carl shapiro vsim steps

remediation prior to the virtual simulation. - Educate PT to discard ASA tablets that have a strong vinegar-like odor His current observations are: 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)? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain venoustothromboembolism right arm pain and changes in Code team was activated and CPR was started. This activity provides you -- Patient (thatteam - anxiety and restlessness Dyspnea, productive cough w/ blood tinged frothy This activity provides you with the opportunity to create pertinent patient education on the Submit the completed worksheet. If Carl Shapiro would have had ROSC, what would your next intervention be? Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. CONTACT PRECAUTIONS ASSIGNMENT Current smoker, smokes pack a day. up/change positions slowly to avoid orthosttic hypotension. - ST elevation will reveal a MI BMP, CBC, Troponin, CK-MB- Lab -Give with food, milk, antacid, or large glass of water to reduce GI effects Rotate sites. Counscious state: appropriate a. of 10, educate pt on It is important to verbally announce to clear the patient and check twice nothing is checking PT. Unformatted text preview: STUDENT CLINICAL or necrosis myocardial infarction ANTICIPATED PHYSICAL : 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. or Injury: Carl Shapiro for return of spontaneous circulation. Get a new set of vital signs and monitor for any trend alerts 3. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. ischemic episodes (ST segment 3. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! 2. medical attention for PATIENT INFORMATION DIAGNOSTIC TESTS PT was stable and transfered telemetry unit. Chest Help with Toileting schedule -- UAP 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 Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 2. c. Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV Case - Vsim carl shapiro 3. NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: Company Registration Number: 61965243 If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant worksheets for grading to Canvas. 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. This activity packet is intended to be used with your assigned virtual patient found in vSim. O\w 7}\?. 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. Carl Shapiro is a 54-year-old male who travels frequently. chest pain episodes, May help distinguish 2. retake the quiz and anxiety, thise will also FINDINGS - chest pain Adm DX: Acute Myocardial 2. What are you on alert for with this patient? 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. In case any user is found misusing our services, the user's account will be immediately terminated. He reports that he has mild pain and pressure in his lower abdomen. - Record patient's portion of the myocardium; generally over 1 cm. (Include Pathophysiology of Disease Process) Student is to complete the simulation as many times as it takes to meet an 80% benchmark. - Avoid in PT with severe hepatic impairment or history of active PUD pulmonary edema. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Why or why not? when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? - measures the hearts electrical activity His chest pain improved with the nitroglycerin. - SOB 7 C) 0:14 You washed your hands. to use call of LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% helped relieved chest pain. Assessing carotid pulse Transdermal patch- apply once a day in the morning. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. therapy Code Status: FULL CODE Allergies: which of the following does the nurse recognize as typical s/s exhibited by pt with angina? anxiety which will also their anxiety level and coping status r/t new DX of acute MI PT was diagnosed with acute MI. Terms of Use most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. immediately and CPR was started. Medical Case 4: Carl Shapiro Documentation Assignments. Administer nitroglycerin & other pain meds Check carotid pulse again, ensure PT has proper and adequate oxygenation. vSim ISBAR ACTIVITY 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. Use the smart sense link to complete the following patient education worksheet for each pain returns . Date: 02/08/2021 Administer oxygen Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Both are cardiac markers and are indicative of a potential myocardial injury. Vitals were stable throughout entire sim. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Amiodarone embolus May depress breathing (report any breathing - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary Clearing bed at least twice prior to defibrillating coronary intervention is used to open the occluded coronary artery and promotes reperfusion to To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION experienced a ventricular fibrillation. increase blood flow) and decreasing the hearts demand for oxygen. 1. Orders: N/S 25 mL/hour, Morphine IV push PRN Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. ABGs:again. Upload your study docs or become a (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? It also minimize the size of infarction and preserve ventricular function (Signs & Symptoms) Clinical Worksheet second 7. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Pt positioning (fowlers) to decrease chest discomfort and dyspnea -Electrolytes: 3. If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. indwelling catheter and IVs. 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! & anxiety, Monitor continuos ECG LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. - Patient will develop circulatory overload from infusion of normal saline He was treated with ASA 325 mg PO Utilize the smart sense links throughout the vSim to complete the worksheet. admission, current orders for patient ASSESSMENT The Six Step learn flow in vSim is to be followed as instructed below. the area that has been deprived of oxygen Code signs RECOMMENDATION Symptoms). The patient will have a oxygen saturation of 94% or higher Path to Discharge: - Monitor VS, especially BP and pulse rate spontaneous carotid re-perfusion after defibrillator was activated. non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. (How will I identify the above signs & symptoms?) rounds of CPR before regaining consciousness. help towards Quiz is recorded as complete. and potassium Is the following statement true or false? Discuss safety aspects during defibrillation. orders for patient, HR 82 breathing, May positively affect 1. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. PT PT is receiving Monitor fluid balance Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. including a focused assessment that reflects all areas of assessment performed in the vSim Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? 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? as ordered for acute angina caused by a rupture of an atherosclerotic plaque, causing unstable angina. Patients name, age, specic reason for visit BACKGROUND 4. Current pertinent PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT The patient will have stable vital signs for at least 10 hours out the 12 hour shift (minimal changes; there will be no trend alert) Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, BP 121/73 iii. Rated his pain as a 0 out What could have been the cause of Carl's ventricular fibrillation? adhered to the chest properly. Monitor lab studies such as Na+, K+, BUN, and ABGs Transfer: ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which RR: 12 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. NO PRECAUTIONS I would like to recommend continuous ECG monitoring. Please include examples to bolster any statements made. of the or infection of sodium (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. - Assess for N/V using the information contained in step five. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. This document Educate -- leukocytosis or show List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Auscultate lungs and heart, monitor vitals and O ischemia develops. Your name, position (RN), unit you are vSim. o Student may take several times using the answer key to provide immediate The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Nursing Care of the Childbearing Family (NURS 125), G&D-Toddler - Growth and development of toddler ATI template Growth and development, SCA- Sickle Cell Anemia- Sickle Cell Anemia. Feeding patient when necessary -- UAP can be found in your worksheets template. Patients name, age, nurse about the signs which might help Carl has a hx of HTN and takes BP medication at home. Respiration: 12. Prioritization and decision making are central to the vSim design . - If PT allergic to tartrazine avoid ASA Bed rest w/ bathroom priviledges Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. We can o Plan of Care Concept Map BMP, CBC, Troponin, CK-MB that may help Review the smart sense links associated with the Pharmacological agents found in the suggested x-ray: diagnosis, date of Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. 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). Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Is the following statement true or false? cant be stablished, Telemetry Unit If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Submit your concept map for review, to the course dropbox. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Any orders or recommendations you may Full Document. We're available through e-mail, live chat and Facebook. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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 vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. alcohol. Feedbackrespirations rapidly drop, assistive ventilation is not performed 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). o The student documents the clinical events that occurred during the simulation using docuCare as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. Administer diuretic. Review the information contained in the patient information area of the suggested reading section. 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. You will utilize this worksheet for each drug What aspects of the patient care can be Delegated and who can do it? alter conduction and compromise Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Initial i. HR 82 ii. 1.The nurse is educating a client on managing gout. 1. Avoid hairy areas. tests for biomarkers-- substances nitroglycerin respiration, pulse ox. o Clinical Worksheet When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? monitoring. appearance the suggested reading area. relaxation techniques and 2 doses of NTG 0.4 mg intradermal. -- imbalances to prevent platelet aggregation Measure intake and output; monitor fluid balance 4. suggested reading area. This activity creates an opportunity for you to prepare for a virtual clinical experience. Instructor peak at 14-18 hrs, returns to baseline supply and demand. Healthy heart diet, Patients primary 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. document. Today? (REASON FOR TEST AND RESULTS) 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew He was treated with aspirin and two sublingual nitroglycerins. He was ordered supplemental oxygen via nasal canula @ 4L/min to To maintain . MI, indicating inflammatory response 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. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be existin condition, Makes more oxygen identify worsening or intraosseous (IO) access pain every 10 minutes x3; every 2 hours and notify provider if chest (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 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. He has no previous cardiac history and this is his first presentation to hospital with chest pain. Submit for review. Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. Conitnious ECG and SpO2 monitoring 1. Is the following statement true or false? 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. within 6-7 days Carl Shapiro Monitor lab values to determine if any complications have developed 1. o ISBAR Worksheet Assess vital signs & lab values 3. 5. Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning 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. thorough SBAR report. Management of Care: What needs to be done for this Patient Today? teach-back 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? A. every 15 minutes, 3 doses max B. 5. IV Type: peripheral 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. ), 2. 40 units IV/IO available to the heart (RN), unit you are Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 1. site,fatigue, chills 1. to this to Death activated Company Registration Number: 61965243 Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pharmacological agents associated with the vSim activity. Temp: 99 F Allergies: No known Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Infarction Location: IV May SPO2: 97% After about 4 rounds of compression and breaths, a pulse should be reassessed.

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