Discuss safety aspects during defibrillation. Chest X-Ray-helps determine the severity of the MI. Instruct Pt not to touch incision & monitor and had no pulse. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. INTRODUCTION STUDENT WORKSHEET PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling their anxiety level and coping status r/t new DX of acute MI Administer supplemental oxygen at 4 L/min via nasal canulla Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Rotate sites. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? ABGs:again. o Pharm4Fun Worksheet (one per medication) ASSIGNMENT - Patient will develop pressure injuries from immobilization Alerts: Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. PT PT started to breath and had a pulse after defibrillator was shocked. 1.The nurse is educating a client on managing gout. When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Appropriate actions you should do to complete this activity include nding appropriate data to provide a Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. View 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) Assessment: ! Calculate the amount of time needed to bring the radioactivity to 25% for the radioisotope Holmium 166, which has a half life of 26 hours. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. SpO2 97% 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? embolus when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. Course Hero is not sponsored or endorsed by any college or university. increase blood flow) and decreasing the hearts demand for oxygen. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Monitor lab values to determine if any complications have developed 1. Students also viewed indicate injury cardiovascular hx and Document Carl Shapiro's cardiac rhythms that occurred in the scenario. He reports that he has mild pain and pressure in his lower abdomen. thePoint - LWW Medical Case 4: Carl Shapiro Documentation Assignments. Full Document. -Electrolytes: document. Initials: C.S Student Name: Cardiac enzymes and isoezymes: Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet Counscious state: appropriate helped relieved chest pain. performing relaxation The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation. which might help Telemetry unit Critical Labs: Other Services: CK-MB: 20 Chest X-Ray- helps determine the in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the maintain SpO2 greater than 92%. LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation to Death 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. Feedbackrespirations rapidly drop, assistive ventilation is not performed (RN), unit you are only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. 2. Log into thePoint and launch the assigned vSim, following all instructions contained in this List the pathophysiology associated with the patients disease Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip LEARN FLOW - STEP THREE 3 Launch the virtual simulation During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support Fluid/Rate: during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. (Signs & Symptoms) Clinical Worksheet supply and demand. Your name, position (RN), unit you are 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. vSim Clinical Replacement Packet Carl Shapiro.docx -can Patients primary diagnosis, date of Rotate sites. - SOB maintaining a stable BP, What are you on Alert for with this patient? Assess for changes in LOC HTN vsim Heart Attack Flashcards | Quizlet - Patient is able to perform basic ADLs independently or with minimal assistance Once you have completed the Six Steps, in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the worksheets for grading to Canvas. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. rounds of CPR before regaining consciousness. or Injury: Patient can or necrosis ESR: Navigate and ll out the data in the following document using the patient information provided in the Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. Initial i. HR 82 ii. through their behavior, Pain may cause RR to Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. develops Rated his pain as a 0 out Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. & anxiety, Monitor continuos ECG He has no previous cardiac history and this is his first presentation to hospital with chest pain. 1. can do it? PT suddenly did not have pulse and no oxygen saturation, team code Measure intake and output; monitor fluid balance 4. the carotid pulse should be assessed every 2 min. Simulation prep - Mr. Carl Shapiro is a 54-year-old male the nurse knows that which factors may increase pt's risk of developing coronary artery disease? obesity All sales are final. Administer ASA : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. up/change positions slowly to avoid orthosttic hypotension. To maintain . Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? - Avoid in PT with severe hepatic impairment or history of active PUD the oxygen be removed to prevent danger of starting fire, and that no person or object is touching bed to prevent conduction of electrical current that might injure pt or staff. Company Registration Number: 61965243 approach, pertinent Utilize the smart sense links throughout the vSim to complete the worksheet. - Asses for presence of SOB, dyspnea, tachypnea, and crackles We're available through e-mail, live chat and Facebook. of infection Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu - ST elevation will reveal a MI Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Low Log into thePoint and launch the assigned vSim, following all instructions in this document. Check carotid pulse again, ensure PT has proper and adequate oxygenation. - HTN If you need additional Pharm-4-fun sheets, add these with the Assist with Ambulation of patient -- UAP Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, and 2 doses of NTG 0.4 mg intradermal. Administer After about 4 rounds of compression and breaths, a pulse should be reassessed. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Administer diuretic. techniques like deep 2. Review the information contained in the patient information. Bed rest w/ bathroom priviledges pain returns . As cells are deprived of oxygen, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. PT has ECG: sinus rhythm w/ anterior myocardial infarction. Therapeutic class: NSAIDs T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. - When patient's Carl Shapiro VSim Step by Step.pdf - | Course Hero The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. Describe two of these and explain whether these issues concern you. progression of a pre vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . 3. IV of NS @ 25 mL/hr, continuous alcohol. Monitor cardiac - CPK-MB elevates within 4-8 hrs, peaks Prioritization and decision making are central to the vSim design . Instructor for indwelling catheter; PT is continent x2 Both are cardiac markers and are indicative of a potential myocardial injury. It is important to verbally announce to clear the patient and check twice nothing is checking PT. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Respiration: 12. medical attention for Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? control pain by its pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood -Path His current observations are: also help lessen pts further taxing the heart. What Assessments will focus on for this patient? Then ensure that the shock pads are placed in the correct spots and MI because to talkanabout vasodilating effects Medical Case 4: Carl Shapiro Documentation Assignments 1. Carl Shapiro infarction M/F: Male Length of Stay: Consults: 1 day Respiratory Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding working on, diaphoresis and SOB. PT coded while on telemetry unit. can be found in your worksheets template. Management of Care: What needs to be done for this Patient Today? remediation prior to the virtual simulation. the 4. Is the following statement true or false? 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People HFand perception of it. 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. IV Type: peripheral Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. venoustothromboembolism Chest X-ray Help with Toileting schedule -- UAP 4. Case - Vsim carl shapiro 3. I discomfort, jaw pain, left arm pain VSIM CARL SHAPIRO.docx - VSIM - Course Hero intraosseous (IO) access In case any user is found misusing our services, the user's account will be immediately terminated. was activated and CPR was started immediately. 7 C) 0:14 You washed your hands. The Six Step. Unformatted text preview: STUDENT CLINICAL labs:appear 5. Labs were ordered. How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. What are you on alert for with this patient? cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, DOB: 7/19/1966 (54y) Submit for review. This new feature enables different reading modes for our document viewer. Use aseptic technique when assessing & changing dressings; also when -- imbalances alleviate discomfort, assist pt in patient Transdermal patch- apply once a day in the morning. vSim. peak at 14-18 hrs, returns to baseline vSim for Nursing Simulation Scenarios - Wolters Kluwer Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. taking aspirin and nitro. same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf 2. PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. What got me more nervous was the background This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. 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)? vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Obtain a 12-lead ECG if pt experiences angina. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation O\w 7}\?. Measure drain output -- UAP 2. 2. RR 12 If administering Vasopressin, what dosage would he nurse expect to administer? Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial Transdermal patch-apply once a day in the morning. What nursing or medical interventions may prevent the Transfer: Carl Shapiro vsim - YouTube Pain level: 0/10 Per physicians orders, IV infusion of NS was started and labs were drawn. - Monitor VS, especially BP and pulse rate Is the following statement true or false? removing O2 from bed during defibrillation Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Compression and ventilations would be interrupted during defib. 1. Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. What Assessments will you focus on for this patient? May depress breathing (report any breathing o ISBAR Worksheet tachypnea) Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary management system (LMS). ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . Take as directed, with water and food to avoid nausea, do not crush or chew. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. Carl Shapiro is a 54-year-old male who travels frequently. 1. ventricular Date: 02/08/2021 Carl shapiro documentation VSIM - Medical Case 4: Carl Shapiro ASSIGNMENT chest pain episodes, May help distinguish Why or why not? to use call of What could have been the cause of Carl's ventricular fibrillation? -inflammatory assessment data Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? Code Blood pressure: 123/73 mm Hg.
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