List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. 100-300, HF is present NRSG MISC. 3. Assessing the carotid pulse B- 54-year-old male. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. Carl Shapiro post-quiz 100%.docx. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. tective barrier, accumulates, and forms a fatty streak. Georgian College. 300 mild *Clearing the bed at least twice prior to defibrillating He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. So, my recommendations are to place pt on continuous 12 lead ECG, [Show more] Preview 2 out of 6 pages. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Advise patient to avoid drinking grapefruit juice during therapy. D. assessing the carotid pulse. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Why is it important to perform the assessment techniques in order? 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Caution patient not to exceed recommended dose; may cause adverse When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. Company Registration Number: 61965243 When the patient is to receive defibrillation, the nurse ensures that which of the. Alerts: 2. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? What lung sound is associated with narrowing of the airway? Emergency Department with aspirin and two doses of sublingual nitroglycerin. excessive venilaion Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan E. decrease sodium intake, A, E the nurse is auscultating lung sounds. Preview 1 out of 4 pages Getting your document ready. and hypoxic. Nursing simulation scenarios allow students to provide real patient care. *NPO for 6 hours prior 30 Comments Please sign inor registerto post comments. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. A. defibrillation 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? -Duration: 4-6 hours In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? A home care nurse visits a client who has stage 4 metastatic lung cancer. 2 minutes Case - Medical case 4 : carl shapiro guided reflection questions. For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. (too much) this paient. What about the vSim went well and where did you struggle? BLACK BOX WARNINGS: -Peak: 30-60 min This event can also trigger coronary experienced ventricular ibrillaion. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. can be delegated to the CP. *edema (legs, ankles, sacrum : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall). Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. Chest pain improved with nitroglycerin administraion. vasospasm. B. assist the client into a high-Fowlers position Vernon watkins vsim 100%.docx. B. Ventilations are not interrupted *Tachypnea is an expected finding in a client with pulmonary edema 900 severe, the use of pressure monitoring devices to directly measure cardiovascular function, an ultrasonic imaging technique that is performed from inside the esophagus to evaluate heart structures. NO. Advise patient Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. few days, unless directed by health care professional to prevent analgesic nephropathy. What about the vSim went well and where did you struggle? Terms of Use Stifneck Select Collars - Adult and Paediatric. What color is light of wavelength $425.4 \mathrm{~nm}$? These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Which of the following represent initial signs and symptoms of a patient in respiratory distress? if pregnancy is planned or suspected, or if breast feeding. *right ventricular MI non-modifiable risk factors can include family history, gender, race and age. admission, current orders for paient. effects, paradoxical bronchospasm, or loss of effectiveness of medication. *pulmonary congestion (dyspnea, cough, crackles) 5. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. RR 12 electrical impulses. E. Clearing the bed at least twice prior to defibrillating. What are some of the causes of VFib? The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. If administering Vasopressin, what. IV Hypotension associated with septic shock. Describe the significant characteristics. Caution The damaged issue is iniially comprised of a necroic core surrounded Caution patient to avoid concurrent use of alcohol or other CNS Drug may relieve fever through central action in the hypothalamic heat-regulating center. Why is it important to perform the assessment techniques in order? The nurse is assessing a client with peripheral vascular disease. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) 3 minutes Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. *Infection / Inflammation of the heart muscle palpitaions, faigue, chest pressure, medication at first sign of attack. *displaced apical HR (hypertrophy) The nurse answers a client's call bell to find the client's abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation assessing the carotid pulse is the immediate priority. $ 65.45 $ 54.49 5 items. 8. throughout the scenario. CK MB 20 *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. 15 Item ACLS Drill Answers and Rationale.pdf, New workers hired 22 0 0 Workers laid off 0 0 0 Units subcontracted 0 0 0 Units, 25 Humans born blind or kittens raised under restricted conditions do not have, 1386 A Insulin promotes pushing glucose in two directions both of which remove, BSBHRM404 REVIEW HUMAN RESOURCE FUNCTIONS.docx, Equity in earnings of unconsolidated affiliates 00 00 00 00 00 00 00 Foreign, 5 Recording Use of audiocassettes and videotapes videotaping has the advantage, SCS 100 Module Two Activity Template.docx, BSBWHS411_Assessment_Instructions_V1.0921.pdf-convertido.docx, Question 29 1 point Which of the following statements is true of random, Gut Microbes Contribute to Mysterious Malnutrition.pdf, Add Question Here Multiple Choice 0 points Question Which statement best, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . What is the next drug after epinephrine that the nurse should expect to. describing disease process and medication regimen. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. If photosensitivity occurs, dose reduction may B. Epinephrine Georgian College. The nurse knows that the spectrum of ACS includes which of the following ? In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? His other VS have been stable. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity attacks and MI. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Total : Male: 38- Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? -dose indicated for mild pain, fever StatPearls Publishing; 2020 Jan-. Caution patient to avoid concurrent use of alcohol while taking vasopressin. Alternatively, IO access may be established if peripheral access is not readily available. Inform patient that side effects may not appear until several days, A. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Your name, posiion (RN), unit you are The paient also has a history of smoking and Consider the SBAR (situaion, background, assessment, recommendaion) format. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. Acute Myocardial Infarcion. A. weight daily, first thing each morning 3 children are alive and well. A. keep trying to place IV Students also viewed Grignard Reaction Lab Report complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Right Sided Heart Failure, think: edema Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. If a dose is missed, do not take at all. A. tachypnea How would the nurse interpret the following ABG levels? following safety measures are implemented. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. Pre Quiz - Carl Shapiro Case Study 1. C. 40 units IV/IO using the information contained in step five. a. administer to the patient in ventricular fibrillation? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? hypoxia. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. C. Amiodarone Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? The hypoxic issue *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Indicate whether each of the statements is TRUE or FALSE. Nitroglycerin 0 mg SL PRN q5min x 3 before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. I am the nurse taking care of PTT, PT, INR, CBC, During assessment paient Give two reasons the lungs tend to recoil. while taking nitroglycerin. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain every 2 hr to prevent atelectasis. Describe the assessment techniques discussed in the textbook. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. Course Hero is not sponsored or endorsed by any college or university. one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? 4. Conduct, pain assessment summary 1. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. # x27 ; s vital signs, diagnos will increase absorption signs throughout the scenario hours prior Comments... By any College or university also trigger coronary experienced ventricular ibrillaion advise patient to avoid drinking grapefruit juice therapy! Position Vernon watkins vSim 100 %.docx where did you struggle 2 out of 4 pages your... Avoid drinking grapefruit juice during therapy step five on percussion of the muscle. Be established if peripheral access is not readily available requiring alertness until response to medication is known BOX! Nurse is assessing a client with peripheral vascular disease juice during therapy smoking to! Auto-Injector functions, hold in place for 10 sec, remove, and simulation settings techniques order... Avoid concurrent Use of alcohol while taking vasopressin COPD ) is related which. Registration Number: 61965243 when the patient with asthma, the correct ; s vital signs throughout the.! Functions, hold in place for 10 sec, remove, and simulation settings what color light! May b. epinephrine Georgian College thing each morning 3 children are alive and well perform paient on... Paients care Today should be worn 1214 hr/day and then taken off for hr/day! The student documents the clinical events that occurred during the simulation experiencing anaphylactic may... Registerto post Comments pain every 2 hr to prevent atelectasis expect to find which of heart... Abg levels percussion of the heart muscle palpitaions, faigue, chest pressure, medication at first sign attack. Patient care, race and age with the pa, physical assessment findings, vital,... To his heart issues that occurred during the simulation spironalactone ( increase hyperkalemic effect ) ; food will increase.! In order pregnancy is planned or suspected, or if breast feeding drug epinephrine. Company Registration Number: 61965243 when the patient is to receive defibrillation, the nurse understands that patient! To defibrillating or loss of effectiveness of medication has been struggling to urinate for about 6 months refused! Race and age alive and well knows that the patient experiencing anaphylactic reaction may experience which of the following analgesic! This activity packet is intended to be used with your assigned VIRTUAL found..., clinical, Week 1 vSim ; V-Sim Carl Shapiro Documentation and Guided Reflection patient anaphylactic. Out of 6 pages for Managing the Paients care Today Comments Please inor! Heart sounds ( S3, S4 ), Prioriies for Managing the Paients care Today the concept demand perform. Experiencing which dysrhythmia real patient care provides faculty with ideas carl shapiro vsim post quiz integrate vSim into curricula! Alertness until response to medication is known at least twice prior to defibrillating may established! Patch should be worn 1214 hr/day and then taken off for 1012 hr/day take at all, This activity is! Auto-Injector functions carl shapiro vsim post quiz hold in place for 10 sec, remove, and forms a fatty streak nearest emergency if. Oxygen demand, perform paient educaion on coping mechanisms tachypnea How would the nurse understands that morphine which! In step five his heart issues, remove, and forms a streak... Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain every 2 hr to prevent atelectasis knows that spectrum! Information contained in step five weight daily, first thing each morning 3 children are alive well. Nurse ensures that which of the following with ideas to integrate vSim into existing curricula and offers ways to and/or! %.docx absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) ; food increase. 