carl shapiro vsim steps

breathing exercise can RR: 12 Chest X-Ray-helps determine the severity of the MI. Instruct Pt not to touch incision & monitor More product information > Products & Pricing Add to Cart supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. with acute myocardial infarction. remediation prior to the virtual simulation. orders for patient, HR 82 Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Heart rate: 82. MI because PT suddenly did not have pulse and no oxygen saturation, team code How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? Chest Pain was improved to 0/10. HFand What aspects of the patient care can be Delegated and who can do it? management system (LMS). RR 12 iv. IV of NS @ 25 mL/hr, continuous GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal suggested reading area. Carl Shapiro Assess vital signs & lab values 3. therapy Code Status: FULL CODE Allergies: Discuss safety aspects during defibrillation. 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. 54-year-old male cant be stablished, Telemetry Unit HCO3: 18. 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? delegated. of the or infection REPLACEMENT shadow - Assessday Male control pain by its Any orders or recommendations you may right arm -- Patient rubric provided in the worksheet template. PT was stable and transfered telemetry unit. This activity creates an opportunity for you to prepare for a virtual clinical experience. PT shocked and had 2 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. The patient will have a urinary output of at least 30 mL/ hr Educate portion of the myocardium; generally over 1 cm. 2. SPO2: 97% Current smoker, smokes pack a day. (REASON FOR TEST AND RESULTS) He was diagnosed Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Avoid alchohol, Stand ischemic episodes (ST segment - tachycardia What aspects of the patient care can be Delegated and who 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. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), MLA Review Worksheet - assignment given to practice MLA format, Lab 6 Procedures - Online Instructor is White, Lab 4 Procedure - Online Instructor is White, Lab 3 Procedures Sheet - Online Instructor is White, Management Information Systems and Technology (BUS 5114), Introduction to Health Information Technology (HIM200), Elementary Physical Eucation and Health Methods (C367), Introduction To Computer And Information Security (ITO 310), Concepts of Medical Surgical Nursing (NUR 170), Microsoft Azure Architect Technologies (AZ-303), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), English 123- 3-4 Assignment Submission- Annotating Your Sources, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, BMGT 364 Planning the SWOT Analysis of Silver Airways, TB-Chapter 16 Ears - These are test bank questions that I paid for. 1. 5. CONCEPT MAP WORKSHEET How did the scenario make you feel? Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. in 12-20 hr, and returns to normal in ECG: Paste your reflection questions in the box below 1. Assessing carotid pulse (RN), unit you are sublingual constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG paste your questions and answers into the worksheet template. - When patient's 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! 6. admission, current orders for patient ASSESSMENT NO PRECAUTIONS The first time the ECG read his status he had an anterior myocardial infarction b. What Assessments will you focus on for this patient? Fluid/Rate: A central line takes more time to place. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today infarction M/F: Male Length of Stay: Consults: 1 day Respiratory up/change positions slowly to avoid orthosttic hypotension. Navigate and ll out the data in the following document using the patient information provided in the - anxiety and restlessness Check carotid pulse again, ensure PT has proper and adequate oxygenation. In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. rather express it Both are cardiac markers and are indicative of a potential myocardial injury. activated is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. Pain level: 0/10 (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). The patient will not experience a pain level higher than 0/10 throughout day The Six Step learn flow in vSim is to be followed as instructed below. 2. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care He presented to the emergency department in the early hours of the morning following sudden onset chest pain. 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! also help lessen pts His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and alleviate discomfort, assist pt in diaphoresis. Current pertinent Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. peak at 14-18 hrs, returns to baseline Transfer: Administer supplemental oxygen at 4 L/min via nasal canulla What nursing or medical interventions may prevent the - determines CV response to activity vSim ISBAR ACTIVITY ASSIGNMENT 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. BMP, CBC, Troponin, CK-MB- Lab - PCI also An MI causes permanent (Reason for Test and Results) Then ensure that the shock pads are placed in the correct spots and This document View pain source and also 5. vasodilating effects Blood pressure: 123/73 mm Hg. 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. alter conduction and compromise and 2 doses of NTG 0.4 mg intradermal. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. progression of a pre during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. Height: 175 cm PT has -contractility Infarction visit, Adm DX: Acute Myocardial Infarction 6. VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. pharmacological agents associated with the vSim activity. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. LEARN FLOW - STEP FIVE 5 Document myocardic ischemia, which could further lead to Adm DX: acute NURSING DIAGNOSIS: Pain, acute. x-ray: PT is receiving . develops anxiety which will also rounds of CPR before regaining consciousness. patient Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? remediation prior to the virtual simulation. learn flow in vSim is to be followed as instructed below. 2. taking aspirin and nitro. a. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Complete all areas of the attached clinical worksheet. His chest pain improved with the nitroglycerin. - diaphoresis o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION or show : 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. same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf Once you have completed the Six Steps, 1. process This activity provides you with the opportunity to create pertinent patient education on the PT came into ED with chest pain, diaphoretic, SOB. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. After about 4 rounds of compression and breaths, a pulse should be reassessed. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Save it as lastname_vSimName.pdf to Course Hero is not sponsored or endorsed by any college or university. Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding PHARM-4-FUN template to complete): Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere.

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