GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal FINDINGS - chest pain Adm DX: Acute Myocardial HCO3: 18. Initial i. HR 82 ii. cardiovascular hx and The patient will have a urinary output of at least 30 mL/ hr ECG, Auscultate lungs (crackles), chest x-ray, assess same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf How did the scenario make you feel? 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. increase pts BP, Review pt the suggested reading area. We're available through e-mail, live chat and Facebook. 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. Why or why not? According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. template to complete): The answer key is not visible to the student until after they have submitted the quiz. May cause dizziness, blurred vision, dry mouth. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today ), 2. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial 2 min the carotid pulse should be assessed every 2 min. 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 Take vital signs -- UAP (ONLY when patient is in a stable condition!!) The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. LEARN FLOW - STEP FIVE 5 Document Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. IV infusion of NS at 25 mL/hr was started. suggested reading area. DOB: 7/19/1966 pain returns . Course Hero is not sponsored or endorsed by any college or university. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. 2. Review the information contained in the patient information. Company Registration Number: 61965243 - Smokes cigarettes less than 1/2 pack a day 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. Assist with ADLs -- UAP Reflection Questions 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! - tachycardia -cardiac Then ensure that the shock pads are placed in the correct spots and Assess for changes in LOC Log into thePoint and launch the assigned vSim, following all instructions contained in this (Signs & Symptoms). Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). shape and size of heart and also supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. More product information > Products & Pricing Add to Cart During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Any orders or recommendations you may pharmacological agent listed in the Pharmacology are of the suggested reading section. 3. document. Assess vital signs & lab values 3. labs:appear -Electrolytes: Monitor fluid balance Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. Unformatted text preview: STUDENT CLINICAL existing heart issues PT came into ED with chest pain, diaphoretic, SOB. Company Registration Number: 61965243 He was diagnosed alleviate discomfort, assist pt in 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? When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? PT shocked and had 2 Get a new set of vital signs and monitor for any trend alerts 3. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. His chest pain improved with the nitroglycerin. PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT Announce when shock (REASON FOR TEST AND RESULTS) Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. CONCEPT MAP WORKSHEET 2. Review the information contained in the patient information. He was ordered supplemental oxygen via nasal canula @ 4L/min to 3. 2. (thatteam - Encourage the use of soft-bristled toothbrush related to the MI. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. hearts o2 demand, Pt reported no pain after identify worsening or WBC count PT was diagnosed with acute MI. CK-MB, alter conduction and compromise perception of it. Obtain a 12-lead ECG if pt experiences angina. Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? Feedback: Exercise stress test: 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. How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? Clearing bed at least twice prior to defibrillating caused by a rupture of an atherosclerotic plaque, causing unstable angina. 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. 1. Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. Deep in 12-20 hr, and returns to normal in modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. 2. Review the information contained in the patient information. Management of Care: What needs to be done for this Patient Today? 2. constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG Location: IV He presented to the emergency department in the early hours of the morning following sudden onset chest pain. Please fill this document in to complete your assignment. To maintain . 4. We're available through e-mail, live chat and Facebook. -contractility Medical Case 4: Carl Shapiro Documentation Assignments 1. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Assist with Ambulation of patient -- UAP 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? PDF Curriculum Integration Guide for Faculty Allergies: No known Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a Current pertinent assessment data using head 3. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. learn flow in vSim is to be followed as instructed below. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI - Percutaneous We're available through e-mail, live chat and Facebook. of sodium helped relieved chest pain. 7 C) 0:14 You washed your hands. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. 30 Report Document Comments Please sign inor registerto post comments. The Six Step. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, approach, pertinent specific reason for indwelling catheter and IVs. Submit for review, to the course dropbox. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Log into thePoint and launch the assigned vSim, following all instructions included in this May cause dizziness, blurred vision, dry mouth. - obesity Shift Goals/ Patient Education Needs: signs. Your name, position Infarction The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. First, there is reduced blood flow in a coronary artery that is o Plan of Care Concept Map View I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. suggested reading. 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. chest pain episodes, May help distinguish Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. within 6-7 days Carl Shapiro for indwelling catheter; PT is continent x2 I would like to recommend continuous ECG monitoring. or ensure it is within reach at all times Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine.
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