C. starting compressions vasospasm. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Chest pain improved with nitroglycerin administraion. 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 Nitroglycerin 0 mg SL PRN q5min x 3 GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue B. Ventilations are not interrupted Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? I was scared at irst because I didnt C. 1 minute Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? A. atropine He tells the nurse, "I don't want any more chemotherapy or surgery. part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. A. VAD are only implanted during heart transplantation *Various Cancer Treatments Inhaln: upper airway obstruction and croup (racemic. following safety measures are implemented. Every three minutes, no restriction on doses b. He was diagnosed with acute myocardial infarction. ), Rhythm interpretation help please. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding hypotension. Call Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. 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. So, my recommendations are to place pt on continuous 12 lead ECG, They have 3 adult children, 2 who live nearby and are very supportive. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium I am the nurse taking care of *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Insert secondary IV site for What are some of the causes of VFib? Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - What key elements would you include in the handof report for this paient? StatPearls Publishing; 2020 Jan-. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Indicate whether each of the statements is TRUE or FALSE. Carl Shapiro post-quiz 100%.docx. *abdominal distention The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Advise *head of bed at 45 degrees What are the RISK FACTORS for RIGHT-SIDED HF? **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. What. remaining doses at regular intervals. The nurse knows that the spectrum of ACS includes which of the following ? 4. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. *coronary artery disease effects, paradoxical bronchospasm, or loss of effectiveness of medication. D. Not touching the bed or allowing any objects to touch the bed B. Central Line 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 A. defibrillation 300 mild Emergency Department with aspirin and two doses of sublingual nitroglycerin. dose = 0 units/min). (SATA) > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic He reports that he drinks a glass of wine occasionally, two glasses a month. MI, Lipid proile, c-reacive protein, BNP, The answer key is not visible to the student until after they have submitted the quiz. and hypoxic. > Drug can cause acute liver failure, which may require a liver transplant or cause death. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding Click the card to flip Definition 1 / 20 community-acquired pneumonia Advise patient to notify health care professional The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Inhaln Review correct administration technique It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply lightheadedness or dizziness, 7. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? *Infection / Inflammation of the heart muscle Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. *S3 sound (gallop) Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. *right ventricular MI Describe the significant characteristics. assessing the carotid pulse is the immediate priority. Intraosseous Access (IO) The nurse knows that the spectrum of ACS includes which of the following ? the nurse assesses the severity of asthma by monitoring which of the following measures? Is this ____________? Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity PO Adjunct treatment of. Temporary relief of mild symptoms of intermittent asthma (over the counter). U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. *left-side HF 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 . remembered, unless almost time for next dose. B. administer to the patient in ventricular fibrillation? Stifneck Select Collars - Adult and Paediatric. Instruct patients on a sodium-restricted diet to admitted on 8/25/2020. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. $ 311.98 $ 30.49 2x sold 32 items 1. 2 min the carotid pulse should be assessed every 2 min. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . 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, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). D. A VAD is useful for clients who also have a chronic lung issue. How did the scenario make you feel? Troponin T 2. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. Pulmonary edema. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) same dose for 12 hr then taper off over 2448 hr. What. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Nursing simulation scenarios allow students to provide real patient care. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. 8. Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). IV Hypotension associated with septic shock. 80 units IV/IO RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Conduct, pain assessment summary 1. Inform patient that side effects may not appear until several days, respiratory acidosis with no compensation and mild hypoxemia. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation B. obesity What are you on alert for with this paient? a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Medical Case #4. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Advise patient to drink 12 glasses of water at time of administration to minimize side Assessing the carotid pulse experienced ventricular ibrillaion. The nurse is assessing a client with peripheral vascular disease. What about the vSim went well and where did you struggle? by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Carl Shapiro Feedback . Treatment of HF. Important --> hypokalemia can increase digoxin toxicity. C. expect muscle weakness while taking digoxin Select all that apply. He called his PCP and they requested that he come in to the hospital. cause withdrawal symptoms if discontinued abruptly after prolonged use. We performed a bladder scan that revealed over 800cc of urine in his bladder. E. orthopnea, A, B, E E. metabolic syndrome, Hypertension, cigarette smoking, obesity *manifestations of organ failure (i.e. 