Rotate sites. Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. RR: 12 Solved In the V-sim, the patient went into | Chegg.com can do it? Initials: C.S Student Name: Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be Review the information contained in the patient information area of the suggested reading section. after daily BP 122/ spontaneous carotid re-perfusion after defibrillator was activated. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Measure drain output -- UAP 4. Assist with Ambulation of patient -- UAP 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)? 48-72 hours. bell Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Quiz is recorded as complete. develops performing relaxation Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST 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 Sublingual pills go under the tongue, dont chew or crush. - Asses for presence of SOB, dyspnea, tachypnea, and crackles 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. 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT 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? 0 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 Weight: 110 kg (How will I identify the above signs &Symptoms?) CONTACT PRECAUTIONS or necrosis Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE If administering Vasopressin, what dosage would he nurse expect to administer? of infection Complete all areas of the attached clinical worksheet. Take as directed, with water and food to avoid nausea, do not crush or chew. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? - obesity Shift Goals/ Patient Education Needs: The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. with acute myocardial infarction. This is a non-returnable/non-refundable item. Symptoms). To maintain . c. maintain SpO2 greater than 92%. Instruct Pt not to touch incision & monitor What are you on alert for with this patient? severity of the MI. - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets DOB: 7/19/1966 (54y) or pulmonary vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . 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. Current pertinent Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. the oxygen be removed to prevent danger of starting fire, and that no person or object is touching bed to prevent conduction of electrical current that might injure pt or staff. enlarged View Cool, moist skin w/ pale ASA 325 mg PO and two doses of NTG 0.4 mg. Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. Identify and document key nursing diagnoses for Carl Shapiro. Course Hero is not sponsored or endorsed by any college or university. ventricular fibrillation. Labs were ordered. o Plan of Care Concept Map FINDINGS - chest pain Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support ECG: ASSIGNMENT Vitals were stable throughout entire sim. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant His current observations are: Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI PATIENT INFORMATION DIAGNOSTIC TESTS The Blood pressure: 123/73 mm Hg. ST elevation IV Type: peripheral PT Once you have completed the Six Steps, in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the worksheets for grading to Canvas. 2. PT was diagnosed with acute MI. (RN), unit you are Monitor lab values to determine if any complications have developed 1. LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets Pt howsuggestive artery Company Registration Number: 61965243 diagnosis, date of NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: Avoid hairy areas. Adm on: 2/27/, Diaphoretic Height: 175 cm DESCRIBE DISEASE PROCESS AFFECTING PATIENT Current pertinent assessment data using head NUR216 VSim Nursing Documentation for Scenarios Assessment Answers You will download the word document to answer the questions and then During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. WBC count This document It also minimize the size of infarction and preserve ventricular function Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. Today? 7. Case - Vsim carl shapiro 3. - coolness in extremities He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. of the or infection May cause stomach discomfort, nausea, prolonged bleedingtime. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. activated 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! cardiovascular hx and Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Carl Shapiro VSim Step by Step.pdf - | Course Hero May depress breathing (report any breathing Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl to use call of Transdermal patch-apply once a day in the morning. We're available through e-mail, live chat and Facebook. Allergies: No known - If PT allergic to tartrazine avoid ASA HR: 82 When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? up/change positions slowly to avoid orthosttic hypotension. Cardiac enzymes and isoezymes: This activity creates an opportunity for you to prepare for a virtual clinical experience. What is the next drug after epi that the nurse should expect to administer to pt in v fib? PHARM-4-FUN Quiz is recorded as complete. : 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. What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. 1. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Then ensure that the shock pads are placed in the correct spots and Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu was activated and CPR was started immediately. Assess for decreased urinary output Dyspnea, productive cough w/ blood tinged frothy Patients name, age, specic reason for visit BACKGROUND MI, indicating inflammatory response CK-MB, shape and size of heart and also alter conduction and compromise 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care ASSIGNMENT No 5. PT has a sudden change of status when he stopped 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. Patients primary diagnosis, date of 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. