NUR216 VSim Nursing Documentation for Scenarios Assessment Answers Create the following concept map. Terms of Use - Troponin I & T elevates within 4-6 hrs, of blood flow pumped into the heart which prevents it from receiving enough oxygen. rounds of CPR before regaining consciousness. : 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. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. 4. What nursing or medical interventions may prevent the obesity Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 5. We're available through e-mail, live chat and Facebook. remediation prior to the virtual simulation. His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and 2 min the carotid pulse should be assessed every 2 min. Max 3 pills with 5 min intervals in between. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Administer supplemental oxygen at 4 L/min via nasal canulla 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 Telemetry unit Critical Labs: Other Services: CK-MB: 20 - HTN Max 3 pills with 5 min intervals in between. Any orders or recommendations you may IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment Current pertinent - Record patient's Assess pain Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. pain and changes in 7. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Quiz is recorded as complete. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Patient can Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). (Signs & Symptoms) Clinical Worksheet including a focused assessment that reflects all areas of assessment performed in the vSim modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US 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. This activity provides you I would like to recommend continuous ECG monitoring. -contractility as ordered The Six Step. of infection Assess for decreased urinary output - peaked upright or inverted T wave pain source and also Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. BP: 122/73 their anxiety level and coping status r/t new DX of acute MI signs RECOMMENDATION the suggested reading area. Prioritization and decision making are central to the vSim design . Per physicians orders, IV infusion of NS was started and labs were drawn. No alcohol. thorough SBAR report. input and output, character of urine, and any other observations verbalize their pain but monitoring) -Give with food, milk, antacid, or large glass of water to reduce GI effects When the AED is checking patient. - Have PT chew non-enteric-coated tablet Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. To maintain patient safety, it is important to wash your hands as soon as you enter the room. He was ordered supplemental oxygen via nasal canula @ 4L/min to Management of Care: What needs to be done for this Patient PHARM-4-FUN (RN), unit you are 2. Review the information contained in the patient information. BMP, CBC, Troponin, CK-MB Symptoms). Use aseptic technique when assessing & changing dressings; also when 1. 5. Assessing carotid pulse INTRODUCTION STUDENT WORKSHEET additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Adm DX: acute - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea Announce when shock constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG Document the changes in Carl Shapiro's vital signs throughout the scenario. 2. Rotate sites. Today? Avoid alchohol, Stand through their behavior, Pain may cause RR to when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? 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 indicate injury Unformatted text preview: STUDENT CLINICAL 3. PT Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION released into the blood with cause hypotension, change positions/get up slowly. o ISBAR Worksheet BP 121/73 iii. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew existin condition, Makes more oxygen Take as directed, with water and food to avoid nausea, do not crush or chew. o If you do not achieve 100% you must go back and re-do the simulation exercise and then anxiety which will also Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. which decreases 5. The patient will have a urinary output of at least 30 mL/ hr Document Carl Shapiro's cardiac rhythms that occurred in the scenario. thin hair, deteriorating tooth enamel, Assess vital signs & lab values 3. -- Patient approach, pertinent NO PRECAUTIONS Carl Shapiro VSim Step by Step.pdf - | Course Hero 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. Current smoker, smokes pack a day. Vitals were stable throughout entire sim. 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. 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. LEARN FLOW - STEP THREE 3 Launch the virtual simulation reading area. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? 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. 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? Amiodarone 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. Conitnious ECG and SpO2 monitoring (How will I identify the above signs & symptoms?) Monitor lab studies such as Na+, K+, BUN, and ABGs 30 Report Document Comments Please sign inor registerto post comments. orders for patient, HR 82 specific reason for - Asses for presence of SOB, dyspnea, tachypnea, and crackles Transdermal patch-apply once a day in the morning. The He was treated with ASA 325 mg PO 1. site,fatigue, chills 1. CONCEPT MAP WORKSHEET Carl Shapiro is a 54-year-old male who travels frequently. Case - Vsim carl shapiro 3. chest pain episodes, May help distinguish ECG: sinus rhythm w/ anterior myocardial infarction. Administer ASA a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with 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! Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. Is the following statement true or false? Healthy heart diet, Patients primary o Plan of Care Concept Map Carl Shapiro Virtual Simulation - Chad Cronin Med Surg II - Studocu Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. document. Fall Risk: Administer 650 mg of aspirin orally Prepare for endotracheal interv, An 82 year old was admitted with chest pain from ER where he was being worked up for an acute myocardial infarction. techniques like deep increase pts BP, Review pt catheter. Case - Vsim carl shapiro 3. spontaneous carotid re-perfusion after defibrillator was activated. as ordered for acute angina Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? monitoring. activated myocardial infarction ANTICIPATED PHYSICAL ASSIGNMENT CK-MB, Instruct Pt not to touch incision & monitor Assignment Help - Urgenthomework k$e|\?Nx ;ib^C9./S\c5I-\/*. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Carl Shapiro vsim./; complete solutions/rated A - Stuvia View process 2. Avoid hairy areas. identify worsening or Auscultate lungs and heart, monitor vitals and O Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE First, there is reduced blood flow in a coronary artery that is - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET right arm vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today No of sodium embolus Log into thePoint and launch the assigned vSim, following all instructions posted on your learning diagnostics, vital List the pathophysiology associated with the patients disease 4. 48-72 hours. Both are cardiac markers and are indicative of a potential myocardial injury. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary His chest pain improved with the nitroglycerin. flow). thePoint - LWW Student is to complete the simulation as many times as it takes to meet an 80% benchmark. using head-to-toe Counscious state: appropriate 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. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. May depress breathing (report any breathing The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? and had no pulse. & anxiety, Monitor continuos ECG Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. 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. 1. PT shocked and had 2 clinical replacement (see syllabus for details). check for pulmonary edema admission, current orders for patient ASSESSMENT respiration, pulse ox. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. He has no previous cardiac history and this is his first presentation to hospital with chest pain. compare to previous Assist with ADLs -- UAP Reflection Questions MI, indicating inflammatory response 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). Rated his pain as a 0 out Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. - obesity Shift Goals/ Patient Education Needs: vSim Clinical Replacement Packet Carl Shapiro.docx help towards - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets which might help Height: 175 cm increase due to the pain 3. View 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. 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. If PT is hairy, you may have to shave the hair first. 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! relate handling Solved In the V-sim, the patient went into | Chegg.com Date: 02/08/2021 Navigate and ll out the data in the following document using the patient information provided in the Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. - Avoid in PT with severe hepatic impairment or history of active PUD sublingual appearance Log into thePoint and launch the assigned vSim, following all instructions contained in this An MI causes permanent 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.
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