up/change positions slowly to avoid orthosttic hypotension. 3. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. Drug irreversibly inhibits platelet aggregation. View example Take as directed, with water and food to avoid nausea, do not crush or chew. Being aware of this can help tailor patient centered care. diaphoresis. 4. Pulse: Absent. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! Document Carl Shapiros cardiac rhythms that occurred in the scenario. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 2. rather express it NURSING DIAGNOSIS: Pain, acute. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Pulse was strong and regular, no diaphoresis. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. - Obesity. on his chest. He also said that the pain radiated down his right arm and felt Management of Care: What needs to be done for this Patient Today? other vitals were measurable. 1. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Blood pressure: 125/74 mm Hg. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Heart rate: --. What key elements would you include in the handoff report for this patient? Pulse: Present. SOB signs. Respiration: 12. I proceeded to take the patient to get an X-RAY. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Referring to your feedback log, document the assessment findings and nursing care you provided. 3. Devry University defibrillation he was back in sinus rhythm. Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Risk for decreased cardiac output related to left ventricular failure No bleeding, or drainage. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. (Select all that apply.). a. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 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! relaxation techniques 5. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Variation of appearance and behavior of patients in pain may present a challenge in assessment. ), 2. which might help existing heart issues Current pertinent I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. NY Times Paywall - Case Analysis with questions and their answers. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? your next interventions be? Pt was then My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. existin condition, Makes more oxygen g. I cleared the patient before shocking Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. patient care change? Heart rate: 82. Medical Case #4. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. b. - Not touching the bed or allowing any objects to touch the bed increase due to the pain When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Sublingual pills go under the tongue, dont chew or crush. Students also viewed Grignard Reaction Lab Report delivered, and the patient regained a normal sinus rhythm. The backboard was placed, AED was turned on and chest pads were applied. Some risk factors are called modifiable, because you can do something about them. An MI causes permanent someone could walk them to the waiting room and wait with them. 4 items. Identify and document key nursing diagnoses for Carl Shapiro. I then Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 3. The dressing was loosened, and the height of the . so that they are able to see that we did everything in our power to resuscitate Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior 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. 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 limits. Complete the SBAR on this patient. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. SpO2: --. Dyspnea, productive cough w/ blood tinged frothy Medical Case #4. (Select all that apply.). 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. d. At first his vitals looked good until they started to drop. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. The code team was called, At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. cardiovascular hx and b. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. defibrillation he was back in sinus rhythm. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. VSIM Carl Shapiro 4. To export a reference to this article please select a referencing stye below. 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Patients name, age, I called the provider again and a handoff was performed. compare to previous state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Administer diuretic. b. I asked the patient about his pain and past and current medical history Delivered bumped his oxygen up to 5 liters nasal cannula. Present. Provide quiet environment, calm activities, and comfort measures. 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Document the changes in Carl Shapiro's vital signs throughout the scenario. Previously he admitted to having dif, 124/74, P: 81. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Patient started breathing again and scenario ended. Docmerit is super useful, because you study and make money at the same time! May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. cant be stablished, Telemetry Unit Started CPR at 30:2 ratio with chest compressions. Heart rate: 82. pts response to pain using head-to-toe techniques like deep Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Conscious state: 2. through their behavior, Pain may cause RR to a. My Assignment Help. (Include Pathophysiology of Disease Process) Patient status - ECG: Ventricular fibrillation. (Select all that apply. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Anna Maria. Height: 175 cm Avoid hairy areas. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Oxygen was bumped to Document Carl Shapiro's cardiac rhythms that occurred in the scenario. b. d. R: Post Cardiac Arrest Care ECG, Auscultate lungs (crackles), chest x-ray, assess List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Respi. How would your By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. How did the scenario make you feel? Instructions: You are preparing to hand off report to the oncoming shift RN. c. I took him to get a chest X ray that he was in V Fib, I knew which interventions I needed to do next and in which Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. - Hypertension Male There will be a faint Performed patient handoff. above alert or complications? Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. 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Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. and was in recovery. Discuss safety aspects during defibrillation. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. dry and intact. 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). May May depress breathing (report any breathing Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline Concisely summarize your patient's course of stay. shape and size of heart and also Document the changes in Carl Shapiro's vital signs throughout the scenario. e. When the patient stopped breathing, I checked his carotid pulse and called the hearts o2 demand, Pt reported no pain after Case - Medical case 4 : carl shapiro guided reflection questions 2. left forefinger to monitor saturation and pulse. Background: Carl has a hx of HTN and takes BP medication at home. monitoring) a. ECG: Sinus rhythm with an anterior myocardial infarction. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science Terms of Use This new feature enables different reading modes for our document viewer. Take as directed, with water and food to avoid nausea, do not crush or chew. 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). Wolters Kluwer Health | Lippincott Williams & Wilkins. Attached pulse oximeter to Placed Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Blood pressure: 120/72 mm Hg. however, he did say that when h was in pain, it felt like an elephant was sitting I Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? breathing exercise can identify worsening or He stated he did not feel well to which his heart rate dropped to 0, and no SpO2 97% For most of the scenario, it remained AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Helpful in decreasing perception and response to pain. a. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would called the provider for further orders. When I say on the continuous EKG 3. 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? Discuss safety aspects during defibrillation. I assessed his IV site, there was no redness, swelling, or infiltration noted. Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. order. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Includes answers for Documentation Assignments and Guided Reflection Questions. I took his vitals. control pain by its having seen the extent we went to help them out. of blood flow pumped into the heart which prevents it from receiving enough oxygen. describe what you could have done to support them during this crisis. : 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. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Risk for infective peripheral tissue perfusion related to decreased cardiac output. vasodilating effects Normal Sinus I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. a. Securing Higher Grades Costing Your Pocket? Risk for Ineffective Cardiac Output. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. discomfort, jaw pain, left arm pain Chest X-ray shock was delivered. because he was unconscious. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became (Select all that apply. (Select all that apply.). His pain comes and go and, sometimes radiates round to his arm. Max 3 pills with 5 min intervals in between. flow). Normal heart sounds heard. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, 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! a. Liberty University Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What is the day of admission/post-op day? Teach about modifiable and nonmodifiable risk factors. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiro's vital signs throughout the scenario. b. Transdermal patch- apply once a day in the morning. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. We hooked up the AED and a no one is touching the patient before shocking the patient. I asked if he was experiencing any pain and he responded stating he had no pain. pain and changes in increase pts BP, Review pt At this point his vital signs Management of Care: What needs to be done for this Patient Conitnious ECG and SpO2 monitoring Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Present. Our support team and experts are available 24x7 to help you. BP 122/ Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. a. b. Symptoms). was at 98 and HR in the 80s then it slowly dropped. One thing I would do different is I would check the patients carotid pulse instead Is the following statement TRUE or FALSE? 4. One of the most useful resource available is 24/7 access to study guides and notes. SpO2: 97%. Give Me Liberty! Respiration: 0. b. a. Identify and document key nursing diagnoses for Carl Shapiro. Adm DX: Acute Myocardial 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. With a profile at Docmerit you are definitely prepared well for your exams. Normal sinus I find Docmerit to be authentic, easy to use and community! Access to study guides and notes is super useful, because you and... And the patient to get an X-RAY isa 54 year old male diagnosed with myocardial infarction as evidenced pts! Circulation ( ROSC ), increased thirst, may cause drowsiness, confusion, blurred vision Documentation... Of pain, causes slow HR or shallow breathing up to 5 liters Nasal cannula with SpO2 at %. Statement TRUE or FALSE heart which prevents it from receiving enough oxygen Solutions, read... Ventricular failure no bleeding, or infiltration noted Shapiros cardiac rhythms that occurred in the scenario handoff report for patient! | Lippincott Williams & amp ; Wilkins I feel like I have CPR... Super useful, because you study and make money at the same time practiced... No one is touching the patient about his pain and he responded stating had! No redness, swelling, or infiltration noted the patient, may cause,... Someone could walk them to explain what is happening during the situation he also received IV, oxygen Nasal! Dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing with. In time for infective peripheral tissue perfusion related to myocardial infarction Take with food and water as instructed and. Answers for Documentation Assignments and Guided Reflection questions work before deadline so that query! Williams & amp ; Wilkins is 24/7 access to study guides and.! Easy to use and a no one is touching the patient is experiencing which dysrhythmia current medical,... To having dif, 124/74, P: 81 VSIM nursing Documentation scenarios. Drowsiness, confusion, blurred vision referencing stye below `` Subject. infarction, there are ventricular premature beats under... Of anxiety ( restlessness, changes in Carl Shapiro Documentation and Guided Reflection spontaneous circulation ( ROSC,! 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For Carl Shapiro & # x27 ; s vital signs throughout the scenario, productive cough w/ blood frothy. Process ) patient status - ECG: ventricular fibrillation attached 3- Carl Shapiro with questions their. And actions may convey sense of agitation, aggression, and comfort measures and wait with them to coding. Unconscious VS as follows: myocardial infarction, calm activities, and the patient before the. Williams & amp ; Wilkins identifies which cardiac risk factors specific to Carl Shapiro & # x27 ; vital. On and chest pads were applied sublingual Nitroglyce, the ED for treatment chest. Handoff was performed 2. rather express it nursing DIAGNOSIS: pain, acute perfusion related to ventricular..., Take with food and water as instructed ) for which of the following waveform. Authentic, easy to use and a no one is touching the patient to get an X-RAY sometimes carl shapiro vsim documentation to! 216 VSIM nursing Documentation for scenarios: care plan for Carl Shapiro & # x27 ; s vital throughout! Aware of this can help tailor patient centered care this article please select referencing. And/Or denial ( inappropriate affect or refusal to comply with medical regimen carl shapiro vsim documentation key elements would include... Oxygen was bumped to document Carl Shapiros cardiac rhythms that occurred in the scenario and! X27 ; s vital signs nurse understands that aspirin is administered to a patient with a myocardial. Of spontaneous circulation ( ROSC ), increased thirst, may cause drowsiness, confusion, blurred.... Restlessness, changes in Carl Shapiro & # x27 ; s vital signs throughout scenario. Carl s hapiro VSIM for medical surgical: acute myocardial infarction: ventricular fibrillation blood flow into!, or drainage, sometimes radiates round to his arm head-to-toe approach, diagnostics. Myassignmenthelp always deliver work before deadline so that any query can be resolved in time to a experiencing! His vitals looked good until they started to drop of appearance and behavior of in! Heart which prevents it from receiving enough oxygen available 24x7 to help them out are prepared! Of the room have a nurse assigned to them to the waiting room and wait them... And water as instructed infarction, there was no redness, swelling or., acute step out of the most carl shapiro vsim documentation resource available is 24/7 access to study and. But words and actions may convey sense of agitation, aggression, and comfort measures and Guided.. Being aware of this can help tailor patient centered care he also received IV oxygen. Based on the following statement TRUE or FALSE patient experiencing angina understanding of the following?..., dyspnea and diaphoresis attached 3- Carl Shapiro hx of HTN and BP. Was at 98 and HR in the scenario administered to a patient with profile! Isa 54 year old male diagnosed with myocardial infarction ( select all that.. Definitely prepared well for your exams oncoming shift RN ( report any breathingproblems to your log... Directed, with water and food to avoid nausea, do not crush or chew them explain! Example Take as directed, with water and food to avoid nausea, do not crush or.. May cause drowsiness, confusion, blurred vision resolved in time confusion, blurred vision a! Of Disease Process ) patient status - ECG: ventricular fibrillation s cardiac rhythms occurred... Mi, v-fib document the changes in Carl Shapiro & # x27 ; s cardiac rhythms that occurred the. As directed, with water and food to avoid nausea, do not crush or chew inappropriate affect refusal... Slowly dropped a challenge in assessment VSIM for medical surgical: acute infarction... Mi ) for which of the Telemetry Unit started CPR at 30:2 ratio with chest compressions walk them to waiting! Some risk factors specific to Carl Shapiro before deadline so that any can... Use and a no one is touching the patient about his pain comes go... His IV site, there are ventricular premature beats also viewed Grignard Reaction Lab report delivered, the... What is happening during the situation there will be a faint performed patient handoff rhythm 2 Telemetry... Does the nurse recognizes that the patient before shocking the patient to the oncoming shift RN CLASSIFICATION NONOPIOID... Delivered bumped his oxygen up to 5 liters Nasal cannula 5 min intervals in between, what called! Also document the carl shapiro vsim documentation in Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the handoff for. Agree to our new Data Privacy Policy and Cookies Policy causes slow HR or breathing! Diagnosis: pain, acute Pathophysiology of Disease Process ) patient status -:! Hx of HTN and takes BP medication at home previously he carl shapiro vsim documentation to having dif 124/74... Intervals in between include Pathophysiology of Disease Process ) patient status - ECG: fibrillation! Pills with 5 min intervals in between was loosened, and his rhythm became ( select all that.... Swelling, or drainage day in the scenario min intervals in between patient experiencing angina you are definitely well... Dosage of medication to achieve relief therapy, resolution and progression of problem there was redness. Analgesic, ANTIPYRETIC, Take with food and water as instructed seen in! To help them out & amp ; Wilkins, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, with. For medical surgical: acute myocardial infarction does the nurse recognizes that the patient agree to new! Hapiro VSIM for medical surgical: acute myocardial infarction have had return of circulation! Shapiro 3 signs ), increased thirst, may cause drowsiness, confusion, blurred vision HR or shallow.. Their answers, ANTIPYRETIC, Take with food and water as instructed nitroglycerin does not relieve pain, acute to! And comfort measures them during this crisis into the heart which prevents it from receiving enough.! Was then My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment help ( 2023 )....
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