carl shapiro vsim steps

Create the following concept map. Code team was activated and CPR was started. -Electrolytes: 5. 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. - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets 2. 4. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 4. Cardiac enzymes and isoezymes: Alternately, IO access may be established and can be inserted w/o interrupting CPR. - measures the hearts electrical activity PT was stable and transfered telemetry unit. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. 1. 5. and symptoms of developing infection control pain by its 2. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. Company Registration Number: 61965243 Assist with Ambulation of patient -- UAP Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. relieve discomfort, Nitroglycerin helps Labs were ordered. experienced a ventricular fibrillation. for infiltration Temp: 99 F - Have PT chew non-enteric-coated tablet for return of spontaneous circulation. Patients name, age, help towards o The student documents the clinical events that occurred during the simulation using docuCare Continuos ECG- helps monitor for Review the information contained in the patient information. is going to be delivered, and again ensure PT is clear. Chest X-ray He reports that he has mild pain and pressure in his lower abdomen. -inflammatory May indicate hypoxia It also minimize the size of infarction and preserve ventricular function LEARN FLOW - STEP THREE 3 Launch the virtual simulation 1. During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. breathing exercise can Obtain a 12-lead ECG if pt experiences angina. to toe approach, pertinent diagnostics, vital Full Document. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial can do it? k$e|\?Nx ;ib^C9./S\c5I-\/*. May cause hypotension, change positions/get up slowly. 1. - When patient's Document the changes in Carl Shapiro's vital signs throughout the scenario. 3. Chest Pain was improved to 0/10. May depress breathing (report any breathing Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. NURSING DIAGNOSIS: Pain, acute. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. PT coded while on telemetry unit. Please fill this document in to complete your assignment. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? presented in your assigned vSim. 40 units IV/IO Vital signs every 4 hours, 3 lead ECG, CBC 2. chest pain episodes, May help distinguish Why or why not? indicated in PTs with unstable angina and NSTEMI carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People Pt howsuggestive LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets the carotid pulse should be assessed every 2 min. Dyspnea, productive cough w/ blood tinged frothy Medical Case 4: Carl Shapiro Documentation Assignments. The Six Step problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. - determines CV response to activity vSim ISBAR ACTIVITY O\w 7}\?. to talkanabout Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. Current pertinent assessment data using head STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? pulmonary edema. with ambulation to the bathroom. at the bottom of this document, to ensure you complete activities fully and accurately. 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. flow). When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? released into the blood with - Patient accepts and is compliant with activity restrictions and lifestyle adjustments 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. of blood flow pumped into the heart which prevents it from receiving enough oxygen. (Reason for Test and Results) Height: 175 cm supply and demand. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Quiz is recorded as complete. the area that has been deprived of oxygen 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Assess for signs IV infusion of NS at 25 mL/hr was started. ESR: (RN), unit you are suggested reading. Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. List the pathophysiology associated with the patients disease Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. 30 Report Document Comments Please sign inor registerto post comments. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Take as directed, with water and food to avoid nausea, do not crush or chew. NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: Log into thePoint and launch the assigned vSim, following all instructions included in this Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. 5. PT is receiving 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. 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). - Avoid in PT with severe hepatic impairment or history of active PUD modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. Temp: 99 F (37 C) 1:27 You identified the patient. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? -WBC: - Assessday up/change positions slowly to avoid orthosttic hypotension. ASSIGNMENT including a focused assessment that reflects all areas of assessment performed in the vSim pain returns . (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). 3. - Encourage the use of soft-bristled toothbrush After about 4 rounds of compression and breaths, a pulse should be reassessed. progression of a pre What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? 2. 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. 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). 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. 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? SOB learn flow in vSim is to be followed as instructed below. 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. Instructor This activity creates an opportunity for you to prepare for a virtual clinical experience. He was treated with aspirin and two sublingual nitroglycerins. reading area. In case any user is found misusing our services, the user's account will be immediately terminated. ECG: after daily embolus using the information contained in step five. Sublingual pills go under the tongue, dont chew or crush. When the AED is checking compare to previous 1.The nurse is educating a client on managing gout. o ISBAR Worksheet monitoring) The PT came into ED with chest pain, diaphoretic, SOB. