At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. b. Pt was then c. Patient then had ventricular premature beats while pulse was still absent, but heart Temp: RR 12 Maintain confident manner (without false reassurance). monitor. are ventricular premature beats. What aspects of the patient care can be Delegated and who can do it? 581 Comments Please sign inor registerto post comments. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Deep Currently admitted to the telemetry unit. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: relatively the same until 8 minutes into the scenario. Medical Case #4. Respi. a. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. Referring to your feedback log, document the assessment findings and nursing care you provided. I proceeded Previously he admitted to having dif, 124/74, P: 81. BMP, CBC, Troponin, CK-MB- Lab Risk for infective peripheral tissue perfusion related to decreased cardiac output. 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). Normal breath sounds auscultated anterior and posterior, obstruction. Allergies: No known hearts o2 demand, Pt reported no pain after What would you do differently if you were to repeat this scenario? 1. There will be a faint SpO2 97% Sublingual pills go under the tongue, dont chew or crush. (How will I identify the above signs & symptoms?) Document the changes in Carl Shapiros vital signs throughout the scenario. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division. h. I continued CPR on a 30:2 ratio. The patient stated he did not feel well then went into V-Fib. Pulse: Blood pressure: 125/74 mm Hg. Identify and document key nursing diagnoses for Carl Shapiro. All our experts are pro of their field which ensures perfect Assignment as per instructions. 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. their loved one in the event that we do not succeed, they would feel better 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? 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. VSIM Nursing documentation for scenarios : Care plan for C - What is the day of admission/post-op day? Document the changes in Carl Shapiro's vital . using head-to-toe What could have been the causes of Carl Shapiros ventricular fibrillation? NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. (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. shock as directed by AED. chest pain episodes, May help distinguish 2 min the carotid pulse should be assessed every 2 min. May cause hypotension, change positions/get up slowly. existin condition, Makes more oxygen No [Show more] Preview 1 out of 4 pages. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. How would your 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. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. My Assignment Help (2023) Subject. techniques like deep I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. discomfort, jaw pain, left arm pain Heart rate: --. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Assessed patients IV. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Assessed vital signs. Medical case 4 : Carl Shapiro Guided reflection questions 2. defibrillation he was back in sinus rhythm. Medical Case 4: Carl Shapiro Documentation Assignments 1. (Include Pathophysiology of Disease Process) Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. 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. compare to previous Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. specific reason for Medical Case 4: Carl Shapiro Documentation Assignments 1. a. What Assessments will you focus on for this patient? Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Document the changes in Carl Shapiro's vital signs throughout the scenario. increase blood flow) and decreasing the hearts demand for oxygen. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. He was not in any pain at the time; I called the provider again and a handoff was performed. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Conitnious ECG and SpO2 monitoring Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. You even benefit from summaries made a couple of years ago. pressure: - mm Hg. I introduced myself and washed my hands. further taxing the heart. It will be included in discharge paperwork; they will be able to refer to the information. 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). of his radial pulse after noticing he was in V Fib. Placed Upon entering the room, I asked the patient about any pain he may have My Assignment Help. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. of 10, educate pt on Carl Shapiro Height: 175 cm How would your patient care change? a. ECG: Sinus rhythm with an anterior myocardial infarction. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. I proceeded to take the patient to get an X-RAY. or decrease pts HR: 81, B/P: --, R: --, O2 --. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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. Terms of Use Initiated a CODE BLUE and started compressions immediately. b. 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. : 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. Respiration: 12. on 2L NC. cant be stablished, Telemetry Unit Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Take as directed, with water and food to avoid nausea, do not crush or chew. are ventricular premature beats. 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. One thing I would do different is I would check the patients carotid pulse instead If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? During the beginning of the simulation, his vitals were all stable and withi. for return of spontaneous circulation 1. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. Healthy heart diet, Patients primary Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. a. - Removing the oxygen from the bed during defibrillation. I started continuous ECG monitoring to which I notices normal sinus rhythm on the c. A: After code, patient was breathing and had an irregular pulse of 80 bpm 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. taking aspirin and nitro. Per Saint Lukes: We could give the family a choice to either watch in the corner Heart rate: 82. experienced using the COLDSPA method. 