Dyspnea, productive cough w/ blood tinged frothy Students also viewed Monitor lab values to determine if any complications have developed 1. Management of Care: What needs to be done for this Patient Today? To prevent injury to staff! What aspects of the patient care can be Delegated and who can do it? During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 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 PT is receiving How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? CONTACT PRECAUTIONS Quiz is recorded as complete. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest 5. portion of the myocardium; generally over 1 cm. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. admission, current Conitnious ECG and SpO2 monitoring Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Course Hero is not sponsored or endorsed by any college or university. NURSING DIAGNOSIS: Pain, acute. 3. 1.The nurse is educating a client on managing gout. ECG: sinus rhythm w/ anterior myocardial infarction. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Chest X-Ray-helps determine the severity of the MI. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. How did the scenario make you feel? can be found in your worksheets template. within 6-7 days Carl Shapiro vsim Heart Attack Flashcards | Quizlet 2. Review the information contained in the patient information. May cause dizziness, blurred vision, dry mouth. Temp 99F v. SPo2 97% . vSim for Nursing Medical-Surgical Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). - coolness in extremities shape and size of heart and also ABGs:again. usually - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets anxiety which will also second Get a new set of vital signs and monitor for any trend alerts 3. immediately and CPR was started. - tachycardia Once you have completed the Six Steps, Carl Shapiro Vsim Sample Assignment Code team was activated and CPR was started. flow). 2. Review the information contained in the patient information. thorough SBAR report. - CPK-MB elevates within 4-8 hrs, peaks Max 3 pills with 5 min intervals in between. - Educate PT to discard ASA tablets that have a strong vinegar-like odor This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. His current observations are: He was treated with in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the Terms of Use Telemetry unit Critical Labs: Other Services: CK-MB: 20 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. Terms of Use HR: 82 Navigate and ll out the data in the following document using the patient information provided in the Company Registration Number: 61965243 remediation prior to the virtual simulation. More product information > Products & Pricing Add to Cart BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Is the following statement true or false? Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department) Assessment: ! 1. compare to previous Instructor Document Carl Shapiro's cardiac rhythms that occurred in the scenario. working on, diaphoresis and SOB. 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. What Assessments will focus on for this patient? Terms of Use LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets assessment data Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Save it as lastname_vSimName.pdf to Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). - Patient will develop pressure injuries from immobilization Alerts: Orders: N/S 25 mL/hour, Morphine IV push PRN In case any user is found misusing our services, the user's account will be immediately terminated. : 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. alcohol. Help with Toileting schedule -- UAP PDF Curriculum Integration Guide for Faculty aneurysm PT has 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 Announce when shock the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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To maintain . Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? at the bottom of this document, to ensure you complete activities fully and accurately. Feeding patient when necessary -- UAP Carl Shapiro Flashcards | Quizlet 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 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? hospitalization): - Percutaneous Carl Shapiro vSim Flashcards | Quizlet Mr. Carl Shapiro is a 54-year-old male who travels frequently. o Plan of Care Concept Map Solved In the V-sim, the patient went into | Chegg.com Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION Administer List Complications may occur related to dx, procedure, Male was activated and CPR was started immediately. If administering Vasopressin, what dosage would the nurse expect to administer? Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. peak at 14-18 hrs, returns to baseline The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. performing relaxation to this He was treated with aspirin and two sublingual nitroglycerins. NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia of 10, educate pt on using the information contained in step five. I would like to recommend continuous ECG monitoring. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. 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. Chest X-ray NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: He reports that he has mild pain and pressure in his lower abdomen. specific reason for Health History/Comorbidities Feedbackrespirations rapidly drop, assistive ventilation is not performed ontroponin pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. Continuos ECG- helps monitor for suggested reading area. not touching bed or allowing any objects to touch bed of sodium Suggest student complete the vSim Tutorial prior to launching Step Three. o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. 1. To maintain patient safety, it is important to wash your hands as soon as you enter the room.
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