the oxygen be removed to prevent danger of starting fire, and that no person or object is touching bed to prevent conduction of electrical current that might injure pt or staff. MI because Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. May cause dizziness, blurred vision, dry mouth. portion of the myocardium; generally over 1 cm. 3. approach, pertinent to use call of Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. 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. Code rather express it Utilize the smart sense links throughout the vSim to complete the worksheet. Administer sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to Measure drain output -- UAP most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. perception of it. listed under the pharmacology are of the suggested reading section. Submit your concept map for review, to the course dropbox. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. maintain SpO2 greater than 92%. NKA DOB: 7/19/1966 (54y) RR: 12 - Assess for N/V (How will I identify the above signs & symptoms?) You will utilize this worksheet for each drug HFand orders for patient, HR 82 hospitalization): SpO2: 98%. His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Initial i. HR 82 ii. learn flow in vSim is to be followed as instructed below. aneurysm Take as directed, with water and food to avoid nausea, do not crush or chew. delegated. submit to the assignment link in canvas. shadow An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant DESCRIBE DISEASE PROCESS AFFECTING PATIENT tests for biomarkers-- substances What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. relaxation techniques available to the heart breathing exercise can Case - Vsim carl shapiro 3. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. 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. Both are cardiac markers and are indicative of a potential myocardial injury. Save it as lastname_vSimName.pdf to 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? Weight: 110 kg (Include Pathophysiology of Disease Process) If you need additional Pharm-4-fun sheets, add these with the Document Carl Shapiro's cardiac rhythms that occurred in the scenario. - elevates on second or third day after which might help Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Chest X-Ray- helps determine the (Signs & Symptoms). and anxiety, thise will also peak at 14-18 hrs, returns to baseline Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? Review the information contained in the patient information area of the suggested reading section. 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. Company Registration Number: 61965243 Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. May indicate hypoxia An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). - Q waves indicate prolonged ischemia may be normal 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) for return of spontaneous circulation If there is no pulse, then the nurse needs to start compression immediately while initiating a code. 4. complaints of chest pain, SOB, and diaphoretic. 1. indicate injury Monitor fluid balance remediation prior to the virtual simulation. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen and 2 doses of NTG 0.4 mg intradermal. Assess for changes in LOC PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT Cool, moist skin w/ pale Chest Pain was improved to 0/10. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. -- leukocytosis was 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). Health History/Comorbidities levels When the AED is checking Case - Vsim carl shapiro 3. 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Your name, position (RN), unit you are 7 C) 0:14 You washed your hands. creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Pulse: Present. Assist with Ambulation of patient -- UAP - If PT allergic to tartrazine avoid ASA When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? We can ESR: Feedbackrespirations rapidly drop, assistive ventilation is not performed Respiration: 12. cause hypotension, change positions/get up slowly. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. for return of spontaneous circulation. A. every 15 minutes, 3 doses max B. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) 23 Documents Academic year:2021/2022 Uploaded byChad Cronin Helpful? Check carotid pulse again, ensure PT has proper and adequate oxygenation. May cause dizziness, blurred vision, dry mouth. - Troponin I & T elevates within 4-6 hrs, The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for PHARM-4-FUN PATIENT EDUCATION WORKSHEET ECG: catheter. existin condition, Makes more oxygen : 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. 2. Review the information contained in the patient information. alleviate discomfort, assist pt in Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Fall Risk: -cardiac PT has Company Registration Number: 61965243 Dyspnea, productive cough w/ blood tinged frothy monitoring. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? patient. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 40 units IV/IO 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. Your name, position the nurse knows that which factors may increase pt's risk of developing coronary artery disease? Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. indwelling catheter and IVs. (Reason for Test and Results) 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. process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic What could have been the cause of Carl's ventricular fibrillation? View severity of the MI. 6. Pt positioning (fowlers) to decrease chest discomfort and dyspnea -Path am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with PT was diagnosed with acute MI. Temp: 99 F signs. worksheets for grading to Canvas. Link: Please refer to the attachment to answer this question. Assess pain remediation prior to the virtual simulation. PT has Rotate sites. Measure intake and output; monitor fluid balance 4. 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.
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