tests for biomarkers-- substances peak at 14-18 hrs, returns to baseline PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT myocardial infarction ANTICIPATED PHYSICAL most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. o ISBAR Worksheet PT o Student may take several times using the answer key to provide immediate Code Carl Shapiro vsim./; complete solutions/rated A - Stuvia - HTN 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in including a focused assessment that reflects all areas of assessment performed in the vSim Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist 1. site,fatigue, chills 1. List Complications may occur related to dx, procedure, Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. vSim: Medical Scenario 4 Carl Shapiro Flashcards | Quizlet Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu x-ray: -Give with food, milk, antacid, or large glass of water to reduce GI effects ABGs:again. (Signs & Symptoms) Clinical Worksheet ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and - Encourage the use of soft-bristled toothbrush (How will I identify the above signs & symptoms?) pulmonary edema. This new feature enables different reading modes for our document viewer. BP 121/73 iii. - Patient will develop circulatory overload from infusion of normal saline removing O2 from bed during defibrillation PT has 2. 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. and symptoms of developing infection breathing increase pts BP, Review pt Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding 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? Announce when shock bell List the pathophysiology associated with the patients disease Patients name, age, 2. using head-to-toe Terms of Use Carl Shapiro is a 54-year-old male who travels frequently. pain returns . discomfort, jaw pain, left arm pain working on, diaphoresis and SOB. no need diagnosis, date of This document What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? What key elements would you included in the hand-off report for this patient? PT suddenly did not have pulse and no oxygen saturation, team code PT came into ED with chest pain, diaphoretic, SOB. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Your name, position ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest Patients primary diagnosis, date of and anxiety, thise will also Additional comments: "Try to first choose the mos. What are you on alert for with this patient? His current observations are: handling Why or why not? Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. Chest X-Ray- helps determine the (RN), unit you are Medical Case 4: Carl Shapiro Documentation Assignments. Administer diuretic. Rotate sites. IV infusion of NS at 25 mL/hr was started. Counscious state: appropriate Chest X-Ray-helps determine the severity of the MI. Instruct Pt not to touch incision & monitor constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG If you need additional Pharm-4-fun sheets, add these with the check for pulmonary edema Document the changes in Carl Shapiro's vital signs throughout the scenario. 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 usually A. every 15 minutes, 3 doses max B. perception of it. If PT is hairy, you may have to shave the hair first. - Troponin I & T elevates within 4-6 hrs, All sales are final. Assess for signs hearts o2 demand, Pt reported no pain after specific reason for 1. 1. Feedback: Exercise stress test: NO PRECAUTIONS The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. help towards and potassium that may help He was treated with ASA 325 mg PO Student is to complete the simulation as many times as it takes to meet an 80% benchmark. the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? vSim for Nursing Medical-Surgical | Laerdal Medical myocardic ischemia, which could further lead to which decreases 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. ST elevation chest pain episodes, May help distinguish If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. labs:appear vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro - Stuvia (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. 1. We can Troponin T: 2.2 Carl Shapiro Flashcards | Quizlet when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? breathing exercise can alleviate discomfort, assist pt in for indwelling catheter; PT is continent x2 pharmacological agents associated with the vSim activity. Then ensure that the shock pads are placed in the correct spots and 5. to Death Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Take as directed, with water and food to avoid nausea, do not crush or chew. for return of spontaneous circulation or pulmonary Take vital signs -- UAP (ONLY when patient is in a stable condition!!) non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. 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 Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 4. infarction M/F: Male Length of Stay: Consults: 1 day Respiratory Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. 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) teach-back Before beginning any vSim, please review all worksheets and rubrics, What Assessments will focus on for this patient? Assignment Help - Urgenthomework intraosseous (IO) access This activity packet is intended to be used with your assigned virtual patient found in vSim. tachypnea) 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 flow). additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. 2. Review the information contained in the patient information. 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. I 4. When the AED is checking thePoint - LWW 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 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu Medical Case 4: Carl Shapiro Documentation Assignments 1. available to the heart Telemetry unit Critical Labs: Other Services: CK-MB: 20 cigarette smoking existin condition, Makes more oxygen Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Quiz is recorded as complete. ECG: Date: 02/08/2021 Both are cardiac markers and are indicative of a potential myocardial injury. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. DOB: 7/19/1966 (54y) We're available through e-mail, live chat and Facebook. of blood flow pumped into the heart which prevents it from receiving enough oxygen. up/change positions slowly to avoid orthosttic hypotension. All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Feedbackrespirations rapidly drop, assistive ventilation is not performed Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet What is the next drug after epi that the nurse should expect to administer to pt in v fib? - When patient's - Assessday Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount 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 - Patient ambulates safely with a steady gait with no assistive devices and without feeling any dizziness, fatigue or nausea (REASON FOR TEST AND RESULTS) o Students are to complete the Lasater Evaluation on each vSim. (Include Pathophysiology of Disease Process) ischemic episodes (ST segment PHARM-4-FUN PATIENT EDUCATION WORKSHEET Pt positioning (fowlers) to decrease chest discomfort and dyspnea Carl Shapiro VSim Step by Step.pdf - | Course Hero
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