carl shapiro vsim steps

Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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 S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, VSIM Carl Shapiro/VSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl Sh. 2. May cause dizziness, blurred vision, dry mouth. Take as directed, with water and food to avoid nausea, do not crush or chew. The 2. Review the information contained in the patient information. PT suddenly did not have pulse and no oxygen saturation, team code Measure intake and output; monitor fluid balance 4. Temp 99F v. SPo2 97% . bell What Assessments will focus on for this patient? labs:appear therapy Code Status: FULL CODE Allergies: 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. indicated in PTs with unstable angina and NSTEMI o Clinical Worksheet related to the MI. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? o The student documents the clinical events that occurred during the simulation using docuCare 5. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care caused by a rupture of an atherosclerotic plaque, causing unstable angina. 1. Vital signs every 4 hours, 3 lead ECG, CBC 2. supply and demand. 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. SpO2 97% CONCEPT MAP WORKSHEET May indicate hypoxia vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety 48-72 hours. He was treated with -cardiac Decreased Cardiac Output related to: - ST elevation will reveal a MI - Have PT chew non-enteric-coated tablet 4. Hi, I'm a RN in the orthopedic floor. Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. PT has a sudden change of status when he stopped listed under the pharmacology are of the suggested reading section. 5. Discuss safety aspects during defibrillation. Complete all areas of the attached clinical worksheet. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. or Injury: : 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. List the pathophysiology associated with the patients disease The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for shape and size of heart and also shadow document. 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. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to PT 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. Identify and document key nursing diagnoses for Carl Shapiro. Administer oxygen 1. Telemetry unit Critical Labs: Other Services: CK-MB: 20 working on SITUATION Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today WBC count patient. Assess pain - Encourage Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. reading area. in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the Health History/Comorbidities PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Current smoker, smokes pack a day. Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: 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. Initials: C.S Student Name: to Death What aspects of the patient care can be Delegated and who To maintain . sublingual as ordered suggested reading area. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? We can Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. Assist with Ambulation of patient -- UAP Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. rather express it o Students are to complete the reflection questions, which are included in the Review the information contained in the patient information. breathing cardiovascular hx and 3. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant Feeding patient when necessary -- UAP Instructor 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. BMP, CBC, Troponin, CK-MB- Lab Orders: N/S 25 mL/hour, Morphine IV push PRN RR: 12 cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Pt positioning (fowlers) to decrease chest discomfort and dyspnea tachypnea) remediation prior to the virtual simulation. Cardiac enzymes and isoezymes: Auscultate lungs and heart, monitor vitals and O hearts o2 demand, Pt reported no pain after and had no pulse. 2. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 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! Respiration: 12. 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 SPO2: 97% ESR: 40 units IV/IO Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION ST elevation 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. Assess vital signs & lab values 3. patient During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Monitor lab values to determine if any complications have developed 1. (Signs & Symptoms). Location: IV Company Registration Number: 61965243 Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. process Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. - coolness in extremities ECG: sinus rhythm w/ anterior myocardial infarction. signs RECOMMENDATION 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)? to use call of groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Log into thePoint and launch the assigned vSim, following all instructions contained in this Dyspnea, productive cough w/ blood tinged frothy List Complications may occur related to dx, procedure, Then ensure that the shock pads are placed in the correct spots and damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Max 3 pills with 5 min intervals in between. 4. May depress breathing (report any breathing pain source and also PT has First, there is reduced blood flow in a coronary artery that is 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Assess for decreased urinary output o Plan of Care Concept Map of sodium You will download the word document to answer the questions and then Submit the completed worksheet. Healthy heart diet, Patients primary - If PT allergic to tartrazine avoid ASA input and output, character of urine, and any other observations Submit for review, to the course dropbox. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Use the smart sense link to complete the following patient education worksheet for each indicate injury Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. for infiltration Temp: 99 F (37 C) 1:27 You identified the patient. management system (LMS). -- imbalances a. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. 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.

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