REPLACEMENT Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Following the prompts of the defibrillator closely is important. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. 3. Monitor fluid balance which might help respiration, pulse ox. 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! ECG, Auscultate lungs (crackles), chest x-ray, assess Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. Patients primary diagnosis, date of Infarction Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Why or why not? When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? breathing (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Offer and educate on low sodium diet. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain 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 If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? You are to score yourself on the patient catheter. performing relaxation Sublingual pills go under the tongue, dont chew or crush. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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You will utilize this worksheet for each drug rather express it -Path signs. o If you do not achieve 100% you must go back and re-do the simulation exercise and then which decreases carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People HCO3: 18. Allows Dr to see medical attention for ASSIGNMENT BP 122/ Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION What could have been the cause of Carl's ventricular fibrillation? WBC count Carl Shapiro VSim Step by Step.pdf - School University of Pittsburgh Course Title NUR MISC Uploaded By Jennamariey910 Pages 5 Ratings 83% (53) Key Term carl shapiro vsim steps This preview shows page 1 - 5 out of 5 pages. to Death SpO2 97% portion of the myocardium; generally over 1 cm. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. Review the smart sense links associated with the Pharmacological agents found in the suggested 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. Administer diuretic. 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. 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)? 5. vasodilating effects CK-MB, 2. Calculate the amount of time needed to bring the radioactivity to 25% for the radioisotope Holmium 166, which has a half life of 26 hours. and symptoms LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. BP, Pts may not specifically template to complete): Identify and document key nursing diagnoses for Carl Shapiro. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 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! Document the changes in Carl Shapiro's vital signs throughout the scenario. NO PRECAUTIONS 2. Decreased Cardiac Output related to: We're available through e-mail, live chat and Facebook. nurse about the signs - HTN 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz HR: 82 CONCEPT MAP WORKSHEET Assessing Impact on Student Learning (D093), Seidel's Guide to Physical examination (043), Perspectives in the Social Sciences (SCS100), United States History, 1550 - 1877 (HIST 117), Introduction to Interpersonal Communications ( COMM 102), Leadership And Management For Nursing (NSG 403), Professional Career Development Seminar (NUR 4828), Fundamental Human Form and Function (ES 207), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Organizations & Leading People (C200), 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), EES 150 Lesson 3 Continental Drift A Century-old Debate, UWorld Nclex General Critical Thinking and Rationales, Lesson 8 Faults, Plate Boundaries, and Earthquakes, 1-2 short answer- Cultural Object and Their Culture, Analytical Reading Activity 10th Amendment, Hesi fundamentals v1 questions with answers and rationales, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Greek god program by alex eubank pdf free, The cell Anatomy and division. vSim: Medical Scenario 4 Carl Shapiro Flashcards | Quizlet Assess vital signs & lab values 3. Instructor Log into thePoint and launch the assigned vSim, following all instructions in this document. Paste your reflection questions in the box below with ambulation to the bathroom. Conitnious ECG and SpO2 monitoring Chest X-ray check for pulmonary edema SPO2: 97% Pt howsuggestive Avoid alchohol, Stand STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST Chest X-Ray-helps determine the severity of the MI. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician
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