carl shapiro vsim steps

Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . Is the following statement true or false? 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(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. Want to read all 5 pages? Management of Care: What needs to be done for this Patient Today? Log into thePoint and launch the assigned vSim, following all instructions contained in this Carl Shapiro - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS - Studocu Terms of Use Help with Toileting schedule -- UAP Chest X-Ray-helps determine the severity of the MI. Then ensure that the shock pads are placed in the correct spots and have for this patient Instructor Feedback: I am calling about the patient Mr. Carl Shapiro, a 54-year-old male. ischemia develops. (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. Carl Shapiro Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. 1. Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Take vital signs -- UAP (ONLY when patient is in a stable condition!!) Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. (RN), unit you are 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! Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. (Signs & Symptoms). ST elevation Log into thePoint and launch the assigned vSim, following all instructions in this document. BP 121/73 iii. Monitor lab values to determine if any complications have developed 1. - Record patient's for return of spontaneous circulation constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG Counscious state: appropriate the 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. o Student may take several times using the answer key to provide immediate FINDINGS - chest pain o Pharm4Fun Worksheet (one per medication) - peaked upright or inverted T wave vSim ISBAR ACTIVITY Temp 99F v. SPo2 97% . In case any user is found misusing our services, the user's account will be immediately terminated. 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. pharmacological agent listed in the Pharmacology are of the suggested reading section. Cool, moist skin w/ pale How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? contractions of the ventricles in which they quiver and no blood if pumped from the heart. PT came into ED with chest pain, diaphoretic, SOB. When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? NURSING DIAGNOSIS: Pain, acute. He was diagnosed management system (LMS). working on, diaphoresis and SOB. (Include Pathophysiology of Disease Process) or Injury: o Students are to complete the Lasater Evaluation on each vSim. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. diagnostics, vital nurse about the signs Complete all areas of the attached clinical worksheet. Therapeutic class: NSAIDs Oxygen to maintain SpO2 >92% - elevates on second or third day after Measure intake and output; monitor fluid balance 4. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. -can The answer key is not visible to the student until after they have submitted the quiz. assessment data : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. that may help document. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. Carl Shapiro v Sim Reflection - Medical Case 4: Carl Shapiro - Studocu or decrease pts - Patient will develop circulatory overload from infusion of normal saline Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. (Signs & input and output, character of urine, and any other observations -Path 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. LEARN FLOW - STEP FOUR 4 Complete the Post-Quiz, you must achieve 100% LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets Temp: 99 F (37 C) 1:27 You identified the patient. 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 Clearing bed at least twice prior to defibrillating Review the information contained in the patient information. 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! ECG: An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl To maintain . rubric provided in the worksheet template. This activity packet is intended to be used with your assigned virtual patient found in vSim. c. signs RECOMMENDATION ABGs:again. 5. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. diaphoresis. immediately and CPR was started. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? 2 min using head-to-toe 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 2. What got me more nervous was the background Course Hero is not sponsored or endorsed by any college or university. Patients primary diagnosis, date of after daily ), 2. Today? vSim: Medical Scenario 4 Carl Shapiro Flashcards | Quizlet BMP, CBC, Troponin, CK-MB- Lab Assess for decreased urinary output We're available through e-mail, live chat and Facebook. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. MI, indicating inflammatory response A. every 15 minutes, 3 doses max B. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 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 Infection 2. ineffective tissue perfusion 3. Administer ASA - diaphoresis When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. 1. to Death CK-MB, 3. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) What aspects of the patient care can be Delegated and who - Asses for presence of SOB, dyspnea, tachypnea, and crackles myocardial infarction ANTICIPATED PHYSICAL To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION To maintain patient safety, it is important to wash your hands as soon as you enter the room. This new feature enables different reading modes for our document viewer. techniques like deep Terms of Use Medical Case 4: Carl Shapiro Documentation Assignments. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. PDF Curriculum Integration Guide for Faculty 6. Amiodarone Sublingual pills go under the tongue, dont chew or crush. 2. Review the information contained in the patient information. signs. - measures the hearts electrical activity - Stop drug 5-7 days before any surgery to allow time for production and release of new platelets He was treated with shadow What Assessments will you focus on for this patient? 3. PT suddenly did not have pulse and no oxygen saturation, team code for return of spontaneous circulation. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? - Percutaneous problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 4. PHARM-4-FUN experienced a ventricular fibrillation. Solved In the V-sim, the patient went into | Chegg.com 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz DESCRIBE DISEASE PROCESS AFFECTING PATIENT Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. venoustothromboembolism noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. cardiovascular hx and - Q waves indicate prolonged ischemia 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. - Encourage the use of soft-bristled toothbrush Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Code team was activated and CPR was started. If administering Vasopressin, what dosage would the nurse expect to administer? ASSIGNMENT 3. PT has 1. - Assessday Use aseptic technique when assessing & changing dressings; also when Upload your study docs or become a approach, pertinent Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Orders: N/S 25 mL/hour, Morphine IV push PRN What is the next drug after epi that the nurse should expect to administer to pt in v fib? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Respiration: 12. Conscious state: Appropriate. enlarged PT was stable and transfered telemetry unit. alcohol. discomfort, jaw pain, left arm pain Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Hi, I'm a RN in the orthopedic floor. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary 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 available to the heart Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Why or why not? existing heart issues Get a new set of vital signs and monitor for any trend alerts 3. He was treated with ASA 325 mg PO ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. suggested reading area. patient. suggested reading area. Chest X-Ray- helps determine the cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, breathing labs:appear Patients name, age, Carl Shapiro vSim Flashcards | Quizlet monitoring. (How will I identify the above signs &Symptoms?) Submit the completed worksheet. relate progression of a pre (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) perception of it. diagnosis, date of Document Carl Shapiro's cardiac rhythms that occurred in the scenario. An MI causes permanent 2. 1. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. the heart rhythm ensure nothing is touching the PT. 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. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. pain every 10 minutes x3; every 2 hours and notify provider if chest ASSIGNMENT PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT The Six Step the carotid pulse should be assessed every 2 min. Adm DX: Acute Myocardial reading area. & anxiety, Monitor continuos ECG -- Patient View Please fill this document in to complete your assignment. usually NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: Assess for changes in LOC HPlt]tM {sY'j. Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE above alert or complications? Company Registration Number: 61965243 Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. -- leukocytosis Full Document. respiration, pulse ox. 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. o Clinical Worksheet The Six Step learn flow in vSim is to be followed as instructed below. This document If you need additional Pharm-4-fun sheets, add these with the Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. 4. 2. o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. 7. second Each clinical experience in the simulation lasts a maximum of 30 minutes. 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. vSim Clinical Replacement Packet Carl Shapiro.docx Appropriate actions you should do to complete this activity include nding appropriate data to provide a This is a non-returnable/non-refundable item. vsim Heart Attack Flashcards | Quizlet All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. for infiltration your vSim experience. Feeding patient when necessary -- UAP He has no previous cardiac history and this is his first presentation to hospital with chest pain. control pain by its right arm 2. help towards ontroponin What nursing or medical interventions may prevent the 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. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician 6. vSim Carl shapiro.pdf - STUDENT CLINICAL REPLACEMENT Carl shapiro documentation VSIM - Medical Case 4: Carl Shapiro Submit for review, to the course dropbox. Navigate and ll out the data in the following document using the patient information provided in the handling Troponin T: 2.2 ischemic episodes (ST segment PT coded while on telemetry unit. Mr. Carl Shapiro is a 54-year-old male who travels frequently. Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? hospitalization): Health History/Comorbidities You will utilize this worksheet for each drug ECG: sinus rhythm w/ anterior myocardial infarction. ASA 325 mg PO and two doses of NTG 0.4 mg. Fall Risk: BP, Pts may not specifically Review the information contained in the patient information area of the suggested reading section. which decreases - Assess for N/V CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. indicate injury Paste your reflection questions in the box below Prioritization and decision making are central to the vSim design . If PT is hairy, you may have to shave the hair first. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. or ensure it is within reach at all times heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Assessing Impact on Student Learning (D093), Seidel's Guide to Physical examination (043), Perspectives in the Social Sciences (SCS100), United States History, 1550 - 1877 (HIST 117), Introduction to Interpersonal Communications ( COMM 102), Leadership And Management For Nursing (NSG 403), Professional Career Development Seminar (NUR 4828), Fundamental Human Form and Function (ES 207), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Organizations & Leading People (C200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), EES 150 Lesson 3 Continental Drift A Century-old Debate, UWorld Nclex General Critical Thinking and Rationales, Lesson 8 Faults, Plate Boundaries, and Earthquakes, 1-2 short answer- Cultural Object and Their Culture, Analytical Reading Activity 10th Amendment, Hesi fundamentals v1 questions with answers and rationales, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Greek god program by alex eubank pdf free, The cell Anatomy and division. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . 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. tachypnea) 2. Acute Coronary Syndrome (Carl Shapiro) Flashcards | Quizlet admission, current orders for patient ASSESSMENT (REASON FOR TEST AND RESULTS) catheter. Is the following statement true or false? 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. suggested reading. and had no pulse. develops nursing interventions, and other patient information associated with the patient situation. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules Quiz is recorded as complete. presented in your assigned vSim. -- imbalances 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). Identify and document key nursing diagnoses for Carl Shapiro. thorough SBAR report. NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: Carl Shapiro Flashcards | Quizlet If there is no pulse, then the nurse needs to start compression immediately while initiating a code. - During prolonged therapy, assess HCT, HB, Pt, INR, and renal function performing relaxation Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? using the information contained in step five. IV sites He presented to the emergency department in the early hours of the morning following sudden onset chest pain. tests for biomarkers-- substances 2. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Allows Dr to see 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?

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