Respiration: 0. ST elevation of 10, educate pt on 2. Medical case 4 : Carl Shapiro Guided reflection questions 2. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Male 2. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount ECG: sinus rhythm w/ anterior myocardial infarction. May cause stomach discomfort, nausea, prolonged bleedingtime. Ongoing, 2. Bed rest w/ bathroom priviledges Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Counscious state: appropriate Current smoker, smokes pack a day. Allergies: No known umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. coded; CPR and a defibrillator were used. Docmerit is super useful, because you study and make money at the same time! Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. chest pain episodes, May help distinguish pulmonary edema. a. Pt is now stable Assess pain Allows Dr to see VSIM Carl Shapiro 4. What aspects of the patient care can be Delegated and who can do it? diaphoresis. pulse. approach, pertinent MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. a. b. Currently admitted to the telemetry unit. Patient had no pain, so I did not administer morphine. Ineffective tissue perfusion increase pts BP, Review pt Respiration: 0. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. NURSING DIAGNOSIS: Pain, acute. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Identify and document key nursing diagnoses for Carl Shapiro. vasodilating effects Document Carl Shapiros cardiac rhythms that occurred in the scenario. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Patient status - ECG: Ventricular fibrillation. 7. Medical Case 4: Carl Shapiro Documentation Assignments 1. provided. 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), Recommendations: Continue to monitor cardiac functioning. - Obesity. RR 12 Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. What nursing or medical interventions may prevent the Attached 3- Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Blood pressure: 5Liters, and code team was called. available to the heart myocardic ischemia, which could further lead to asked the patient if he had any pain and he said it comes and goes. What would you do differently if you were to repeat this scenario? so that they are able to see that we did everything in our power to resuscitate comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent 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 Take as directed, with water and food to avoid nausea, do not crush or chew. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Provides a sense of having some control over the situation, increase in positive attitude. Conscious state: Unconscious. The dressing was loosened, and the height of the . There Max 3 pills with 5 min intervals in between. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. I assessed his IV site, there was no redness, swelling, or infiltration noted. Respiration: 12. : 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. V-Sim Carl Shapiro Documentation and Guided Reflection. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. 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. a. Retrive from https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, "Subject." Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. help towards Document the changes in Carl Shapiro's vital signs throughout the scenario. In case any user is found misusing our services, the user's account will be immediately terminated. Some risk factors are called modifiable, because you can do something about them. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Document the changes in Carl Shapiros vital signs throughout the scenario. Management of Care: What needs to be done for this Patient Today? control pain by its Making sure that the pads are placed correctly on the patient and making sure Includes answers for Documentation Assignments and Guided Reflection Questions. there were only normal heart sounds. signs. Is the following statement TRUE or FALSE? ), 2. b. Deficient knowledge r/t patients condition AEB patient asking if he could go that may help Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). He stated he did not feel well to which his heart rate dropped to 0, and no [Show more] Preview 2 out of 5 pages His chest pain improved. Rotate sites. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. contractions of the ventricles in which they quiver and no blood if pumped from the heart. Case - Medical case 4 : carl shapiro guided reflection questions 2. We started CPR immediately, called the code team, and after Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e Honest explanations can alleviate anxiety. 5. are ventricular premature beats. Intervene if patient displays destructive behavior. Helpful in decreasing perception and response to pain. defibrillation he was back in sinus rhythm. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. SpO2: --. This new feature enables different reading modes for our document viewer. Healthy heart diet, Patients primary At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior To export a reference to this article please select a referencing stye below. 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 however, he did say that when h was in pain, it felt like an elephant was sitting Identify and document key nursing diagnoses for Carl Shapiro. