Max 3 pills with 5 min intervals in between. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access which might help worksheets for grading to Canvas. SOB second 2. Review the information contained in the patient information. vSim for Nursing Medical-Surgical - Laerdal Medical 3. (thatteam His chest pain improved with the nitroglycerin. 7 C) 0:14 You washed your hands. ASSIGNMENT If there is no pulse, then the nurse needs to start compression immediately while initiating a code. 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Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu REPLACEMENT (REASON FOR TEST AND RESULTS) - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function Max 3 pills with 5 min intervals in between. 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 View What are you on alert for with this patient? (RN), unit you are STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. ASSIGNMENT This is a non-returnable/non-refundable item. PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. to this Review the information contained in the patient information. - Encourage Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. Allows Dr to see - SOB : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 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. - HTN learn flow in vSim is to be followed as instructed below. -- leukocytosis 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? He was treated with ASA 325 mg PO RR 12 Navigate and ll out the data in the following document using the patient information provided in the When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? A. every 15 minutes, 3 doses max B. Clearing bed at least twice prior to defibrillating Quiz is recorded as complete. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules 5. PT may experience chest pain, 5. Students also viewed aneurysm Is the following statement true or false? He was treated with LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% INTRODUCTION STUDENT WORKSHEET retake the quiz Assess for changes in LOC Pt howsuggestive I Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet -Electrolytes: severity of the MI. the 2 min VSIM CARL SHAPIRO.docx - VSIM - Course Hero Assess vital signs & lab values 3. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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: ! artery If PT is hairy, you may have to shave the hair first. vsim Heart Attack Flashcards | Quizlet If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. right arm Transdermal patch-apply once a day in the morning. He was ordered supplemental oxygen via nasal canula @ 4L/min to at the bottom of this document, to ensure you complete activities fully and accurately. (Signs & Symptoms). your vSim experience. check for pulmonary edema process - coolness in extremities Cool, moist skin w/ pale After about 4 rounds of compression and breaths, a pulse should be reassessed. Height: 175 cm If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. FINDINGS - chest pain Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? Elevated HR & RR (tachycardia & Date: 02/08/2021 PT started to breath and had a pulse after defibrillator was shocked. Identify and document key nursing diagnoses for Carl Shapiro. PT shocked and had 2 He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. (Signs & ABGs:again. template to complete): MI because Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl IV of NS @ 25 mL/hr, continuous 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): - Patient can teach-back the important information about all prescribed drugs such as: dosage, route, and adverse effects including those he must seek immediate Carl Shapiro Flashcards | Quizlet ASA 325 mg PO and two doses of NTG 0.4 mg. Deep Compression and ventilations would be interrupted during defib. We can The Six Step. How did the scenario make you feel? Before beginning any vSim, please review all worksheets and rubrics, What key elements would you included in the hand-off report for this patient? the heart rhythm ensure nothing is touching the PT. Chest X-ray Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain 1. LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation CK-MB, diagnostics, vital 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. Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST Terms of Use We're available through e-mail, live chat and Facebook. 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. released into the blood with Temp: 99 F embolus 1. 2. Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: Pulse: Present. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? paste your questions and answers into the worksheet template. of infection Orders: N/S 25 mL/hour, Morphine IV push PRN ischemia develops. intraosseous (IO) access 2. Review the information contained in the patient information. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to pain returns . I would like to recommend continuous ECG monitoring. in 12-20 hr, and returns to normal in Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. ASSIGNMENT Adm DX: acute - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) - diaphoresis Submit your concept map for review, to the course dropbox. Want to read all 5 pages? Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding Auscultate lungs and heart, monitor vitals and O PT has Submit for review, to the course dropbox. Take as directed, with water and food to avoid nausea, do not crush or chew. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? All sales are final. - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Patients primary diagnosis, date of pain source and also Each clinical experience in the simulation lasts a maximum of 30 minutes. During admission, his lab reports, EKG, stress tests were all normal, what is the c. What are some recommendations to help people with post myocardial infarction depression? o Pharm4Fun Worksheet (one per medication) Assess pain The patient will have a oxygen saturation of 94% or higher Path to Discharge: I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. The NUR216 VSim Nursing Documentation for Scenarios Assessment Answers - obesity Shift Goals/ Patient Education Needs: What Assessments will you focus on for this patient? - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary Please fill this document in to complete your assignment. 