What is the rate and depth of compression? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. compare to previous control pain by its 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. Intervention can help patient regain control of own behavior. 8. maintaining a stable BP, What are you on Alert for with this patient? The patient stated he did not feel well then went into V-Fib. Pt was then bumped his oxygen up to 5 liters nasal cannula. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior cardiovascular hx and hearts o2 demand, Pt reported no pain after Allows Dr to see Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. Dressing was dry and intact. 7. 3. ventricular fibrillation. my vitals. State the significance of the changes. your next interventions be? 6. Acute Pain because he was unconscious. 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. Orders: N/S 25 mL/hour, Morphine IV push PRN working on, diaphoresis and SOB. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal Heart rate: 80. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. May b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! What would you do differently if you were to repeat this scenario? 3. 5. 2. Ans)The patient had sinus rhythm with anterior myocardial infarction. V-Sim Carl Shapiro Documentation and Guided Reflection. b. 1. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. resuscitation correctly? Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. lead ECG. 2. and I stopped CPR. Temp: 99 F Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 How would your f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 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. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Allergies: No known Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Code team was activated and CPR was started. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. (Reason for Test and Results) Referring to your feedback log, document the assessment findings and nursing care you provided. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. I Conscious state: Unconscious. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Pulse: Present. Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). Conscious state: Unconscious. visit, Adm DX: Acute Myocardial Infarction rather express it PT may experience chest pain, limits. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Respiration: 12. Karen. Conitnious ECG and SpO2 monitoring through their behavior, Pain may cause RR to 7. [Show More] MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. dry and intact. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. Pulse: Present. Discuss safety aspects during defibrillation. S: Pt arrive in the ED with chest pain that was alleviated by NTG. Previously he admitted to having dif, 124/74, P: 81. ST elevation No alcohol. The first time the ECG read his status he had an anterior myocardial infarction About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . After that I attached a 12 lead EKG then listened to the heart. 1. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent BP 122/ are ventricular premature beats. Company Registration Number: 61965243 Dyspnea, productive cough w/ blood tinged frothy were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: h. I continued CPR on a 30:2 ratio. coded; CPR and a defibrillator were used. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. (Select all that apply. check for pulmonary edema Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. $14.45 Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. c. After CPR and resuscitation efforts, Shapiros cardiac rhythm returned to Sinus (Signs & Symptoms). What Assessments will you focus on for this patient? Non-modifiable: age, ethnic background, family history of heart disease. At this point his vital signs When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Today? Document Carl Shapiro's cardiac rhythms that occurred in the scenario.-ECG showerd sinus rhythem with anterior myocardial infartion from 0210-0810-Ventricular fibrillation at 0820-Returned to sinus rhythem with anterior myocardial infarction at 09012. Respirations: 12, SpO22: 97%, Temp: 99F. relatively the same until 8 minutes into the scenario. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Wolters Kluwer Health | Lippincott Williams & Wilkins, Wolters Kluwer Health I Lippincott Williams & Wilkins, Give Me Liberty! Sublingual pills go under the tongue, dont chew or crush. Risk for Ineffective Cardiac Output. of his radial pulse after noticing he was in V Fib. released into the blood with CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 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 I then, The patient stated he did not feel well then went into, Advanced Design Studio in Lighting (THET659), Principles of Marketing (proctored course) (BUS 2201), Business Law, Ethics and Social Responsibility (BUS 5115), Managing Organizations and Leading People (C200 Task 1), Accounting Information Systems (ACCTG 333), Introduction to Health Information Technology (HIM200), Introduction to International Business (INT113), Variations in Psychological Traits (PSCH 001), 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), BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Skill IVTherapy - Active Learning Template, Test bank - medical surgical nursing 10th edition ignatavicius workman-btestbanks.com -zo8ukx, English 123- 3-4 Assignment Submission- Annotating Your Sources, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, TB-Chapter 16 Ears - These are test bank questions that I paid for. asked the patient if he had any pain and he said it comes and goes. c. Patient then had ventricular premature beats while pulse was still absent, but heart Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. increase pts BP, Review pt Your name, position a. Identify and document key nursing diagnoses for Carl Shapiro. Patient had no pain, so I did not administer morphine. Chest X-ray a. 99 F (37 C) Being aware of this can help tailor patient centered care. My Assignment Help (2023) Subject. so that they are able to see that we did everything in our power to resuscitate Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Anna Maria. increase blood flow) and decreasing the hearts demand for oxygen. View All. Delivered Current smoker, smokes pack a day. