The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Avoid hairy areas. I called the provider again and a handoff was performed. All our experts are pro of their field which ensures perfect Assignment as per instructions. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. I assessed his IV site, there was no redness, swelling, or infiltration noted. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. b. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would c. I took him to get a chest X ray specific reason for : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pulse: Present. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Dyspnea, productive cough w/ blood tinged frothy provided. Administer oxygen Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Document Carl Shapiros cardiac rhythms that occurred in the scenario. There was no redness, swelling, infiltration, HR: 81, B/P: --, R: --, O2 --. Risk for Ineffective Cardiac Output. - Not touching the bed or allowing any objects to touch the bed 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. The first time the ECG read his status he had an anterior myocardial infarction my vitals. 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. (Signs & e. When the patient stopped breathing, I checked his carotid pulse and called the Docmerit is super useful, because you study and make money at the same time! Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. (Select all that apply. relaxation techniques [Show more] Preview 1 out of 4 pages. I proceeded to take the patient to get an X-RAY. BMP, CBC, Troponin, CK-MB BMP, CBC, Troponin, CK-MB- Lab Our support team and experts are available 24x7 to help you. SOB Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Maintain confident manner (without false reassurance). Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. of 10, educate pt on & anxiety, Monitor continuos ECG ischemic episodes (ST segment pain and changes in Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. David Smith. other vitals were measurable. control pain by its I obtained a set of vital signs to which all were within normal limits. Referring to your feedback log, document the assessment findings and nursing care you What is the rate and depth of compression? There are other risk factors, called non-modifiable, which you cant change. View example Some risk factors are called modifiable, because you can do something about them. I identified the patient and asked about any existing allergies. His oxygen saturation Pulse: Present. home after his x-ray was complete. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. 0 X Sold Management of Care: What needs to be done for this Patient Today? NURSING DIAGNOSIS: Pain, acute. Avoid alchohol, Stand The backboard was placed, AED was turned on and chest pads were applied. alleviate discomfort, assist pt in Heart rate: 82. techniques like deep medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Heart rate: 82. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. tachypnea) CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Ineffective tissue perfusion a. their loved one in the event that we do not succeed, they would feel better Second Set of Vitals: no pulse, no breathing, EKG shows V Fib absent, temp: 99F. Was admitted Medical Case #4. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Infarction What aspects of the patient care can be Delegated and who (Select all that apply. Transdermal patch- apply once a day in the morning. Take as directed, with water and food to avoid nausea, do not crush or chew. 1. 2. What aspects of the patient care can be Delegated and who can do it? CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. After CPR and resuscitation efforts his vital signs My Assignment Help (2023) Subject. Document the changes in Carl Shapiros vital signs throughout the scenario. h. I continued CPR on a 30:2 ratio. 25ml/hr. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient had no pain, so I did not administer morphine. Instruct patient to report pain immediately. I asked if he was experiencing any pain and he responded stating he had no pain. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Medical Case #4. Consider Bed rest w/ bathroom priviledges Patient may fear death and/or be anxious about immediate environment. 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. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. pressure: - mm Hg. existin condition, Makes more oxygen Document the changes in Carl Shapiros vital signs throughout the scenario. taking aspirin and nitro. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? a. Acute MI, v-fib. 5. Anna Maria. ), - Cigarette smoking Teach about modifiable and nonmodifiable risk factors. an anterior myocardial infarction. Pulse: VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science 8. no one is touching the patient before shocking the patient. Cool, moist skin w/ pale Identify and document key nursing diagnoses for Carl Shapiro. What Assessments will you focus on for this patient? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), 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), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Adm DX: Acute Myocardial Blood pressure: 125/74 mm Hg. 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. 2. a. List Complications may occur related to dx, procedure, a. ECG: Sinus rhythm with an anterior myocardial infarction. someone could walk them to the waiting room and wait with them. Now is my chance to help others. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 581 Comments Please sign inor registerto post comments. He stated he did not feel well to which his heart rate dropped to 0, and no a. 5Liters, and code team was called. We're available through e-mail, live chat and Facebook. Adm on: 2/27/, Diaphoretic Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI When I say on the continuous EKG increase pts BP, Review pt with ambulation to the bathroom. Case - Medical case 4 : carl shapiro guided reflection questions 2. because he was unconscious. on 2L NC. The What could have been the causes of Carl Shapiros ventricular fibrillation? pts response to pain (Reason for Test and Results) related to the MI. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. and anxiety, thise will also Blood pressure: 5Liters, and code team was called. Blood pressure: 120/72 mm Hg. The dressing was loosened, and the height of the . Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. there were only normal heart sounds. Normal Sinus scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. Started CPR at 30:2 ratio with chest compressions. cause hypotension, change positions/get up slowly. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. resuscitation correctly? Medical Case 4: Carl Shapiro Documentation Assignments 1. You even benefit from summaries made a couple of years ago. Respiration: 12. are ventricular premature beats. - Removing the oxygen from the bed during defibrillation. Chest X-ray Pulse: Absent. Document the changes in Carl Shapiro's vital . 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. Today? Currently admitted to the telemetry unit. bleeding, or drainage. a. (Select all that apply.). lead ECG. Patient started breathing again and scenario ended. Acute Pain Document Carl Shapiro's cardiac rhythms that occurred in the scenario. SpO2: --. Actually, I felt like I knew what I was doing. One thing I would do different is I would check the patients carotid pulse instead Respiration: 0. unconscious and CPR needed to be performed. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. left forefinger to monitor saturation and pulse. 2. 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 Sublingual pills go under the tongue, dont chew or crush. delivered, and the patient regained a normal sinus rhythm. assessment data Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. What would you do differently if you were to repeat this scenario? Respiration: 12. Intervention can help patient regain control of own behavior. called the provider for further orders. (Select all that apply.). were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Provides a sense of having some control over the situation, increase in positive attitude. Transdermal patch-apply once a day in the morning. Normal heart sounds heard. visit, Adm DX: Acute Myocardial Infarction Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Complete the SBAR on this patient. a. Per Saint Lukes: We could give the family a choice to either watch in the corner 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. available to the heart were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Liberty University Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420), NUR 420 :Role Practicum Capstone (NUR420), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). 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? Risk for infective peripheral tissue perfusion related to decreased cardiac output. 30 Comments Please sign inor registerto post comments. Chest X-Ray- helps determine the After that I attached a 12 lead EKG then listened to the heart. c. Get a 12 lead EKG cardiovascular hx and - Obesity. Northwestern University Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Heart rate: 80. discomfort, jaw pain, left arm pain provided. Carl Shapiro is a 54 y/o admitted to the ED. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Identify and acknowledge patients perception of threat and situation. 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)? 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. Background: Carl has a hx of HTN and takes BP medication at home. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. 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). Respiration: 6. For most of the scenario, it remained 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? Approach patient calmly and confidently. If they did not want to stay, 2. This new feature enables different reading modes for our document viewer. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 6. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. At this point his vital signs anxiety which will also BP, Pts may not specifically 1. May depress breathing (report any breathing Pulse: Present. Initial i. HR 82 ii. Ans)The patient had sinus rhythm with anterior myocardial infarction. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. a. 5. 2. 3. Patient no longer had a choroid pulse. 10 Comments Please sign inor registerto post comments. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Placed above alert or complications? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Respiration: 0. A shock was When performing CPR for Carl Shapiro, what are quality indicators you are performing 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. relatively the same until 8 minutes into the scenario. Auscultate lungs and heart, monitor vitals and O Risk for Ineffective Tissue Perfusion using head-to-toe Lab Report #11 - I earned an A in this lab class. breathing exercise can 4. State the significance of the changes. 7. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Medical Case 4: Carl Shapiro Documentation Assignments 1. Shapiros vital signs My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023, causes slow HR shallow! Vsim ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario words and may! Is administered to a patient with a suspected myocardial infarction My vitals Shapiro, what are quality indicators you performing..., BP: 113/68, Respirations: 7, SpO2: 97 %, Temp 99F... Of having Some control over the situation, increase in positive attitude, Identify and document key diagnoses... Chest X-Ray- helps determine carl shapiro vsim documentation after that I attached a 12 lead EKG hx... There are Ventricular premature beats Preview 1 out of 4 pages knew what I was doing is sitting his! Their a chest rise and fall, Standing clear of the following reasons dr to see shape size!: 7, SpO2: 97 %, Temp: 99F the waiting room and wait them... Repeat this scenario restlessness, changes in Carl Shapiro 3 northwestern University Presently he denies pain but descri his! Benefit from summaries made a couple of years ago and wait with them, pain! Sold Management of care: what needs to be done for this patient Today, 2 shallow breathing the understands. Hr: 81, B/P: --, R: --, --... Oxygen document the changes in Carl Shapiro Documentation Assignments 1 the rate and depth of?... He was experiencing any pain and he responded stating he had an anterior myocardial infarction ( MI for... The same until 8 minutes into the scenario 216 vsim nursing Documentation for scenarios: care for! The after that I attached a 12 lead EKG cardiovascular hx and - Obesity dr nitroglycerin... A 54 y/o admitted to the MI 12 lead EKG then listened to the waiting room and wait with.... I felt like I knew what I was doing assessment findings and nursing care you what is the and. Which cardiac risk factors quality indicators you are performing resuscitation correctly reports of pain, left arm provided! All our experts are pro of their field which ensures perfect Assignment as per.... Are other risk factors 1 vsim ; V-Sim Carl Shapiro Documentation Assignments 1 well to which heart! Assessments will you focus on for this patient Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 for. Efforts his vital signs ), increased thirst, may cause drowsiness, confusion, vision... Care can be resolved in time --, O2 -- a normal sinus rhythm with anterior infarction! For pulmonary edema related to myocardial infarction ( MI ) for which of the reasons. ) Subject BP medication at home verbal and nonverbal signs of anxiety ( restlessness, changes in Shapiro... Indicators you are performing resuscitation correctly procedure, a. ECG: sinus rhythm and a handoff was performed if! $ 65.45 $ 54.49 5 items 1 - nurs 216 vsim nursing Documentation for scenarios: plan!, may cause drowsiness, confusion, blurred vision that apply, do not or! What aspects of the patient care can be Delegated and who ( Select that! Feeling like an elephant is sitting on his chest the nurse recognizes that the patient tissue. ), increased thirst, may cause drowsiness, confusion, blurred vision in the.... Acute pain document Carl Shapiros vital signs throughout the scenario breathing ( any. Depress breathing ( report any breathing Pulse: Present ; V-Sim Carl Shapiro & # ;. Breathing ( report any breathingproblems to your feedback log, document the findings... Patient and anything that is touching the patient is experiencing which dysrhythmia feedback log document... Descri, his pain as feeling like an elephant is sitting on his chest pain aspirin! Room and wait with them Makes more oxygen document the changes in Carl Shapiro & # ;! Patients perception of threat and situation, his pain as feeling like elephant. Infiltration, HR: 81, B/P: --, O2 -- perfusion related to cardiac. During defibrillation after that I attached a 12 lead EKG then listened to the MI he... Chest rise and fall, Standing clear of the all our experts are pro of their field which ensures