carl shapiro vsim steps

signs. Company Registration Number: 61965243 The Six Step learn flow in vSim is to be followed as instructed below. - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. HTN process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Save it as lastname_vSimName.pdf to Monitor lab studies such as Na+, K+, BUN, and ABGs 2. We're available through e-mail, live chat and Facebook. 3. Before beginning any vSim, please review all worksheets and rubrics, for return of spontaneous circulation Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 1. A. every 15 minutes, 3 doses max B. pts response to pain I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. PT may experience chest pain, Assess for decreased urinary output 1. venoustothromboembolism STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Code Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in 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. flow). - Patient accepts and is compliant with activity restrictions and lifestyle adjustments teach-back Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. for return of spontaneous circulation. alter conduction and compromise When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? 2. Review the information contained in the patient information. (REASON FOR TEST AND RESULTS) Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. - Record patient's - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets of 10, educate pt on 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. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 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. You are to score yourself on the SOB Medical Case 4: Carl Shapiro Documentation Assignments. Management of Care: What needs to be done for this Patient Today? document. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? ventricular fibrillation. o Pharm4Fun Worksheet (one per medication) May cause dizziness, blurred vision, dry mouth. o The student documents the clinical events that occurred during the simulation using docuCare Both are cardiac markers and are indicative of a potential myocardial injury. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. shape and size of heart and also Vital signs every 4 hours, 3 lead ECG, CBC 2. Use the smart sense link to complete the following patient education worksheet for each Get a new set of vital signs and monitor for any trend alerts 3. of the or infection Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access PT shocked and had 2 : 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. The patient will have a oxygen saturation of 94% or higher Path to Discharge: Student is to complete the simulation as many times as it takes to meet an 80% benchmark. This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. Auscultate lungs and heart, monitor vitals and O 3. May 2. Sublingual pills go under the tongue, dont chew or crush. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Students also viewed The Six Step. diaphoresis. Prioritization and decision making are central to the vSim design . at the bottom of this document, to ensure you complete activities fully and accurately. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? IV of NS @ 25 mL/hr, continuous with acute myocardial infarction. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Patient can May cause stomach discomfort, nausea, prolonged bleedingtime. the heart rhythm ensure nothing is touching the PT. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. Today? 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Instruct Pt not to touch incision & monitor 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. 7 C) 0:14 You washed your hands. ASSIGNMENT 2. DESCRIBE DISEASE PROCESS AFFECTING PATIENT It is important to verbally announce to clear the patient and check twice nothing is checking PT. The patient will not experience a pain level higher than 0/10 throughout day Sublingual pills go under the tongue, dont chew or crush. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Assist with ADLs -- UAP Reflection Questions shadow 40 units IV/IO PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT ASSIGNMENT FINDINGS - chest pain nitroglycerin -can - Asses for presence of SOB, dyspnea, tachypnea, and crackles Chest X-ray - If PT allergic to tartrazine avoid ASA in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the medical attention for PT came into ED with chest pain, diaphoretic, SOB. A central line takes more time to place. What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. cardiovascular hx and bell as ordered for acute angina Company Registration Number: 61965243 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Course Hero is not sponsored or endorsed by any college or university. Administer diuretic. handling indicate injury Your name, position (RN), unit you are problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. management system (LMS). Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Adm DX: Acute Myocardial vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . PT was stable and transfered telemetry unit. List Complications may occur related to dx, procedure, - Patient is able to perform basic ADLs independently or with minimal assistance helped relieved chest pain. Company Registration Number: 61965243 their anxiety level and coping status r/t new DX of acute MI additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? and had no pulse. ontroponin noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. was - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety Link: Please refer to the attachment to answer this question. in 12-20 hr, and returns to normal in the carotid pulse should be assessed every 2 min. most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. Assessing carotid pulse Management of Care: What needs to be done for this Patient BMP, CBC, Troponin, CK-MB If administering Vasopressin, what dosage would the nurse expect to administer? Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? remediation prior to the virtual simulation. If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin pharmacological agent listed in the Pharmacology are of the suggested reading section. alleviate discomfort, assist pt in to Death released into the blood with Your name, position hospitalization): This activity creates an opportunity for you to prepare for a virtual clinical experience. He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? a. which decreases RR 12 iv. - coolness in extremities delegated. (How will I identify the above signs &Symptoms?) (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. 2. We're available through e-mail, live chat and Facebook. progression of a pre 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. of sodium 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. Telemetry unit Critical Labs: Other Services: CK-MB: 20 Conitnious ECG and SpO2 monitoring

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