(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. May Discuss safety aspects during defibrillation. venoustothromboembolism experienced a ventricular fibrillation. Patients name, age, specic reason for visit BACKGROUND Medical Case 4: Carl Shapiro Documentation Assignments. was severity of the MI. VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE hearts o2 demand, Pt reported no pain after breathing, May positively affect vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. verbalize their pain but 2. This is a non-returnable/non-refundable item. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Carl Shapiro Flashcards | Quizlet or show 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 Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access thorough SBAR report. May cause dizziness, blurred vision, dry mouth. Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. List Complications may occur related to dx, procedure, - PCI also nurse about the signs 5. 6. hospitalization): creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets 1. Max 3 pills with 5 min intervals in between. Instruct Pt not to touch incision & monitor Terms of Use aneurysm 2. Review the information contained in the patient information. with acute myocardial infarction. HFand vSim ISBAR ACTIVITY LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation visit, Adm DX: Acute Myocardial Infarction 2 min PT has a sudden change of status when he stopped 3. CONCEPT MAP WORKSHEET He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. ventricular Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. diagnostics, vital worksheets for grading to Canvas. artery - Asses for presence of SOB, dyspnea, tachypnea, and crackles Carl Shapiro VSim Step by Step.pdf - | Course Hero Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet relate Weight: 110 kg During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Initial i. HR 82 ii. Carl Shapiro is a 54-year-old male who travels frequently. Chest Pain was improved to 0/10. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for adhered to the chest properly. We can O\w 7}\?. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? existin condition, Makes more oxygen nursing interventions, and other patient information associated with the patient situation. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. Sublingual pills go under the tongue, dont chew or crush. PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. Document the changes in Carl Shapiro's vital signs throughout the scenario. 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? Hi, I'm a RN in the orthopedic floor. Administer ASA - Q waves indicate prolonged ischemia NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: 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 Case - Vsim carl shapiro 3. Compression and ventilations would be interrupted during defib. compare to previous 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? If Carl Shapiro would have had ROSC, what would your next intervention be? Course Hero is not sponsored or endorsed by any college or university. working on SITUATION What are you on alert for with this patient? Submit your concept map for review, to the course dropbox. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? Clearing bed at least twice prior to defibrillating This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. helped relieved chest pain. Oxygen to maintain SpO2 >92% Appropriate actions you should do to complete this activity include nding appropriate data to provide a When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. ABGs:again. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Chest To prevent injury to staff! discomfort, jaw pain, left arm pain of sodium vSim Clinical Replacement Packet Carl Shapiro.docx supply and demand. Check carotid pulse again, ensure PT has proper and adequate oxygenation. Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. Submit for review, to the course dropbox. 1. Rotate sites. - SOB Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. your vSim experience. the area that has been deprived of oxygen Cool, moist skin w/ pale May cause stomach discomfort, nausea, prolonged bleedingtime. 1. Review the information contained in the patient information. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Upload your study docs or become a embolus am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with Describe two of these and explain whether these issues concern you. Chest X-ray Bed rest w/ bathroom priviledges ASSIGNMENT - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST Auscultate lungs and heart, monitor vitals and O The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. that may help 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? His current observations are: supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support vSim for Nursing Medical-Surgical | Laerdal Medical More product information > Products & Pricing Add to Cart Administer Counscious state: appropriate Patient can 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). T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. can do it? (How will I identify the above signs &Symptoms?) Company Registration Number: 61965243 or necrosis to Death : 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. - Assess for N/V Review the information contained in the patient information area of the suggested reading section. monitoring) Once you have completed the Six Steps, Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). -WBC: 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). Infection 2. ineffective tissue perfusion 3. (thatteam The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. pain source and also Paste your reflection questions in the box below The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? View The answer key is not visible to the student until after they have submitted the quiz. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, of infection Is the following statement true or false? ST elevation Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? vSim for Nursing Medical-Surgical | Laerdal Medical - Percutaneous Mr. Carl Shapiro is a 54-year-old male who travels frequently. portion of the myocardium; generally over 1 cm. Today? This activity packet is intended to be used with your assigned virtual patient found in vSim. levels Each clinical experience in the simulation lasts a maximum of 30 minutes. taking aspirin and nitro. rather express it the He was treated with aspirin and two sublingual nitroglycerins. Avoid alchohol, Stand He presented to the emergency department in the early hours of the morning following sudden onset chest pain. ), 2. BP 121/73 iii. The To maintain . 5. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules What Assessments will you focus on for this patient? can be found in your worksheets template. retake the quiz When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? ASSIGNMENT increase pts BP, Review pt maintain SpO2 greater than 92%. submit to the assignment link in canvas. - Indigestion usually Current pertinent Simulation prep - Mr. Carl Shapiro is a 54-year-old male 7. In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. - Avoid in PT with severe hepatic impairment or history of active PUD Is the following statement true or false? Temp: 99 F is going to be delivered, and again ensure PT is clear. 4. Adm DX: acute in 12-20 hr, and returns to normal in Full Document. control pain by its the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? for infiltration HR: 82 and potassium when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? thePoint - LWW within 6-7 days Carl Shapiro To maintain patient safety, it is important to wash your hands as soon as you enter the room. IV sites Monitor lab studies such as Na+, K+, BUN, and ABGs and had no pulse. If administering Vasopressin, what dosage would the nurse expect to administer? Carl Shapiro - CPK-MB elevates within 4-8 hrs, peaks - Record patient's Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. related to the MI. This activity provides you Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI cant be stablished, Telemetry Unit The first time the ECG read his status he had an anterior myocardial infarction b. 2 min the carotid pulse should be assessed every 2 min. - elevates on second or third day after during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. - Educate PT to discard ASA tablets that have a strong vinegar-like odor 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. appearance Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. BMP, CBC, Troponin, CK-MB When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? bell According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. May indicate hypoxia Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. Use aseptic technique when assessing & changing dressings; also when presented in your assigned vSim. Monitor cardiac Code team was activated and CPR was started. 1. SpO2: 98%. If administering Vasopressin, what dosage would he nurse expect to administer? List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos.
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