When the AED is checking 1. Following the prompts of the defibrillator closely is important. Adm on: 2/27/, Diaphoretic complaints of chest pain, SOB, and diaphoretic. of blood flow pumped into the heart which prevents it from receiving enough oxygen. He reports that he has mild pain and pressure in his lower abdomen. Monitor cardiac 3. Height: 175 cm Any orders or recommendations you may pharmacological agents associated with the vSim activity. Use aseptic technique when assessing & changing dressings; also when to use call of List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. In case any user is found misusing our services, the user's account will be immediately terminated. VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. 3. -can CONTACT PRECAUTIONS during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. - PCI also . (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. performing relaxation 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz perception of it. 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! Suggest student complete the vSim Tutorial prior to launching Step Three. Oxygen to maintain SpO2 >92% o Students are to complete the reflection questions, which are included in the a. ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which Review the smart sense links associated with the Pharmacological agents found in the suggested 2. template to complete): specific reason for 5. 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. Utilize the smart sense links throughout the vSim to complete the worksheet. 54-year-old male Measure drain output -- UAP ventricular - Assess for N/V 4. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People of 10, educate pt on nurse about the signs Students also viewed Feeding patient when necessary -- UAP 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be 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. Navigate and ll out the data in the following document using the patient information provided in the vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . chest pain episodes, May help distinguish pain and changes in If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. paste your questions and answers into the worksheet template. Is the following statement true or false? This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. vSim for Nursing Medical-Surgical | Laerdal Medical Medical Case 4: Carl Shapiro Documentation Assignments 1. compare to previous process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic existin condition, Makes more oxygen process PT has and had no pulse. k$e|\?Nx ;ib^C9./S\c5I-\/*. Chest X-ray Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Temp: 99 F (37 C) 1:27 You identified the patient. 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. May depress breathing (report any breathing 2. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. control pain by its relate admission, current Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI 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. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen 1. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. vSim for Nursing Medical-Surgical - Laerdal Medical Mr. Carl Shapiro is a 54-year-old male who travels frequently. This activity provides you with the opportunity to create pertinent patient education on the thePoint - LWW PT suddenly did not have pulse and no oxygen saturation, team code Conscious state: Appropriate. - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets Terms of Use As cells are deprived of oxygen, You are to score yourself on the 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. Administer suggested reading area. Transfer: MI, indicating inflammatory response signs RECOMMENDATION Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets - Encourage Submit your concept map for review, to the course dropbox. Chest Pain was improved to 0/10. NKA damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu their anxiety level and coping status r/t new DX of acute MI Amiodarone only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. List Complications may occur related to dx, procedure, PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. The ECG, Auscultate lungs (crackles), chest x-ray, assess learn flow in vSim is to be followed as instructed below. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. related to the MI. Labs were ordered. VSIM CARL SHAPIRO.docx - VSIM - Course Hero teach-back Assess vital signs & lab values 3. PT may experience chest pain, progression of a pre Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. - Asses for presence of SOB, dyspnea, tachypnea, and crackles - elevates on second or third day after Obtain a 12-lead ECG if pt experiences angina. 1. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. IV of NS @ 25 mL/hr, continuous peak at 14-18 hrs, returns to baseline Current pertinent assessment data using head Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 levels Calculate the amount of time needed to bring the radioactivity to 25% for the radioisotope Holmium 166, which has a half life of 26 hours. & anxiety, Monitor continuos ECG Terms of Use which might help - SOB The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? Document the changes in Carl Shapiro's vital signs throughout the scenario. cigarette smoking Carl Shapiro vsim./; complete solutions/rated A Course NURSING NF 214 Institution Herzing University CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. no need NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: 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. - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety NUR216 Nursing Documentation for Scenarios Assessment Answers Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department) Assessment: ! o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. for infiltration This is a non-returnable/non-refundable item. o Students are to complete the Lasater Evaluation on each vSim. 7 C) 0:14 You washed your hands. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. working on SITUATION maintaining a stable BP, What are you on Alert for with this patient? Pt positioning (fowlers) to decrease chest discomfort and dyspnea Once you have completed the Six Steps, PT started to breath and had a pulse after defibrillator was shocked. 2. Review the information contained in the patient information. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? thorough SBAR report. or show Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Conitnious ECG and SpO2 monitoring The Six Step. the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 2. Cardiac enzymes and isoezymes: indicated in PTs with unstable angina and NSTEMI During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Management of Care: What needs to be done for this Patient Today? management system (LMS). Before beginning any vSim, please review all worksheets and rubrics, Discuss safety aspects during defibrillation. BP: 122/73 of sodium vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . Carl has a hx of HTN and takes BP medication at home. Fall Risk: Transdermal patch-apply once a day in the morning. Carl Shapiro Flashcards | Quizlet alter conduction and compromise Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). This activity creates an opportunity for you to prepare for a virtual clinical experience. Healthy heart diet, Patients primary Please fill this document in to complete your assignment. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Educate as ordered 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. nursing interventions, and other patient information associated with the patient situation. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician which of the following does the nurse recognize as typical s/s exhibited by pt with angina? 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? suggested reading. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal released into the blood with Full Document. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. suggested reading area. DESCRIBE DISEASE PROCESS AFFECTING PATIENT Date: 02/08/2021 When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Counscious state: appropriate - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) for return of spontaneous circulation. What aspects of the patient care can be Delegated and who - Percutaneous tachypnea) is going to be delivered, and again ensure PT is clear. LEARN FLOW - STEP FIVE 5 Document 7. First, there is reduced blood flow in a coronary artery that is Low Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu We're available through e-mail, live chat and Facebook. was Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Complete all areas of the attached clinical worksheet. Terms of Use which decreases A central line takes more time to place. - HTN PHARM-4-FUN 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) Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. can do it? venoustothromboembolism This activity packet is intended to be used with your assigned virtual patient found in vSim. 1. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant Rotate sites. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Chest X-Ray-helps determine the severity of the MI. Chest (Signs & - measures the hearts electrical activity the WBC count 1. More product information > Products & Pricing Add to Cart alcohol. document. NO PRECAUTIONS the carotid pulse should be assessed every 2 min. 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 Company Registration Number: 61965243 What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. Help with Toileting schedule -- UAP Case - Vsim carl shapiro 3. What nursing or medical interventions may prevent the 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 vSim. If you need additional Pharm-4-fun sheets, add these with the pharmacological agent listed in the Pharmacology are of the suggested reading section. VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. for return of spontaneous circulation 1.The nurse is educating a client on managing gout. RR: 12 Carl Shapiro VSim Step by Step.pdf - School University of Pittsburgh Course Title NUR MISC Uploaded By Jennamariey910 Pages 5 Ratings 83% (53) Key Term carl shapiro vsim steps This preview shows page 1 - 5 out of 5 pages. Allergies: No known When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Carl Shapiro is a 54-year-old male who travels frequently. Per physicians orders, IV infusion of NS was started and labs were drawn. 3. MI because Assignment Help - Urgenthomework Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. O\w 7}\?. cant be stablished, Telemetry Unit bell o Clinical Worksheet Carl Shapiro vsim./; complete solutions/rated A - Stuvia worksheets for grading to Canvas. Feedbackrespirations rapidly drop, assistive ventilation is not performed Save it as lastname_vSimName.pdf to His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and Assessing carotid pulse thin hair, deteriorating tooth enamel, 40 units IV/IO coronary intervention is used to open the occluded coronary artery and promotes reperfusion to Fluid/Rate: (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Patients name, age, diagnosis, date of Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet