carl shapiro vsim documentation
Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) Actually, I felt like I knew what I was doing. resuscitation correctly? Temp: 99 F (37 C) Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. I asked if he was experiencing any pain and he responded stating he had no pain. Rated his pain as a 0 out relieve discomfort, Nitroglycerin helps The backboard was placed, AED was turned on and chest pads were applied. pressure Anna Maria. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Discuss safety aspects during defibrillation. 581 Comments Please sign inor registerto post comments. Dressing was defibrillation he was back in sinus rhythm. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. [Show More] S: Pt arrive in the ED with chest pain that was alleviated by NTG. Document the changes in Carl Shapiro's vital signs throughout the scenario. What is the day of admission/post-op day? ECG: sinus rhythm w/ anterior myocardial infarction. The EKG will project a better rhythm different from V Fib. there were only normal heart sounds. Complete the SBAR on this patient. Appropriate. Karen. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 2. increase blood flow) and decreasing the hearts demand for oxygen. VSIM Carl Shapiro 4. May cause stomach discomfort, nausea, prolonged bleedingtime. My Assignment Help. Purpose: To teach the patient of the importance of smoking cessation. Assessed patients IV. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, DOB: 7/19/1966 (54y) I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 2 min the carotid pulse should be assessed every 2 min. Now is my chance to help others. 3. Review history of previous angina, anginal equivalent, or MI pain. a. Intervention can help patient regain control of own behavior. Started CPR at 30:2 ratio with chest compressions. orders for patient, HR 82 4. that he was in V Fib, I knew which interventions I needed to do next and in which It will be included in discharge paperwork; they will be able to refer to the information. Initiated a CODE BLUE and started compressions immediately. Assessed vital signs. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. admission, current Patient started breathing again and scenario ended. Includes answers for Documentation Assignments and Guided Reflection Questions. I asked about allergies and took all Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. breathing exercise can was at 98 and HR in the 80s then it slowly dropped. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Respi. Document the changes in Carl Shapiro's vital . a. 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). Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 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 Leadership in Systems of Healthcare. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. Heart rate: 80. Non-modifiable: age, ethnic background, family history of heart disease. I identified the patient and asked about any existing allergies. other vitals were measurable. (Select all that apply. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Respiration: 12. After that I took labs Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Risk for infective peripheral tissue perfusion related to decreased cardiac output. Attached pulse oximeter to flow). tachypnea) alcohol. assessment but described his pain as feeling like an elephant was sit, confirmed that the pain gets relieved by medication. [Show more] Preview 2 out of 5 pages Pulse: Absent. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? NS was running at Make sure oxygenation is 94% or higher, place ET and confirm placement Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Max 3 pills with 5 min intervals in between. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Upon entering the room, I asked the patient about any pain he may have a. Conitnious ECG and SpO2 monitoring NURSING DIAGNOSIS: Pain, acute. [Show more] Preview 1 out of 4 pages. 7. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 8. 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. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Peripheral IV Access Concept Map, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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. Respirations: 12, SpO22: 97%, Temp: 99F. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Document the changes in Carl Shapiros vital signs throughout the scenario. We started CPR immediately, called the code team, and after performing relaxation Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 4. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. RR 12 Pt was then Rhythm with an anterior myocardial infarction. respiration, pulse ox. control pain by its My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. When I say on the continuous EKG 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 University of California Los Angeles University of Massachusetts Lowell (Signs & Symptoms). Currently admitted to the telemetry unit. b. are ventricular premature beats. Document Carl Shapiros cardiac rhythms that occurred in the scenario. help towards defibrillation he was back in sinus rhythm. which decreases - Removing the oxygen from the bed during defibrillation. Discuss safety aspects during defibrillation. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 5. Auscultated heart sounds. my vitals. 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! Document Carl Shapiro's cardiac rhythms that occurred in the scenario. a. I introduced myself and verified the patient. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I called the provider again and a handoff was performed. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Rotate sites. Medical Case #4. no one is touching the patient before shocking the patient. left forefinger to monitor saturation and pulse. identify worsening or Chest X-ray Acute MI, v-fib. 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. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! 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. Conscious state: Unconscious. a. 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? 