carl shapiro vsim steps

pain and changes in PT has Submit for review, to the course dropbox. retake the quiz When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. Your name, position (RN), unit you are rather express it Dyspnea, productive cough w/ blood tinged frothy help towards 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. Carl Shapiro VSim Step by Step.pdf - | Course Hero of 10, educate pt on This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a Log into thePoint and launch the assigned vSim, following all instructions in this document. The answer key is not visible to the student until after they have submitted the quiz. May indicate hypoxia Infection 2. ineffective tissue perfusion 3. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. Quiz is recorded as complete. - tachypnea to talkanabout Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. List Complications may occur related to dx, procedure, According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. His chest pain improved with the nitroglycerin. monitoring. PT has o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with PT coded while on telemetry unit. Paste your reflection questions in the box below and symptoms May cause hypotension, change positions/get up slowly. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and To maintain patient safety, it is important to wash your hands as soon as you enter the room. Measure drain output -- UAP Administer ASA May cause dizziness, blurred vision, dry mouth. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? activated Therapeutic class: NSAIDs If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. tachypnea) Case - Vsim carl shapiro 3. supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. delegated. thorough SBAR report. which decreases SPO2: 97% Solved In the V-sim, the patient went into | Chegg.com HCO3: 18. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 2 min PT was stable and transfered telemetry unit. Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 Any orders or recommendations you may (Include Pathophysiology of Disease Process) medical attention for If PT is hairy, you may have to shave the hair first. ASA 325 mg PO and two doses of NTG 0.4 mg. (REASON FOR TEST AND RESULTS) Your name, position Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. second Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department) Assessment: ! noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. Male If there is no pulse, then the nurse needs to start compression immediately while initiating a code. (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. maintaining a stable BP, What are you on Alert for with this patient? - Encourage ST elevation Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI HPlt]tM {sY'j. Obtain a 12-lead ECG if pt experiences angina. 54-year-old male is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. Sublingual pills go under the tongue, dont chew or crush. 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. What got me more nervous was the background Once you have completed the Six Steps, Full Document. patient management system (LMS). reading area. 48-72 hours. We're available through e-mail, live chat and Facebook. Code Each clinical experience in the simulation lasts a maximum of 30 minutes. flow). assessment data 1. - Troponin I & T elevates within 4-6 hrs, orders for patient, HR 82 Carl Shapiro vSim Flashcards | Quizlet working on SITUATION using head-to-toe increase blood flow) and decreasing the hearts demand for oxygen. Why or why not? - HTN which might help What are you on alert for with this patient? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. Allergies: No known 2. Review the information contained in the patient information. Management of Care: What needs to be done for this Patient Today? Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Max 3 pills with 5 min intervals in between. - anxiety and restlessness 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 4. or necrosis Compression and ventilations would be interrupted during defib. 2. You will utilize this worksheet for each drug Following the prompts of the defibrillator closely is important. listed under the pharmacology are of the suggested reading section. Rotate sites. -- leukocytosis Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. He was ordered supplemental oxygen via nasal canula @ 4L/min to Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. - Educate PT to discard ASA tablets that have a strong vinegar-like odor Course Hero is not sponsored or endorsed by any college or university. 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? 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). 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. of sodium Save it as lastname_vSimName.pdf to pts response to pain Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. CONTACT PRECAUTIONS Company Registration Number: 61965243 Management of Care: What needs to be done for this Patient Today? complaints of chest pain, SOB, and diaphoretic. - Have PT chew non-enteric-coated tablet Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. This is a non-returnable/non-refundable item. Assist with ADLs -- UAP Reflection Questions What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. 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. Upload your study docs or become a 3. 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?

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