Temp: 99 F (37 C) 1:27 You identified the patient. - anxiety and restlessness HFand cant be stablished, Telemetry Unit appearance - Encourage the use of soft-bristled toothbrush Chest X-ray 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. VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT to this Instructor Management of Care: What needs to be done for this Patient Today? 2. peak at 14-18 hrs, returns to baseline PT started to breath and had a pulse after defibrillator was shocked. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Measure drain output -- UAP - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST BP, Pts may not specifically modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. What aspects of the patient care can be Delegated and who - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding can do it? 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. View Chest medical attention for perception of it. This activity provides you with the opportunity to create pertinent patient education on the - obesity Shift Goals/ Patient Education Needs: supply and demand. O\w 7}\?. and symptoms of developing infection Student is to complete the simulation as many times as it takes to meet an 80% benchmark. aneurysm document. 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. SOB Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: Prioritization and decision making are central to the vSim design . Utilize the smart sense links throughout the vSim to complete the worksheet. (Signs & Symptoms). The Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. at the bottom of this document, to ensure you complete activities fully and accurately. 1. Assess for signs Review the information contained in the patient information area of the suggested reading section. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Document the changes in Carl Shapiro's vital signs throughout the scenario. CONTACT PRECAUTIONS - Educate PT to discard ASA tablets that have a strong vinegar-like odor with ambulation to the bathroom. c. Dyspnea, productive cough w/ blood tinged frothy Your name, position o ISBAR Worksheet Use the smart sense link to complete the following patient education worksheet for each The patient will not experience a pain level higher than 0/10 throughout day Alternately, IO access may be established and can be inserted w/o interrupting CPR. Temp: 99 F Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. 1.The nurse is educating a client on managing gout. ventricular VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% We're available through e-mail, live chat and Facebook. ABGs:again. Unformatted text preview: STUDENT CLINICAL working on SITUATION (How will I identify the above signs &Symptoms?) Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. nursing interventions, and other patient information associated with the patient situation. If Carl Shapiro would have had ROSC, what would your next intervention be? Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, no need This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a 2. for return of spontaneous circulation. Conscious state: Appropriate. Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. What is the next drug after epi that the nurse should expect to administer to pt in v fib? Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter - Monitor VS, especially BP and pulse rate This document IV of NS @ 25 mL/hr, continuous Instructor in 12-20 hr, and returns to normal in Healthy heart diet, Patients primary the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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). 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Save it as lastname_vSimName.pdf to 5. shape and size of heart and also 40 units IV/IO Infarction - Troponin I & T elevates within 4-6 hrs, reading area. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today May depress breathing (report any breathing Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist - peaked upright or inverted T wave Help with Toileting schedule -- UAP input and output, character of urine, and any other observations If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. Respiration: 12. 4. Submit for review. I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. 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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. pharmacological agents associated with the vSim activity. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Is the following statement true or false? with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be pharmacological agent listed in the Pharmacology are of the suggested reading section. 1. List Complications may occur related to dx, procedure, PT assessment data If you need additional Pharm-4-fun sheets, add these with the List the pathophysiology associated with the patients disease Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Patients primary diagnosis, date of or show During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Adm on: 2/27/, Diaphoretic Mr. Carl Shapiro is a 54-year-old male who travels frequently. - CPK-MB elevates within 4-8 hrs, peaks PHARM-4-FUN 5. - Indigestion CONCEPT MAP WORKSHEET - Record patient's He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. 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. ventricular fibrillation. IV Type: peripheral PT was diagnosed with acute MI. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. specific reason for 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? (thatteam caused by a rupture of an atherosclerotic plaque, causing unstable angina. 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? 3. chest pain episodes, May help distinguish pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Describe two of these and explain whether these issues concern you. alcohol. PT has a sudden change of status when he stopped - determines CV response to activity vSim ISBAR ACTIVITY T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Patients name, age, specic reason for visit BACKGROUND suggested reading area. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Monitor cardiac 4. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access bell the suggested reading area. techniques like deep within 6-7 days Carl Shapiro PHARM-4-FUN PATIENT EDUCATION WORKSHEET Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET Upload your study docs or become a embolus 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. - Have PT chew non-enteric-coated tablet ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which 4. May indicate hypoxia AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. - HTN orders for patient, HR 82 o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. indicate injury of 10, educate pt on ESR: 5. for return of spontaneous circulation Assessing carotid pulse Administer Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Monitor for SOB, dyspnea and crackles as t, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. 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Identify and document key nursing diagnoses for Carl Shapiro. Auscultate lungs and heart, monitor vitals and O Monitor fluid balance What nursing or medical interventions may prevent the admission, current 3. Administer ASA a. -contractility Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. catheter. Location: IV - Asses for presence of SOB, dyspnea, tachypnea, and crackles In case any user is found misusing our services, the user's account will be immediately terminated. and anxiety, thise will also IV sites (How will I identify the above signs & symptoms?) of the or infection Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and 2. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. WBC count relaxation techniques 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) LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation The Six Step. monitoring) only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. with acute myocardial infarction. pts response to pain - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets o Plan of Care Concept Map 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? Submit the completed worksheet. vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? artery All sales are final. FINDINGS - chest pain that may help Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain the Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE Allergies: No known It is important to verbally announce to clear the patient and check twice nothing is checking PT. Low Is the following statement true or false? submit to the assignment link in canvas. Full Document. a. verbalize their pain but Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. as ordered for acute angina process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic indwelling catheter and IVs. View full document End of preview. The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). to use call of breathing Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. SpO2: 98%. 2. Review the information contained in the patient information. indicated in PTs with unstable angina and NSTEMI 1. He was treated with aspirin and two sublingual nitroglycerins. the heart rhythm ensure nothing is touching the PT. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary No increase due to the pain supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. spontaneous carotid re-perfusion after defibrillator was activated. of blood flow pumped into the heart which prevents it from receiving enough oxygen. - Q waves indicate prolonged ischemia management system (LMS). pain every 10 minutes x3; every 2 hours and notify provider if chest If administering Vasopressin, what dosage would the nurse expect to administer? Both are cardiac markers and are indicative of a potential myocardial injury. Case - Vsim carl shapiro 3. Following the prompts of the defibrillator closely is important. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the o Students are to complete the Lasater Evaluation on each vSim. Sublingual pills go under the tongue, dont chew or crush. Review the information contained in the patient information. Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. clinical replacement (see syllabus for details). breathing exercise can 5. CK-MB, Quiz is recorded as complete. through their behavior, Pain may cause RR to Any orders or recommendations you may Max 3 pills with 5 min intervals in between. breathing, May positively affect Avoid hairy areas. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen Counscious state: appropriate Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Orders: N/S 25 mL/hour, Morphine IV push PRN Please fill this document in to complete your assignment. Code Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. helped relieved chest pain. Additional comments: "Try to first choose the mos. -- imbalances 2 min -inflammatory 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). List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? The first time the ECG read his status he had an anterior myocardial infarction b. BP 121/73 iii. We can Blood pressure: 123/73 mm Hg. DOB: 7/19/1966 signs. - SOB experienced a ventricular fibrillation. Link: Please refer to the attachment to answer this question. o Pharm4Fun Worksheet (one per medication) LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets alter conduction and compromise same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf Chest X-Ray-helps determine the severity of the MI. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant or decrease pts PT coded while on telemetry unit. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial Administer diuretic. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 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
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