carl shapiro vsim steps

LEARN FLOW - STEP THREE 3 Launch the virtual simulation ventricular fibrillation. What are you on alert for with this patient? working on SITUATION Log into thePoint and launch the assigned vSim, following all instructions in this document. coronary intervention is used to open the occluded coronary artery and promotes reperfusion to increase pts BP, Review pt Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: that may help Dyspnea, productive cough w/ blood tinged frothy experienced a ventricular fibrillation. An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant relate 48-72 hours. 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. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. - SOB To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. techniques like deep He reports that he has mild pain and pressure in his lower abdomen. 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? myocardial infarction ANTICIPATED PHYSICAL Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. related to the MI. (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Discuss safety aspects during defibrillation. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. ECG: sinus rhythm w/ anterior myocardial infarction. listed under the pharmacology are of the suggested reading section. identify worsening or 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to May indicate hypoxia the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. to toe approach, pertinent diagnostics, vital The patient will not experience a pain level higher than 0/10 throughout day 4. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). Allergies: No known May cause hypotension, change positions/get up slowly. - Educate PT to discard ASA tablets that have a strong vinegar-like odor It is important to verbally announce to clear the patient and check twice nothing is checking PT. 2. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist help towards PT was diagnosed with acute MI. - Record patient's verbalize their pain but Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the 4. ischemia develops. (Reason for Test and Results) Decreased Cardiac Output related to: - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets specific reason for View 5. Measure drain output -- UAP Medical Case 4: Carl Shapiro Documentation Assignments 1. - Avoid in PT with severe hepatic impairment or history of active PUD (Include Pathophysiology of Disease Process) 30 Report Document Comments Please sign inor registerto post comments. teach-back 1. clinical replacement (see syllabus for details). shadow When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin Utilize the smart sense links throughout the vSim to complete the worksheet. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. HTN Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. pharmacological agent listed in the Pharmacology are of the suggested reading section. Before beginning any vSim, please review all worksheets and rubrics, 2. Low ASSIGNMENT o Pharm4Fun Worksheet (one per medication) vSim ISBAR ACTIVITY delegated. 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. You will download the word document to answer the questions and then to prevent platelet aggregation - ST elevation will reveal a MI hospitalization): no need BP: 122/73 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Avoid alchohol, Stand During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. obesity 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? 5. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, appearance Max 3 pills with 5 min intervals in between. 1. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? for return of spontaneous circulation. CK-MB, 2. Review the information contained in the patient information. patient. I myocardic ischemia, which could further lead to What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. Date: 02/08/2021 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the compare to previous (Signs & available to the heart LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets 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. Describe two of these and explain whether these issues concern you. 2. Review the information contained in the patient information. -WBC: most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. Pain level: 0/10 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. up/change positions slowly to avoid orthosttic hypotension. thin hair, deteriorating tooth enamel, 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. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. 2. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . - measures the hearts electrical activity increase due to the pain Symptoms). cigarette smoking Elevated HR & RR (tachycardia & was We're available through e-mail, live chat and Facebook. Temp: 99 F 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. INTRODUCTION STUDENT WORKSHEET Company Registration Number: 61965243 Avoid hairy areas. or Injury: - Troponin I & T elevates within 4-6 hrs, NO PRECAUTIONS More product information > Products & Pricing Add to Cart 1. nitroglycerin which of the following does the nurse recognize as typical s/s exhibited by pt with angina? This activity provides you with the opportunity to create pertinent patient education on the I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. This is a non-returnable/non-refundable item. - Percutaneous also help lessen pts Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI - Have PT chew non-enteric-coated tablet Current pertinent assessment data using head What got me more nervous was the background Code This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a PT was stable and transfered telemetry unit. We're available through e-mail, live chat and Facebook. - diaphoresis Management of Care: What needs to be done for this 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. tachypnea) If PT is hairy, you may have to shave the hair first. -can If you need additional Pharm-4-fun sheets, add these with the MI, indicating inflammatory response - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function Rotate sites. o Students are to complete the reflection questions, which are included in the patient vasodilating effects IV sites BMP, CBC, Troponin, CK-MB- Lab 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 ABGs:again. - Smokes cigarettes less than 1/2 pack a day - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding suggested reading area. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . control pain by its : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. He was diagnosed constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. (RN), unit you are Temp: 99 F 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. - anxiety and restlessness If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. above alert or complications? Carl Shapiro is a 54-year-old male who travels frequently. Use aseptic technique when assessing & changing dressings; also when Administer 4. Chest X-Ray-helps determine the severity of the MI. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. LEARN FLOW - STEP FIVE 5 Document - determines CV response to activity vSim ISBAR ACTIVITY k$e|\?Nx ;ib^C9./S\c5I-\/*. vSim. Compression and ventilations would be interrupted during defib. 1. O\w 7}\?. 1. Course Hero is not sponsored or endorsed by any college or university. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. REPLACEMENT monitoring) BMP, CBC, Troponin, CK-MB (Signs & Symptoms). Clearing bed at least twice prior to defibrillating o Student may take several times using the answer key to provide immediate 3. 2 min the carotid pulse should be assessed every 2 min. Monitor cardiac If administering Vasopressin, what dosage would the nurse expect to administer? vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? RR 12 progression of a pre rather express it In case any user is found misusing our services, the user's account will be immediately terminated. NKA This activity provides you pain and changes in or decrease pts He was treated with comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent During admission, his lab reports, EKG, stress tests were all normal, what is the c. What are some recommendations to help people with post myocardial infarction depression? 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). - elevates on second or third day after ASA 325 mg PO and two doses of NTG 0.4 mg. monitoring. 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. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary labs:appear Students also viewed reading area. Feeding patient when necessary -- UAP PT suddenly did not have pulse and no oxygen saturation, team code RR: 12 HFand He has no previous cardiac history and this is his first presentation to hospital with chest pain. Identify and document key nursing diagnoses for Carl Shapiro. (Signs & Symptoms) Clinical Worksheet Once you have completed the Six Steps, Obtain a 12-lead ECG if pt experiences angina. - Monitor VS, especially BP and pulse rate - PCI also IV Type: peripheral 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. alleviate discomfort, assist pt in Get a new set of vital signs and monitor for any trend alerts 3. Administer diuretic. Full Document. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Chest 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. PT shocked and had 2 - HTN Initial i. HR 82 ii. 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. List the pathophysiology associated with the patients disease Chest X-ray PHARM-4-FUN PATIENT EDUCATION WORKSHEET The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules nurse about the signs This activity creates an opportunity for you to prepare for a virtual clinical experience. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? check for pulmonary edema Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access learn flow in vSim is to be followed as instructed below. Review the information contained in the patient information area of the suggested reading section. Log into thePoint and launch the assigned vSim, following all instructions included in this When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. The Six Step can do it? 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Cardiac enzymes and isoezymes: GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal the nurse knows that which factors may increase pt's risk of developing coronary artery disease? 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). document. within 6-7 days Carl Shapiro Conitnious ECG and SpO2 monitoring Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? Assess for changes in LOC Patients primary diagnosis, date of infarction M/F: Male Length of Stay: Consults: 1 day Respiratory Continuos ECG- helps monitor for aneurysm He was treated with aspirin and two sublingual nitroglycerins. Administer supplemental oxygen at 4 L/min via nasal canulla Current pertinent List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? 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. - peaked upright or inverted T wave Height: 175 cm cause hypotension, change positions/get up slowly. HR: 82 of blood flow pumped into the heart which prevents it from receiving enough oxygen. Pt howsuggestive Labs were ordered. groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): to use call of which might help with ambulation to the bathroom. BP 121/73 iii. As cells are deprived of oxygen, 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? - Indigestion breathing exercise can Take vital signs -- UAP (ONLY when patient is in a stable condition!!) supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. 6. using aspetic technique capillary refill / oxygenation saturation Priorities for Managing the Patients Care Today - Encourage the use of soft-bristled toothbrush document. 1. Amiodarone Each clinical experience in the simulation lasts a maximum of 30 minutes. Help with Toileting schedule -- UAP During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. diaphoresis. Telemetry unit Critical Labs: Other Services: CK-MB: 20 Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. 3. removing O2 from bed during defibrillation maintain SpO2 greater than 92%. x-ray: 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). Code team was activated and CPR was started. IV infusion of NS at 25 mL/hr was started. 3. Create the following concept map. Administer ASA and anxiety, thise will also -Give with food, milk, antacid, or large glass of water to reduce GI effects He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. A. every 15 minutes, 3 doses max B. 4. Infarction Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. c. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. What nursing or medical interventions may prevent the PT came into ED with chest pain, diaphoretic, SOB. pharmacological agents associated with the vSim activity. Heart rate: 82. which decreases - tachycardia According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. His current observations are: modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. signs. Sublingual pills go under the tongue, dont chew or crush. 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? right arm 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

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