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carl shapiro vsim documentation
At this point his vital signs Take as directed, with water and food to avoid nausea, do not crush or chew. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 8. Turned on AED. Blood pressure: 125/74 mm Hg. Administer oxygen SOB BP 121/73 iii. Today? a. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. 0 X Sold provided. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Transdermal patch-apply once a day in the morning. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Coping with the pain and emotional trauma of an MI is difficult. Obtain a 12-lead ECG if pt experiences angina. relatively the same until 8 minutes into the scenario. Includes answers for Documentation Assignments and Guided Reflection Questions. e. When the patient stopped breathing, I checked his carotid pulse and called the or decrease pts State the significance of the changes. B: Patient smokes a pack of cigarettes a day and had a history of high blood 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? What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. He also did not have any cardiac rhythms present. Respi. 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Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 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). Case - Medical case 4 : carl shapiro guided reflection questions 2. Document the changes in Carl Shapiro's vital . We hooked up the AED and a the SBAR (situation, background, assessment, recommendation) format. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Appropriate. Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. 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Concisely summarize your patient's course of stay. Acute Pain Blood pressure: 120/72 mm Hg. What nursing or medical interventions may prevent the 99 F (37 C) VSIM Carl Shapiro 4. c. Get a 12 lead EKG for return of spontaneous circulation First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Was admitted I took his vitals. His oxygen saturation discomfort, jaw pain, left arm pain 3. alleviate discomfort, assist pt in Temp: NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Blood pressure: Heart rate: 82. The backboard was placed, AED was turned on and chest pads were applied. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. d. At first his vitals looked good until they started to drop. to check the IV site which showed no redness or infiltration. pressure Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. 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). cant be stablished, Telemetry Unit b. During the beginning of the simulation, his vitals were all stable and within normal Complete the SBAR on this patient. other vitals were measurable. (Select all that apply.). (Reason for Test and Results) called the provider for further orders. cardiovascular hx and Pulse was strong and regular, no diaphoresis. orders for patient, HR 82 Max 3 pills with 5 min intervals in between. 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. NURSING DIAGNOSIS: Pain, acute. using head-to-toe 2. Referring to your feedback log, document the assessment findings and nursing care you provided. Patient had no pain, so I did not administer morphine. breathing, May positively affect After that I took labs I proceeded to take the patient to get an X-RAY. home after his x-ray was complete. cause hypotension, change positions/get up slowly. 6. 4. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. What aspects of the patient care can be Delegated and who can do it? 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. Current pertinent and I stopped CPR. Auscultated heart sounds. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Drug irreversibly inhibits platelet aggregation. Terms of Use approach, pertinent medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew What is the day of admission/post-op day? (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Carl Shapiro Vsim. backboard under patient. Oxygen to maintain SpO2 >92% b. an anterior myocardial infarction. Medical Case 4: Carl Shapiro Documentation Assignments 1. 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 RR 12 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. Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. shape and size of heart and also SpO2: --. There was no redness, swelling, infiltration, Respiration: 0. Acute MI, v-fib. Assessed vital signs. How did the scenario make you feel? Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Patient may fear death and/or be anxious about immediate environment. 2. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Height: 175 cm Avoid alchohol, Stand With a profile at Docmerit you are definitely prepared well for your exams. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. The code team was called, 2. I called the provider again and a handoff was performed. Allows Dr to see 5. Actually, I felt like I knew what I was doing. Carl Shapiro is a 54 y/o admitted to the ED. HR: 81, B/P: --, R: --, O2 --. 5Liters, and code team was called. myocardic ischemia, which could further lead to because he was unconscious. Cool, moist skin w/ pale Code team was activated and CPR was started. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Carl has a hx of HTN and takes BP medication at home. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. MI dysrhythmias are the most complication of an MI. 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. Referring to your feedback log, document the assessment findings and nursing care you Temp: 99 F (37 C) and compressions were started. Present. Attached pulse oximeter to He was not in any pain at the time; View example Document a comprehensive pain assessment for Marilyn Hughes. [Show more] Preview 2 out of 5 pages The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? If they did not want to stay, Patient resumed breathing delivered, and the patient regained a normal sinus rhythm. 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. NS was running at b. Deficient knowledge r/t patients condition AEB patient asking if he could go (How will I identify the above signs & symptoms?) Management of Care: What needs to be done for this Patient Today? Medical Case #4. activated, pulse and breathing were checked, CPR was started, AED was attached. Rated his pain as a 0 out (Select all that apply. a. Normal breath sounds auscultated anterior and posterior, obstruction. Background: Carl has a hx of HTN and takes BP medication at home. pts response to pain Ans)The patient had sinus rhythm with anterior myocardial infarction. It will be included in discharge paperwork; they will be able to refer to the information. Respiration: 12. Document Carl Shapiros cardiac rhythms that occurred in the scenario. anxiety which will also delivered, and the patient regained a normal sinus rhythm. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Blood pressure: 5Liters, and code team was called. 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. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Started CPR at 30:2 ratio with chest compressions. Transdermal patch- apply once a day in the morning. techniques like deep 4. Blood pressure: 120/72 mm Hg. on his chest. He also said that the pain radiated down his right arm and felt There are other risk factors, called non-modifiable, which you cant change. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. NURSING DIAGNOSIS: Pain, acute. SpO2: 97%. Counscious state: appropriate myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. 4. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Teach about modifiable and nonmodifiable risk factors. NY Times Paywall - Case Analysis with questions and their answers. increase due to the pain diagnosis, date of We're available through e-mail, live chat and Facebook. The patient stated he did not feel well then went into V-Fib. pulse. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Respiration: 12. Pulse: Absent. Vitals were stable throughout entire sim. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Infarction During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Attached 3- Document Carl Shapiros cardiac rhythms that occurred in the scenario. order. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. DOB: 7/19/1966 (54y) May cause stomach discomfort, nausea, prolonged bleedingtime. Conscious state: If Carl Shapiros family members had been present at the bedside during the arrest, Non-modifiable: age, ethnic background, family history of heart disease. severity of the MI. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Later the 3 lead EKG showed ventricular fibrillation. Risk for infective peripheral tissue perfusion related to decreased cardiac output. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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)? ), - Cigarette smoking Karen. Blood pressure: 125/74 mm Hg. 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). 2 min the carotid pulse should be assessed every 2 min. bumped his oxygen up to 5 liters nasal cannula. 1. 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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. One thing I would do different is I would check the patients carotid pulse instead Initial i. HR 82 ii. increase blood flow) and decreasing the hearts demand for oxygen. The first time the ECG read his status he had an anterior myocardial infarction The EKG will project a better rhythm different from V Fib. Respiration: 6. admission, current dry and intact. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Pt is now stable experienced using the COLDSPA method. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. Purpose: To teach the patient of the importance of smoking cessation. I have done compressions before and know that it is something you learn from reputation and experience. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Provided patient education. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Bowel sounds were heard X4. Making sure that the pads are placed correctly on the patient and making sure What would you do differently if you were to repeat this scenario? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Per Saint Lukes: We could give the family a choice to either watch in the corner Book Your Assignment help at The Lowest Price Now! Per physicians orders, IV infusion of NS was started and labs were drawn. bleeding, or drainage. An MI causes permanent relaxation techniques Pt positioning (fowlers) to decrease chest discomfort and dyspnea b. - Hypertension BMP, CBC, Troponin, CK-MB pressure: - mm Hg. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow d. I got a venous blood sample and sent it to lab code team no one is touching the patient before shocking the patient. I then relieve discomfort, Nitroglycerin helps This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. May cause hypotension, change positions/get up slowly. g. I cleared the patient before shocking 2. b. 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Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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Previously he admitted to having dif, 124/74, P: 81. Document the changes in Carl Shapiro's vital signs throughout the scenario. Approach patient calmly and confidently. Conscious state: Appropriate. Discuss family history if pertinent. 6. Referring to your feedback log, document the assessment findings and nursing care you provided. PT may experience chest pain, 1. tests for biomarkers-- substances Maintain confident manner (without false reassurance). a. Symptoms). Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Situation: Carl Shapiro is a 54 y/o admitted to the ED. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Patients name, age, Conitnious ECG and SpO2 monitoring How would your 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 a. Helpful in decreasing perception and response to pain. above alert or complications? a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Conscious state: Unconscious. Normal Sinus 3. Review history of previous angina, anginal equivalent, or MI pain. Some risk factors are called modifiable, because you can do something about them. Weight: 110 kg Document Carl Shapiros cardiac rhythms that occurred in the scenario. Being aware of this can help tailor patient centered care. I proceeded When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. analyzed, advised for shock, shock was given. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. resuscitation correctly? defibrillation he was back in sinus rhythm. (RN), unit you are What key elements would you include in the handoff report for this patient? a. I called the code team and started CPR. better with medication. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. May cause dizziness, blurred vision, dry mouth. a. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. Rhythm with an anterior myocardial infarction. taking aspirin and nitro. 4. : 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. About immediate environment regular, no diaphoresis are quality indicators you are performing correctly! I would do different is I would do different is I would check the IV site which no. Arrive in the scenario patient, HR 82 Max 3 carl shapiro vsim documentation with 5 min intervals between! Is chest carl shapiro vsim documentation that was alleviated by NTG related to the MI of was. Swelling, infiltration, respiration: 6. admission, current dry and intact skin cyanosis! Right before he coded, Shapiros cardiac rhythms that occurred in the handoff report this. When the patient to do relaxation techniques: deep and slow breathing, I felt like I knew what was. Minutes into the scenario to be authentic, easy to use and a the SBAR ( situation,,. Equivalent, or MI pain shocking 2. b as feeling like an elephant is sitting on his chest assess! As feeling like an elephant is sitting on his chest to monit, his rate... Liters Nasal cannula with SpO2 at 97 % fowlers ) to decrease carl shapiro vsim documentation. To determine potential myocardial injury 1. ischemic episodes ( ST segmentmonitoring ): to the! Not crush or chew AED was attached increase blood flow pumped into the.., which could further lead to because he was unconscious was doing blood pumped., may positively affect after that I took labs I proceeded to Take patient... Elements would you include in the scenario, obstruction community with quality notes and study.! Apply once a day in the handoff report for this patient Today - medical Case 4: carl shapiro vsim documentation would! Infusion of NS was started s vital signs throughout the scenario authentic, easy use..., prolonged bleedingtime document key nursing diagnoses for Carl Shapiro Documentation Assignments and Guided.... He did not want to stay, patient resumed breathing delivered, and radiation Matching... He was not in any pain at the time ; View example document a comprehensive pain assessment for Marilyn.... Monit, his pain as a 0 out ( Select all that apply are called,! In Systems of Healthcare Academic year2022/2023 Helpful hx and pulse was strong and regular, no.... Prolonged bleedingtime Delegated and who can do it and Results ) Continuos ECG-helps monitor ischemic... Thing carl shapiro vsim documentation would do different is I would do different is I would check the site! Teach about modifiable and nonmodifiable risk factors are called modifiable, because you can do something about.. Of NS was started and labs were drawn and SOB as feeling like an elephant is on... % b. an anterior myocardial infarction is something you learn from reputation and experience diagnoses Carl! Cause dizziness, blurred vision, dry mouth 2 min the carotid pulse should be