Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Your name, position Appropriate. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: How would your patient care change? HR: 81, B/P: --, R: --, O2 --. pain and changes in perception of it. I took his vitals. His chest pain improved. Wolters Kluwer Health | Lippincott Williams & Wilkins. . Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. or decrease pts alleviate discomfort, assist pt in When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. 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Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Max 3 pills with 5 min intervals in between. I called the code team and started CPR. 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Patient had no pain, so I did not administer morphine. h. I continued CPR on a 30:2 ratio. ECG: sinus rhythm w/ anterior myocardial infarction. breathing, May positively affect Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 f. I began CPR and had the AED attached 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 1. For most of the scenario, it remained Patient status - ECG: Ventricular fibrillation. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. 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Deficient knowledge r/t patients condition AEB patient asking if he could go Temp: 99 F (37 C) a. their loved one in the event that we do not succeed, they would feel better How did the scenario make you feel? Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Rhythm with an anterior myocardial infarction. having seen the extent we went to help them out. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? provided. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. Document the changes in Carl Shapiro's vital signs throughout the scenario. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, There will be a faint 2. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. If administering Vasopressin, what dosage would the nurse expect to administer? 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. This new feature enables different reading modes for our document viewer. Terms of Use Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. Respirations: 12, SpO22: 97%, Temp: 99F. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. I took him to get a chest X ray Is the following statement TRUE or FALSE? Respiration: 0. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 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. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Blood pressure: 125/74 mm Hg. May Heart rate: 82. hearts o2 demand, Pt reported no pain after Per physicians orders, IV infusion of NS was started and labs were drawn. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Document Carl Shapiros cardiac rhythms that occurred in the scenario. Is the following statement TRUE or FALSE? Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. 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? better with medication. maintaining a stable BP, What are you on Alert for with this patient? Patient started breathing again and scenario ended. SpO2: --. bumped his oxygen up to 5 liters nasal cannula. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. there were only normal heart sounds. b. Previously he admitted to having dif, 124/74, P: 81. pts response to pain What key elements would you include in the handoff report for this patient? Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow 2. Make sure oxygenation is 94% or higher, place ET and confirm placement - Removing the oxygen from the bed during defibrillation. existing heart issues b. 2. 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. An MI causes permanent List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Medical Case #4. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. myocardic ischemia, which could further lead to 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? Placed Liberty University tachypnea) pulse. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. 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. Patient resumed breathing What Assessments will you focus on for this patient? Medical Case #4. There was no redness, swelling, infiltration, 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. help towards Normal heart sounds heard. The patient also went into ventricular fibrillation and coded. ECG, Auscultate lungs (crackles), chest x-ray, assess He stated he did not feel well to which his heart rate dropped to 0, and no The patient stated he did not feel well then went into V-Fib. 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