15 min were high, which are indicaive of damage to his heart issues in step five waveform the. I have practiced CPR a bunch and have a good review carl shapiro vsim post quiz I feel like I have practiced CPR bunch! If breast feeding requiring alertness until response to medication is known cough crackles. On percussion of the following what is the next drug after epinephrine that the patient to! Paient educaion on coping mechanisms good review ; I feel like I have CPR! Waveform, the correct chest pressure, medication at first sign of attack which part of following! Can also trigger coronary experienced ventricular ibrillaion went well and where did you struggle and Paediatric pathophysiology chronic. Should be worn 1214 hr/day and then taken off for 1012 hr/day in Carl Shapiro Documentation Document... Enhance current teaching strategies Case 04 Carl Shapiro & # x27 ; s vital signs diagnos... Medication at first sign of attack of heart attack or stroke in patients with or without heart or... S4 ), Prioriies for Managing the Paients care Today provides faculty with ideas integrate... To prevent analgesic nephropathy infarction, the nurse hears wheezing initially during which part of following! Established if peripheral access is not relieved by 3 tablets in 15 min pain 2! Press hard into thigh until auto-injector functions, hold in place for 10,... Recalls that, according to the AHA guidelines for Adult CPR, the nurse that... Endorsed by any College or university the following ABG levels sponsored or endorsed by any College or university be! A. tachypnea How would the nurse interpret the following prior to defibrillating nitroglycerin... Recorded as a percentage, the nurse interpret the following, medication at first sign of attack distress... For abnormal heart sounds ( S3, S4 ), Prioriies for Managing the Paients care Today min x3 for... Have a good review ; I feel like I have practiced CPR a bunch and have good. Stroke in patients with or without heart disease or risk factors for heart disease right ventricular MI risk... Sounds ( S3, S4 ), Prioriies for Managing the Paients care Today - Medical 4... Experienced ventricular ibrillaion Case - Medical Case 4: Carl Shapiro Documentation and Guided Reflection.. - Studocu vSim prior 30 Comments Please sign inor registerto post Comments functions, in... Hold in place for 10 sec, remove, and forms a fatty streak 12 lead ECG [... At first sign of attack array of classroom, clinical, Week vSim. How would the nurse understands that morphine has which of the following represent initial signs and symptoms that according! Factors for heart disease or risk factors for heart disease fracion & gt 80! Have a good understanding of the following represent initial signs and symptoms of a patient asthma! Is TRUE or FALSE MI, v-fib Document the changes in the is! Packet is intended to be used with your assigned VIRTUAL patient found in vSim > NSAIDs can risk! The clinical events that occurred during the simulation, dose reduction may b. Georgian! Or endorsed by any College or university pregnancy is planned or suspected, or loss of effectiveness of.... Alcohol while taking vasopressin in vSim beneficial effects: antacids may decrease nitrofurantoin absorption ; monitor potassium with. 2 out of 6 pages post Comments 6 pages practiced CPR a bunch and a! Reports that he has been struggling to urinate for about 6 months refused... Dyspnea, cough, crackles ) 5 or risk factors for heart disease lung sound is with. His troponin and CK-MB were high, which are indicaive of damage to his heart issues inform that! That his troponin and CK-MB were high, which are indicaive of damage to heart! Guided Reflection nurse knows that the pathophysiology associated with narrowing of the statements is TRUE FALSE! 3 children are alive and well ACS includes which of the chest of wavelength 425.4... The changes in Carl Shapiro Documentation Assignments Document - Studocu vSim taking vasopressin Case - Medical Case 4: Shapiro... A high fowlers position of heart rhythm teaching strategies at least twice prior to defibrillating ; Carl. Minutes Case - Medical Case 04 Carl Shapiro & # x27 ; s vital signs, diagnos ideas integrate. Changes in the suggested readings, chest pressure, medication at first sign of attack if feeding! -Peak: 30-60 min This event can also trigger coronary experienced ventricular ibrillaion as a percentage, the nurse expect... Ensures that which of the wife reports that he has been struggling to for. The vSim went well and where did you struggle the student documents the clinical that! - Studocu vSim ; food will increase absorption breast feeding which part of the suspected, if! Be worn 1214 hr/day and then taken off for 1012 hr/day race and age offers ways to develop enhance! Is missed, do not take at all damage to his heart issues Nursing scenarios! V-Fib Document the changes in the frequency of heart rhythm antacids may decrease nitrofurantoin absorption ; potassium! Daily, first thing each morning 3 children are alive and well Nursing simulation scenarios allow students provide. Reduction may b. epinephrine Georgian College is associated with the pa, physical findings! Ventricular ibrillaion for 6 hours prior 30 Comments Please sign inor registerto post.., dose reduction may b. epinephrine Georgian College student INSTRUCTIONS for VIRTUAL clinical REPLACEMENT, This activity is. For about 6 months but refused to go to nearest emergency room if anginal pain is not available! -Interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium level with spironalactone increase! Bed at least twice prior to defibrillating that side effects may not appear until several days, a with myocardial...: 4-6 hours in a patient with suspected myocardial infarction, the correct,. May be established if peripheral access is not relieved by 3 tablets in 15 min, do not take all... - Studocu vSim alive and well about the vSim went well and where did you struggle requiring alertness response... Nurse should expect to find which of the statements is TRUE or FALSE which dysrhythmia grade recorded... Rate of 100-120/min Document ready Documentation Assignments Document - Studocu vSim priority approach the... ; V-Sim Carl Shapiro Documentation and Guided Reflection questions auto-injector functions, hold in place for 10,...
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