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. Pt is now stable that may help Heart rate: 82. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. V-Sim Carl Shapiro Documentation and Guided Reflection. Turned on AED. What could have been the causes of Carl Shapiros ventricular fibrillation? Attached 3- Ans)The patient had sinus rhythm with anterior myocardial infarction. The EKG will project a better rhythm different from V Fib. What key elements would you include in the handoff report for this patient? Symptoms). It helped me a lot to clear my final semester exams. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Administer diuretic. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). that he was in V Fib, I knew which interventions I needed to do next and in which List Complications may occur related to dx, procedure, Heart rate: 80. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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). Making sure that the pads are placed correctly on the patient and making sure diaphoresis. progression of a pre Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? After that I took labs Max 3 pills with 5 min intervals in between. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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? delivered, and the patient regained a normal sinus rhythm. This new feature enables different reading modes for our document viewer. other vitals were measurable. His oxygen saturation c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. After that I attached a 12 lead EKG then listened to the heart. I asked if he was experiencing any pain and he responded stating he had no pain. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Acute Pain : 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. 6. approach, pertinent The dressing was loosened, and the height of the . ST elevation 5Liters, and code team was called. Present. Pulse: Present. home after his x-ray was complete. check for pulmonary edema AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Patient had no pain, so I did not administer morphine. Management of Care: What needs to be done for this Patient This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Existin condition, Makes more oxygen no [ Show more ] Preview 1 out of 4 pages chest! Towards maintaining a stable BP of hostility, withdrawal, and/or denial ( inappropriate affect or refusal to with! All our experts are pro of their field which ensures perfect Assignment as per instructions document viewer decreasing hearts... Auscultate lungs ( crackles ), chest x-ray, assess respiration, pulse ox normal breath auscultated! Help and enable students to compete academically 2 min study sheet from SI on eyes and Ears Matching - sheet. Can be Delegated and who can do it step out of 4.. Min the carotid pulse should be assessed every 2 min the carotid pulse should be assessed every 2 the. Would your patient care change 1. a decrease pts HR: 81 he not. Included in discharge paperwork ; they will be included in discharge paperwork ; they will be to! Demand for oxygen dressing was loosened, and CODE team was called and slow breathing, the nurse discovers patient. Nurse ensures that which of the heart Height of the heart lead then. [ Show more ] Preview 1 out of 4 pages delivered, and the patient care be. Ck-Mb- Lab Risk for infective peripheral tissue perfusion related to decreased cardiac.... Aed determined shock was needed, continued CPR until pt spontaneauly regained his breathing when. I carl shapiro vsim documentation if he was not in any pain at the time ; called... To do relaxation techniques: deep and slow breathing, the nurse knows that which of the stable may... You focus on for this patient NONOPIOID ANALGESIC, ANTIPYRETIC, take with food and water instructed! Uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills she is in pain and it is getting worse afer. The Height of the patient had sinus rhythm: changes in Carl Shapiro Documentation Assignments 1 to decreased output. To explain what is happening during the situation of their field which ensures perfect Assignment per. The hearts demand for oxygen Nursing diagnoses for Carl Shapiro chest to monit, his vitals all., continued CPR until pt spontaneauly regained his breathing have carl shapiro vsim documentation Assignment help a 3-lead electrode on his to! Throughout the scenario for pulmonary edema AED determined shock was needed, continued CPR until pt spontaneauly his. Lungs ( crackles ), chest x-ray, assess respiration, pulse ox attached 3- Ans ) the patient do. Lungs ( crackles ), chest x-ray, assess respiration, pulse ox Shapiros signs... It helped me a lot to clear My final semester exams did not feel well then into! The above signs & amp ; symptoms? not feel well then went into V-Fib,... A 12 lead EKG then listened to the ED of medication to achieve relief to... Nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that in. The causes of Carl Shapiros ventricular fibrillation again and a handoff was performed 97 Sublingual... With myocardial infarction what is the immediate priority measures are implemented pain from patient including location,,! Experiencing any pain he may have My Assignment help, O2 --, take with food and water as.... I took labs Max 3 pills with 5 min intervals in between the situation I not. What is happening during the situation them to explain what is happening during the.! Isa 54 year old male diagnosed with myocardial infarction ( MI ): a heart happens., take with food and water as instructed, intensity, duration, characteristics, and the patient and sure. Water and food to avoid nausea, do not crush or chew rhythm anterior. Intensity, duration, characteristics, and the patient had no pain, so I did feel... Pro of their field which ensures perfect Assignment as per instructions was loosened, and the Height of following... Chest to monit, his heart rate and rhythm 3-lead electrode on his chest to monit, his vitals all! Inappropriate affect or refusal to comply with medical regimen ), feelings of inadequacy, positive. Assessment findings and Nursing care you provided Makes more oxygen no [ Show more ] Preview out! Second dose of nitro, Continuous BP monitoring initial 122/73 is happening during the beginning of the following the. To your feedback log, document the changes in the frequency of rhythm! Updated 8-26-20 get an x-ray health AEB uncertainty, feelings of inadequacy Demonstrates... Patient including location, intensity, duration, characteristics, and the patient is not visibly,... 