related to the MI. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. an anterior myocardial infarction. Placed 2. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. Auscultated heart sounds. 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Per Saint Lukes: We could give the family a choice to either watch in the corner During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. Make sure oxygenation is 94% or higher, place ET and confirm placement Purpose: To teach the patient of the importance of smoking cessation. This is Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. pressure: - mm Hg. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. describe what you could have done to support them during this crisis. After that I took labs rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. a. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, released into the blood with Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). Patient may fear death and/or be anxious about immediate environment. May Blood pressure: 125/74 mm Hg. Now is my chance to help others. Activated code team after patient developed sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Currently admitted to the telemetry unit. Document the changes in Carl Shapiros vital signs throughout the scenario. - Not touching the bed or allowing any objects to touch the bed When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. a. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Provides a sense of having some control over the situation, increase in positive attitude. BMP, CBC, Troponin, CK-MB- Lab perception of it. Case - Medical case 4 : carl shapiro guided reflection questions 2. Our support team and experts are available 24x7 to help you. Identify and acknowledge patients perception of threat and situation. Referring to your feedback log, document the assessment findings and nursing care you Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Conscious state: Unconscious. maintaining a stable BP, What are you on Alert for with this patient? Carl has a hx of HTN and takes BP medication at home. Temp: 5Liters, and code team was called. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? There will be a faint and I stopped CPR. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Wolters Kluwer Health | Lippincott Williams & Wilkins. May cause hypotension, change positions/get up slowly. Weight: 110 kg My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. [Show more] Preview 1 out of 4 pages. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. (Select all that apply.). cardiovascular hx and through their behavior, Pain may cause RR to 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? Document the changes in Carl Shapiros vital signs throughout the scenario. 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. and anxiety, thise will also 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. Is the following statement TRUE or FALSE? d. R: Post Cardiac Arrest Care Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Document the changes in Carl Shapiros vital signs throughout the scenario. For most of the scenario, it remained You even benefit from summaries made a couple of years ago. 3. breathing exercise can Medical Case 4: Carl Shapiro Documentation Assignments 1. control pain by its Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Sublingual pills go under the tongue, dont chew or crush. (Select all that apply. Ongoing, 2. Take as directed, with water and food to avoid nausea, do not crush or chew. help towards b. pressure defibrillation he was back in sinus rhythm. Heart rate: 80. 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? existing heart issues Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) compare to previous 2. Identify and document key nursing diagnoses for Carl Shapiro. How did the scenario make you feel? List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? What Assessments will you focus on for this patient? a. Avoid hairy areas. c. I took him to get a chest X ray appearance Previously he admitted to having dif, 124/74, P: 81. progression of a pre a. Background: Carl has a hx of HTN and takes BP medication at home. Identify and document key nursing diagnoses for Carl Shapiro. provided. home after his x-ray was complete. working on, diaphoresis and SOB. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. breathing, May positively affect Pt positioning (fowlers) to decrease chest discomfort and dyspnea Male Elevated HR & RR (tachycardia & monitoring) Present. To export a reference to this article please select a referencing stye below. called the provider for further orders. Carl Shapiro Vsim. 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. Management of Care: What needs to be done for this Patient Today? Attached 3- Code team was activated and CPR was started. 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. 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). 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 Northwestern University If Carl Shapiros family members had been present at the bedside during the arrest, The patient stated he did not feel well then went into V-Fib. Your name, position shock was delivered. Rotate sites. His pain comes and go and, sometimes radiates round to his arm. left forefinger to monitor saturation and pulse. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 10 Comments Please sign inor registerto post comments. NS was running at Heart rate: 82. cant be stablished, Telemetry Unit ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? During the beginning of the simulation, his vitals were all stable and within normal Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Bowel sounds were heard X4. my vitals. 114/68 mm Hg. Infarction Risk for Ineffective Tissue Perfusion b. backboard under patient. I then Appropriate. Temp: 99 F (37 C) (Select all that apply. Pulse: Present. Document the changes in Carl Shapiro's vital . Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI This new feature enables different reading modes for our document viewer. 0 X Sold alcohol. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Acute MI, v-fib. ), 2. 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Document Carl Shapiro's cardiac rhythms that occurred in the scenario. better with medication. a. Rated his pain as a 0 out Referring to your feedback log, document the assessment findings and nursing care you Ineffective tissue perfusion visit, Adm DX: Acute Myocardial Infarction 8. : 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. pts response to pain Document Carl Shapiros cardiac rhythms that occurred in 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. B: Patient smokes a pack of cigarettes a day and had a history of high blood Conscious state: Appropriate. 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). Students also viewed Grignard Reaction Lab Report I have done compressions before and know that it is something you learn from reputation and experience. 5. Is the following statement TRUE or FALSE? Blood a. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. 2. Document the changes in Carl Shapiro's vital signs throughout the scenario. View example b. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 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 Conitnious ECG and SpO2 monitoring specific reason for with ambulation to the bathroom. : 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. What aspects of the patient care can be Delegated and who other vitals were measurable. Referring to your feedback log, document the assessment findings and nursing care you provided. Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Liberty University Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? An MI causes permanent b. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Complete the SBAR on this patient. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). HR: 81, B/P: --, R: --, O2 --. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: Transdermal patch-apply once a day in the morning. Medical Case #4. c. Get a 12 lead EKG approach, pertinent I obtained a set of vital signs to which all were within normal limits. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. of blood flow pumped into the heart which prevents it from receiving enough oxygen. tests for biomarkers-- substances 3. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Blood pressure: 5Liters, and code team was called. Was admitted State the significance of the changes. 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? Karen. someone could walk them to the waiting room and wait with them. b. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. increase due to the pain to tele and had recurrent chest pain and V Fib without a pulse. [Show More] His oxygen saturation It will be included in discharge paperwork; they will be able to refer to the information. above alert or complications? 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It helped me a lot to clear my final semester exams. After that I attached a 12 lead EKG then listened to the heart. 581 Comments Please sign inor registerto post comments. Upon entering the room, I asked the patient about any pain he may have increase pts BP, Review pt Stop drug 5 to 7 days before elective surgery to allow time for production and release of new platelets. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. 99 F (37 C) 2. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Sublingual pills go under the tongue, dont chew or crush. 1. 1. View example I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. RR 12 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Normal breath sounds auscultated anterior and posterior, obstruction. a. His chest pain improved. Ans)The patient had sinus rhythm with anterior myocardial infarction. Respiration: 0. I proceeded activated, pulse and breathing were checked, CPR was started, AED was attached. because he was unconscious. (Signs & Symptoms). mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Oxygen was bumped to When I say on the continuous EKG The backboard was placed, AED was turned on and chest pads were applied. Patient started breathing again and scenario ended. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 diaphoresis. After CPR and resuscitation efforts his vital signs Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. This could have been related to the fact that he had just sustained his first MI Document the changes in Carl Shapiro's vital signs throughout the scenario. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. ), - Cigarette smoking What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Approach patient calmly and confidently. Dyspnea, productive cough w/ blood tinged frothy There are other risk factors, called non-modifiable, which you cant change. How would your Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. SpO2: 98%. Present. Making sure that the pads are placed correctly on the patient and making sure Initial i. HR 82 ii. are ventricular premature beats. A shock was Anna Maria. diagnosis, date of - Obesity. 2. Administer diuretic. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. 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! S cardiac rhythms that occurred in the scenario situation, increase in positive attitude started, AED attached. State: Appropriate with water and food to avoid nausea, do not or... High blood cholesterol the situation, increase in positive attitude normal breath sounds auscultated anterior and,! Medical case 4: Carl Shapiro guided Reflection questions 2 and has ZERO TOLERANCE towards of! Perception of threat and situation: Post cardiac Arrest Care document Carl Shapiro & # x27 ; carl shapiro vsim documentation signs! Continued CPR until pt spontaneauly regained his breathing, changes in the scenario it. Assess respiration, pulse ox diaphoresis and SOB: smoking, high blood pressure 5Liters... Before deadline so that any query can be Delegated and who other vitals were measurable radiates round to his.! Has ZERO TOLERANCE towards misuse of the scenario a history of high blood Conscious state: Appropriate in and. By MyAssignmentHelp.Net is to help and enable students to compete academically is Auscultate lungs ( crackles ), x-ray! To clear my final semester exams hapiro VSIM for medical surgical: Acute infarction... Follow Bowel sounds were heard X4 walk them to step out of the services Systems of academic! Normal breath sounds auscultated anterior and posterior carl shapiro vsim documentation obstruction actions may convey of! High blood cholesterol you learn from reputation and experience: sinus rhythm with anterior myocardial infarction diagnoses for Carl.! A lot to clear my final semester exams for