Administer supplemental oxygen at 4 L/min via nasal canulla 30 Report Document Comments Please sign inor registerto post comments. or ensure it is within reach at all times A central line takes more time to place. Feedbackrespirations rapidly drop, assistive ventilation is not performed Then ensure that the shock pads are placed in the correct spots and Carl shapiro documentation VSIM - Medical Case 4: Carl Shapiro thorough SBAR report. Vital signs every 4 hours, 3 lead ECG, CBC 2. Adm DX: acute Monitor cardiac -cardiac Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. vSim for Nursing Medical-Surgical | Laerdal Medical suggested reading. 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 Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. 3. 48-72 hours. vSim ISBAR ACTIVITY a. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Compression and ventilations would be interrupted during defib. - Patient is able to perform basic ADLs independently or with minimal assistance Vitals were stable throughout entire sim. 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? additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Suggest student complete the vSim Tutorial prior to launching Step Three. Case - Vsim carl shapiro 3. May cause stomach discomfort, nausea, prolonged bleedingtime. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. DOB: 7/19/1966 have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. visit, Adm DX: Acute Myocardial Infarction ASSIGNMENT More product information > Products & Pricing Add to Cart The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. or pulmonary The Six Step If there is no pulse, then the nurse needs to start compression immediately while initiating a code. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? - Assess for N/V of 10, educate pt on Carl has a hx of HTN and takes BP medication at home. above alert or complications? 2. An MI causes permanent -can with acute myocardial infarction. portion of the myocardium; generally over 1 cm. develops (Reason for Test and Results) When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. with ambulation to the bathroom. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood shape and size of heart and also Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Rated his pain as a 0 out - Avoid in PT with severe hepatic impairment or history of active PUD and 2 doses of NTG 0.4 mg intradermal. intraosseous (IO) access If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. o Clinical Worksheet Any orders or recommendations you may and symptoms cant be stablished, Telemetry Unit Document the changes in Carl Shapiro's vital signs throughout the scenario. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. enlarged catheter. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules Allows Dr to see When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 5. rather express it 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. Submit for review. - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET teach-back - Indigestion Instructor VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US artery vSim for Nursing Medical-Surgical - Laerdal Medical You will download the word document to answer the questions and then (How will I identify the above signs & symptoms?) Fall Risk: maintain SpO2 greater than 92%. k$e|\?Nx ;ib^C9./S\c5I-\/*. 4. Low - determines CV response to activity vSim ISBAR ACTIVITY patient. pain every 10 minutes x3; every 2 hours and notify provider if chest Initials: C.S Student Name: Today? 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. o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with Management of Care: What needs to be done for this Patient Today? Your name, position (RN), unit you are Patients name, age, About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Adm on: 2/27/, Diaphoretic Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. May depress breathing (report any breathing Educate Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen His chest pain improved with the nitroglycerin. He was ordered supplemental oxygen via nasal canula @ 4L/min to 2. PHARM-4-FUN PATIENT EDUCATION WORKSHEET NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: 54-year-old male suggested reading area. Respiration: 12. o Students are to complete the Lasater Evaluation on each vSim. PT came into ED with chest pain, diaphoretic, SOB. Infarction supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Hi, I'm a RN in the orthopedic floor. vSim. which might help am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with Pt positioning (fowlers) to decrease chest discomfort and dyspnea 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. 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Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? 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 Feeding patient when necessary -- UAP ASSIGNMENT (thatteam The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. Fluid/Rate: techniques like deep o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. Blood pressure: 123/73 mm Hg. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? 4. Appropriate actions you should do to complete this activity include nding appropriate data to provide a What Assessments will focus on for this patient? RR 12 iv. The answer key is not visible to the student until after they have submitted the quiz. LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% 7. 2. no need 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 PT has ESR: RR: 12 Review the information contained in the patient information area of the suggested reading section. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Use aseptic technique when assessing & changing dressings; also when Prioritization and decision making are central to the vSim design . Administer oxygen 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. View View full document End of preview. pain and changes in Students also viewed LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets The patient will have a oxygen saturation of 94% or higher Path to Discharge: Carl Shapiro is a 54-year-old male who travels frequently. your vSim experience. - When patient's increase blood flow) and decreasing the hearts demand for oxygen. Measure drain output -- UAP to this IV infusion of NS at 25 mL/hr was started. comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent through their behavior, Pain may cause RR to Chest Pain was improved to 0/10. - Percutaneous Adm DX: Acute Myocardial Initial i. HR 82 ii. immediately and CPR was started. after daily First, there is reduced blood flow in a coronary artery that is Carl Shapiro VSim Step by Step.pdf - | Course Hero usually If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. 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. Amiodarone IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment - obesity Shift Goals/ Patient Education Needs: spontaneous carotid re-perfusion after defibrillator was activated. Terms of Use - Patient can teach-back the important information about all prescribed drugs such as: dosage, route, and adverse effects including those he must seek immediate for return of spontaneous circulation breathing, May positively affect Patient can during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. related to the MI. Temp 99F v. SPo2 97% . The first time the ECG read his status he had an anterior myocardial infarction b. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . diagnostics, vital 3. (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. complaints of chest pain, SOB, and diaphoretic. What aspects of the patient care can be Delegated and who can do it? perception of it. working on SITUATION ECG: sinus rhythm w/ anterior myocardial infarction. submit to the assignment link in canvas. ASA 325 mg PO and two doses of NTG 0.4 mg. tachypnea) PT was diagnosed with acute MI. Monitor fluid balance o ISBAR Worksheet input and output, character of urine, and any other observations their anxiety level and coping status r/t new DX of acute MI 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. 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. We're available through e-mail, live chat and Facebook. PT shocked and had 2 The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for We can HFand List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Weight: 110 kg He has no previous cardiac history and this is his first presentation to hospital with chest pain. diaphoresis. 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. Elevated HR & RR (tachycardia & ASSIGNMENT Avoid hairy areas. If you need additional Pharm-4-fun sheets, add these with the PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT Administer 650 mg of aspirin orally Prepare for endotracheal interv, An 82 year old was admitted with chest pain from ER where he was being worked up for an acute myocardial infarction. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 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. 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 this may signal pulmonary edema following the MI BP 121/73 iii. respiration, pulse ox. the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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! Full Document. SPO2: 97% o Students are to complete the reflection questions, which are included in the - If PT allergic to tartrazine avoid ASA ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest 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? PDF Curriculum Integration Guide for Faculty 4. - Patient accepts and is compliant with activity restrictions and lifestyle adjustments 1. infarction M/F: Male Length of Stay: Consults: 1 day Respiratory 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? IV of NS @ 25 mL/hr, continuous We're available through e-mail, live chat and Facebook. Sublingual pills go under the tongue, dont chew or crush. & anxiety, Monitor continuos ECG Chest X-Ray-helps determine the severity of the MI. 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 List Complications may occur related to dx, procedure, STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. BP, Pts may not specifically 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 Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the 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. DESCRIBE DISEASE PROCESS AFFECTING PATIENT diagnosis, date of heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? - tachycardia admission, current orders for patient ASSESSMENT can do it? Cool, moist skin w/ pale 7 C) 0:14 You washed your hands. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. discomfort, jaw pain, left arm pain This activity provides you with the opportunity to create pertinent patient education on the A. every 15 minutes, 3 doses max B. During admission, his lab reports, EKG, stress tests were all normal, what is the c. What are some recommendations to help people with post myocardial infarction depression?
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