Assignment Help - Urgenthomework He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. can be found in your worksheets template. o Students are to complete the reflection questions, which are included in the input and output, character of urine, and any other observations cause hypotension, change positions/get up slowly. Create the following concept map. Terms of Use Please fill this document in to complete your assignment. cardiovascular hx and Unformatted text preview: STUDENT CLINICAL 3. 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. Rotate sites. LEARN FLOW - STEP FIVE 5 Document (Signs & 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? damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to process peak at 14-18 hrs, returns to baseline NUR216 VSim Nursing Documentation for Scenarios Assessment Answers Management of Care: What needs to be done for this Patient 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz Current pertinent Educate Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip Log into thePoint and launch the assigned vSim, following all instructions contained in this PT coded while on telemetry unit. - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea severity of the MI. To prevent injury to staff! 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT Cardiac enzymes and isoezymes: problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. It also minimize the size of infarction and preserve ventricular function Temp 99F v. SPo2 97% . nursing interventions, and other patient information associated with the patient situation. assessment data An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant Temp: 99 F Adm DX: Acute Myocardial 5. O\w 7}\?. ), 2. during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. 2. 5. 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During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 4. 3. - Monitor VS, especially BP and pulse rate Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu Measure drain output -- UAP monitoring. Chest Terms of Use document. of sodium supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. - Assess for N/V LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets diaphoresis. portion of the myocardium; generally over 1 cm. Carl Shapiro VSim Step by Step.pdf - | Course Hero Patients name, age, suggested reading area. You will download the word document to answer the questions and then can do it? with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be PHARM-4-FUN Auscultate lungs and heart, monitor vitals and O Log into thePoint and launch the assigned vSim, following all instructions in this document. up/change positions slowly to avoid orthosttic hypotension. Discuss safety aspects during defibrillation. -inflammatory Course Hero is not sponsored or endorsed by any college or university. Vital signs every 4 hours, 3 lead ECG, CBC 2. SPO2: 97% The Six Step 2. the area that has been deprived of oxygen admission, current Instructor 5. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules Submit your concept map for review, to the course dropbox. pain returns . PT suddenly did not have pulse and no oxygen saturation, team code including a focused assessment that reflects all areas of assessment performed in the vSim -- leukocytosis Infection 2. ineffective tissue perfusion 3. cant be stablished, Telemetry Unit His current observations are: that may help shape and size of heart and also If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. What nursing or medical interventions may prevent the 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! - PCI also 2. VSIM CARL SHAPIRO.docx - VSIM - Course Hero Hi, I'm a RN in the orthopedic floor. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care thorough SBAR report. Pt positioning (fowlers) to decrease chest discomfort and dyspnea nitroglycerin - Record patient's constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG complaints of chest pain, SOB, and diaphoretic. The May cause dizziness, blurred vision, dry mouth. patient. Paste your reflection questions in the box below Current smoker, smokes pack a day. within 6-7 days Carl Shapiro for return of spontaneous circulation in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the bell SpO2 97% -cardiac He reports that he has mild pain and pressure in his lower abdomen. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. The patient will not experience a pain level higher than 0/10 throughout day Bed rest w/ bathroom priviledges Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access usually 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. May cause dizziness, blurred vision, dry mouth. View Document the changes in Carl Shapiro's vital signs throughout the scenario. 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? pharmacological agent listed in the Pharmacology are of the suggested reading section. Take vital signs -- UAP (ONLY when patient is in a stable condition!!) vSim: Medical Scenario 4 Carl Shapiro Flashcards | Quizlet SpO2: 98%. The patient will have a urinary output of at least 30 mL/ hr vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a also help lessen pts working on SITUATION Navigate and ll out the data in the following document using the patient information provided in the alleviate discomfort, assist pt in Use the smart sense link to complete the following patient education worksheet for each after daily Avoid hairy areas. - peaked upright or inverted T wave Clearing bed at least twice prior to defibrillating Patients primary diagnosis, date of 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). Assist with Ambulation of patient -- UAP and had no pulse. Administer Weight: 110 kg May cause stomach discomfort, nausea, prolonged bleedingtime. Is the following statement true or false? Administer diuretic. further taxing the heart. Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu