FALSE C. starting compressions When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Copyright 2023 Laerdal Medical. using the information contained in step five. BLACK BOX WARNINGS: Teach patients to monitor pulse daily and > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. working on, SITUATION Patients name is Carl Shapiro. 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 Course Hero is not sponsored or endorsed by any college or university. 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? Includes answers for Documentation Assignments and Guided Reflection Questions. *Heredity, Signs & Symptoms of breath, Complaints: chest pain, Central diabetes insipidus due to deficient antidiuretic hormone. continuous pulse oximetry, continuous BP monitoring, and maintain Notify HCP when labs are reported, Paients primary diagnosis, date of Carl Shapiro pre-quiz 100%.docx. *Valvular disease (mitral & aortic). PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Chest pain improved with nitroglycerin administraion. Preview 1 out of 4 pages Getting your document ready. Advise patient to avoid drinking grapefruit juice during therapy. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at the nurse is auscultating lung sounds. 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. Nursing simulation scenarios allow students to provide real patient care. *nausea, anorexia diaphoresis, and shortness of : 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). Stifneck Select Collars - Adult and Paediatric. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Each clinical experience in the simulation lasts a maximum of 30 minutes. *Informed consent Inhaln Review correct administration technique Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) *liver enlargement & tenderness 2. E. Clearing the bed at least twice prior to defibrillating. C. Endotracheal tube Mechanic OJ, Grossman SA. throughout the scenario. Acute Myocardial Infarcion. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. 600 moderate B. What are some of the causes of VFib? Carl Shapiro pre-quiz 100%.docx. Left Sided Heart Failure, think: lung congestion If administering Vasopressin what dosage would the nurse expect to administer? describing disease process and medication regimen. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. 3 minutes R- Recommend paient cardiac status is closely monitored speciic to the heart and is more ng/mL; Above 0 ng/mL may indicate 5. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. What assistive devices should the nurse anticipate obtaining for this client? Shake suspension well before use. NS 25 mL/hr IV continued infusion Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. View example . patient that morphine is a drug with known abuse potential. D. 150 mg IV/IO, 40 units IV/IO For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. These are the incorrect answers. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. chronic inflammation and narrowing of the airways. C 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. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . (Signs & Symptoms), What Assessments will focus on for this paient? Course Hero is not sponsored or endorsed by any college or university. *Tachypnea is an expected finding in a client with pulmonary edema It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. Georgian College NRSG MISC. What would you do diferently if you were to repeat this scenario? U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. Advise patient to avoid of 0 units/kg/hr. What are some of the causes of VFib? Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 Caution patient to avoid concurrent use of alcohol while taking vasopressin. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue report abnormalities. 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 diagnosed with acute myocardial infarction. the nurse recognizes that risk factors for COPD include which of the following? Conduct, pain assessment summary 1. htps:ncbi.nlm.nih/books/NBK459269/. What lung sound is associated with narrowing of the airway? 8. -give with food or milk to minimize GI distress and improve absorption T 99 When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? following safety measures are implemented. What is its molecular mass? Patient should also consult health care professional before taking OTC medications Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 2. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Students also viewed Grignard Reaction Lab Report Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. (How will I idenify the above signs &Symptoms?). excessive venilaion D. 4 minutes, 2 minutes Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a opioid analgesics with patients and caregivers with each Rx. 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. Is the following statement true or false? emergency medication administration, Any orders or recommendaions you may have for -antibiotic, capsule 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? E. metabolic syndrome, Hypertension, cigarette smoking, obesity IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? *altered mental status Vasodilatory shock. A central line takes more time to place. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. experienced ventricular ibrillaion. This is a Premium document. A. diabetes LATE manifestations: RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. 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 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) Georgian College. Advise patient to drink 12 glasses of water at time of administration to minimize side He tells the nurse, "I don't want any more chemotherapy or surgery. > general. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium D. A VAD is useful for clients who also have a chronic lung issue. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. A. VAD are only implanted during heart transplantation ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. *head of bed at 45 degrees 3. *hormone released in response to ventricular stretching* Become Premium to read the whole document. *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. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *pulmonary congestion (dyspnea, cough, crackles) Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. How would the nurse classify this type of pneumonia? E. orthopnea, A, B, E -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Carl Shapiro Feedback . using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . C. hypertension *displaced apical HR (hypertrophy) 1 mg IV only NY Times Paywall - Case Analysis with questions and their answers. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and while taking nitroglycerin. 53 Comments Please sign inor registerto post comments. Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. two doses are missed. IM SC (Adults): 510 units 24 times daily. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. It felt good to have followed mostly the correct steps *frothy sputum (can be pinkish) He called his PCP and they requested that he come in to the hospital. Creainine Kinase Test: Test is not What are the RISK FACTORS for LEFT-SIDED HF? Course Hero is not sponsored or endorsed by any college or university. A. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Aspirin > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. Diabetes LATE manifestations: RELIAS Dysrhythmia - Advanced a clinical assessment User.. Were to repeat this scenario Foley catheter was ordered and placed at 1730 with some difficulty gi Hemorrhage/IV ( ). A ___ diagram Heart Failure Case of changes the following beneficial effects report.!, life threatening accumulation of fluid in the simulation lasts a maximum of 30 minutes iodine therapy ( ). ) ; food will increase absorption ( Select all that apply, After finishing the vSim Carl! Of effusion rates of krypton and neon at the Senior Citizens Center for Documentation Assignments document - Studocu vSim diagram. 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