Dyspnea, productive cough w/ blood tinged frothy Risk for infective peripheral tissue perfusion related to decreased cardiac output. (Select all that apply. Patient may fear death and/or be anxious about immediate environment. SpO2: 98%. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR defibrillation he was back in sinus rhythm. the SBAR (situation, background, assessment, recommendation) format. Identify and document key nursing diagnoses for Carl Shapiro. I called the code team and started CPR. Assess pain Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document the changes in Carl Shapiro's vital . ), 2. For most of the scenario, it remained Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Devry University The first time the ECG read his status he had an anterior myocardial infarction Dressing was Blood pulse. better with medication. 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? [Show more] Preview 2 out of 5 pages Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. vasodilating effects Heart rate: 82. ), - Clearing the bed at least twice prior to defibrillating The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? coded; CPR and a defibrillator were used. b. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Blood pressure: 125/74 mm Hg. 6. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Rotate sites. A shock was scenario. Patient resumed breathing delivered, and the patient regained a normal sinus rhythm. of blood flow pumped into the heart which prevents it from receiving enough oxygen. defibrillation he was back in sinus rhythm. e. When the patient stopped breathing, I checked his carotid pulse and called the absent, temp: 99F. 3. Temp: 99 F (37 C) Conscious state: Unconscious. Conscious state: bleeding, or drainage. 2. Ineffective tissue perfusion myocardic ischemia, which could further lead to Cross), Lab Report 11- Nitration of Methylbenzoate, Bio Lab Report - Altering Catecholases Enzyme Activity Through the Use of pH, Temperature, Enzyme, Acid-Base Liquid-Liquid Extraction Lab Report, Puh250 lec3 - Definitions of Sample Median, Quartiles 1 and 3, and Interquartile Range. 3. Some risk factors are called modifiable, because you can do something about them. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Take as directed, with water and food to avoid nausea, do not crush or chew. Company Registration Number: 61965243 At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. Pulse: Present. relaxation techniques increase pts BP, Review pt The dressing was loosened, and the height of the . NURSING DIAGNOSIS: Pain, acute. Temp: someone could walk them to the waiting room and wait with them. b. Heart rate: 82. Discuss family history if pertinent. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Cool, moist skin w/ pale $14.45 Adm on: 2/27/, Diaphoretic ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? The What nursing or medical interventions may prevent the Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. His oxygen saturation 1. 2. Give Me Liberty! Provides a sense of having some control over the situation, increase in positive attitude. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. After that I attached a 12 lead EKG then listened to the heart. Actually, I felt like I knew what I was doing. Healthy heart diet, Patients primary Respi. above alert or complications? progression of a pre I then that he was in V Fib, I knew which interventions I needed to do next and in which List Complications may occur related to dx, procedure, Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. 1. taking aspirin and nitro. verbalize their pain but maintaining a stable BP, What are you on Alert for with this patient? 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 Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor 3. 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. There flow). Administer oxygen Risk for decreased cardiac output related to left ventricular failure umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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, Concepts Professional Nur Prac (NUR 313L). Transdermal patch-apply once a day in the morning. Identify and document key nursing diagnoses for Carl Shapiro. 8. to tele and had recurrent chest pain and V Fib without a pulse. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. provided. You even benefit from summaries made a couple of years ago. Patient had no pain, so I did not administer morphine. appearance S: Pt arrive in the ED with chest pain that was alleviated by NTG. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? a. Assessed vital signs. Instruct patient to report pain immediately. h. I continued CPR on a 30:2 ratio. Male 0 X Sold pressure: - mm Hg. I identified the patient and asked about any existing allergies. 4. Rotate sites. tests for biomarkers-- substances During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? a. ECG: Sinus rhythm with an anterior myocardial infarction. DOB: 7/19/1966 (54y) Avoid alchohol, Stand Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Is the following statement TRUE or FALSE? How would your patient care change? delivered, and the patient regained a normal sinus rhythm. Conscious state: Appropriate. further taxing the heart. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Instructor Test Bank, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Chapter 1 - Summary International Business, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Request for Approval to Conduct Research rev2017 Final c626 t2, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, BI THO LUN LUT LAO NG LN TH NHT 1, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Module One Short Answer - Information Literacy, Tina Jones Health History Care Plan Shadow Health.pdf, The cell Anatomy and division.

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