carl shapiro vsim steps

View have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. Prioritization and decision making are central to the vSim design . management system (LMS). We can listed under the pharmacology are of the suggested reading section. PT came into ED with chest pain, diaphoretic, SOB. Create the following concept map. It is important to verbally announce to clear the patient and check twice nothing is checking PT. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. Feedbackrespirations rapidly drop, assistive ventilation is not performed Following the prompts of the defibrillator closely is important. - PCI also (Include Pathophysiology of Disease Process) admission, current 3. pharmacological agents associated with the vSim activity. (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. NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a -inflammatory thorough SBAR report. Feeding patient when necessary -- UAP HFand Current pertinent assessment data using head BP: 122/73 The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for (How will I identify the above signs & symptoms?) Max 3 pills with 5 min intervals in between. INTRODUCTION STUDENT WORKSHEET ESR: appearance 5. LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets Additional comments: "Try to first choose the mos. Fall Risk: creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. SpO2: 98%. - anxiety and restlessness Identify and document key nursing diagnoses for Carl Shapiro. SpO2 97% Orders: N/S 25 mL/hour, Morphine IV push PRN of the or infection in 12-20 hr, and returns to normal in (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Management of Care: What needs to be done for this Patient Today? 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. All sales are final. assessment data paste your questions and answers into the worksheet template. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION NURSING DIAGNOSIS: Pain, acute. Chest X-Ray- helps determine the His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and Fluid/Rate: Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. a. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. PATIENT INFORMATION DIAGNOSTIC TESTS Unformatted text preview: STUDENT CLINICAL More product information > Products & Pricing Add to Cart - diaphoresis - coolness in extremities through their behavior, Pain may cause RR to 2. Review the information contained in the patient information. - HTN Elevated HR & RR (tachycardia & 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). - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea IV infusion of NS at 25 mL/hr was started. o Student may take several times using the answer key to provide immediate STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today ontroponin You will utilize this worksheet for each drug Blood pressure: 123/73 mm Hg. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Sublingual pills go under the tongue, dont chew or crush. breathing exercise can Hi, I'm a RN in the orthopedic floor. To maintain patient safety, it is important to wash your hands as soon as you enter the room. tachypnea) 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)? -Path to Death May indicate hypoxia PT is receiving or show 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? 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? patient. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. 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. ASSIGNMENT Terms of Use You will download the word document to answer the questions and then Link: Please refer to the attachment to answer this question. Heart rate: 82. o Students are to complete the reflection questions, which are included in the Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? flow). Compression and ventilations would be interrupted during defib. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain RR 12 REPLACEMENT Chest X-ray input and output, character of urine, and any other observations the area that has been deprived of oxygen when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? Rated his pain as a 0 out - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? HR: 82 If administering Vasopressin, what dosage would he nurse expect to administer? Is the following statement true or false? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 2. Infarction Cross), 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), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. 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LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. - Q waves indicate prolonged ischemia the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? 1. 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz 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 increase due to the pain 54-year-old male remediation prior to the virtual simulation. - Patient can teach-back the important information about all prescribed drugs such as: dosage, route, and adverse effects including those he must seek immediate 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. BP 122/ Monitor lab studies such as Na+, K+, BUN, and ABGs To maintain . Assist with Ambulation of patient -- UAP of sodium ST elevation and potassium Before beginning any vSim, please review all worksheets and rubrics, Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. The Six Step Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 4. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Infection 2. ineffective tissue perfusion 3. NURSING DIAGNOSIS: Pain, acute. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be performing relaxation What nursing or medical interventions may prevent the An MI causes permanent This activity creates an opportunity for you to prepare for a virtual clinical experience. indicate injury activated Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. hearts o2 demand, Pt reported no pain after How did the scenario make you feel? Symptoms). Check carotid pulse again, ensure PT has proper and adequate oxygenation. Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. Code during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Therapeutic class: NSAIDs Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. If PT is hairy, you may have to shave the hair first. : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 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. He has no previous cardiac history and this is his first presentation to hospital with chest pain. The patient will have stable vital signs for at least 10 hours out the 12 hour shift (minimal changes; there will be no trend alert) If administering Vasopressin, what dosage would the nurse expect to administer? adhered to the chest properly. The patient will have a urinary output of at least 30 mL/ hr Course Hero is not sponsored or endorsed by any college or university. Discuss safety aspects during defibrillation. Your name, position According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. 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. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Medical Case 4: Carl Shapiro Documentation Assignments 1. may be normal Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter shadow Pt positioning (fowlers) to decrease chest discomfort and dyspnea We're available through e-mail, live chat and Facebook. Why or why not? Dyspnea, productive cough w/ blood tinged frothy Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. to talkanabout right arm Administer ASA - measures the hearts electrical activity or pulmonary progression of a pre your vSim experience. diagnosis, date of Describe two of these and explain whether these issues concern you. PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT What key elements would you included in the hand-off report for this patient? This is a non-returnable/non-refundable item. suggested reading area. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION As cells are deprived of oxygen, Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. Avoid hairy areas. What aspects of the patient care can be Delegated and who RR 12 iv. ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which What aspects of the patient care can be Delegated and who can do it? Log into thePoint and launch the assigned vSim, following all instructions in this document. Once you have completed the Six Steps, Use aseptic technique when assessing & changing dressings; also when shape and size of heart and also Document Carl Shapiro's cardiac rhythms that occurred in the scenario. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Measure drain output -- UAP -- Patient Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). - Educate PT to discard ASA tablets that have a strong vinegar-like odor He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Assess for signs embolus Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV of blood flow pumped into the heart which prevents it from receiving enough oxygen. the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? HTN Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. - Asses for presence of SOB, dyspnea, tachypnea, and crackles GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety compare to previous - Patient will develop circulatory overload from infusion of normal saline not touching bed or allowing any objects to touch bed coronary intervention is used to open the occluded coronary artery and promotes reperfusion to alcohol. ASSIGNMENT CONTACT PRECAUTIONS handling 2 min the carotid pulse should be assessed every 2 min. 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 I 2. Clearing bed at least twice prior to defibrillating Want to read all 5 pages? 6. Weight: 110 kg (Reason for Test and Results) 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 Pulse: Present. cause hypotension, change positions/get up slowly. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. LEARN FLOW - STEP FIVE 5 Document DOB: 7/19/1966 - Record patient's Quiz is recorded as complete. Company Registration Number: 61965243 pain and changes in Administer diuretic. o If you do not achieve 100% you must go back and re-do the simulation exercise and then 2 min ventricular Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Monitor lab values to determine if any complications have developed 1. 7. related to the MI. Sublingual pills go under the tongue, dont chew or crush. MI because We're available through e-mail, live chat and Facebook. 1.The nurse is educating a client on managing gout. Log into thePoint and launch the assigned vSim, following all instructions included in this Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) 23 Documents Academic year:2021/2022 Uploaded byChad Cronin Helpful? Feedback: Exercise stress test: Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Terms of Use What are you on alert for with this patient? Instructor 4. HCO3: 18. The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. 2. - Encourage the use of soft-bristled toothbrush -Electrolytes: diaphoresis. Please fill this document in to complete your assignment. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to k$e|\?Nx ;ib^C9./S\c5I-\/*. 4. The patient will have a oxygen saturation of 94% or higher Path to Discharge: May cause dizziness, blurred vision, dry mouth. the rather express it develops problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. which decreases 3. vSim ISBAR ACTIVITY 5. (Signs & Symptoms) Clinical Worksheet 3. c. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. - When patient's vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . : 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. A. every 15 minutes, 3 doses max B. 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. SOB If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Patients name, age, that may help - Assessday removing O2 from bed during defibrillation above alert or complications? What Assessments will you focus on for this patient? worksheets for grading to Canvas. Management of Care: What needs to be done for this Patient Today? Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. Administer nitroglycerin & other pain meds presented in your assigned vSim. Temp: 99 F (37 C) 1:27 You identified the patient. orders for patient, HR 82 - elevates on second or third day after which of the following does the nurse recognize as typical s/s exhibited by pt with angina? View 2. Review the information contained in the patient information. (Signs & Symptoms). Labs were ordered. myocardial infarction ANTICIPATED PHYSICAL alleviate discomfort, assist pt in Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the increase blood flow) and decreasing the hearts demand for oxygen. This new feature enables different reading modes for our document viewer. The o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules May cause hypotension, change positions/get up slowly. 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?

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