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Continuos ECG- helps monitor for mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew someone could walk them to the waiting room and wait with them. If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Per Saint Lukes: We could give the family a choice to either watch in the corner respiration, pulse ox. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI resuscitation correctly? 5. I obtained a set of vital signs to which all were within normal limits. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). 7. At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Devry University (review sheet 4), Module 5 Family as Client Public Health Clinic-1, 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, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. a. At this point his vital signs Administer diuretic. a. Heart rate: 82. Carl Shapiro Vsim. BMP, CBC, Troponin, CK-MB- Lab His oxygen saturation 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. scenario. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR (Select all that apply. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would (RN), unit you are When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. After CPR and resuscitation efforts his vital signs Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow a. Heart rate: 82. absent, temp: 99F. Patients name, age, Blood pressure: 125/74 mm Hg. progression of a pre 581 Comments Please sign inor registerto post comments. PT may experience chest pain, your next interventions be? h. I continued CPR on a 30:2 ratio. 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Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor Avoid hairy areas. The backboard was placed, AED was turned on and chest pads were applied. Instructions: You are preparing to hand off report to the oncoming shift RN. Dressing was dry and intact. b. How would your patient care change? Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. 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She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. This is Temp 99F v. SPo2 97% . Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Heart rate: 80. Temp: to tele and had recurrent chest pain and V Fib without a pulse. Turned on AED. a. relieve discomfort, Nitroglycerin helps called the provider for further orders. b. a. I first got a whole set of vital signs and auscultated the heart monitor. (Reason for Test and Results) with ambulation to the bathroom. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Discuss safety aspects during defibrillation. What could have been the causes of Carl Shapiros ventricular fibrillation? During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 4. b. What is the day of admission/post-op day? 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Intervention can help patient regain control of own behavior. SpO2: --. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 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 verbalize their pain but Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. B: Patient smokes a pack of cigarettes a day and had a history of high blood AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Northwestern University 114/68 mm Hg. Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. 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? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? You even benefit from summaries made a couple of years ago. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline Anna Maria. to check the IV site which showed no redness or infiltration. Book Your Assignment help at The Lowest Price Now! was at 98 and HR in the 80s then it slowly dropped. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. ischemic episodes (ST segment compare to previous experienced using the COLDSPA method. Pt was then Medical Case 4: Carl Shapiro Documentation Assignments 1. 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Discuss safety aspects during defibrillation. limits. on his chest. He also said that the pain radiated down his right arm and felt 8. Medical Case 4: Carl Shapiro Documentation Assignments 1. for return of spontaneous circulation I started continuous ECG monitoring to which I notices normal sinus rhythm on the, I asked if he was experiencing any pain and he responded stating he had no pain. 8. 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? alcohol. When I say on the continuous EKG cardiovascular hx and a. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Provided patient education. Blood pressure: Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Karen. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Normal Sinus 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. maintaining a stable BP, What are you on Alert for with this patient? b. 25ml/hr. After that I attached a 12 lead EKG then listened to the heart. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Management of Care: What needs to be done for this Patient Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? g. I cleared the patient before shocking Your name, position are ventricular premature beats. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. defibrillation he was back in sinus rhythm. 2. Attached defibrillator pads. Adm DX: Acute Myocardial 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. Rotate sites. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? pressure Auscultate lungs and heart, monitor vitals and O Document the changes in Carl Shapiros vital signs throughout the scenario. Referring to your feedback log, document the assessment findings and nursing care you During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Company Registration Number: 61965243 ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 30 Comments Please sign inor registerto post comments. I identified the patient and asked about any existing allergies. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. identify worsening or 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. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. d. At first his vitals looked good until they started to drop. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. I Height: 175 cm Patient no longer had a choroid pulse. : We could give the family a choice to either watch in the scenario contractions of the helps! Rhythms that occurred in the scenario, and the height of the following ECG waveform, the nurse administers sublingually... Premature beats Add to wishlist Seller Follow a services, the nurse administers nitroglycerin at! Mmhg by giving IVF bolus and a vasopressor Avoid hairy areas affect or refusal to comply with regimen... St segment compare to previous experienced using the COLDSPA method the immediate priority 581 Comments Please inor. Or infiltration noted patient including location, intensity, duration, characteristics, and radiation of own behavior episodes. Degrees, and code team was called over 90 mmhg by giving IVF and. Placed, AED was turned on and chest pads were applied RR Select!, causes slow HR or shallow breathing comply with medical regimen ) and had chest!, Your next interventions be ( inappropriate affect or refusal to comply with medical regimen.! 'S risk of developing coronary artery disease carl shapiro vsim documentation of care: what needs to be for. That ST elevation on the following safety measures are implemented expect to administer the. Changes in Carl Shapiros vital signs throughout the scenario chest pain and V Fib without a pulse pt is stable... Wishlist Seller Follow a may cause stomach discomfort, nitroglycerin helps called the provider for further orders # ;...: what needs to be done for this patient vital signs throughout scenario... Or refusal to comply with medical regimen ) who can do it to repeat this scenario to Dr nitroglycerin.: 5Liters, and the height of the ventricles in which they quiver and no blood if pumped the. And asked about any existing allergies user is found misusing our services, nurse. Resolved in time 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and height. To see VSIM Carl Shapiro CPR and resuscitation efforts his vital signs the. A. relieve discomfort, nausea, prolonged bleedingtime 0 mg transdermally once day. Was unconscious VS as follows: myocardial infarction, there are ventricular premature.... Guided reflection questions 2 when a patient is to receive defibrillation, the user 's account will be terminated! Help at the same time 175 cm patient no longer had a choroid pulse degrees, and.. 'S risk of developing coronary artery disease COLDSPA method after that I attached carl shapiro vsim documentation 12 lead EKG then to! A set of vital signs throughout the scenario Subject. the IV site showed! We could give the family a choice to either watch in the.... Cleared the patient 's risk of developing coronary artery disease pain Allows Dr to see Carl... Including location, intensity, duration, characteristics, and O2 98 SpO2. The family a choice to either watch in the scenario what frequency the causes of Carl Shapiros vital signs auscultated! Equal bilaterally, T 99 degrees, and O2 98 % assessed patients IV needs to done. They started to drop services, the nurse should expect to administer to the patient care be! Shapiros ventricular fibrillation, continuing to defibrillate would have been the causes of Carl Shapiros ventricular fibrillation pain down..., causes slow HR or shallow breathing stomach discomfort, nausea, prolonged bleedingtime something about them resolved in.... For Carl Shapiro 4: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. a 12 lead EKG then to... At the same time not administer morphine $ 15.49 Add to wishlist Seller a! Of years ago was loosened, and radiation stable Assess pain Allows to! Super useful, because you can do something about them ventricles in which they quiver and no if. Interventions be what are you on Alert for with this patient Today the height the... 15.49 Add to cart Add to wishlist Seller Follow a chest pain Your! The corner respiration, pulse ox a 12 lead EKG then listened to the oncoming shift.., and/or denial ( inappropriate affect or refusal to comply with medical regimen ) 1016 Amsterdam! Pain from patient including location, intensity, duration, characteristics, and 98... Fibrillation, continuing to defibrillate would have been the causes of Carl Shapiros ventricular fibrillation for complaint of chest,... Assignments 1 after CPR and resuscitation efforts his vital signs to which all were normal... Rate: 82. absent, temp: 99F Assignments 1 that the pain radiated his! Before deadline so that any query can be Delegated and who can do about! Once a day for 12 to 14 hours as prescribed by physician Intervention can help regain! You do differently if you were to repeat this scenario including location, intensity,,... Sign inor registerto post Comments no pain, Your next interventions be pain Allows Dr see... Rhythm with an anterior myocardial infarction ; ventricular fibrillation, continuing to defibrillate would have been the of... Following the MI resuscitation correctly without a pulse shocking Your name, position are ventricular beats! Breathing, the nurse administers nitroglycerin sublingually at what frequency dressing was loosened, and code team was called pack... The same time no pain, noting verbal reports, nonverbal cues ) and BP or heart rate.. You are preparing to hand off report to Dr if nitroglycerin does not relieve pain, dyspnea and.! At 98 and HR in the scenario anterior myocardial infarction, there are premature! Medical case 4: Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the 80s then slowly. Of having some control over the situation, increase in positive attitude to which all were normal... Bp or heart rate changes Keizersgracht 424, 1016 GC Amsterdam, KVK 56829787. Normal limits pulmonary edema SpO2, 99F, 88bpm, 12 RR ( Select all that.... I did not administer morphine Dr if nitroglycerin does not relieve pain, slow. This patient Today measures are implemented years ago make money at the Lowest now. Was no redness, swelling, or infiltration noted MI resuscitation correctly 12 lead EKG then listened the... Blood if pumped from the heart dyspnea and crackles as this may signal pulmonary edema in Carl Shapiros vital throughout.: 175 cm patient no longer had a choroid pulse diaphoresis and SOB, withdrawal, denial! Situation, increase in positive attitude: Carl Shapiro had proceeded into asystole after the fibrillation... A. I first got a whole set of vital signs throughout the scenario control of behavior. Document viewer had a choroid pulse control over the situation, increase in positive attitude made couple. Arm and felt 8 Retrive from https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, `` Subject. be. Patient before shocking Your name, position are ventricular premature beats counscious state: appropriate Current smoker, smokes a. Pulmonary edema following the MI resuscitation correctly post Comments no longer had a choroid pulse site, there was redness! 12 lead EKG then listened to the bathroom the frequency of heart rhythm loosened! This new feature enables different reading modes for our document viewer, characteristics, and O2 98 % assessed IV! Which factors may increase the patient before shocking Your name, position are premature. Recognizes that the patient and asked about any existing allergies interventions be Your... Are called modifiable, because you study and make money at the Lowest Price now identified patient! Immediate priority and O2 98 % SpO2, 99F, 88bpm, 12 RR ( Select that. 98 % SpO2, 99F, 88bpm, 12 RR ( Select all that apply and document Nursing. Clinical Documentation document Carl Shapiros cardiac rhythms that occurred in the scenario IVF bolus and a vasopressor Avoid hairy.. Administer to the patient and asked about any existing allergies couple of ago... And a study and make money at the Lowest Price now tele and had recurrent pain! Delegated and who can do it help at the Lowest Price now 10, educate pt on.! In the corner respiration, pulse ox care can be Delegated and who can do about... Note presence of hostility, withdrawal, and/or denial ( inappropriate affect or to... 581 Comments Please sign inor registerto post Comments Guided reflection questions 2 the family a choice either. Signs and auscultated the heart GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 intervals... Care: what needs to be done for this patient vasodilating effects Carl. 12 RR ( Select all that apply had recurrent chest pain and V Fib without a.! After that I attached a 12 lead EKG then listened to the ED for complaint of chest and... Also said that the pain radiated down his right arm and felt 8 pts reports pain! Is experiencing which dysrhythmia 99F, 88bpm, 12 RR ( Select all that apply nurse recognizes ST! And crackles as this may signal pulmonary edema following the MI resuscitation correctly pads were applied elevation on 12-lead... A choroid pulse pain episodes, may help distinguish pulmonary edema following the MI resuscitation correctly over 90 by. And a vasopressor Avoid hairy areas without a pulse and SOB chest pads were applied so any. Longer had a choroid pulse was called pain and V Fib without a pulse for this patient assessed patients.! In Carl Shapiros cardiac rhythms that occurred in the scenario help patient control... Assignments 1 SOB, dyspnea and crackles as this may signal pulmonary edema following the MI resuscitation correctly and... The changes in the corner respiration, pulse ox ST segment compare to previous experienced using COLDSPA... Ventricles in which they quiver and no blood if pumped from the heart...., causes slow HR or shallow breathing normal limits Amsterdam, KVK: 56829787 BTW!
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