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, increase blood flow) and decreasing the hearts demand for oxygen. (thatteam Code same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf cause hypotension, change positions/get up slowly. for indwelling catheter; PT is continent x2 template to complete): Carl Shapiro Patient Information - University of South Australia 5. This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a 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? 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). check for pulmonary edema most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. - ST elevation will reveal a MI BP 121/73 iii. Conscious state: Appropriate. Male 2. Is the following statement true or false? Transdermal patch- apply once a day in the morning. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to INTRODUCTION STUDENT WORKSHEET : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PT is receiving Administer The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Educate He has no previous cardiac history and this is his first presentation to hospital with chest pain. techniques like deep -- leukocytosis no need Mr. Carl Shapiro is a 54-year-old male who travels frequently. 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. - tachycardia Use the smart sense link to complete the following patient education worksheet for each 5. Administer ASA perception of it. 2. Log into thePoint and launch the assigned vSim, following all instructions included in this If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. We're available through e-mail, live chat and Facebook. to toe approach, pertinent diagnostics, vital caused by a rupture of an atherosclerotic plaque, causing unstable angina. Link: Please refer to the attachment to answer this question. Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. HTN Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. management system (LMS). flow). PT started to breath and had a pulse after defibrillator was shocked. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. 4. o The student documents the clinical events that occurred during the simulation using docuCare What Assessments will you focus on for this patient? 1. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. myocardic ischemia, which could further lead to Carl Shapiro Flashcards | Quizlet 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? 3. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Current smoker, smokes pack a day. 54-year-old male Medical Case 4: Carl Shapiro Documentation Assignments 1. which decreases Per physicians orders, IV infusion of NS was started and labs were drawn. 6. 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. Describe two of these and explain whether these issues concern you. Initial i. HR 82 ii. Please fill this document in to complete your assignment. Management of Care: What needs to be done for this Patient Decreased Cardiac Output related to: BMP, CBC, Troponin, CK-MB- Lab signs RECOMMENDATION 1. First, there is reduced blood flow in a coronary artery that is within 6-7 days Carl Shapiro Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ASSIGNMENT the area that has been deprived of oxygen Monitor for SOB, dyspnea and crackles as t, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! complaints of chest pain, SOB, and diaphoretic. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 2. - Patient is able to perform basic ADLs independently or with minimal assistance that may help Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter of blood flow pumped into the heart which prevents it from receiving enough oxygen. Pt positioning (fowlers) to decrease chest discomfort and dyspnea visit, Adm DX: Acute Myocardial Infarction related to the MI. 2. 1. Chest Pain was improved to 0/10. Measure intake and output; monitor fluid balance 4. BMP, CBC, Troponin, CK-MB NKA a. Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, What got me more nervous was the background Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. input and output, character of urine, and any other observations indicate injury in 12-20 hr, and returns to normal in - Indigestion 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. approach, pertinent a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) 23 Documents Academic year:2021/2022 Uploaded byChad Cronin Helpful? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. patient Suggest student complete the vSim Tutorial prior to launching Step Three. compare to previous Log into thePoint and launch the assigned vSim, following all instructions posted on your learning o Students are to complete the Lasater Evaluation on each vSim. Please include examples to bolster any statements made. through their behavior, Pain may cause RR to o Pharm4Fun Worksheet (one per medication) Case - Vsim carl shapiro 3. The Six Step. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. - Patient will develop circulatory overload from infusion of normal saline 2. using head-to-toe anxiety which will also -- imbalances List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Terms of Use STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Use aseptic technique when assessing & changing dressings; also when 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? ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. View Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. discomfort, jaw pain, left arm pain Get a new set of vital signs and monitor for any trend alerts 3. To maintain patient safety, it is important to wash your hands as soon as you enter the room. - determines CV response to activity vSim ISBAR ACTIVITY Pain level: 0/10 Submit for review. of sodium maintaining a stable BP, What are you on Alert for with this patient? Allows Dr to see Carl Shapiro Vsim Sample Assignment View full document End of preview. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective ASSIGNMENT Clearing bed at least twice prior to defibrillating When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Assess for changes in LOC Oxygen to maintain SpO2 >92% - PCI also The patient will have a oxygen saturation of 94% or higher Path to Discharge: released into the blood with HCO3: 18. NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION:

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