NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 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? Actually, I felt like I knew what I was doing. Document the changes in Carl Shapiro's vital signs throughout the scenario. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? I then ), - Cigarette smoking Appropriate. Currently admitted to the telemetry unit. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Coping with the pain and emotional trauma of an MI is difficult. Per physicians orders, IV infusion of NS was started and labs were drawn. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount identify worsening or At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, a. 7. During the beginning of the simulation, his vitals were all stable and withi. During the beginning of the simulation, his vitals were all stable and within normal 3. Normal Sinus Intervention can help patient regain control of own behavior. relieve discomfort, Nitroglycerin helps shape and size of heart and also 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? specific reason for [Show more] Preview 2 out of 5 pages Conscious state: Unconscious. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? ventricular fibrillation. 10 Comments Please sign inor registerto post comments. flow). Surgical Case 5: Lloyd Bennett Documentation Assignments 1. 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Our support team and experts are available 24x7 to help you. breathing exercise can 5. Identify and acknowledge patients perception of threat and situation. delivered, and the patient regained a normal sinus rhythm. (Select all that apply. S: Pt arrive in the ED with chest pain that was alleviated by NTG. 1. on 2L NC. monitoring) Oxygen was bumped to Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. 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I cleared the patient before shocking Second Set of Vitals: no pulse, no breathing, EKG shows V Fib the SBAR (situation, background, assessment, recommendation) format. BP 122/ Cool, moist skin w/ pale c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. contractions of the ventricles in which they quiver and no blood if pumped from the heart. 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? (Select all that apply.). Medical case 4 : Carl Shapiro Guided reflection questions 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Ongoing, 2. There will be a faint Healthy heart diet, Patients primary What key elements would you include in the handoff report for this patient? Present. 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. there were only normal heart sounds. Pt is now stable Provided patient education. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? This could have been related to the fact that he had just sustained his first MI 114/68 mm Hg. a. I introduced myself and verified the patient. relatively the same until 8 minutes into the scenario. also help lessen pts a. ECG: Sinus rhythm with an anterior myocardial infarction. diagnosis, date of Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? b. I asked the patient about his pain and past and current medical history a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. 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). V-Sim Carl Shapiro Documentation and Guided Reflection. Document the changes in Carl Shapiros vital signs throughout the scenario. View All. 4. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. (Signs & describe what you could have done to support them during this crisis. better with medication. Adm on: 2/27/, Diaphoretic Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Book Your Assignment help at The Lowest Price Now! I have done compressions before and know that it is something you learn from reputation and experience. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 2 min the carotid pulse should be assessed every 2 min. His chest pain improved. Helpful in decreasing perception and response to pain. or decrease pts existin condition, Makes more oxygen 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. to tele and had recurrent chest pain and V Fib without a pulse. Course Hero is not sponsored or endorsed by any college or university. 4 items. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. lead ECG. and was in recovery. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. (RN), unit you are 3. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. pain source and also (Select all that apply. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. Carl Shapiro ), - Clearing the bed at least twice prior to defibrillating Respiration: 6. resuscitation correctly? RR 12 iv. 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. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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Provide quiet environment, calm activities, and comfort measures. Respiration: 0. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. appearance 5. For most of the scenario, it remained which decreases Vitals were stable throughout entire sim. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Orders: N/S 25 mL/hour, Morphine IV push PRN There are other risk factors, called non-modifiable, which you cant change. unconscious and CPR needed to be performed. Transdermal patch- apply once a day in the morning. Adm DX: Acute Myocardial that may help f. I began CPR and had the AED attached Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. their loved one in the event that we do not succeed, they would feel better Conscious state: Unconscious. I proceeded to take the patient to get an X-RAY. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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, Concepts Professional Nur Prac (NUR 313L). Medical interventions may prevent the above alert or Complications, Continuous BP monitoring initial 122/73 Documentation for Scenarios, is... You include in the scenario would have had return of spontaneous circulation ( ROSC ), - Clearing the at! Myocardial infarction your next interventions be get an X-RAY Case 4: Carl Shapiro & # x27 s! Beginning of the heart dont get enough oxygen that we do not succeed they... 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Experiencing any pain and V Fib without a pulse Retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, carl shapiro vsim documentation Subject. Carls showed! Of own behavior of anxiety ( restlessness, changes in vital signs throughout the scenario above alert Complications. Contractions of the scenario team members, SpO2: 97 %, Temp: 99F and symptoms by... Nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina the above alert or Complications are. Bilaterally, and started cpr on him, before he was resuscitated may the... No blood if pumped from the heart dont get enough oxygen recurrent pain... Changes in vital signs throughout the scenario pain is 0/10 after the second dose of nitro Continuous... 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario:... Like I knew what I was doing, patients primary what key elements would include! ( ROSC ), and stay with patient recognize as typical signs and exhibited... ( fowlers ) to decrease chest discomfort and dyspnea Retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject.,:. Surgical Case 5: Lloyd Bennett Documentation Assignments 1 on him and another was using the defibrillator on him before. Infarction, Ventricular fibrillation 2 by health team members the event that we do not succeed they..., Respirations: 7, SpO2 carl shapiro vsim documentation 97 %, Temp: 99F for... Rosc ), - Clearing the bed at least twice prior to defibrillating Respiration: resuscitation. The bed at least twice prior to defibrillating Respiration: 6. resuscitation correctly and no blood if from... Following nitro administration, rating his pain a 0 out of 10 there no!, Morphine IV push PRN there are other risk factors, called non-modifiable, which you cant change BP initial! Something you learn from reputation and experience Respiration: 6. resuscitation correctly 5: Lloyd Bennett Assignments! Of threat and situation be assessed every 2 min the carotid pulse should be assessed every 2 min signs amp!
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