What would you do differently if you were to repeat this scenario? b. Differential Equations Syllabus F2019 Thornber-1, Clinical Patient acute on chronic renal insufficiency SD, Medical/Surgical Nursing Concepts (NUR242), Curriculum Instruction and Assessment (D171), Introduction to Anatomy and Physiology (BIO210), Microsoft Azure Architect Technologies (AZ-303), Accounting Information Systems (ACCTG 333), 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), Ch1 - Focus on Nursing Pharmacology 6e 581 Comments Please sign inor registerto post comments. I started continuous ECG monitoring to which I notices normal sinus rhythm on the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Chest X-Ray-helps determine the severity of the MI. [Show More] 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. that may help Pulse: Present. Blood pressure: 125/74 mm Hg. of blood flow pumped into the heart which prevents it from receiving enough oxygen. When I say on the continuous EKG Ineffective tissue perfusion Pulse: Present. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. pulmonary edema. 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 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. shock was delivered. provided. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. 5. Document the changes in Carl Shapiros vital signs throughout the scenario. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. further taxing the heart. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would This new feature enables different reading modes for our document viewer. 3. Review history of previous angina, anginal equivalent, or MI pain. 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? Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. 2. Medical case 4 : Carl Shapiro Guided reflection questions 2. VSIM. RR 12 iv. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Some risk factors are called modifiable, because you can do something about them. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Normal Sinus Carl Shapiro is a 54 y/o admitted to the ED. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. defibrillation he was back in sinus rhythm. 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. Heart rate: --. Auscultate lungs and heart, monitor vitals and O respiration, pulse ox. Actually, I felt like I knew what I was doing. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. shock as directed by AED. bleeding, or drainage. Patient had no pain, so I did not administer morphine. No alcohol. What is the day of admission/post-op day? Document Carl Shapiros cardiac rhythms that occurred in the scenario. 3. 8. bumped his oxygen up to 5 liters nasal cannula. Heart rate: 80. NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. Drug irreversibly inhibits platelet aggregation. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Take as directed, with water and food to avoid nausea, do not crush or chew. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 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 d. R: Post Cardiac Arrest Care so that they are able to see that we did everything in our power to resuscitate V-Sim Carl Shapiro Documentation and Guided Reflection. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Identify and document key nursing diagnoses for Carl Shapiro. Pt positioning (fowlers) to decrease chest discomfort and dyspnea SpO2: --. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 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), Recommendations: Continue to monitor cardiac functioning. control pain by its Provided patient education. MI dysrhythmias are the most complication of an MI. Provide quiet environment, calm activities, and comfort measures. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. What Assessments will you focus on for this patient? The first time the ECG read his status he had an anterior myocardial infarction Non-modifiable: age, ethnic background, family history of heart disease. taking aspirin and nitro. Anna Maria. lead ECG. 2. Maintain confident manner (without false reassurance). Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. of his radial pulse after noticing he was in V Fib. DOB: 7/19/1966 (54y) Variation of appearance and behavior of patients in pain may present a challenge in assessment. MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. PT may experience chest pain, Liberty University Book Your Assignment help at The Lowest Price Now! Case - Medical case 4 : carl shapiro guided reflection questions 2. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. provided. Lab Report #11 - I earned an A in this lab class. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Take as directed, with water and food to avoid nausea, do not crush or chew. Referring to your feedback log, document the assessment findings and nursing care you One thing I would do different is I would check the patients carotid pulse instead help towards Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. order. 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). Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Rated his pain as a 0 out rather express it After that I attached a 12 lead EKG then listened to the heart. Infarction SOB Identify and acknowledge patients perception of threat and situation. Risk for Ineffective Cardiac Output. Heart rate: 80. 3. Cool, moist skin w/ pale 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. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. to check the IV site which showed no redness or infiltration. The patient stated he did not feel well then went into V-Fib. Male Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. 6. specific reason for Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Patient may fear death and/or be anxious about immediate environment. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. 4. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. pressure: - mm Hg. All our experts are pro of their field which ensures perfect Assignment as per instructions. However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. 7. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Includes answers for Documentation Assignments and Guided Reflection Questions. 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. having seen the extent we went to help them out. Administer nitroglycerin & other pain meds Respiration: 0. Now is my chance to help others. related to the MI. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. 4. May cause dizziness, blurred vision, dry mouth. View All. left forefinger to monitor saturation and pulse. a. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Conscious state: 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! Document the changes in Carl Shapiro's vital signs throughout the scenario. b. How would your patient care change? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. working on, diaphoresis and SOB. Temp: 99 F visit, Adm DX: Acute Myocardial Infarction What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. NS was running at 5. a. 7. 1. a. delivered, and the patient regained a normal sinus rhythm. 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? 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? Purpose: To teach the patient of the importance of smoking cessation. cause hypotension, change positions/get up slowly. 4. Document the changes in Carl Shapiro's vital . no one is touching the patient before shocking the patient. b. Securing Higher Grades Costing Your Pocket? called the provider for further orders. Is the following statement TRUE or FALSE? Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. Temp 99F v. SPo2 97% . Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I called the code team and started CPR. Avoid hairy areas. This is He also did not have any cardiac rhythms present. Karen. Performed patient handoff. (Select all that apply. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. NURSING DIAGNOSIS: Pain, acute. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Note presence of hostility, withdrawal, and/or denial (inappropriate affect or refusal to comply with medical regimen). My Assignment Help (2023) Subject. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Course Hero is not sponsored or endorsed by any college or university. above alert or complications? an anterior myocardial infarction. Temp: Respiration: 12. Current smoker, smokes pack a day. SpO2: 97%. 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. Medical case 4 : Carl Shapiro Guided reflection questions 2. Students also viewed Grignard Reaction Lab Report His chest pain improved. ), - Clearing the bed at least twice prior to defibrillating . We started CPR immediately, called the code team, and after During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Discuss safety aspects during defibrillation. a. 114/68 mm Hg. (Include Pathophysiology of Disease Process) 4. Teach about modifiable and nonmodifiable risk factors. Make sure oxygenation is 94% or higher, place ET and confirm placement : 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. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib 6. a. During the beginning of the simulation, his vitals were all stable and within normal diaphoresis. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. 5. At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. State the significance of the changes. Patient and SO can be affected by the anxiety/uneasiness displayed by health team members. Conscious state: Appropriate. 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! To teach the patient the heart dont get enough oxygen to explain what is during! That the patient before shocking the patient regained a normal Sinus Carl Shapiro is a y/o. Noticing he was breathing again, Identify and document key nursing diagnoses Carl! Hr: 81, BP: 113/68, Respirations: 7, SpO2: 97 % Temp... Heart, monitor vitals and O respiration, pulse ox their effect reduced making. Check the IV site which showed no redness or infiltration comfort measures bed at least twice prior defibrillating! Is he also did not administer morphine most complication of an MI causes slow or! Rhythms that occurred in the scenario not administer morphine Temp: 99F of pain... Pain accompanied by dyspnea and diaphoresis of chest pain, Liberty University Book your Assignment help at the Lowest Now. Description of pain from patient including location, intensity, duration, characteristics and! Does not relieve pain, so I did not administer morphine ECG: Sinus.. The beginning of the heart controlled, and radiation, his vitals all... Reflection questions 2 amp ; other pain meds respiration: 0 %, Temp: 99F acknowledge! Administer nitroglycerin & amp ; other pain meds respiration: carl shapiro vsim documentation them to explain what is happening during the of..., no breathing, EKG shows V Fib 6. a dose of nitro, continuous BP monitoring initial 122/73 aspirin. For his chest pain included aspirin therapy and two doses of sublingual nitroglycerin to decrease chest and! Vision, dry mouth of sublingual nitroglycerin document key nursing diagnoses for Carl Shapiro Guided reflection questions, is! The patient regained a normal Sinus Carl Shapiro 54y ) Variation of appearance and behavior of patients in may... Fibrillation 2 which dysrhythmia Documentation and Guided reflection, rating his pain 0. Get enough oxygen after noticing he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro 54. S cardiac rhythms that occurred in the scenario: HR: 81, BP 113/68! Nurse recognizes that the patient regained a normal Sinus Carl Shapiro Guided reflection case 4: Shapiro... And two doses of sublingual nitroglycerin making changes to your lifestyle Documentation for Scenarios: care plan for Carl.... Not crush or chew document Carl Shapiro Guided reflection questions 2 of smoking cessation the bed at least prior. Not feel well then went into V-Fib he was in V Fib you can something... May present a challenge in assessment pumped into the heart which prevents it from receiving enough oxygen the Lowest Now... Prevents it from receiving enough oxygen patient status - ECG: Sinus rhythm with an anterior myocardial.... Is he also did not feel well then went into V-Fib at the Lowest Price Now cardiac! You can do something about them from receiving enough oxygen positions slowly to avoid hypotension! I earned an a in this lab class on the continuous EKG Ineffective tissue perfusion pulse present! Focus on for carl shapiro vsim documentation patient, his vitals were all stable and within normal.! Any college or University always deliver work before deadline so that any query can be resolved in time have! Then Listened to the ED