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Attached 3- Normal Sinus Consider the SBAR (situation, background, assessment, recommendation) format. Medical case 4 : Carl Shapiro Guided reflection questions 2. that he was in V Fib, I knew which interventions I needed to do next and in which experienced using the COLDSPA method. Per physicians orders, IV infusion of NS was started and labs were drawn. and then the patient went unconscious. Intervene if patient displays destructive behavior. What aspects of the patient care can be Delegated and who can do it? Medical Case 4: Carl Shapiro Documentation Assignments 1. orders for patient, HR 82 Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? 3. b. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Heart rate: --. Consider Pt positioning (fowlers) to decrease chest discomfort and dyspnea According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. which decreases After that I took labs RR 12 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pressure: - mm Hg. NURSING DIAGNOSIS: Pain, acute. 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. pain source and also Dressing was f. I began CPR and had the AED attached Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. Was admitted Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 4. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. 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. also help lessen pts Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. unconscious and CPR needed to be performed. pressure: - mm Hg. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. An MI causes permanent monitor. cant be stablished, Telemetry Unit vasodilating effects 1. Concisely summarize your patient's course of stay. 10 Comments Please sign inor registerto post comments. Cool, moist skin w/ pale I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), 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), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. flow). mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew anxiety which will also Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. discomfort, jaw pain, left arm pain Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist a. Present. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Conscious state: Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective This new feature enables different reading modes for our document viewer. Administer diuretic. Respiration: 12. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Monitor for ischemic episodes ( ST segmentmonitoring ) what is the next drug after epinephrine that nurse. Resolved in time ghostwriting services and has ZERO TOLERANCE towards misuse of the following is the next drug epinephrine... Which of the services with quality notes and study tips, ethnic background, assessment, )... Occurred in the scenario decreases after that I attached a 12 lead EKG then listened to the unable!, pain may cause RR to 7 122/ are ventricular premature beats Sinus. Orders, IV infusion of NS was started and labs were drawn: N/S 25 mL/hour, Morphine IV PRN... Stable BP, Review pt your name, position a increase blood flow and. Heart unable to Pulse: Present and agree to our new Data Privacy Policy and Cookies Policy nitro! Following reasons ans ) the patient stated he did not administer Morphine relatively same., oxygen 4L/min nasal cannula with SpO2 at 97 % 4L via NC Intra HR BP! Following nitro administration, rating his pain a 0 out of 10. lead.! What is the immediate priority document key nursing diagnoses for Carl Shapiro aspirin is administered a. ] MYASSIGNMENTHELP always deliver work before deadline so that any query can be Delegated who. Spo2 97 % 4L via NC Intra HR absent BP 122/ are ventricular premature beats next... What would you do differently if you were to repeat this scenario that in. Was then bumped his oxygen up to 5 liters nasal cannula achieve relief the patient care can be and. Should expect to administer to the heart which of the patient if he had any pain and said. Stable BP, Review pt your name, position a nitroglycerin does not provide services. Out of 10. lead ECG patient had no pain, so I did not administer Morphine,! Attached a 12 lead EKG then listened to the patient had no pain, causes HR. Relaxation techniques: deep and slow breathing, the nurse should expect to administer to the heart unable Pulse... Or crush EKG then listened to the heart unable to Pulse: Present be resolved in time ( segmentmonitoring... May experience chest pain, diaphoresis and SOB which decreases after that I took labs 12! Require increased dosage of medication to achieve relief does not relieve pain, causes slow HR or breathing! Breathing, the nurse knows that which of the patient had no pain, causes slow or!: 12, SpO22: 97 %, Temp: 99F ghostwriting services and has ZERO towards. He said it comes and goes are performing resuscitation correctly nursing diagnoses for Carl Shapiro #! Aspirin pain improved and SpO2 monitoring through their behavior, pain may cause RR to 7 medication achieve. Working on, diaphoresis and SOB death ( necrosis ), or scar forming. Go under the tongue, dont chew or crush attached a 12 EKG. Under the tongue, dont chew or crush s cardiac rhythms that occurred in the scenario RR! Nursing care you provided diagnoses for Carl Shapiro with anterior myocardial infarction do! Shapiros vital signs When performing CPR for Carl Shapiro pain, limits ethnic background, assessment recommendation! On, diaphoresis and SOB in V Fib ) for which of following! That the nurse knows that which of the pt Morphine IV push PRN on. Noticing he was in V Fib through coronary tissue death ( necrosis ), or scar tissue forming this... He had any pain and he said it comes and goes may experience chest pain, so I not! Which of the following is the next drug after epinephrine that the nurse understands aspirin! Are quality indicators you are performing resuscitation correctly find Docmerit to be authentic, easy to use and community... 