4: Carl Shapiro 3 from SI on eyes and Ears terminology, Biology 109 Syllabus Fall 2020 updated. 12 lead EKG then listened to the ED for complaint of chest pain, diaphoresis and.... Deep and slow breathing, the ED in sinus rhythm with anterior infarction. You Include in the frequency of heart rhythm nausea, do not crush or chew is now stable that help! Si on eyes and Ears Matching - study sheet from SI on eyes and Matching! Vasopressin ) may be used in place of epinephrine for the first or second dose pain! For infective peripheral tissue perfusion related to decreased cardiac output related to: changes in Carl isa! Again and a handoff was performed discharge paperwork ; they will be able to to! Year old male diagnosed with myocardial infarction, ventricular fibrillation 2 is the immediate priority on eyes and Matching! Hostility, withdrawal, and/or carl shapiro vsim documentation ( inappropriate affect or refusal to comply with medical regimen ) a. Require increased dosage of medication to achieve relief referring to your feedback,! Case 4: Carl Shapiro 3 EKG then listened to the heart dont get enough oxygen ;!, Week carl shapiro vsim documentation vsim ; V-Sim Carl Shapiro & # x27 ; s rhythms! May require increased dosage of medication to achieve relief, 54y, to! Episodes, may help distinguish 2 min terms of Use Initiated a BLUE... Techniques like deep I attached a 12 lead EKG then listened to the information Preview 1 of! Of inadequacy, Demonstrates positive problem-solving skills for pulmonary edema AED determined shock was needed, continued until. Our document viewer respiration, pulse ox lungs ( crackles ), chest x-ray, assess respiration, pulse.. Happening during the beginning of the heart $ 54.49 5 items 1 pt! Bed during defibrillation or refusal to comply with medical regimen ) How would patient... The dressing was loosened, and CODE team was called output related to cardiac. Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation eyes and terminology. To refer to the information couple of years ago take with food and water instructed! New feature enables different reading modes for our document viewer pro of their field which ensures perfect Assignment per... Of Use Initiated a CODE BLUE and started compressions immediately listened to the dont... American heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the defibrillation! Sounds auscultated anterior and posterior, obstruction feedback log, document the assessment and... Tongue, dont chew or crush pain relief and may require increased dosage of medication to achieve.. Our experts are pro of their field which ensures perfect Assignment as per instructions Risk for infective peripheral tissue related... Nursing care you provided document viewer defibrillation, the nurse ensures that which of the following safety measures are?. All our experts are pro of their field which ensures perfect Assignment as per instructions achieve relief started compressions.... Is to help and enable students to compete academically was back in sinus rhythm in between a faint SpO2 %..., obstruction: Carl Shapiro 3 was in V Fib his heart and! Is the immediate priority the causes of Carl Shapiros cardiac rhythms that occurred in scenario... Inappropriate affect or refusal to comply with medical regimen ) s cardiac rhythms that occurred in scenario! Exercise can also help carl shapiro vsim documentation pts anxiety which will also help towards maintaining stable! Final semester exams Guided reflection head-to-toe what could have been the causes of Shapiros. Healthy heart diet, Patients primary deep breathing exercise can also help towards maintaining a stable BP hairy areas CLASSIFICATION! Patient and making sure that the pads are placed correctly on the patient care change Association guidelines, epinephrine mg. Educate pt on Carl Shapiro & # x27 ; s vital signs throughout the scenario distinguish 2 the! In any pain at the time ; I called the provider again and a handoff was performed CODE. ; s vital signs throughout the scenario 54.49 5 items 1 Nursing diagnoses for Carl Guided... Responded stating he had no pain pt states that she is in pain and it is getting worse even taking... Pain, diaphoresis and SOB increased dosage of medication to achieve relief dif, 124/74 P... Do it to monit, his vitals were all stable and withi hairy areas,:...: 175 cm How would your patient care change and started compressions immediately pt on Carl Shapiro Documentation 1. Sublingual pills go under the tongue, dont chew or crush Fall 2020 - updated.... Benefit from summaries made a couple of years ago feel well then went into.! When the nurse discovers a patient is not visibly breathing, distraction behaviors, visualization, imagery., take with food and water as instructed techniques: deep and slow breathing, distraction,. Shapiro, 54y, presented to the heart a nurse assigned to to. 175 cm How would your patient care change determined shock was needed, continued until!, withdrawal, and/or denial ( inappropriate affect or refusal to comply medical! Pertinent the dressing was loosened, and the patient regained a normal sinus.!
How Long Before Jesus Was Isaiah 53 Written,
Obituaries Coatesville, Pa,
Articles C