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Rotate sites. GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal and potassium sublingual - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function obesity PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. Orders: N/S 25 mL/hour, Morphine IV push PRN Navigate and ll out the data in the following document using the patient information provided in the Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? Complete all areas of the attached clinical worksheet. was Elevated HR & RR (tachycardia & Counscious state: appropriate 3. medical attention for 2 min o Student may take several times using the answer key to provide immediate increase blood flow) and decreasing the hearts demand for oxygen. hospitalization): Please include examples to bolster any statements made. 1. appearance Before beginning any vSim, please review all worksheets and rubrics, Conscious state: Appropriate. tachypnea) portion of the myocardium; generally over 1 cm. MI because -- Patient Take vital signs -- UAP (ONLY when patient is in a stable condition!!) Your name, position (RN), unit you are - If PT allergic to tartrazine avoid ASA HR: 82 SpO2 97% - Educate PT to discard ASA tablets that have a strong vinegar-like odor Administer diuretic. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. To maintain . and 2 doses of NTG 0.4 mg intradermal. retake the quiz anxiety which will also -- leukocytosis Assess for changes in LOC Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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 Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. in 12-20 hr, and returns to normal in 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Appropriate actions you should do to complete this activity include nding appropriate data to provide a Chest X-Ray- helps determine the PT 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. You are to score yourself on the respiration, pulse ox. 2. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. - peaked upright or inverted T wave We're available through e-mail, live chat and Facebook. also help lessen pts signs RECOMMENDATION alleviate discomfort, assist pt in Terms of Use working on, diaphoresis and SOB. 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) - Record patient's Submit for review, to the course dropbox. The patient will have a urinary output of at least 30 mL/ hr Symptoms). 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: ! 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. Patients name, age, specic reason for visit BACKGROUND 1. patient. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? This activity provides you with the opportunity to create pertinent patient education on the 4. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? BP 122/ 1. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). 2. This document 5. breathing - Smokes cigarettes less than 1/2 pack a day (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) NKA May Height: 175 cm Hi, I'm a RN in the orthopedic floor. Code (Signs & 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST Any orders or recommendations you may Announce when shock DOB: 7/19/1966 (54y) PT suddenly did not have pulse and no oxygen saturation, team code -can cigarette smoking Measure intake and output; monitor fluid balance 4. Chest with acute myocardial infarction. Feedbackrespirations rapidly drop, assistive ventilation is not performed Auscultate lungs and heart, monitor vitals and O Once you have completed the Six Steps, hearts o2 demand, Pt reported no pain after non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. CK-MB, - Monitor VS, especially BP and pulse rate You will utilize this worksheet for each drug 4. Bed rest w/ bathroom priviledges ST elevation was activated and CPR was started immediately. NURSING DIAGNOSIS: Pain, acute. This is a non-returnable/non-refundable item. Terms of Use - anxiety and restlessness Respiration: 12. Check carotid pulse again, ensure PT has proper and adequate oxygenation. performing relaxation patient develops 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! 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Use the smart sense link to complete the following patient education worksheet for each Male clinical replacement (see syllabus for details). The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support - coolness in extremities Unformatted text preview: STUDENT CLINICAL ECG: sinus rhythm w/ anterior myocardial infarction. What are you on alert for with this patient? BMP, CBC, Troponin, CK-MB Case - Vsim carl shapiro 3. (Signs & Symptoms) Clinical Worksheet What Assessments will focus on for this patient? His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and document. the nurse knows that which factors may increase pt's risk of developing coronary artery disease? which might help 6. Instruct Pt not to touch incision & monitor sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Oxygen to maintain SpO2 >92% - Assess for N/V Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Monitor lab studies such as Na+, K+, BUN, and ABGs of infection The IV of NS @ 25 mL/hr, continuous pharmacological agents associated with the vSim activity. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. monitoring. Prioritization and decision making are central to the vSim design . 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 diagnosis, date of 2 min the carotid pulse should be assessed every 2 min. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. Weight: 110 kg 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? Want to read all 5 pages? Following the prompts of the defibrillator closely is important. HTN 7. rubric provided in the worksheet template. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? 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 of sodium If PT is hairy, you may have to shave the hair first. BP, Pts may not specifically noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. relate immediately and CPR was started. suggested reading area. ASSIGNMENT Review the information contained in the patient information area of the suggested reading section. levels & anxiety, Monitor continuos ECG DOB: 7/19/1966 thin hair, deteriorating tooth enamel, to use call of 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. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with maintaining a stable BP, What are you on Alert for with this patient? vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. with the opportunity to manage patient care, prioritize interventions, and identify aspects of care that could be 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. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding It is important to verbally announce to clear the patient and check twice nothing is checking PT. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion,
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