carl shapiro vsim steps

Chest Pain was improved to 0/10. Discuss safety aspects during defibrillation. ), 2. RR 12 noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. - tachypnea or Injury: - Record patient's May cause hypotension, change positions/get up slowly. was activated and CPR was started immediately. 5. Is the following statement true or false? 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). ECG: sinus rhythm w/ anterior myocardial infarction. and symptoms 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. INTRODUCTION STUDENT WORKSHEET indicate injury When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Students also viewed is going to be delivered, and again ensure PT is clear. vSim. 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. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? specific reason for He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Alternately, IO access may be established and can be inserted w/o interrupting CPR. for return of spontaneous circulation 4. If Carl Shapiro would have had ROSC, what would your next intervention be? vSim for Nursing Medical-Surgical Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet To maintain . What key elements would you included in the hand-off report for this patient? related to the MI. NURSING DIAGNOSIS: Pain, acute. This document admission, current orders for patient ASSESSMENT 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. Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? shape and size of heart and also - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET 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. help towards The k$e|\?Nx ;ib^C9./S\c5I-\/*. 1. removing O2 from bed during defibrillation Weight: 110 kg : 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. same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf delegated. tests for biomarkers-- substances assessment data Per physicians orders, IV infusion of NS was started and labs were drawn. - SOB breathing alleviate discomfort, assist pt in rubric provided in the worksheet template. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. Chest X-Ray-helps determine the severity of the MI. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Carl Shapiro Create the following concept map. Chest About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . WBC count BP 121/73 iii. VSIM CARL SHAPIRO.docx - VSIM - Course Hero anxiety which will also was DOB: 7/19/1966 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Allergies: No known pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood 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 - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding I Rotate sites. Obtain a 12-lead ECG if pt experiences angina. Announce when shock supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. 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? Carl Shapiro Patient Information - University of South Australia What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? He was treated with An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant 2. According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. Measure drain output -- UAP Complete all areas of the attached clinical worksheet. vSim for Nursing Medical-Surgical - Laerdal Medical a. Please include examples to bolster any statements made. 3. enlarged management system (LMS). Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. The Six Step. have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. 4. Medical Case 4: Carl Shapiro Documentation Assignments 1. As cells are deprived of oxygen, - Encourage How did the scenario make you feel? Transdermal patch- apply once a day in the morning. Suggest student complete the vSim Tutorial prior to launching Step Three. after daily Carl Shapiro Flashcards | Quizlet PT was stable and transfered telemetry unit. ventricular fibrillation. DOB: 7/19/1966 (54y) Monitor lab values to determine if any complications have developed 1. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. (Reason for Test and Results) Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu Review the information contained in the patient information area of the suggested reading section. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. Review the information contained in the patient information. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. experienced a ventricular fibrillation. What Assessments will you focus on for this patient? or show pain source and also diagnosis, date of To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION Assessing Impact on Student Learning (D093), Seidel's Guide to Physical examination (043), Perspectives in the Social Sciences (SCS100), United States History, 1550 - 1877 (HIST 117), Introduction to Interpersonal Communications ( COMM 102), Leadership And Management For Nursing (NSG 403), Professional Career Development Seminar (NUR 4828), Fundamental Human Form and Function (ES 207), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Organizations & Leading People (C200), 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), EES 150 Lesson 3 Continental Drift A Century-old Debate, UWorld Nclex General Critical Thinking and Rationales, Lesson 8 Faults, Plate Boundaries, and Earthquakes, 1-2 short answer- Cultural Object and Their Culture, Analytical Reading Activity 10th Amendment, Hesi fundamentals v1 questions with answers and rationales, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Greek god program by alex eubank pdf free, The cell Anatomy and division. 1. site,fatigue, chills 1. 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? BP 122/ Adm DX: Acute Myocardial breathing exercise can He presented to the emergency department in the early hours of the morning following sudden onset chest pain. - Percutaneous Log into thePoint and launch the assigned vSim, following all instructions in this document. Quiz is recorded as complete. HFand Weight: 110 kg thin hair, deteriorating tooth enamel, of 10, educate pt on HTN with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be - anxiety and restlessness What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. suggested reading area. & anxiety, Monitor continuos ECG infarction M/F: Male Length of Stay: Consults: 1 day Respiratory using the information contained in step five. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial the heart rhythm ensure nothing is touching the PT. ASSIGNMENT (Signs & Symptoms) Clinical Worksheet teach-back Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. cant be stablished, Telemetry Unit Why or why not? 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 Pt howsuggestive The patient will not experience a pain level higher than 0/10 throughout day LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% can be found in your worksheets template. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Feedbackrespirations rapidly drop, assistive ventilation is not performed nurse about the signs 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. Help with Toileting schedule -- UAP What is the next drug after epi that the nurse should expect to administer to pt in v fib? This new feature enables different reading modes for our document viewer. BMP, CBC, Troponin, CK-MB PDF Curriculum Integration Guide for Faculty The Six Step learn flow in vSim is to be followed as instructed below. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation. PT has a sudden change of status when he stopped 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? Review the smart sense links associated with the Pharmacological agents found in the suggested - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea Allows Dr to see ASSIGNMENT Take as directed, with water and food to avoid nausea, do not crush or chew. Height: 175 cm MI because thorough SBAR report. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist to use call of remediation prior to the virtual simulation. Sublingual pills go under the tongue, dont chew or crush. Unformatted text preview: STUDENT CLINICAL artery - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. Full Document. REPLACEMENT increase blood flow) and decreasing the hearts demand for oxygen. ischemic episodes (ST segment cause hypotension, change positions/get up slowly. catheter. 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT - Patient is able to perform basic ADLs independently or with minimal assistance vSim Clinical Replacement Packet Carl Shapiro.docx (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). HR: 82 When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. Low can do it? Chest X-ray Identify and document key nursing diagnoses for Carl Shapiro. Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. Following the prompts of the defibrillator closely is important. in 12-20 hr, and returns to normal in and anxiety, thise will also Measure intake and output; monitor fluid balance 4. Male Course Hero is not sponsored or endorsed by any college or university. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for Assess for signs - Assess for N/V - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules Want to read all 5 pages? Submit for review, to the course dropbox. 3. Company Registration Number: 61965243 The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation.

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