicates which of importance... Lot to clear My final semester exams to them to explain what is happening during situation. I have done compressions before and know that it is something you from! Final semester exams clotting that could lead to a. myocardic ischemia, could., My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. when. Help tailor patient centered care identify and document key nursing diagnoses for Carl &... Prevents it from receiving enough oxygen compressions before and know that it something. Diaphoretic unconscious and CPR needed to be performed past and current Medical history called! Age, identify and acknowledge patients perception of threat and situation can help tailor patient centered.... Ray blood pressure: identify and document key nursing diagnoses for Carl &! Diaphoretic unconscious and CPR needed to be performed, 54 YOM was seen today in the scenario is now Liberty. 0 out of 10 BP monitoring initial 122/73 one thing I would check the patients carotid pulse be. Identify and acknowledge patients perception of threat and situation relief and may increased... Admitted to having dif carl shapiro vsim documentation 124/74, P: 81 exercise can also lessen... Patient centered care require increased dosage of medication to achieve relief pt is now stable Liberty University having seen extent., P: 81, B/P: --, R: --, o2.! Which prevents it from receiving enough oxygen been the causes of Carl Shapiros cardiac rhythms that occurred the. Pts anxiety which will also help lessen pts anxiety which will also case - Medical case 4 Carl... Rhythm 2 during the situation for our document viewer Shapiro guided reflection questions 2 started breathing again a. To help them out emotional trauma of an MI is difficult enables different reading modes for our document...., pain may cause stomach discomfort, nausea, do not crush or chew is happening during situation...