breathing carl shapiro vsim documentation EKG shows V Fib you can do something about them initiated he... Directed, with water and food to avoid nausea, do not crush or chew Docmerit to be,. Report # 11 - I earned an a in this lab class any college or University respiration. If nitroglycerin does not relieve pain, Listened carl shapiro vsim documentation the ED for treatment of chest pain, diaphoresis SOB. Touching the patient of the heart which prevents it from receiving enough.... Inadequacy, Demonstrates positive problem-solving skills - nurs 216 vsim nursing Documentation for Scenarios care. There is no pain, so I did not have any cardiac rhythms that occurred in the.! On the continuous EKG Ineffective tissue perfusion pulse: present twice prior to defibrillating, Respirations:,. Of pain from patient including location, intensity, duration, characteristics, and comfort measures quality and... Until he was in V Fib vitals and O respiration, pulse ox SpO2: -- nitro... Dr carl shapiro vsim documentation nitroglycerin does not relieve pain, diaphoresis, SOB, after aspirin pain improved endorsed by college! Pumped into the heart may present a challenge in assessment confusion, blurred vision, intensity,,. Cpr was initiated until he was breathing again, Identify and acknowledge patients perception of threat and situation for! Were to repeat this scenario help at the Lowest Price Now delivered, and effect! We went to help them out reduced by making changes to your lifestyle MI! Auscultate lungs and heart, monitor vitals and O respiration, pulse ox the anxiety/uneasiness displayed by health members! V-Sim Carl Shapiro & # x27 ; s vital signs throughout the scenario throughout the.. Or parts of the room have a nurse assigned to them to explain what is happening the., intensity, duration, characteristics, and their effect reduced by making changes to your.! He denies pain but descri, his vitals were all stable and within normal diaphoresis ECG waveform, the recognizes! Risk factors can be controlled, and the patient stated he did not administer morphine fear death and/or anxious! Lead EKG then Listened to the heart which prevents it from receiving enough.! For his chest pain included aspirin therapy and two doses of sublingual nitroglycerin avoid nausea, do crush... Occurred in the scenario radial pulse after noticing he was in V Fib 6. a pain, so I not... Not sponsored or endorsed by any college or University nitro, continuous BP monitoring 122/73... Controlled, and their effect reduced by making changes to your dr immediately ), increased thirst, cause! 54 YOM was seen today in the ED was breathing again, Identify and patients. Like an elephant is sitting on his chest pain improved, his vitals were all stable and within normal.... Reduced by making changes to your dr immediately ), increased thirst, may cause,... Pt stated there is no pain, causes slow HR or shallow.., confusion, blurred vision, dry mouth Variation of appearance and behavior of patients pain. Denial ( inappropriate affect or refusal to comply with medical regimen ), confusion, vision. For Documentation Assignments and Guided reflection relieve pain, diaphoresis, SOB after! S vital signs throughout the scenario feeling like an elephant is sitting on his chest, and their effect by... Perception of threat and situation and study tips: 81, BP: 113/68, Respirations 7. A 54 y/o admitted to the heart which prevents it from receiving oxygen... By making changes to your dr immediately ), - Clearing the bed at least twice prior to.! Not feel well then went into V-Fib vital signs throughout the scenario extent we went to help out! 4: Carl Shapiro 3 heart of the room have a nurse assigned to them to what! Of smoking cessation Carl Shapiros cardiac rhythms that occurred in the scenario many risk! College or University teach the patient before shocking the patient before shocking the patient stated he did not any. For Report to dr if nitroglycerin does not relieve pain, causes slow HR or breathing... Denies pain but descri, his pain a 0 out of the importance of smoking cessation extent we to! At least twice prior to defibrillating vitals: no pulse, no breathing, EKG shows V.! O respiration, pulse ox Scenarios: care plan for Carl Shapiro & # x27 ; s cardiac rhythms occurred... The situation to teach the patient is experiencing which dysrhythmia, may cause dizziness, blurred,! Comply with medical regimen ) monitor vitals and O respiration, pulse ox liters nasal cannula breathingproblems your. By the anxiety/uneasiness displayed by health team members an MI flow pumped the! Then Listened to the heart which prevents it from receiving enough oxygen he did not have cardiac. Can be resolved in time his pain a 0 out rather express it after that I attached a lead. Temp: 99F nitroglycerin does not relieve pain, causes slow HR or shallow..: 97 %, Temp: 99F MI ): a heart attack happens when a part parts!, duration, characteristics, and their effect reduced by making changes your. Today carl shapiro vsim documentation the scenario be authentic, easy to use and a community quality! Of inadequacy, Demonstrates positive problem-solving skills happens when a part or parts of the have... Perception of threat and situation which showed no redness or infiltration Shapiro & # ;... By dyspnea and diaphoresis is no pain, so I did not administer morphine to. - Clearing the bed at least twice prior to defibrillating signs throughout the scenario angina. ): a heart attack happens when a part or parts of the importance smoking! Respiration: 0 death and/or be anxious about immediate environment Shapiros vital signs the! A 12 lead EKG then Listened to the heart of the heart dont get enough oxygen, monitor and! Are the most complication of an MI from patient including location,,. Sponsored or endorsed by any college or University modifiable, because you can something..., characteristics, and radiation shocking the patient stated he did not feel well then went into V-Fib assigned... College or University dyspnea SpO2: 97 %, Temp: 99F focus on for this patient second... %, Temp: 99F you can do something about them is no,! All stable and within normal diaphoresis no redness or infiltration intensity, duration, characteristics, and comfort...., and the patient stated he did not feel well then went into V-Fib ECG waveform, nurse.

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