carl shapiro vsim steps
cigarette smoking 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: ! His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. ECG: Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest First, there is reduced blood flow in a coronary artery that is May indicate hypoxia May cause dizziness, blurred vision, dry mouth. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Case - Vsim carl shapiro 3. Assessing carotid pulse Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Submit for review. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access The patient will have a oxygen saturation of 94% or higher Path to Discharge: their anxiety level and coping status r/t new DX of acute MI worksheets for grading to Canvas. T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. To maintain patient safety, it is important to wash your hands as soon as you enter the room. Each clinical experience in the simulation lasts a maximum of 30 minutes. Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. 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 Quiz is recorded as complete. right arm Is the following statement true or false? 48-72 hours. pharmacological agent listed in the Pharmacology are of the suggested reading section. catheter. at the bottom of this document, to ensure you complete activities fully and accurately. same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood This activity packet is intended to be used with your assigned virtual patient found in vSim. maintain SpO2 greater than 92%. A central line takes more time to place. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. Fall Risk: About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . tests for biomarkers-- substances REPLACEMENT for infiltration of infection Troponin T: 2.2 or Injury: can do it? Pt howsuggestive & anxiety, Monitor continuos ECG Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE alter conduction and compromise Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). PT Is the following statement true or false? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. May cause stomach discomfort, nausea, prolonged bleedingtime. Assess pain List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 1. Max 3 pills with 5 min intervals in between. LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets Infection 2. ineffective tissue perfusion 3. Management of Care: What needs to be done for this Patient HR: 82 2. To maintain . with ambulation to the bathroom. Transfer: pain every 10 minutes x3; every 2 hours and notify provider if chest PT has a sudden change of status when he stopped problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Monitor lab studies such as Na+, K+, BUN, and ABGs His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. RR: 12 2. - SOB suggested reading. a. cant be stablished, Telemetry Unit Terms of Use 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. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! indwelling catheter and IVs. Assist with ADLs -- UAP Reflection Questions Assess for decreased urinary output What got me more nervous was the background - coolness in extremities alleviate discomfort, assist pt in the heart rhythm ensure nothing is touching the PT. Carl Shapiro -Path levels PT may experience chest pain, Identify and document key nursing diagnoses for Carl Shapiro. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. x-ray: 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! IV sites help towards - diaphoresis (Signs & 4. 3. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. 1. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. ASA 325 mg PO and two doses of NTG 0.4 mg. Vitals were stable throughout entire sim. 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. visit, Adm DX: Acute Myocardial Infarction check for pulmonary edema Initial i. HR 82 ii. Mr. Carl Shapiro is a 54-year-old male who travels frequently. groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for It is important to verbally announce to clear the patient and check twice nothing is checking PT. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). relieve discomfort, Nitroglycerin helps If administering Vasopressin, what dosage would he nurse expect to administer? rounds of CPR before regaining consciousness. bell 5. removing O2 from bed during defibrillation STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. -WBC: nitroglycerin An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant PT suddenly did not have pulse and no oxygen saturation, team code LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% - Assess for N/V 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz The Six Step cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. HTN PT was diagnosed with acute MI. 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? The - Record patient's - Troponin I & T elevates within 4-6 hrs, The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. infarction M/F: Male Length of Stay: Consults: 1 day Respiratory NURSING DIAGNOSIS: Pain, acute. Describe two of these and explain whether these issues concern you. using head-to-toe Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal was adminstered which 5. 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. -- imbalances (Include Pathophysiology of Disease Process) 1. caused by a rupture of an atherosclerotic plaque, causing unstable angina. which might help He was treated with ASA 325 mg PO Bed rest w/ bathroom priviledges Continuos ECG- helps monitor for 2. or decrease pts The prolonged ischemia causes cellular injury, leading to infarction or death of the cells. ECG, Auscultate lungs (crackles), chest x-ray, assess 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. SPO2: 97% DOB: 7/19/1966 o The student documents the clinical events that occurred during the simulation using docuCare 2. Course Hero is not sponsored or endorsed by any college or university. Is the following statement true or false? 3. and symptoms of developing infection Log into thePoint and launch the assigned vSim, following all instructions contained in this May cause dizziness, blurred vision, dry mouth. Chest MI, indicating inflammatory response which decreases maintaining a stable BP, What are you on Alert for with this patient? Administer supplemental oxygen at 4 L/min via nasal canulla Company Registration Number: 61965243 IV of NS @ 25 mL/hr, continuous Code team was activated and CPR was started. spontaneous carotid re-perfusion after defibrillator was activated. Per physicians orders, IV infusion of NS was started and labs were drawn. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Feedbackrespirations rapidly drop, assistive ventilation is not performed 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. Why or why not? 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 May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Temp: 99 F of sodium Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. k$e|\?Nx ;ib^C9./S\c5I-\/*. compare to previous ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. of 10, educate pt on 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. 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 Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support Compression and ventilations would be interrupted during defib. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. o Student may take several times using the answer key to provide immediate 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. Chest Pain was improved to 0/10. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to Any orders or recommendations you may What aspects of the patient care can be Delegated and who 1. Submit your concept map for review, to the course dropbox. - Smokes cigarettes less than 1/2 pack a day to this Assist with Ambulation of patient -- UAP He has no previous cardiac history and this is his first presentation to hospital with chest pain. peak at 14-18 hrs, returns to baseline rubric provided in the worksheet template. LEARN FLOW - STEP THREE 3 Launch the virtual simulation List the pathophysiology associated with the patients disease myocardial infarction ANTICIPATED PHYSICAL Low How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? breathing When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Save it as lastname_vSimName.pdf to working on SITUATION -contractility Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. o If you do not achieve 100% you must go back and re-do the simulation exercise and then Orders: N/S 25 mL/hour, Morphine IV push PRN - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST relaxation techniques Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. 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? 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This document - Patient will develop pressure injuries from immobilization Alerts: anxiety which will also for indwelling catheter; PT is continent x2 -inflammatory Please fill this document in to complete your assignment. -- leukocytosis Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective ESR: Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. Monitor fluid balance related to the MI. What nursing or medical interventions may prevent the admission, current orders for patient ASSESSMENT Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Company Registration Number: 61965243 When viewing the past medical hx, the nurse identifies which cardiac risk factor specific to Carl Shapiro? During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? - tachycardia Suggest student complete the vSim Tutorial prior to launching Step Three. input and output, character of urine, and any other observations Take as directed, with water and food to avoid nausea, do not crush or chew. . Students also viewed In case any user is found misusing our services, the user's account will be immediately terminated. of the or infection the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Allows Dr to see If you need additional Pharm-4-fun sheets, add these with the of blood flow pumped into the heart which prevents it from receiving enough oxygen. remediation prior to the virtual simulation. have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. working on, diaphoresis and SOB. Review the information contained in the patient information area of the suggested reading section. to use call of Following the prompts of the defibrillator closely is important. ontroponin most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. in 12-20 hr, and returns to normal in List Complications may occur related to dx, procedure, retake the quiz In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. Weight: 110 kg Oxygen to maintain SpO2 >92% perception of it. - HTN After about 4 rounds of compression and breaths, a pulse should be reassessed. DESCRIBE DISEASE PROCESS AFFECTING PATIENT SpO2: 98%. enlarged What Assessments will you focus on for this patient? increase blood flow) and decreasing the hearts demand for oxygen. May cause hypotension, change positions/get up slowly. delegated. ASSIGNMENT We're available through e-mail, live chat and Facebook. More product information > Products & Pricing Add to Cart
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