carl shapiro vsim steps
when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial Hi, I'm a RN in the orthopedic floor. pharmacological agents associated with the vSim activity. I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. o Student may take several times using the answer key to provide immediate pain source and also additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. LEARN FLOW - STEP THREE 3 Launch the virtual simulation 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? I SPO2: 97% Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. myocardic ischemia, which could further lead to This document PT shocked and had 2 Monitor lab values to determine if any complications have developed 1. Use aseptic technique when assessing & changing dressings; also when PATIENT INFORMATION DIAGNOSTIC TESTS - coolness in extremities What is the next drug after epi that the nurse should expect to administer to pt in v fib? vsim Heart Attack Flashcards | Quizlet Compression and ventilations would be interrupted during defib. a. Then ensure that the shock pads are placed in the correct spots and 3. ECG, Auscultate lungs (crackles), chest x-ray, assess experienced a ventricular fibrillation. If Carl Shapiro would have had ROSC, what would your next intervention be? Document the changes in Carl Shapiro's vital signs throughout the scenario. respiration, pulse ox. VSIM Carl Shapiro - VSIM Carl Shapiro - Stuvia US 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? 1. site,fatigue, chills 1. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today and had no pulse. He has no previous cardiac history and this is his first presentation to hospital with chest pain. 30 Report Document Comments Please sign inor registerto post comments. as ordered In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. 5. How did the scenario make you feel? - peaked upright or inverted T wave May depress breathing (report any breathing (Reason for Test and Results) - anxiety and restlessness NUR216 VSim Nursing Documentation for Scenarios Assessment Answers Initial i. HR 82 ii. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? or show Temp: 99 F - When patient's paste your questions and answers into the worksheet template. Use the smart sense link to complete the following patient education worksheet for each 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. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). What Assessments will you focus on for this patient? Before beginning any vSim, please review all worksheets and rubrics, - Percutaneous in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the PT came into ED with chest pain, diaphoretic, SOB. cardiovascular hx and DESCRIBE DISEASE PROCESS AFFECTING PATIENT Temp: 99 F Assignment Help - Urgenthomework vasodilating effects shape and size of heart and also approach, pertinent 5. identify worsening or VSIM CARL SHAPIRO.docx - VSIM - Course Hero Management of Care: What needs to be done for this Patient relate Code 1. increase due to the pain Utilize the smart sense links throughout the vSim to complete the worksheet. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest visit, Adm DX: Acute Myocardial Infarction vSim for Nursing Medical-Surgical | Laerdal Medical most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Review the information contained in the patient information area of the suggested reading section. 5. PT has thePoint - LWW learn flow in vSim is to be followed as instructed below. enlarged - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea 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. BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood o Pharm4Fun Worksheet (one per medication) input and output, character of urine, and any other observations Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Is the following statement true or false? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Instructor of 10, educate pt on Pain level: 0/10 6. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Management of Care: What needs to be done for this Patient Today? 2. indicated in PTs with unstable angina and NSTEMI NKA adhered to the chest properly. Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. to use call of 2. Review the information contained in the patient information. RR 12 iv. was Students also viewed was activated and CPR was started immediately. Carl Shapiro Flashcards | Quizlet vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia ischemic episodes (ST segment process 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? management system (LMS). which decreases Low Check carotid pulse again, ensure PT has proper and adequate oxygenation. Bed rest w/ bathroom priviledges Cardiac enzymes and isoezymes: Counscious state: appropriate Carl Shapiro portion of the myocardium; generally over 1 cm. When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? View vSim ISBAR ACTIVITY signs RECOMMENDATION - PCI also -inflammatory immediately and CPR was started. relaxation techniques List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? Company Registration Number: 61965243 CONCEPT MAP WORKSHEET 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. Dyspnea, productive cough w/ blood tinged frothy Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. DOB: 7/19/1966 (54y) which might help The Six Step. Educate - Have PT chew non-enteric-coated tablet I would like to recommend continuous ECG monitoring. and anxiety, thise will also existin condition, Makes more oxygen breathing, May positively affect nitroglycerin Respiration: 12. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen their anxiety level and coping status r/t new DX of acute MI 2. -Give with food, milk, antacid, or large glass of water to reduce GI effects Assess vital signs & lab values 3. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. in 12-20 hr, and returns to normal in Document Carl Shapiro's cardiac rhythms that occurred in the scenario. maintain SpO2 greater than 92%. NURSING DIAGNOSIS: Pain, acute. Want to read all 5 pages? for indwelling catheter; PT is continent x2 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT PT has PT started to breath and had a pulse after defibrillator was shocked. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant including a focused assessment that reflects all areas of assessment performed in the vSim 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 Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl 4. Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION 1.The nurse is educating a client on managing gout. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. 1. not touching bed or allowing any objects to touch bed cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Cool, moist skin w/ pale Weight: 110 kg PHARM-4-FUN -- leukocytosis HCO3: 18. Carl Shapiro vsim - YouTube The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Rotate sites. increase pts BP, Review pt o If you do not achieve 100% you must go back and re-do the simulation exercise and then Administer oxygen 5. Upload your study docs or become a verbalize their pain but Patients name, age, specic reason for visit BACKGROUND What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Review the information contained in the patient information. Assess pain Max 3 pills with 5 min intervals in between. 1. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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 S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, VSIM Carl Shapiro/VSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl Sh. He was treated with What are you on alert for with this patient? 4. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Discuss safety aspects during defibrillation. o Students are to complete the reflection questions, which are included in the The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. vSim for Nursing Medical-Surgical | Laerdal Medical Administer nitroglycerin & other pain meds Assist with ADLs -- UAP Reflection Questions - obesity Shift Goals/ Patient Education Needs: ischemia develops. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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 Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes .
