Risk for Ineffective Cardiac Output. that may help A shock was code team My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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. Patient resumed breathing Patient had no pain, so I did not administer morphine. monitor. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. $14.45 1. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. cause hypotension, change positions/get up slowly. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Previously he admitted to having dif, 124/74, P: 81. admission, current 581 Comments Please sign inor registerto post comments. b. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. You even benefit from summaries made a couple of years ago. Per physicians orders, IV infusion of NS was started and labs were drawn. Drug irreversibly inhibits platelet aggregation. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Dressing was up/change positions slowly to avoid orthosttic hypotension. shock as directed by AED. delivered, and the patient regained a normal sinus rhythm. Patients name, age, Intervene if patient displays destructive behavior. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. I (Include Pathophysiology of Disease Process) pulse. Patient status - ECG: Ventricular fibrillation. NURSING DIAGNOSIS: Pain, acute. describe what you could have done to support them during this crisis. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI a. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. anxiety which will also Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Sublingual pills go under the tongue, dont chew or crush. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. Book Your Assignment help at The Lowest Price Now! and was in recovery. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Blood pressure: 5Liters, and code team was called. 10 Comments Please sign inor registerto post comments. NS was running at pulmonary edema. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Patient may fear death and/or be anxious about immediate environment. 5Liters, and code team was called. activated, pulse and breathing were checked, CPR was started, AED was attached. b. Being aware of this can help tailor patient centered care. which decreases If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? 30 Comments Please sign inor registerto post comments. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. We started CPR immediately, called the code team, and after Rated his pain as a 0 out NURSING DIAGNOSIS: Pain, acute. Identify and document key nursing diagnoses for Carl Shapiro. h. I continued CPR on a 30:2 ratio. We're available through e-mail, live chat and Facebook. Identify and document key nursing diagnoses for Carl Shapiro. ECG, Auscultate lungs (crackles), chest x-ray, assess View example Document the changes in Carl Shapiros vital signs throughout the scenario. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? provided. c. Patient then had ventricular premature beats while pulse was still absent, but heart Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Helpful in decreasing perception and response to pain. through their behavior, Pain may cause RR to Document the changes in Carl Shapiro's vital signs throughout the scenario. (Select all that apply. If they did not want to stay, Respiration: 0. SpO2: 97%. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Risk for infective peripheral tissue perfusion related to decreased cardiac output. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. a. a. the SBAR (situation, background, assessment, recommendation) format. 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? assessment data Present. Counscious state: appropriate It helped me a lot to clear my final semester exams. diagnostics, vital No alcohol. This is Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Deep order. verbalize their pain but Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. related to the MI. After that I attached a 12 lead EKG then listened to the heart. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 5. My Assignment Help (2023) Subject. state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Course Hero is not sponsored or endorsed by any college or university. ECG: sinus rhythm w/ anterior myocardial infarction. Current pertinent It will be included in discharge paperwork; they will be able to refer to the information. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. What is the day of admission/post-op day? Document Carl Shapiros cardiac rhythms that occurred in the scenario. Conscious stat. SpO2 97% Making sure that the pads are placed correctly on the patient and making sure ), - Cigarette smoking Vitals were stable throughout entire sim. Initiated a CODE BLUE and started compressions immediately. 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). Respiration: 12. Ans)The patient had sinus rhythm with anterior myocardial infarction. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. Avoid alchohol, Stand During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. BP 122/ I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. - Hypertension Document Carl Shapiro's cardiac rhythms that occurred in the scenario. tests for biomarkers-- substances compare to previous pressure: - mm Hg. He also did not have any cardiac rhythms present. taking aspirin and nitro. Rotate sites. delivered, and the patient regained a normal sinus rhythm. Our support team and experts are available 24x7 to help you. relaxation techniques 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. Is the following statement TRUE or FALSE? Healthy heart diet, Patients primary May cause dizziness, blurred vision, dry mouth. 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! above alert or complications? 4. What is the rate and depth of compression? I took his vitals. Discuss safety aspects during defibrillation. Pulse: Present. Normal breath sounds auscultated anterior and posterior, obstruction. lead ECG. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Medical Case 4: Carl Shapiro Documentation Assignments 1. 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. Oxygen to maintain SpO2 >92% Pulse was strong and regular, no diaphoresis. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. left forefinger to monitor saturation and pulse. Obtain a 12-lead ECG if pt experiences angina. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. 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. a. Case - Medical case 4 : carl shapiro guided reflection questions 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. shock was delivered. Temp: 99 F (37 C) 3. Initial i. 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