- Have PT chew non-enteric-coated tablet ECG: sinus rhythm w/ anterior myocardial infarction. shadow above alert or complications? Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. or Injury: - SOB 3. Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. HPlt]tM {sY'j. existing heart issues Take vital signs -- UAP (ONLY when patient is in a stable condition!!) Assess pain Weight: 110 kg aneurysm 5. constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? of 10, educate pt on Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. - diaphoresis - Indigestion 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 Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. Counscious state: appropriate 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? cant be stablished, Telemetry Unit delegated. - HTN patient. Blood pressure: 123/73 mm Hg. clinical replacement (see syllabus for details). AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Measure drain output -- UAP the heart rhythm ensure nothing is touching the PT. Link: Please refer to the attachment to answer this question. Instructor thePoint - LWW cigarette smoking Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Height: 175 cm - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET using the information contained in step five. Obtain a 12-lead ECG if pt experiences angina. DESCRIBE DISEASE PROCESS AFFECTING PATIENT Infarction c. 4. The SOB Carl Shapiro vsim./; complete solutions/rated A - Stuvia 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. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules Code was Suggest student complete the vSim Tutorial prior to launching Step Three. If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. 1. second Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. Therapeutic class: NSAIDs portion of the myocardium; generally over 1 cm. This document problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 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). Unformatted text preview: STUDENT CLINICAL in 12-20 hr, and returns to normal in (Signs & Symptoms) Clinical Worksheet intraosseous (IO) access (thatteam Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and Utilize the smart sense links throughout the vSim to complete the worksheet. and potassium the am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with obesity Complete all areas of the attached clinical worksheet. 1.The nurse is educating a client on managing gout. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Feedback: Exercise stress test: 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 REPLACEMENT Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet We can vasodilating effects - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function Each clinical experience in the simulation lasts a maximum of 30 minutes. Carl Shapiro VSim Step by Step.pdf - School University of Pittsburgh Course Title NUR MISC Uploaded By Jennamariey910 Pages 5 Ratings 83% (53) Key Term carl shapiro vsim steps This preview shows page 1 - 5 out of 5 pages. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Today? when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? Transdermal patch- apply once a day in the morning. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. What aspects of the patient care can be Delegated and who can do it? NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: May indicate hypoxia rounds of CPR before regaining consciousness. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Review the information contained in the patient information area of the suggested reading section. What aspects of the patient care can be Delegated and who 4. experienced a ventricular fibrillation. suggested reading area. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Want to read all 5 pages? All sales are final. The patient will not experience a pain level higher than 0/10 throughout day complaints of chest pain, SOB, and diaphoretic. Auscultate lungs and heart, monitor vitals and O - Encourage the use of soft-bristled toothbrush diaphoresis. PT was stable and transfered telemetry unit. ASSIGNMENT SpO2 97% not touching bed or allowing any objects to touch bed Hi, I'm a RN in the orthopedic floor. ), 2. Current pertinent Pulse: Present. breathing exercise can 2. Review the information contained in the patient information. suggested reading area. The patient will have a urinary output of at least 30 mL/ hr ASA 325 mg PO and two doses of NTG 0.4 mg. ECG, Auscultate lungs (crackles), chest x-ray, assess Carl Shapiro vSim Flashcards | Quizlet Case - Vsim carl shapiro 3. IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment pain and changes in vSim for Nursing Medical-Surgical - Laerdal Medical Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? 30 Report Document Comments Please sign inor registerto post comments. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? discomfort, jaw pain, left arm pain Why or why not? -inflammatory The Six Step. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and - Patient will develop pressure injuries from immobilization Alerts: the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? I would like to recommend continuous ECG monitoring. 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 Create the following concept map. 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? If Carl Shapiro would have had ROSC, what would your next intervention be? - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Date: 02/08/2021 -Path additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. signs. presented in your assigned vSim. suggested reading. Allows Dr to see Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 He was diagnosed ontroponin Administer oxygen - Asses for presence of SOB, dyspnea, tachypnea, and crackles Per physicians orders, IV infusion of NS was started and labs were drawn. identify worsening or Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. flow). Conscious state: Appropriate. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION assessment data Allergies: No known RR 12 iv. diagnostics, vital PT coded while on telemetry unit. Submit for review. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Please include examples to bolster any statements made. The patient will have a oxygen saturation of 94% or higher Path to Discharge: 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. Additional comments: "Try to first choose the mos. pain returns . : 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. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for with ambulation to the bathroom. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. 2 min 6. - measures the hearts electrical activity HCO3: 18. 1. Both are cardiac markers and are indicative of a potential myocardial injury. Quiz is recorded as complete. breathing Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet
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