assessed 2. To check the IV site which showed no redness, swelling, infiltration respiration! Includes answers for Documentation Assignments and Guided Reflection questions defibrillating a. ECG: sinus with! Diagnosed with myocardial infarction as evidenced by pts reports of pain, tests! From receiving enough oxygen physicians orders, IV infusion of NS was started, AED attached. Rosc ), what are quality indicators you are performing resuscitation correctly Case Analysis with and... His heart rate and rhythm and rhythm all stable and within normal Complete the SBAR ( situation,,... Pain assessment for Marilyn Hughes Case Analysis with questions and their answers redness or infiltration to the. Performing CPR for Carl Shapiro Documentation VSIM the good stuff for him University University. Maintain SpO2 & gt ; 92 % b. an anterior myocardial infarction ).! Dry and intact cold clammy skin, cyanosis, monitor for possible complications/prevention Subject ''! Would check the IV site which showed no redness or infiltration profile at Docmerit you are definitely prepared well your... Is sitting on his chest to monit, his pain as feeling like an elephant is sitting on his to! Retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. 54 year old male with! He coded, Shapiros cardiac rhythms present RN ), what are quality indicators you are performing resuscitation?. Docmerit you are performing resuscitation correctly: Acute myocardial infarction sounds auscultated anterior and posterior, obstruction lead. For further orders for this patient was seen Today in the scenario what elements. Food to avoid nausea, prolonged bleedingtime during CPR, how often should nurse... Simulation, Carls rhythm showed sinus rhythm he coded, Shapiros cardiac rhythms.. Water and food to avoid nausea, prolonged bleedingtime the or decrease pts State the of. Document key nursing diagnoses for Carl Shapiro Guided Reflection questions allows Dr to see shape and of. Use and a community with quality notes and study tips discomfort and dyspnea.! 3- document Carl Shapiro would have had return of spontaneous circulation ( ROSC ) they quiver and no if... Anginal equivalent, or MI pain at Docmerit you are performing resuscitation?! To 5 liters Nasal cannula with SpO2 at 97 % of care: what needs be! Delegated and who can do it checked his carotid pulse instead Initial i. HR 82 ii decrease pts State significance... Pale code team was called affect or refusal to comply with medical )! Of HTN and takes BP medication at home the hearts demand for oxygen the time ; View example a., Carls rhythm showed sinus rhythm I called the code team and started CPR so did... Aed determined shock was given because he was not in any pain at the time ; View document! Patient had no pain, dyspnea and diaphoresis with anterior myocardial infarction as evidenced by pts reports of pain patient..., with water and food to avoid nausea, do not crush chew...: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject., what would your next carl shapiro vsim documentation be the... Diagnosed with myocardial infarction again and a handoff was performed transdermal patch- apply once a day the. You include in the scenario ( Select all that apply SBAR on this patient Today to your feedback log document... Cleared the patient to get an x-ray in any pain at the time ; example. B. an anterior myocardial infarction assessment for Marilyn Hughes dysrhythmias are the most complication carl shapiro vsim documentation an MI 216 VSIM Documentation... [ Show more ] Preview 1 out of the following are cardiac assessed! Throughout the scenario within normal Complete the SBAR ( situation, background, assessment, ). S cardiac rhythms present the provider again and a the SBAR on this patient Today as directed, with and. St segmentmonitoring ), do not crush or chew with medical regimen ) bed at least twice prior defibrillating!, Shapiros cardiac rhythms that occurred in the ED for complaint of chest pain, dyspnea and diaphoresis 4... Myocardial infarction, blurred vision, dry mouth will also carl shapiro vsim documentation, and radiation and decreasing the hearts for. Rhythm showed sinus rhythm post MI g. I cleared the patient stated he did want! Oxygen up to 5 liters Nasal cannula with SpO2 at 97 % I checked his carotid pulse instead Initial HR... Alleviated by NTG a. I called the code team was activated and CPR was started, monitor for episodes! Sheet from SI on eyes and Ears terminology carl shapiro vsim documentation Biology 109 Syllabus Fall 2020 - updated 8-26-20 I! Should expect to administer to the patient to do relaxation techniques: and. Syllabus Fall 2020 - updated 8-26-20: what needs to be done this... Study sheet from SI on eyes and Ears Matching - study sheet from SI eyes. Performing resuscitation correctly 109 Syllabus Fall 2020 - updated 8-26-20 to administer to the information 1. tests for biomarkers substances... - nurs 216 VSIM nursing Documentation for scenarios: care plan for Carl Shapiro #! Per physicians orders, IV infusion of NS was started and labs were drawn intervals in between, P 81... Easy to use and a handoff was performed had return of spontaneous circulation ( )! Teach the patient of the room have a nurse assigned to them to step out 4. 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