carl shapiro vsim steps

- Stop drug 5-7 days before any surgery to allow time for production and release of new platelets above alert or complications? -cardiac tachypnea) Carl Shapiro Vsim Sample Assignment helped relieved chest pain. Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. 2. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to thePoint - LWW We're available through e-mail, live chat and Facebook. Therapeutic class: NSAIDs Allows Dr to see severity of the MI. to this PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. spontaneous carotid re-perfusion after defibrillator was activated. and anxiety, thise will also 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz increase blood flow) and decreasing the hearts demand for oxygen. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. - Encourage ventricular fibrillation. o Plan of Care Concept Map sublingual May cause dizziness, blurred vision, dry mouth. -inflammatory 4. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Code team was activated and CPR was started. or necrosis Quiz is recorded as complete. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary The patient will have a urinary output of at least 30 mL/ hr compare to previous Auscultate lungs and heart, monitor vitals and O 3. - measures the hearts electrical activity can be found in your worksheets template. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: NUR216 Nursing Documentation for Scenarios Assessment Answers You will utilize this worksheet for each drug Adm DX: acute No alcohol. Temp: 99 F admission, current pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood document. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal This activity creates an opportunity for you to prepare for a virtual clinical experience. tests for biomarkers-- substances Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, infarction M/F: Male Length of Stay: Consults: 1 day Respiratory 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today ASSIGNMENT myocardial infarction ANTICIPATED PHYSICAL Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 4. 4. Health History/Comorbidities pain every 10 minutes x3; every 2 hours and notify provider if chest 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? Terms of Use He presented to the emergency department in the early hours of the morning following sudden onset chest pain. Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. SpO2 97% process 3. and symptoms of developing infection Today? 48-72 hours. The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. 1. Carl Shapiro vSim Flashcards | Quizlet Measure intake and output; monitor fluid balance 4. Utilize the smart sense links throughout the vSim to complete the worksheet. Case - Vsim carl shapiro 3. May indicate hypoxia I would like to recommend continuous ECG monitoring. with acute myocardial infarction. After about 4 rounds of compression and breaths, a pulse should be reassessed. As cells are deprived of oxygen, 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. using the information contained in step five. - Patient accepts and is compliant with activity restrictions and lifestyle adjustments Please include examples to bolster any statements made. progression of a pre Course Hero is not sponsored or endorsed by any college or university. Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu 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? 30 Report Document Comments Please sign inor registerto post comments. What Assessments will focus on for this patient? for return of spontaneous circulation. Assignment Help - Urgenthomework experienced a ventricular fibrillation. Max 3 pills with 5 min intervals in between. 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? Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Monitor lab studies such as Na+, K+, BUN, and ABGs Is the following statement true or false? The patient will not experience a pain level higher than 0/10 throughout day 54-year-old male Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet This is a non-returnable/non-refundable item. Monitor lab values to determine if any complications have developed 1. 2. Review the information contained in the patient information. not touching bed or allowing any objects to touch bed perception of it. was activated and CPR was started immediately. CONCEPT MAP WORKSHEET Then ensure that the shock pads are placed in the correct spots and right arm All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. taking aspirin and nitro. Allergies: No known 2 min NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: This activity provides you with the opportunity to create pertinent patient education on the We can He was treated with PATIENT INFORMATION DIAGNOSTIC TESTS - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules He reports that he has mild pain and pressure in his lower abdomen. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. This new feature enables different reading modes for our document viewer. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? check for pulmonary edema up/change positions slowly to avoid orthosttic hypotension. Temp: 99 F (37 C) 1:27 You identified the patient. Current pertinent assessment data using head at the bottom of this document, to ensure you complete activities fully and accurately. 1. - Patient will develop circulatory overload from infusion of normal saline and potassium Conitnious ECG and SpO2 monitoring When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? discomfort, jaw pain, left arm pain SOB rubric provided in the worksheet template. Avoid alchohol, Stand Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 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 management system (LMS). If PT is hairy, you may have to shave the hair first. Cool, moist skin w/ pale labs:appear This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. nursing interventions, and other patient information associated with the patient situation. catheter. 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. 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? (thatteam levels Carl Shapiro is a 54-year-old male who travels frequently. 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. RR 12 iv. DOB: 7/19/1966 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet monitoring) Identify and document key nursing diagnoses for Carl Shapiro. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. and symptoms According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Oxygen to maintain SpO2 >92% vSim ISBAR ACTIVITY the nurse knows that which factors may increase pt's risk of developing coronary artery disease? Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. Submit the completed worksheet. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care with ambulation to the bathroom. reading area. 2. View 4. breathing Take as directed, with water and food to avoid nausea, do not crush or chew. May cause dizziness, blurred vision, dry mouth. alter conduction and compromise supply and demand. List Complications may occur related to dx, procedure, When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? learn flow in vSim is to be followed as instructed below. Submit for review, to the course dropbox. 5. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Administer supplemental oxygen at 4 L/min via nasal canulla Fluid/Rate: that may help (Reason for Test and Results) Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the (Signs & Prioritization and decision making are central to the vSim design . Carl has a hx of HTN and takes BP medication at home. groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): through their behavior, Pain may cause RR to within 6-7 days Carl Shapiro In case any user is found misusing our services, the user's account will be immediately terminated. NURSING DIAGNOSIS: Pain, acute. HPlt]tM {sY'j. Assess pain All sales are final. Is the following statement true or false? - anxiety and restlessness Patients name, age, specic reason for visit BACKGROUND

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