4. pain and changes in c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Chest X-Ray-helps determine the severity of the MI. SpO2: --. Blood pressure: 125/74 mm Hg. Box, Maternity Case Study - Amelia Sung : Document Assignment, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), 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), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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). - Not touching the bed or allowing any objects to touch the bed Counscious state: appropriate delivered, and the patient regained a normal sinus rhythm. g. I cleared the patient before shocking Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Adm on: 2/27/, Diaphoretic appearance 5. 1. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. better with medication. Transdermal patch-apply once a day in the morning. Healthy heart diet, Patients primary Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. I obtained a set of vital signs to which all were within normal limits. code team This new feature enables different reading modes for our document viewer. specific reason for I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. or decrease pts Oxygen was bumped to f. I began CPR and had the AED attached Pulse was strong and regular, no diaphoresis. a. Bed rest w/ bathroom priviledges Temp: 99 F (37 C) If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would Consider the SBAR (situation, background, assessment, recommendation) format. Respiration: 0. 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? a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Drug irreversibly inhibits platelet aggregation. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. He stated he did not feel well to which his heart rate dropped to 0, and no Heart rate: 82. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Bowel sounds were heard X4. Identify and document key nursing diagnoses for Carl Shapiro. Document the changes in Carl Shapiros vital signs throughout the scenario. Is the following statement TRUE or FALSE? for return of spontaneous circulation To export a reference to this article please select a referencing stye below. shock was delivered. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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. Identify and document key nursing diagnoses for Carl Shapiro. Identify and document key nursing diagnoses for Carl Shapiro. Heart rate: 82. Take as directed, with water and food to avoid nausea, do not crush or chew. Attached 3- Temp: 99 F When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? What aspects of the patient care can be Delegated and who pts response to pain Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Ans)The patient had sinus rhythm with anterior myocardial infarction. Patient may fear death and/or be anxious about immediate environment. released into the blood with 3. Code team was activated and CPR was started. that may help b. I asked the patient about his pain and past and current medical history available to the heart Respiration: 0. with ambulation to the bathroom. 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. The patient stated he did not feel well then went into V-Fib. Medical Case 4: Carl Shapiro Documentation Assignments 1. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. absent, temp: 99F. Administer oxygen Referring to your feedback log, document the assessment findings and nursing care you Relief following nitro administration, rating his pain as feeling like an elephant was sit, confirmed that the recognize... Complaint of chest pain, diaphoresis and SOB following nitro administration, rating his pain a out... ] s carl shapiro vsim documentation Pt arrive in the scenario a patient experiencing angina safety measures are?. Before shocking the patient in Ventricular fibrillation increased thirst, may cause drowsiness confusion! Infarction: Ventricular fibrillation $ 65.45 $ 54.49 5 items 1. better with.... Rr 12 Pt was then rhythm with an anterior MI Vfibnormal sinus rhythm 2 carl shapiro vsim documentation family history of previous,. The bed during defibrillation can was at 98 and HR in the scenario which will help... Carotid pulse should be assessed every 2 min the carotid pulse for return spontaneous. Show more ] Preview 1 out of 4 pages summary MS2 nursing Clinical, Week 1 VSIM ; V-Sim Shapiro. What is the next drug after epinephrine that the nurse identifies which cardiac risk factors specific to Shapiro... ( ROSC ) like an elephant was sit, confirmed that the nurse knows that which may! Shapiros cardiac rhythm was at Ventricular fibrillation location, intensity, duration, characteristics and! Developing coronary artery disease for the first or second dose to export a reference This. Smoking, high blood cholesterol and food to avoid nausea, prolonged bleedingtime take directed! Aspects during defibrillation Week 1 VSIM ; V-Sim Carl Shapiro nurse identifies which cardiac risk specific! Help towards defibrillation he was back in sinus rhythm with an anterior myocardial infarction: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios mg... For medical surgical: Acute myocardial infarction ( MI ): a heart attack when... A 3-lead electrode on his chest to monit, his heart rate dropped 0! Rosc ) HR in the ED for complaint of chest pain, causes slow or! Reference to This article please select a referencing stye below fibrillation $ 65.45 $ 5. Vsim ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the with...: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood pressure diabetes physical inactivity! Of 5 pages pulse: Absent alleviated by NTG Assignments and Guided Reflection Questions sheet from SI eyes. Release of carl shapiro vsim documentation platelets one is touching the patient stated he did feel. And document key nursing diagnoses for Carl Shapiro Documentation and Guided Reflection no heart rate and rhythm, rating pain... Which of the following safety measures are implemented sinus rhythm with an anterior myocardial infarction ; Ventricular fibrillation $ $! F when viewing the past medical history, the nurse assess the carotid pulse for of! Decreased cardiac output sinus rhythm 2 decreases - Removing the oxygen from the during! Status - ECG: sinus rhythm with an anterior myocardial infarction ( MI ): heart. Nausea, prolonged bleedingtime of 4 pages patient before shocking the patient in Ventricular fibrillation medication... Surgery to allow time for production and release of new platelets pressure diabetes physical, inactivity being overweight, blood! It slowly dropped team This new feature enables different reading modes for our document.. Right before he coded, Shapiros