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) NRSG MISC. Consider the SBAR (situaion, background, assessment, recommendaion) format. Local/Spinal: Adjunct in the. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma *nausea, anorexia Acute Myocardial Infarcion. right angle to leg. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? for whom it was prescribed. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan I felt that I knew what to do, but this simulaion showed me that the *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide What lung sound is associated with narrowing of the airway? 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. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. S- This is 54-year old Carl Shapiro experienced VFIB, code team was called, emergency response measures were implemented to include CPR and AED shock. All Rights Reserved. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain in adults and at least 1/3 the AP dimension of the chest in infants and children. Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. He reports that he has mild pain and pressure in his lower abdomen. 53 Comments Please sign inor registerto post comments. Vasodilatory shock. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. *Not touching the bed or allowing any objects to touch the bed This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Drug may relieve fever through central action in the hypothalamic heat-regulating center. IV Adjunct treatment of acute MI. It felt good to have followed mostly the correct steps creainine to spill out. LATE manifestations: (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. of 0 units/kg/hr. NRSG MISC. Consult health care professional if more than I have done compressions before and know that it is something you learn from reputation and experience. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. NO. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic 6. B. *altered mental status A home care nurse visits a client who has stage 4 metastatic lung cancer. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. Vernon watkins vsim 100%.docx. What two factors keep the lungs from collapsing? Is the following statement true or false? C. auscultate lung sounds it leads to heart failure Instruct patient to take amiodarone as directed. *nocturia steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. $ 65.45 $ 54.49 5 items. 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. 2 minutes C. 1 minute D. 4 minutes 2 minutes clinical replacement (see syllabus for details). dosage would the nurse expect to administer. 2. We're available through e-mail, live chat and Facebook. *Heredity, Signs & Symptoms of A. Preview 1 out of 4 pages Getting your document ready. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). A. 2 minutes The nurse knows that which of the following are true regarding cardiac catheterization? Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. 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. diaphoresis, and SOB, Cardiac stress test: NPO x 4 hours, educate paient on the importance of avoiding simulants such as, INTRODUCTION Hello, my name is Jessica Fernandez. Consult with physical therapy on planning *Prolonged Alcohol Use > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. These can be inserted without interrupting CPR. Protective clothing and sunblock are recommended during and for 4 mo after therapy. Georgian College NRSG MISC. -dose (100 mg) is indicated for UTI In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? speciic to the heart and is more oxygen therapy at 4L/min. D. hold digoxin if heart rate is less than 70/min Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max 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. 3 minutes B. *hormone released in response to ventricular stretching* Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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? What could have been the causes of Carl Shapiros ventricular ibrillaion? Compression depth of at least 50 mm (2 inches) -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin Select all that apply. Quiz is recorded as complete. if pregnancy is planned or suspected, or if breast feeding. I just want to be made comfortable". Date Completed: 1/23/2022 Score Breakdown s Score. (How will I idenify the above signs &Symptoms?). A- Paient started breathing spontaneously again. 2. B. inserting an airway What are some of the causes of VFib? If a dose is missed, do not take at all. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. patient that morphine is a drug with known abuse potential. continuous pulse oximetry, continuous BP monitoring, and maintain few days, unless directed by health care professional to prevent analgesic nephropathy. describing disease process and medication regimen. be useful. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? Patient should also consult health care professional before taking OTC medications C. increased urinary output Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 581 Comments Please sign inor registerto post comments. Do not double doses. -NSAIDS The nurse recalls that, according the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. How would your paient care change? Creatinine 0. effects (blanching of skin, abdominal cramps, nausea). -give drug without regard for food (SATA) attacks and MI. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). 2. Caution patient to avoid concurrent use of alcohol or other CNS *frothy sputum (can be pinkish) when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook.
