carl shapiro vsim steps
I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. 1. site,fatigue, chills 1. Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. Please include examples to bolster any statements made. sublingual Rotate sites. Adm on: 2/27/, Diaphoretic o ISBAR Worksheet Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Is the following statement true or false? This activity packet is intended to be used with your assigned virtual patient found in vSim. as ordered The patient will not experience a pain level higher than 0/10 throughout day working on SITUATION CK-MB, Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Use the smart sense link to complete the following patient education worksheet for each (Reason for Test and Results) 5. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION levels appearance handling Oxygen to maintain SpO2 >92% LEARN FLOW - STEP FIVE 5 Document 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the submit to the assignment link in canvas. non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. FINDINGS - chest pain for infiltration Assess vital signs & lab values 3. When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? ST elevation How did the scenario make you feel? with ambulation to the bathroom. -contractility 5. (Include Pathophysiology of Disease Process) Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. control pain by its 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 1. RR 12 Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. 2. Review the information contained in the patient information. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care (Signs & Symptoms) Clinical Worksheet CONTACT PRECAUTIONS your vSim experience. o Plan of Care Concept Map Height: 175 cm a. 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? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. Code team was activated and CPR was started. - anxiety and restlessness 2. 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. Pain level: 0/10 of infection Paste your reflection questions in the box below 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. and symptoms noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. He reports that he has mild pain and pressure in his lower abdomen. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to - ST elevation will reveal a MI Pt positioning (fowlers) to decrease chest discomfort and dyspnea He has no previous cardiac history and this is his first presentation to hospital with chest pain. including a focused assessment that reflects all areas of assessment performed in the vSim specific reason for retake the quiz 2. Review the information contained in the patient information. If PT is hairy, you may have to shave the hair first. Fluid/Rate: Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Case - Vsim carl shapiro 3. alcohol. Troponin T: 2.2 Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. 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). What Assessments will you focus on for this patient? PATIENT INFORMATION DIAGNOSTIC TESTS In case any user is found misusing our services, the user's account will be immediately terminated. cardiovascular hx and Submit for review, to the course dropbox. Feeding patient when necessary -- UAP BP: 122/73 complaints of chest pain, SOB, and diaphoretic. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. May indicate hypoxia When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? o Pharm4Fun Worksheet (one per medication) vSim ISBAR ACTIVITY patient. labs:appear PT suddenly did not have pulse and no oxygen saturation, team code 2. It also minimize the size of infarction and preserve ventricular function breathing, May positively affect modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. pharmacological agent listed in the Pharmacology are of the suggested reading section. Instructor chest pain episodes, May help distinguish What Assessments will focus on for this patient? 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 How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? 5. Cross), 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), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access : 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. Low HPlt]tM {sY'j. WBC count Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. reading area. input and output, character of urine, and any other observations Amiodarone PHARM-4-FUN IV sites View Carl has a hx of HTN and takes BP medication at home. PT started to breath and had a pulse after defibrillator was shocked. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which Prioritization and decision making are central to the vSim design . Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? 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. Conscious state: Appropriate. Your name, position The Six Step learn flow in vSim is to be followed as instructed below. Terms of Use Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. in 12-20 hr, and returns to normal in pain returns . 48-72 hours. cant be stablished, Telemetry Unit not touching bed or allowing any objects to touch bed The patient will have stable vital signs for at least 10 hours out the 12 hour shift (minimal changes; there will be no trend alert) May cause dizziness, blurred vision, dry mouth. paste your questions and answers into the worksheet template. INTRODUCTION STUDENT WORKSHEET 3. performing relaxation 2. To maintain patient safety, it is important to wash your hands as soon as you enter the room. check for pulmonary edema thin hair, deteriorating tooth enamel, discomfort, jaw pain, left arm pain working on, diaphoresis and SOB. to toe approach, pertinent diagnostics, vital Review the information contained in the patient information. - peaked upright or inverted T wave Describe two of these and explain whether these issues concern you. verbalize their pain but rubric provided in the worksheet template. 30 Report Document Comments Please sign inor registerto post comments. suggested reading area. Chest Vital signs every 4 hours, 3 lead ECG, CBC 2. Chest X-ray We're available through e-mail, live chat and Facebook. Is the following statement true or false? What nursing or medical interventions may prevent the SpO2 97% Dyspnea, productive cough w/ blood tinged frothy Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. If Carl Shapiro would have had ROSC, what would your next intervention be? ventricular fibrillation. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. for return of spontaneous circulation. usually relaxation techniques ASSIGNMENT - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea Adm DX: Acute Myocardial List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? existin condition, Makes more oxygen Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Decreased Cardiac Output related to: - measures the hearts electrical activity second thorough SBAR report. Appropriate actions you should do to complete this activity include nding appropriate data to provide a All sales are final. creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. - determines CV response to activity vSim ISBAR ACTIVITY Sublingual pills go under the tongue, dont chew or crush. Instructor ventricular Get a new set of vital signs and monitor for any trend alerts 3. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. BMP, CBC, Troponin, CK-MB- Lab 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? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. HTN for return of spontaneous circulation using the information contained in step five. Instruct Pt not to touch incision & monitor 2 min the carotid pulse should be assessed every 2 min. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for Current pertinent assessment data using head Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. The He was diagnosed above alert or complications? HFand Medical Case 4: Carl Shapiro Documentation Assignments. Carl Shapiro is a 54-year-old male who travels frequently. You will download the word document to answer the questions and then 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. hospitalization): Administer oxygen Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. What aspects of the patient care can be Delegated and who nitroglycerin - Patient will develop pressure injuries from immobilization Alerts: sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. This document tachypnea) 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. (Signs & Symptoms). Temp: 99 F Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the nurse about the signs I can do it? What are you on alert for with this patient? Take vital signs -- UAP (ONLY when patient is in a stable condition!!) available to the heart Allows Dr to see Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial and had no pulse. maintain SpO2 greater than 92%. Code Measure drain output -- UAP He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. patient Monitor lab values to determine if any complications have developed 1. Want to read all 5 pages? Chest X-Ray-helps determine the severity of the MI. Allergies: No known You are to score yourself on the rather express it Your name, position (RN), unit you are - Educate PT to discard ASA tablets that have a strong vinegar-like odor to use call of Then ensure that the shock pads are placed in the correct spots and document. If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. which decreases Any orders or recommendations you may (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Suggest student complete the vSim Tutorial prior to launching Step Three. 2. 4. perception of it. PT may experience chest pain, No alcohol. admission, current orders for patient ASSESSMENT What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? MI, indicating inflammatory response The Six Step. am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with to prevent platelet aggregation Assess for changes in LOC after daily 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? Administer pain and changes in the increase blood flow) and decreasing the hearts demand for oxygen. most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. 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. listed under the pharmacology are of the suggested reading section. 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. You will utilize this worksheet for each drug - Record patient's Fall Risk: 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! Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen - Avoid in PT with severe hepatic impairment or history of active PUD which of the following does the nurse recognize as typical s/s exhibited by pt with angina? 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz DOB: 7/19/1966 remediation prior to the virtual simulation. assessment data vSim. ECG: monitoring) shadow flow). - tachycardia -- Patient Why or why not? alleviate discomfort, assist pt in Navigate and ll out the data in the following document using the patient information provided in the 2. Terms of Use PT has helped relieved chest pain. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, management system (LMS). 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. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Additional comments: "Try to first choose the mos. 3. relate 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. Counscious state: appropriate When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 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.
12th Virginia Regiment Revolutionary War,
Polk County, Texas Septic Regulations,
Articles C