comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent taking aspirin and nitro. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Hi, I'm a RN in the orthopedic floor. Carl Shapiro Patient Information - University of South Australia To maintain patient safety, it is important to wash your hands as soon as you enter the room. May cause dizziness, blurred vision, dry mouth. Quiz is recorded as complete. experienced a ventricular fibrillation. INTRODUCTION STUDENT WORKSHEET 1. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) pharmacological agent listed in the Pharmacology are of the suggested reading section. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to PT shocked and had 2 Help with Toileting schedule -- UAP progression of a pre cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 5. 40 units IV/IO How did the scenario make you feel? chest pain episodes, May help distinguish intraosseous (IO) access - Troponin I & T elevates within 4-6 hrs, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. maintain SpO2 greater than 92%. - Patient is able to perform basic ADLs independently or with minimal assistance - Patient accepts and is compliant with activity restrictions and lifestyle adjustments If administering Vasopressin, what dosage would the nurse expect to administer? non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. The After about 4 rounds of compression and breaths, a pulse should be reassessed. No alcohol. 4. 1.The nurse is educating a client on managing gout. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. severity of the MI. Measure intake and output; monitor fluid balance 4. - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules discomfort, jaw pain, left arm pain PT has hospitalization): Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. verbalize their pain but HFand 2. This activity creates an opportunity for you to prepare for a virtual clinical experience. pain returns . 2. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood -Electrolytes: Transdermal patch- apply once a day in the morning. Pharmacologic class: Salicylates SAFE DOSE OR DOSE RANGE, SAFE ROUTE vSim. supply and demand. rather express it to use call of suggested reading area. o Students are to complete the Lasater Evaluation on each vSim. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. 2. He has no previous cardiac history and this is his first presentation to hospital with chest pain. -cardiac - anxiety and restlessness 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. 4. His chest pain improved with the nitroglycerin. Rated his pain as a 0 out Rotate sites. - Assessday of sodium Is the following statement true or false? management system (LMS). 1. What Assessments will focus on for this patient? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. - obesity Shift Goals/ Patient Education Needs: - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET CK-MB, 2. Once you have completed the Six Steps, in addition to the Clinical Replacement Activity Packet (worksheets included in this document), submit the worksheets for grading to Canvas. Following the prompts of the defibrillator closely is important. vSim Clinical Replacement Packet Carl Shapiro.docx -WBC: PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling All sales are final. pain every 10 minutes x3; every 2 hours and notify provider if chest o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. 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? Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. spontaneous carotid re-perfusion after defibrillator was activated.