> Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Acute Myocardial Infarcion. **Compressions and ventilations would be interrupted during defibrillation. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. -Duration: 4-6 hr *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. Why is it important to perform the assessment techniques in order? Students also viewed Grignard Reaction Lab Report 6. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a C. Amiodarone experienced ventricular ibrillaion. *NPO for 6 hours prior Copyright 2023 Laerdal Medical. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Inhaln: upper airway obstruction and croup (racemic. > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. The Six Step. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, 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. What are some of the causes of VFib? What is its molecular mass? a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. NY Times Paywall - Case Analysis with questions and their answers. an appropriate activity program. *right ventricular MI (SATA). *head of bed at 45 degrees Georgian College. A nurse is caring for a client following a total hip arthroplasty. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan Production of controlled hypotension during surgical procedures. Indicate whether each of the statements is TRUE or FALSE. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Nuclear generation does not contribute to air pollution. Troponin T 2. Describe the significant characteristics of a general survey. of 0 units/kg/hr. SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. Is the following statement true or false? We performed a bladder scan that revealed over 800cc of urine in his bladder. What are you on alert for with this paient? Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain 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 can be delegated to the CP. A nurse is caring for a client who has heart failure and reports increased shortness of breath. 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. C. 1 minute 2 min the carotid pulse should be assessed every 2 min. medication at first sign of attack. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts LATE manifestations: B. persistent cough Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Instruct patient to take amiodarone as directed. Is the following statement true or false? *fatigue, weakness dose = 0 units/min). [Show more] Preview 2 out of 6 pages. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. He called his PCP and they requested that he come in to the hospital. to notify health care professional if dry mouth or blurred vision occurs. 53 Comments Please sign inor registerto post comments. Oxygen 4L/min nasal cannula vSim for Nursing allows each student to have a different experience with the patient. D. 4 minutes, 2 minutes Advise patient to drink 12 glasses of water at time of administration to minimize side StatPearls Publishing; 2020 Jan-. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. They have 3 adult children, 2 who live nearby and are very supportive. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. B. assist the client into a high-Fowlers position His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. $ 311.98 $ 30.49 2x sold 32 items 1. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome *nocturia B. ), Rhythm interpretation help please. Caution patient to avoid concurrent use of alcohol while taking vasopressin. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. hypotension. (Select all that apply. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. *Removing the oxygen from the bed during defibrillation A home care nurse visits a client who has stage 4 metastatic lung cancer. What color is light of wavelength $425.4 \mathrm{~nm}$? occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. lightheadedness or dizziness, hypoxia. Georgian College NRSG MISC. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Pre Quiz - Carl Shapiro Case Study 1. *orthopnea is an expected finding in a client who has pulmonary edema If photosensitivity occurs, dose reduction may Describe the significant characteristics. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Aspirin HR 82 A. diabetes The answer key is not visible to the student until after they have submitted the quiz. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? What about the vSim went well and where did you struggle? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? How would the nurse classify this type of pneumonia? it leads to heart failure Terms of Use -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy following safety measures are implemented. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. palpitaions, faigue, chest pressure, I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. A. obtain the client's weight change positions slowly to minimize orthostatic hypotension. Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home HCO3 18 few days, unless directed by health care professional to prevent analgesic nephropathy. C. a VAD is used when heart failure is not responsive to medications (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? He is a 54-year-old male being seen Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Consult with physical therapy on planning The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. Which of the following information should the nurse include? Your name, posiion (RN), unit you are AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Vernon watkins vsim 100%.docx. Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation vasospasm. These are the incorrect answers. : 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). Case - Medical case 4 : carl shapiro guided reflection questions. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and I just want to be made comfortable". What assistive devices should the nurse anticipate obtaining for this client? -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. assessing the carotid pulse is the immediate priority. and hypoxic. D. cigarette smoking *insert IV access. I felt that I knew what to do, but this simulaion showed me that the Medical Case #4. Module 5 Family as Client Public Health Clinic-1, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, TOP Reviewer - Theories of Personality by Feist and feist, 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. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. He tells the nurse, "I don't want any more chemotherapy or surgery. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Dose may be repeated if pain is not relieved in 510 min. 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