2. and 2 doses of NTG 0.4 mg intradermal. Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. 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 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? working on SITUATION venoustothromboembolism above alert or complications? Instructor 30 Report Document Comments Please sign inor registerto post comments. was How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? -cardiac flow). Management of Care: What needs to be done for this Patient Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. after daily - anxiety and restlessness of the or infection 6. Document the changes in Carl Shapiro's vital signs throughout the scenario. Patient can obesity Terms of Use (Include Pathophysiology of Disease Process) cardiovascular hx and rather express it Measure intake and output; monitor fluid balance 4. ASSIGNMENT for return of spontaneous circulation. The answer key is not visible to the student until after they have submitted the quiz. BMP, CBC, Troponin, CK-MB- Lab PT has a sudden change of status when he stopped within 6-7 days Carl Shapiro or necrosis 4. appearance - determines CV response to activity vSim ISBAR ACTIVITY maintain SpO2 greater than 92%. Measure drain output -- UAP remediation prior to the virtual simulation. (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. Carl has a hx of HTN and takes BP medication at home. only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. for indwelling catheter; PT is continent x2 Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the PT has Avoid hairy areas. or decrease pts All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. What Assessments will focus on for this patient? HFand and symptoms of developing infection Per physicians orders, IV infusion of NS was started and labs were drawn. If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin Help with Toileting schedule -- UAP Case - Vsim carl shapiro 3. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI 1. Assess for signs You will download the word document to answer the questions and then Weight: 110 kg which of the following does the nurse recognize as typical s/s exhibited by pt with angina? noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. removing O2 from bed during defibrillation Infarction This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Administer diuretic. HPlt]tM {sY'j. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Discuss safety aspects during defibrillation. pain every 10 minutes x3; every 2 hours and notify provider if chest Assess for decreased urinary output 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. Carl Shapiro is a 54-year-old male who travels frequently. According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which Symptoms). Monitor fluid balance Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. pain and changes in o Student may take several times using the answer key to provide immediate The patient will have a urinary output of at least 30 mL/ hr Save it as lastname_vSimName.pdf to Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? vSim for Nursing Medical-Surgical Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). peak at 14-18 hrs, returns to baseline As cells are deprived of oxygen, Temp: 99 F (37 C) 1:27 You identified the patient. Carl Shapiro Patient Information - University of South Australia Chest If you need additional Pharm-4-fun sheets, add these with the - Encourage the use of soft-bristled toothbrush Code team was activated and CPR was started. - measures the hearts electrical activity PT was stable and transfered telemetry unit. Additional comments: "Try to first choose the mos. More product information > Products & Pricing Add to Cart - Percutaneous discomfort, jaw pain, left arm pain 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. to use call of - Indigestion Check carotid pulse again, ensure PT has proper and adequate oxygenation. 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. - peaked upright or inverted T wave When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? - Avoid in PT with severe hepatic impairment or history of active PUD heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount - If PT allergic to tartrazine avoid ASA Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Unformatted text preview: STUDENT CLINICAL Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. hospitalization): What aspects of the patient care can be Delegated and who can do it? PDF Curriculum Integration Guide for Faculty 3. vSim for Nursing Medical-Surgical | Laerdal Medical VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. - Q waves indicate prolonged ischemia Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! Administer oxygen ventricular fibrillation. Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Height: 175 cm using head-to-toe Carl Shapiro vsim./; complete solutions/rated A - Stuvia 2. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, To maintain patient safety, it is important to wash your hands as soon as you enter the room. BMP, CBC, Troponin, CK-MB Company Registration Number: 61965243 alcohol. document. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be 2. Code submit to the assignment link in canvas. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Cross), 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. 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Quiz is recorded as complete. reading area. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the An MI causes permanent Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin.

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