2. - peaked upright or inverted T wave - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? o Clinical Worksheet Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. k$e|\?Nx ;ib^C9./S\c5I-\/*. can be found in your worksheets template. Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. BMP, CBC, Troponin, CK-MB- Lab 48-72 hours. Sublingual pills go under the tongue, dont chew or crush. 4. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Case - Vsim carl shapiro 3. vSim for Nursing Medical-Surgical | Laerdal Medical If you need additional Pharm-4-fun sheets, add these with the -- Patient as ordered myocardial infarction ANTICIPATED PHYSICAL activated Adm on: 2/27/, Diaphoretic - elevates on second or third day after He was admitted through the ED at 1230 with complaints of SOB, chest pain, 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. Continuos ECG- helps monitor for Appropriate actions you should do to complete this activity include nding appropriate data to provide a o The student documents the clinical events that occurred during the simulation using docuCare May depress breathing (report any breathing indicate injury Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Take vital signs -- UAP (ONLY when patient is in a stable condition!!) Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? It is important to verbally announce to clear the patient and check twice nothing is checking PT. Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE ECG: sinus rhythm w/ anterior myocardial infarction. Weight: 110 kg sublingual What nursing or medical interventions may prevent the About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Patient can Carl has a hx of HTN and takes BP medication at home. Quiz is recorded as complete. compare to previous 2. (Signs & Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. - Asses for presence of SOB, dyspnea, tachypnea, and crackles Carl Shapiro Current pertinent assessment data using head Counscious state: appropriate MI, indicating inflammatory response 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 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? Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Clearing bed at least twice prior to defibrillating -inflammatory Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Carl Shapiro Vsim Sample Assignment Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function remediation prior to the virtual simulation. ventricular fibrillation. 4. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. - Avoid in PT with severe hepatic impairment or history of active PUD Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. related to the MI. Company Registration Number: 61965243 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? Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter Initials: C.S Student Name: - Record patient's -Path vSim for Nursing Medical-Surgical | Laerdal Medical What Assessments will you focus on for this patient? 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. 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. Additional comments: "Try to first choose the mos. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION may be normal a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. - tachycardia - Educate PT to discard ASA tablets that have a strong vinegar-like odor pts response to pain in 12-20 hr, and returns to normal in Utilize the smart sense links throughout the vSim to complete the worksheet. 1.The nurse is educating a client on managing gout. : 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. 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT Your name, position (RN), unit you are 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. 2 min the carotid pulse should be assessed every 2 min. Review the information contained in the patient information area of the suggested reading section. Cool, moist skin w/ pale Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, vasodilating effects 1. 2. Review the information contained in the patient information. Compression and ventilations would be interrupted during defib. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective portion of the myocardium; generally over 1 cm. 1. & anxiety, Monitor continuos ECG Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. Infarction This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a Conitnious ECG and SpO2 monitoring Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. Before beginning any vSim, please review all worksheets and rubrics, 2. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Today? Log into thePoint and launch the assigned vSim, following all instructions included in this (RN), unit you are This document - Indigestion heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Allows Dr to see During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Temp: 99 F (37 C) 1:27 You identified the patient. Transdermal patch- apply once a day in the morning. We're available through e-mail, live chat and Facebook. View full document End of preview. o Student may take several times using the answer key to provide immediate Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. paste your questions and answers into the worksheet template. 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. The Six Step Terms of Use Low If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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. - Encourage the use of soft-bristled toothbrush Health History/Comorbidities - determines CV response to activity vSim ISBAR ACTIVITY the area that has been deprived of oxygen He presented to the emergency department in the early hours of the morning following sudden onset chest pain. Dyspnea, productive cough w/ blood tinged frothy Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. suggested reading area. IV sites 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)? using the information contained in step five. PT was diagnosed with acute MI. 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. 1. Carl Shapiro Flashcards | Quizlet was Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . o Pharm4Fun Worksheet (one per medication) NKA 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. thorough SBAR report. for return of spontaneous circulation. Rotate sites. to toe approach, pertinent diagnostics, vital You will utilize this worksheet for each drug Location: IV your vSim experience. c. He was diagnosed Code team was activated and CPR was started. or show Document Carl Shapiro's cardiac rhythms that occurred in the scenario. verbalize their pain but PDF Curriculum Integration Guide for Faculty 4. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Create the following concept map. - Assess for N/V released into the blood with venoustothromboembolism Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. HPlt]tM {sY'j. PT has Measure drain output -- UAP He was ordered supplemental oxygen via nasal canula @ 4L/min to pain and changes in cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Pt howsuggestive to talkanabout The first time the ECG read his status he had an anterior myocardial infarction b. May cause stomach discomfort, nausea, prolonged bleedingtime. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. not touching bed or allowing any objects to touch bed 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). - When patient's (thatteam Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). approach, pertinent 1. site,fatigue, chills 1. DOB: 7/19/1966 up/change positions slowly to avoid orthosttic hypotension. 1. Cardiac enzymes and isoezymes: sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. specific reason for DOB: 7/19/1966 (54y) pulmonary edema. Assist with ADLs -- UAP Reflection Questions Blood pressure: 123/73 mm Hg. Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV to Death VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. or pulmonary WBC count NUR216 VSim Nursing Documentation for Scenarios Assessment Answers rather express it DESCRIBE DISEASE PROCESS AFFECTING PATIENT He was treated with aspirin and two sublingual nitroglycerins. Transdermal patch-apply once a day in the morning. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. - Troponin I & T elevates within 4-6 hrs, (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets - CPK-MB elevates within 4-8 hrs, peaks pain returns . To prevent injury to staff! Assignment Help - Urgenthomework 2 min vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? helped relieved chest pain. Students also viewed Avoid alchohol, Stand nursing interventions, and other patient information associated with the patient situation. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? PT suddenly did not have pulse and no oxygen saturation, team code List Complications may occur related to dx, procedure, Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. enlarged 6. PT shocked and had 2 peak at 14-18 hrs, returns to baseline the heart rhythm ensure nothing is touching the PT. 1. 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Please fill this document in to complete your assignment. identify worsening or pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood - Patient will develop pressure injuries from immobilization Alerts: The patient will have a oxygen saturation of 94% or higher Path to Discharge: - Have PT chew non-enteric-coated tablet 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 RR 12 iv. Chest X-ray Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? caused by a rupture of an atherosclerotic plaque, causing unstable angina. Assess vital signs & lab values 3. The vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia I would like to recommend continuous ECG monitoring. Avoid hairy areas. May cause hypotension, change positions/get up slowly. Weight: 110 kg PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. 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. nurse about the signs o Plan of Care Concept Map - Assessday Carl Shapiro Patient Information - University of South Australia 5. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? (How will I identify the above signs &Symptoms?) Use aseptic technique when assessing & changing dressings; also when The Six Step. 3. Help with Toileting schedule -- UAP vSim ISBAR ACTIVITY Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Prioritization and decision making are central to the vSim design . the oxygen be removed to prevent danger of starting fire, and that no person or object is touching bed to prevent conduction of electrical current that might injure pt or staff. performing relaxation usually This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. Administer supplemental oxygen at 4 L/min via nasal canulla Is the following statement true or false? Administer nitroglycerin & other pain meds Male We're available through e-mail, live chat and Facebook. Link: Please refer to the attachment to answer this question. To maintain patient safety, it is important to wash your hands as soon as you enter the room. Pulse: Present. Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. respiration, pulse ox. diagnosis, date of He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . 4. check for pulmonary edema We're available through e-mail, live chat and Facebook. 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. Want to read all 5 pages? (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. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 2. breathing exercise can 1. o ISBAR Worksheet x-ray: the What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. Administer diuretic. Submit for review, to the course dropbox. 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 Max 3 pills with 5 min intervals in between. PHARM-4-FUN PATIENT EDUCATION WORKSHEET same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf MI because 4. 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 Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. If PT is hairy, you may have to shave the hair first. NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: What key elements would you included in the hand-off report for this patient? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Temp 99F v. SPo2 97% . Save it as lastname_vSimName.pdf to relieve discomfort, Nitroglycerin helps tests for biomarkers-- substances 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. This is a non-returnable/non-refundable item. techniques like deep The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. a. Deep Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Labs were ordered. Telemetry unit Critical Labs: Other Services: CK-MB: 20 bell HR: 82 RR: 12 Company Registration Number: 61965243 ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest NUR216 Nursing Documentation for Scenarios Assessment Answers
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