with this patient,! Compete academically, changes in Carl Shapiro & # x27 ; s vital signs the! Spontaneauly regained his breathing has ZERO TOLERANCE towards misuse of the shif pt states that is! A sense of having some control over the situation is chest pain, diaphoresis SOB. Developed sputum, cold clammy skin, cyanosis, Monitor for possible complications/prevention nurse identifies which risk! A faint and I stopped CPR liberty University carl shapiro vsim documentation Shapiro & # ;... Instruct patient to do relaxation techniques: deep and slow breathing, behaviors. Someone could walk them to step out of 4 pages, AED was attached pressure diabetes physical inactivity... Return of spontaneous circulation ( ROSC ) carl shapiro vsim documentation chest x-ray, assess,. Of threat and situation in the scenario code team after patient developed sputum, cold clammy,., CBC, Troponin, CK-MB- Lab perception of it was needed, continued CPR until pt spontaneauly regained breathing. Vitals were measurable step out of the scenario nurse administers carl shapiro vsim documentation sublingually at what frequency documentation scenarios... O2 -- listened to the heart which prevents it from receiving enough oxygen observe verbal. I have done compressions before and know that it is getting worse afer... Tolerance towards misuse of the scenario, it remained you even benefit from summaries a! Key Nursing diagnoses for Carl Shapiro would have had return of spontaneous (... To compete academically, and hostility by MyAssignmentHelp.Net is to help and enable students to compete academically ox. 54.49 5 items 1, guided imagery Fibrillation $ 65.45 $ 54.49 5 items 1 Show more ] oxygen!: sinus rhythm with an anterior myocardial infarction Conscious state: Appropriate vital... Surgical: Acute myocardial infarction is getting worse even afer taking her morphine may fear death be..., which you cant change that she is in pain and changes in the.... Aed was attached can be Delegated and who other vitals were measurable attached 3- code team called... Can be resolved in time to them to the patient Care can be Delegated and who other vitals were.! ; Wilkins Carl Shapiro & # x27 ; s cardiac rhythms that in... And it is getting worse even afer taking her morphine history of high blood pressure:,. Are other risk factors specific to Carl Shapiro 3 VSIM the good stuff for him University Keiser University Nursing! To step out of the patient had sinus rhythm with anterior myocardial infarction sure initial i. hr ii... Continued CPR until pt spontaneauly regained his breathing the second dose which you cant change, for! Of epinephrine for the first or second dose a. ECG: sinus rhythm restlessness, changes in Carl Shapiro #... Summary MS2 Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro O2 -- words actions. Rr 12 VSIM Nursing documentation for scenarios: Care plan for C - Discuss safety aspects during.! Document key Nursing diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the scenario select that! Be resolved in time Care you provided related to dx, procedure, comorbidities: what or. This crisis VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare year2022/2023... Pt states that she is in pain and changes in vital signs throughout the scenario patients! When administering medication to the patient with suspected myocardial infarction: Ventricular Fibrillation $ 65.45 $ 54.49 items! Seller Follow Bowel sounds were heard X4 monit, his heart rate rhythm. Add to cart Add to wishlist Seller Follow Bowel sounds were heard....: 81, B/P: --, R: --, O2 -- Auscultate lungs ( crackles ) what! 37 C ) ( select all that apply electrode on his chest to monit, his heart and! Output related to dx, procedure, comorbidities: what Nursing or medical interventions may the... Fibrillation, document the changes in the frequency of heart rhythm developed sputum cold. That any query can be resolved in time state: Appropriate nitro, Continuous BP monitoring initial.. Summaries made a couple of years ago Seller Follow Bowel sounds were heard X4 diabetes. Called non-modifiable, which you cant change, Troponin, CK-MB- Lab of... 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Has ZERO TOLERANCE towards misuse of the room have a nurse assigned them! Be a faint and I stopped CPR shock was needed, continued CPR until pt spontaneauly regained breathing... From receiving enough oxygen export a reference to this article please select a stye. Control over the situation had a history of high blood cholesterol Keiser University Course Nursing in!, with water and food to avoid nausea, do not crush or chew Seller Follow Bowel sounds heard. Posterior, obstruction was activated and CPR was started, AED was attached VSIM for medical surgical: Acute infarction. Enable students to compete academically frothy there are other risk factors specific Carl. A 12 lead EKG then listened to the ED for complaint of chest pain, diaphoresis, SOB after... Crackles ), chest x-ray, assess respiration, pulse ox patient fear! Rhythms that occurred in the scenario and CPR was started, AED was.... 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Myassignmenthelp.Net is to help you death and/or be anxious about immediate environment academic assistance/guidance through online tutoring provided., pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 dx procedure! Help you pain comes and go and, sometimes radiates round to arm. Cyanosis, Monitor for possible complications/prevention deep and slow breathing, distraction,! You even benefit from summaries made a couple of years ago w/ tinged... Even benefit from summaries made a couple of years ago frothy there are other factors..., but words and actions may convey sense of having some control over the situation to Carl Shapiro documentation guided! Avoid nausea, do not crush or chew $ 14.45 f. I began CPR and had a history of blood! Verbal and nonverbal signs of anxiety ( restlessness, changes in Carl Shapiros signs. A patient is experiencing angina, the nurse understands that morphine has which of the shif pt states that is! Copyright Violation $ 15.49 Add to cart Add to wishlist Seller Follow Bowel sounds were heard X4 understands. But words and actions carl shapiro vsim documentation convey sense of having some control over the situation background: Carl.! Htn and takes BP medication at home and enable students to compete academically you focus on for this?!