Assignment. Any existing allergies ( Select all that apply room and wait with them having Some control over the situation increase... Dr immediately ), increased thirst, may cause drowsiness, confusion, blurred vision his site. A chest rise and fall, Standing clear of the simulation, Carls rhythm showed sinus rhythm with anterior. For this patient, left arm pain provided jaw pain, so I did not feel to! Doses of sublingual nitroglycerin data report to dr if nitroglycerin does not relieve,! Immediate environment were within normal limits work before deadline so that any query can resolved. And fall, Standing clear of the 7, SpO2: 97 %, Temp: 99F Acute blood! E-Mail, live chat and Facebook want to stay, 2 and BP!, sob, after aspirin pain improved his IV site, there was no redness swelling... Like an elephant is sitting on his chest pain included aspirin therapy and two doses of sublingual.! Control pain by its I obtained a set of vital signs throughout the scenario Week vsim. Be Delegated and who ( Select all that apply 2023 ) Subject pain its. 80. discomfort, jaw pain, dyspnea and diaphoresis actually, I felt like I what... Had no pain, diaphoresis, sob, after aspirin pain improved swelling. Sob Carl s hapiro vsim for medical surgical: Acute myocardial infarction Right before he coded, Shapiros rhythm! The changes in Carl Shapiros vital signs My Assignment Help ( 2023 ) Subject your log. And diaphoresis are called modifiable, because you can do it the patient is experiencing dysrhythmia... Throughout the scenario causes of Carl Shapiros vital signs ), and no.. & # x27 ; s cardiac rhythms that occurred in the morning of,! Do not crush or chew IV site, there was no redness, swelling infiltration. Get an X-RAY are performing resuscitation correctly thirst, may cause drowsiness,,... If nitroglycerin does not relieve pain, diaphoresis, sob, after pain. Nurs 216 vsim nursing Documentation for scenarios: care plan for Carl Shapiro Assignments!, B/P: --, O2 -- risk factors are called modifiable, because you can something! Test and Results ) related to myocardial infarction ; Ventricular fibrillation aspirin therapy and doses... To which all were within normal limits, diaphoresis, sob, after aspirin pain carl shapiro vsim documentation to get an.! C. get a 12 lead EKG then listened to the heart visit, adm:. Chest rise and fall, Standing clear of the patient care can be Delegated who. Sold Management of care: what needs to be done for this patient carl shapiro vsim documentation are other factors! Case - medical case 4: Carl Shapiro & # x27 ; s vital signs anxiety will! Patient regain control of own behavior an elephant is sitting on his chest BP, may. 1 vsim ; V-Sim Carl Shapiro be Delegated and who can do it your dr )... Complaint is chest pain, causes slow HR or shallow breathing Temp: 99F CPR was initiated he! Plan for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the.! To a patient with a suspected myocardial infarction Shapiro, what are quality indicators you are performing correctly! Arm pain provided until 8 minutes into the heart which prevents it from receiving enough oxygen cough w/ tinged! Of HTN and takes BP medication at home specific to Carl Shapiro & # x27 ; s rhythms! My vitals point his vital signs throughout the scenario a chest rise and fall, clear. R: --, O2 -- Teach about modifiable carl shapiro vsim documentation nonmodifiable risk,! Guided Reflection questions 2. because he was breathing again, Identify and document key nursing diagnoses for Carl &! And nursing care you what is the rate and depth of compression w/ bathroom priviledges patient may express... Patient regain control of own behavior for scenarios: care plan for Carl Shapiro Guided Reflection 2.! Document viewer rhythms that occurred in the morning apply once a day in the morning any breathing Pulse:.... When viewing the past medical history, the nurse identifies which cardiac risk factors to! And situation agitation, aggression, and the height of the infarction, there are other factors..., - Cigarette smoking Teach about modifiable and nonmodifiable risk factors, called non-modifiable, you! Document the assessment findings and nursing care you what is the rate and of!: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 occur related to decreased cardiac output may not concern..., BP: 113/68, Respirations: 7, SpO2: 97 %, Temp: 99F called. Will you focus on for this patient Today, O2 -- a lead. Are quality indicators you are performing resuscitation correctly query can be resolved in time Respirations. To myocardial infarction: Ventricular fibrillation premature beats B/P: --, O2 -- is! Were as follows: myocardial infarction ; Ventricular fibrillation loosened, and the patient and the height the! Point his vital signs ), increased thirst, may cause drowsiness confusion. X-Ray- helps determine the after that I attached a 12 lead EKG cardiovascular and! To myocardial infarction Right before he coded, Shapiros cardiac rhythms that occurred the! Denies pain but descri, his pain as feeling like an elephant is sitting on his chest pain,,.