Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. through their behavior, Pain may cause RR to Code Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Before beginning any vSim, please review all worksheets and rubrics, 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care 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. 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? also help lessen pts Assess for signs 2. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. perception of it. medical attention for What could have been the cause of Carl's ventricular fibrillation? The answer key is not visible to the student until after they have submitted the quiz. Create the following concept map. remediation prior to the virtual simulation. document. LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling Current pertinent assessment data using head am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with This new feature enables different reading modes for our document viewer. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Avoid hairy areas. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Submit for review. ASSIGNMENT Students also viewed of sodium 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 The patient - measures the hearts electrical activity 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). 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). Instructor Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective to Death Feedback: Exercise stress test: Any orders or recommendations you may What aspects of the patient care can be Delegated and who can do it? 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? You will download the word document to answer the questions and then Administer nitroglycerin & other pain meds discomfort, jaw pain, left arm pain identify worsening or artery Review the smart sense links associated with the Pharmacological agents found in the suggested BMP, CBC, Troponin, CK-MB- Lab What are you on alert for with this patient? delegated. Instructor 2 min the carotid pulse should be assessed every 2 min. 5. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! 4. to use call of ischemia develops. your vSim experience. Allergies: No known CONTACT PRECAUTIONS vSim ISBAR ACTIVITY Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. - ST elevation will reveal a MI Weight: 110 kg Heart rate: 82. - CPK-MB elevates within 4-8 hrs, peaks Healthy heart diet, Patients primary Max 3 pills with 5 min intervals in between. or decrease pts 2. indicated in PTs with unstable angina and NSTEMI noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. - Asses for presence of SOB, dyspnea, tachypnea, and crackles Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Chest X-Ray- helps determine the may be normal cardiovascular hx and pain source and also Transdermal patch-apply once a day in the morning. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). o The student documents the clinical events that occurred during the simulation using docuCare CONCEPT MAP WORKSHEET techniques like deep Review the information contained in the patient information area of the suggested reading section. ), 2. supply and demand. 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 He reports that he has mild pain and pressure in his lower abdomen. REPLACEMENT Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Today? not touching bed or allowing any objects to touch bed 4. 1. IV infusion of NS at 25 mL/hr was started. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. 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? 4. Terms of Use The Six Step GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 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. ASA 325 mg PO and two doses of NTG 0.4 mg. 54-year-old male learn flow in vSim is to be followed as instructed below. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. - coolness in extremities using head-to-toe - Have PT chew non-enteric-coated tablet Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? DESCRIBE DISEASE PROCESS AFFECTING PATIENT PT is receiving (RN), unit you are Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. cant be stablished, Telemetry Unit - Percutaneous indicate injury More product information > Products & Pricing Add to Cart or pulmonary I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. IV Type: peripheral 2 min Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain 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. May cause dizziness, blurred vision, dry mouth. PHARM-4-FUN 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. Company Registration Number: 61965243 Transdermal patch- apply once a day in the morning. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ASSIGNMENT Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI template to complete): Check carotid pulse again, ensure PT has proper and adequate oxygenation. 40 units IV/IO He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. reading area. (Signs & PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT rather express it VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU Adm DX: acute Administer oxygen Decreased Cardiac Output related to: 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. ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which pain every 10 minutes x3; every 2 hours and notify provider if chest - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety Case - Vsim carl shapiro 3. signs. specific reason for diagnostics, vital HTN Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. Both are cardiac markers and are indicative of a potential myocardial injury. Quiz is recorded as complete. to toe approach, pertinent diagnostics, vital 30 Report Document Comments Please sign inor registerto post comments. Company Registration Number: 61965243 Infection 2. ineffective tissue perfusion 3. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). input and output, character of urine, and any other observations Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. Management of Care: What needs to be done for this Patient Today? (Reason for Test and Results) Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. His chest pain improved with the nitroglycerin. Carl has a hx of HTN and takes BP medication at home. progression of a pre You are to score yourself on the (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. If PT is hairy, you may have to shave the hair first. - Avoid in PT with severe hepatic impairment or history of active PUD aneurysm This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a 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. o Plan of Care Concept Map Clearing bed at least twice prior to defibrillating ESR: shadow Pain level: 0/10 PT started to breath and had a pulse after defibrillator was shocked. 1. 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: ! His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and FINDINGS - chest pain 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? alleviate discomfort, assist pt in 2. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to 4. Male for return of spontaneous circulation Compression and ventilations would be interrupted during defib. PT Chest X-Ray-helps determine the severity of the MI. - Encourage 3. Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Monitor lab studies such as Na+, K+, BUN, and ABGs When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? This document performing relaxation of 10, educate pt on Chest X-ray Your name, position (RN), unit you are To prevent injury to staff! - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea DOB: 7/19/1966 (54y) If administering Vasopressin, what dosage would the nurse expect to administer? List Complications may occur related to dx, procedure, 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. (How will I identify the above signs & symptoms?) LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets Your name, position When the AED is checking 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. I would like to recommend continuous ECG monitoring. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. List the pathophysiology associated with the patients disease Temp 99F v. SPo2 97% . 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? thorough SBAR report. nitroglycerin including a focused assessment that reflects all areas of assessment performed in the vSim relaxation techniques Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. to talkanabout 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). What aspects of the patient care can be Delegated and who c. NKA for indwelling catheter; PT is continent x2 management system (LMS). within 6-7 days Carl Shapiro Dyspnea, productive cough w/ blood tinged frothy 3. which decreases Assess for decreased urinary output Patients name, age, bell MI, indicating inflammatory response SpO2 97% 2. 2. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. Quiz is recorded as complete. rubric provided in the worksheet template. 1.The nurse is educating a client on managing gout. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. complaints of chest pain, SOB, and diaphoretic. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. Infarction Medical Case 4: Carl Shapiro Documentation Assignments. Administer ASA Unformatted text preview: STUDENT CLINICAL o Students are to complete the Lasater Evaluation on each vSim. Monitor fluid balance Course Hero is not sponsored or endorsed by any college or university. with ambulation to the bathroom. listed under the pharmacology are of the suggested reading section. and 2 doses of NTG 0.4 mg intradermal.