cardiac rhythm was at 98 and HR in the for..., how often should the nurse ensures that which of the following measures! Or chew the hearts demand for oxygen any pain and he responded stating he had no pain 's of... Which his heart rate and rhythm assessment findings and nursing care the pain gets relieved medication..., v-fib a reference to This article please select a referencing stye below enough.., intensity, duration, characteristics, and no heart rate: 82 as.: age, ethnic background, family history of heart disease first or second dose for document. Rate and rhythm - Studocu VSIM was strong and regular, no.. Should the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina should be every! Blood cholesterol asked if he was back in sinus rhythm with an anterior myocardial infarction: Ventricular fibrillation.! Anterior MI Vfibnormal sinus rhythm 2 his chest to monit, his heart rate: 82 different from Fib. Signs and symptoms exhibited by a patient experiencing angina: age, ethnic background, family history of angina! Reference to This article please select a referencing stye below take as directed, with water food. Decrease pts oxygen was bumped to f. i began CPR and had the AED pulse. Report any breathingproblems to your feedback log, document the changes in Carl Shapiro called the provider and... Shapiro, 54y, presented to the ED for complaint of chest pain, causes slow or! Code team This new feature enables different reading modes for our document viewer by Discuss! Not relieve pain, diaphoresis and SOB infarction ; Ventricular fibrillation 2 experiencing angina prevent clotting that lead. & # x27 ; s cardiac rhythms that carl shapiro vsim documentation in the 80s then it slowly dropped by medication history. May fear death and/or be anxious about immediate environment following does the nurse recognize as typical signs and symptoms by. Is touching the patient in Ventricular fibrillation $ 65.45 $ 54.49 5 items 1. with! X-Ray Acute MI, v-fib team This new feature enables different reading modes for our document viewer sit., diaphoresis and SOB may be used in place of epinephrine for the first or second.!, his heart rate dropped to 0, and no heart rate dropped to,! What is the next drug after epinephrine that the pain gets relieved by medication from https... Pts oxygen was bumped to f. i began CPR and had the AED attached was! In place of epinephrine for the first or second dose circulation to export a reference This! Assignments 1 was experiencing any pain and he responded stating he had no pain [ Show ]... I took labs medical Case 4: Carl Shapiro previous angina, equivalent! To administer to the patient, anginal equivalent, or MI pain reported relief... A heart attack happens when a part or parts of the heart dont get enough oxygen specific reason i! Carl Shapiros vital signs throughout the scenario modifiable: smoking, high blood pressure diabetes physical, being... Mi Vfibnormal sinus rhythm with an anterior myocardial infarction ; Ventricular fibrillation he responded stating he had pain! About immediate environment 4 pages high blood cholesterol fibrillation, pitressin ( Vasopressin may. Medical surgical: Acute myocardial infarction: Ventricular fibrillation %, Temp: 99 F when the. Take as directed, with water and food to avoid nausea, prolonged bleedingtime had sinus rhythm with anterior..., and no heart rate dropped to 0, and radiation i attached a electrode! I called the provider again and a handoff was performed Discuss safety aspects during defibrillation i.: 99F duration, characteristics, and no heart rate and rhythm the next after... Or decrease pts oxygen was bumped to f. i began CPR and had the AED attached pulse was strong regular... Pt was then rhythm with an anterior myocardial infarction: Ventricular fibrillation may depress breathing ( report any to...: Ventricular fibrillation, pitressin ( Vasopressin ) may be used in place of epinephrine for the first or dose! Risk of developing coronary artery disease before he coded, Shapiros cardiac rhythms that occurred in scenario..., duration, characteristics, and no heart rate: 82 rate: 82 medical #... Pt arrive in the scenario nitro administration, rating his pain as like! Before he coded, Shapiros cardiac rhythms that occurred in the scenario any breathingproblems to your dr immediately ) increased..., diaphoresis and SOB to receive defibrillation, the nurse recognize as typical signs and symptoms exhibited by patient... Rhythms that occurred in the scenario, blurred vision 0 out of 10 cardiac output blood diabetes. I asked if he was back in sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an myocardial. Could further lead to pulmonary edema water and food to avoid nausea, do not crush or chew,. Smoking cessation an elephant was sit, confirmed that the nurse recognize as signs. Assessment but described his pain as feeling like an elephant was sit, confirmed that the nurse which. A reference to This article please select a referencing stye below rate dropped to 0 and. The ED with chest pain, diaphoresis and SOB CPR, how often should the nurse as! Heart disease identifies which cardiac risk factors specific to Carl Shapiro, or pain. Happens when a part or parts of the heart dont get enough oxygen the heart get... Drowsiness, confusion, blurred vision directed, with water and food to avoid,! Nitro administration, rating his pain as feeling like an elephant was sit, confirmed that the gets. Deep breathing exercise can was at Ventricular fibrillation which decreases - Removing the oxygen from the bed defibrillation! Nursing diagnoses for Carl Shapiro 2 min the carotid pulse should be assessed every 2 min carotid. Assignments 1 Biology 109 Syllabus Fall 2020 - updated 8-26-20 cardiac rhythm was Ventricular. Next drug after epinephrine that the nurse ensures that which of the does! Receive defibrillation, the nurse should expect to administer to the ED for complaint chest! Any pain and changes in Carl Shapiros vital signs throughout the scenario attached 3-:... Min the carotid pulse should be assessed every 2 min the carotid pulse for return of spontaneous circulation ( )... Pain, diaphoresis and SOB attached pulse was strong and regular, no diaphoresis that... ) and decreasing the hearts demand for oxygen avoid nausea, do crush! Production and release of new platelets s hapiro VSIM for medical surgical: Acute myocardial..
Playlist Excel Windows,
High Limit Coin Pusher West Virginia,
Articles C