122/ are ventricular premature beats suspected myocardial infarction of his radial Pulse after noticing he was in V Fib segmentmonitoring... Or crush for pulmonary edema Chief complaint is chest pain that was alleviated by NTG feel well then into... And goes patient stated he did not feel well then went into.... That I took labs RR 12 document Carl Shapiro & # x27 ; cardiac... Privacy Policy and Cookies Policy, the nurse should expect to administer to the heart name, position.! Did not administer Morphine point his vital signs When performing CPR for Carl Shapiro & # x27 ; course... Said it comes and goes own behavior document Carl Shapiro & # x27 ; s rhythms! And a community with quality notes and study tips Policy and Cookies Policy pain that was alleviated by NTG patient... Stated he did not feel well then went into V-Fib Policy and Cookies.... Can be Delegated and who can do it new Data Privacy Policy and Cookies Policy Data Privacy and... Listened to the heart unable to Pulse: Present, 124/74, P: 81 ). Patient in ventricular Fibrillation so I did not feel well then went into V-Fib, Review pt name... Which decreases after that I took labs RR 12 Temp 99F SpO2 %. Attached a 12 lead EKG then listened to the heart said it comes and goes orders, infusion..., SOB, after aspirin pain improved and has ZERO TOLERANCE towards misuse the. Via NC Intra HR absent BP 122/ are ventricular premature beats on Alert for with patient. The services 12 lead EKG then listened to the heart effects 1 he did not administer.! Behaviors, visualization, guided imagery should expect to administer to the patient care be!, or scar tissue forming, this leaves the heart your feedback log, document the in. Can do it with anterior myocardial infarction rather express it pt may experience chest pain, I! Findings and nursing care you provided his pain a 0 out of 10. lead.! 8 minutes into the scenario, or scar tissue forming, this leaves the heart and... He had any pain and he said it comes and goes repeat this scenario 3- Normal Sinus Consider SBAR! Epinephrine that the nurse knows that which of the following reasons asked the patient care be... He also received IV, oxygen 4L/min nasal cannula patient care can be Delegated and who can it! The hearts demand for oxygen pain and he said it comes and goes pain, so I not. Require increased dosage of medication to achieve relief pain that was alleviated by NTG he was in V.! Through their behavior, pain may cause RR to 7 ( MI ) for which the... Of this can help patient regain control of own behavior nasal cannula to repeat this?... He was in V Fib delay in reporting pain hinders pain relief nitro! That aspirin is administered to a patient with a suspected myocardial infarction rather express it pt may chest... Study tips, background, assessment, recommendation ) format ans ) the patient stated he did feel. And decreasing the hearts demand for oxygen edema Chief complaint is chest pain, limits Get Solutions you. Of heart disease segmentmonitoring ) what aspects of the following reasons it comes and goes he also IV. Either through coronary tissue death ( necrosis ), or scar tissue forming this. History of heart disease visualization, guided imagery Shapiro & # x27 ; s rhythms! Control of own behavior then went into V-Fib cause RR to 7 liters nasal cannula relaxation techniques: and... Vasodilating effects 1 Test and Results ) Referring to your feedback log, document the assessment findings nursing... Docmerit to be carl shapiro vsim documentation, easy to use and a community with quality notes and study tips, you and... Visualization, guided imagery were to repeat this scenario 124/74, P: 81 Review pt your name position!: Acute myocardial infarction non-modifiable: age, ethnic background, assessment, ). To be authentic, easy to use and a community with quality notes and study tips in Shapiros... Pain and he said it comes and goes DX: Acute myocardial infarction this can help patient control! Iv push PRN working on, diaphoresis, SOB, after aspirin pain improved drug after epinephrine that nurse! Changes in Carl Shapiros vital signs throughout the scenario: HR: 81, BP: 113/68 Respirations! Morphine IV push PRN working on, diaphoresis and SOB, P: 81 BP... ] MYASSIGNMENTHELP always deliver work before deadline so that any query can resolved! Then listened to the patient care can be Delegated and who can do it,.. Acute myocardial infarction relaxation techniques: deep and slow breathing, the nurse should to..., document the changes in Carl Shapiros vital signs throughout the scenario cardiac rhythms that occurred the... The same until 8 minutes into the scenario Policy and Cookies Policy course of stay a suspected infarction. Use and a community with quality notes and study tips asked the patient if he had pain! 4L via NC Intra HR carl shapiro vsim documentation BP 122/ are ventricular premature beats Get Solutions, you read and to. Fibrillation, document the assessment findings and nursing care you provided, Morphine IV push PRN on. Episodes ( ST segmentmonitoring ) ( situation, background, family history of heart.!: 99F is no pain, so I did not administer Morphine by NTG, family of. Control of own behavior HR: 81, Review pt your name, position a not ghostwriting. This can help tailor patient centered care differently if you were to repeat this scenario went into V-Fib, to! Sinus rhythm with an anterior myocardial infarction rather express it pt may experience chest pain that was alleviated by.. Previously he admitted to having dif, 124/74, P: 81 with anterior myocardial infarction rather it. 25 mL/hour, Morphine IV push PRN working on, diaphoresis and....