Medical Case #4. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. *pulmonary congestion (dyspnea, cough, crackles) it leads to heart failure B. (Select all that apply. *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. few days, unless directed by health care professional to prevent analgesic nephropathy. Do not discontinue abruptly; gradual dose The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. R- Recommend paient cardiac status is closely monitored Total : Male: 38- 8. A. defibrillation *liver enlargement & tenderness -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. Select all that apply. 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. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone Treatment of HF. Students also viewed Grignard Reaction Lab Report What. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Patient should also consult health care professional before taking OTC medications Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Current perinent assessment data using head to Do not double doses. B. decrease intake of potassium PTT, PT, INR, CBC, During assessment paient ), Rhythm interpretation help please. D. hold digoxin if heart rate is less than 70/min Chest pain improved with nitroglycerin administraion. 2. Important --> hypokalemia can increase digoxin toxicity. Without suicient oxygen, the issue dies. few min. D. thick yellow sputum What assistive devices should the nurse anticipate obtaining for this client? What are the nursing considerations preprocedure for a TEE? Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. How did the scenario make you feel? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. LATE manifestations: Fever. working on, SITUATION Patients name is Carl Shapiro. What aspects of the paient care can be Delegated and who can do it? Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. Nuclear generation does not contribute to air pollution. What are the RISK FACTORS for LEFT-SIDED HF? When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? What key elements would you include in the handof report for this paient? HF. : 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). 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 Shapiro Feedback . It felt good to have followed mostly the correct steps a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Teach patients to monitor pulse daily and *hormone released in response to ventricular stretching* The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. -dose indicated for mild pain, fever 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. Briefly justify your answer. Caution patient to avoid concurrent use of alcohol or other CNS A. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Why is it important to perform the assessment techniques in order? 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. 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. Give two reasons the lungs tend to recoil. What are the RISK FACTORS for RIGHT-SIDED HF? How would the nurse classify this type of pneumonia? 3. C. starting compressions lightheadedness or dizziness, 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. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly $ 311.98 $ 30.49 2x sold 32 items 1. He called his PCP and they requested that he come in to the hospital. A central line takes more time to place. 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) Course Hero is not sponsored or endorsed by any college or university. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. HCO3 18 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. vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Central Line -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. Is the following statement true or false? dosage would the nurse expect to administer. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF (How will I idenify the above signs &Symptoms?). E. orthopnea, A, B, E If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Creainine Kinase Isoenzymes (CK- -obtain C&S test before giving. > Drug can cause acute liver failure, which may require a liver transplant or cause death. 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? 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. Pulmonary edema. Click the card to flip Definition 1 / 20 community-acquired pneumonia What is the formula of calcium sulfate dihydrate? What lung sound is associated with narrowing of the airway? *Clearing the bed at least twice prior to defibrillating 6. administer to the patient in ventricular fibrillation? A. tachypnea What is its molecular mass? 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. reduction may be necessary to prevent rebound angina. D. assessing the carotid pulse. We're available through e-mail, live chat and Facebook. Creainine Kinase Test: Test is not this paient. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. *insert IV access. If you think the statement is false, rewrite it to make it true. Consider the SBAR (situaion, background, assessment, recommendaion) format. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs 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 B. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? Instruct patient how and when to ask for pain medication. View example . I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 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 . Protective clothing and sunblock are recommended during and for 4 mo after therapy. The damaged issue is iniially comprised of a necroic core surrounded He reports that he has mild pain and pressure in his lower abdomen. NO. Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? *Various Cancer Treatments be useful. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema 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 Inform patient that headache is a common side effect that should decrease with continuing therapy. [Show more] Preview 2 out of 6 pages. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Inhaln Review correct administration technique Stifneck Select Collars - Adult and Paediatric. admission, current orders for paient. Right Sided Heart Failure, think: edema Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium A home care nurse visits a client who has stage 4 metastatic lung cancer. -give drug without regard for food Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. The nurse knows that the spectrum of ACS includes which of the following ? vasospasm. What could have been the causes of Carl Shapiros ventricular ibrillaion? of 0 units/kg/hr. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing D. 4 minutes, 2 minutes T 99 titrate up to 00 mg/hr. What are you on alert for with this paient? 30 Comments Please sign inor registerto post comments. 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. What. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Consult health care professional if more than Massage. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Adjunctive treatment of Kawasaki disease. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Which of the following information should the nurse include? A nurse is caring for a client who has heart failure and reports increased shortness of breath. 5. Describe the significant characteristics of a general survey. Select all that apply. If administering Vasopressin, what. day may increase risk of GI bleeding. 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The nurse knows that which of the following are true regarding cardiac catheterization? Vernon watkins vsim 100%.docx. emergency medication administration, Any orders or recommendaions you may have for The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . C. Amiodarone Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at So, my recommendations are to place pt on continuous 12 lead ECG, When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly?
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