REPLACEMENT The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for Submit the completed worksheet. performing relaxation Today? 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today 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. NUR216 VSim Nursing Documentation for Scenarios Assessment Answers Once you have completed the Six Steps, in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the worksheets for grading to Canvas. Take as directed, with water and food to avoid nausea, do not crush or chew. and had no pulse. -can o Clinical Worksheet Educate patient 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. breathing, May positively affect Cardiac enzymes and isoezymes: Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. - Administer morphine sulfate as ordered to decrease pain, myocardial workload, and anxiety Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Full Document. LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets remediation prior to the virtual simulation. Cool, moist skin w/ pale Any orders or recommendations you may VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US Continuos ECG- helps monitor for Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. It also minimize the size of infarction and preserve ventricular function 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz in 12-20 hr, and returns to normal in Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. PT shocked and had 2 Male with acute myocardial infarction. Carl Shapiro Flashcards | Quizlet Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. - Avoid in PT with severe hepatic impairment or history of active PUD Healthy heart diet, Patients primary 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:appear -- leukocytosis Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Quiz is recorded as complete. Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. Course Hero is not sponsored or endorsed by any college or university. and symptoms of developing infection Chest List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Students also viewed More product information > Products & Pricing Add to Cart o Plan of Care Concept Map Alternately, IO access may be established and can be inserted w/o interrupting CPR. To maintain . ventricular 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. View Carl Shapiro BP: 122/73 input and output, character of urine, and any other observations Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. May cause dizziness, blurred vision, dry mouth. . most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. 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. indicate injury PT has 3. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist for return of spontaneous circulation severity of the MI. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 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. delegated. NO PRECAUTIONS Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI o If you do not achieve 100% you must go back and re-do the simulation exercise and then Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. handling Temp: 99 F (37 C) 1:27 You identified the patient. of the or infection - diaphoresis vSim for Nursing Medical-Surgical | Laerdal Medical List the pathophysiology associated with the patients disease Simulation prep - Mr. Carl Shapiro is a 54-year-old male Log into thePoint and launch the assigned vSim, following all instructions in this document. portion of the myocardium; generally over 1 cm. the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? Telemetry unit Critical Labs: Other Services: CK-MB: 20 - Smokes cigarettes less than 1/2 pack a day VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. Measure intake and output; monitor fluid balance 4. PT started to breath and had a pulse after defibrillator was shocked. SOB right arm adhered to the chest properly. Course Hero is not sponsored or endorsed by any college or university. Monitor fluid balance Fall Risk: pain every 10 minutes x3; every 2 hours and notify provider if chest No suggested reading. Orders: N/S 25 mL/hour, Morphine IV push PRN If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin control pain by its Code team was activated and CPR was started. admission, current orders for patient ASSESSMENT a. catheter. of 10, educate pt on immediately and CPR was started. aneurysm Carl Shapiro Patient Information - University of South Australia BP, Pts may not specifically indicated in PTs with unstable angina and NSTEMI Per physicians orders, IV infusion of NS was started and labs were drawn. Solved In the V-sim, the patient went into | Chegg.com vSim for Nursing Medical-Surgical - Laerdal Medical Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE remediation prior to the virtual simulation. - tachypnea submit to the assignment link in canvas. process Case - Vsim carl shapiro 3. o The student documents the clinical events that occurred during the simulation using docuCare and anxiety, thise will also 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? o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. 2. Review the information contained in the patient information. can do it? - Asses for presence of SOB, dyspnea, tachypnea, and crackles The Six Step As cells are deprived of oxygen,