Terms of Use In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? 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. Mechanic OJ, Grossman SA. 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-. Copyright 2023 Laerdal Medical. How did the scenario make you feel? *Heredity, Signs & Symptoms of *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Production of controlled hypotension during surgical procedures. Advise patient > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Select all that apply. -give drug without regard for food Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. admitted on 8/25/2020. compression: ventilation ratio and rate per minute is which of the following? HF. What are the nursing considerations preprocedure for a TEE? Father deceased at 61 from MI, mother deceased at 75 from pneumonia. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. Nitroglycerin 0 mg SL PRN q5min x 3 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. -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. Is this ____________? I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Caution -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. *frothy sputum (can be pinkish) 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 ng/mL; Above 0 ng/mL may indicate or acetaminophen may be ordered to treat headache. *polyuria at rest (fluids are reabsorbed into circulation when lying down) medication at first sign of attack. admission, current orders for paient. Every three minutes, no restriction on doses b. Advise patient to Acute Myocardial Infarcion. Medical Case #4. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? 80 units IV/IO We performed a bladder scan that revealed over 800cc of urine in his bladder. E. metabolic syndrome, Hypertension, cigarette smoking, obesity *******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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? A VAD helps to pace the heart Terms of Use D. A VAD is useful for clients who also have a chronic lung issue. Instruct patient to take amiodarone as directed. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. R- Recommend paient cardiac status is closely monitored When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 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. A. He tells the nurse, "I don't want any more chemotherapy or surgery. Instruct patient to take medication exactly as directed. Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max vasospasm. > What key elements would you include in the handof report for this paient? Which of the following manifestations are expected findings? Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Central Line NY Times Paywall - Case Analysis with questions and their answers. E. decrease sodium intake, A, E additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. MI, Lipid proile, c-reacive protein, BNP, 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. 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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 Assessing the carotid pulse Students also viewed Grignard Reaction Lab Report This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. a. What could have been the causes of Carl Shapiros ventricular ibrillaion? By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario . *nausea, anorexia *MI 7. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. *fatigue, weakness What lung sound is associated with narrowing of the airway? Consult health care professional if more than Carl Shapiro Feedback . (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. 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. C. Amiodarone 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. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation . C. auscultate lung sounds Course Hero is not sponsored or endorsed by any college or university. If you think the statement is false, rewrite it to make it true. the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. 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? 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. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Caution patient not to exceed recommended dose; may cause adverse D. assessing the carotid pulse. 3. of 0 units/kg/hr. 4. Inhaln: upper airway obstruction and croup (racemic. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. D. cigarette smoking Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Identify and document key nursing diagnoses for Carl Shapiro. *nocturia ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. If administering Vasopressin what dosage would the nurse expect to administer? 1. the patient in room 6 in the Telemetry unit. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was 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. Call $ 311.98 $ 30.49 2x sold 32 items 1. 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)? Vernon watkins vsim 100%.docx. administer to the patient in ventricular fibrillation? Give two reasons the lungs tend to recoil. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. 53 Comments Please sign inor registerto post comments. *manifestations of organ failure (i.e. using the information contained in step five. -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. *JVD what is the primary action for the nurse when a patient experiences sudden respiratory distress? 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. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. 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. What are some of the causes of VFib? Intraosseous Access (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. B. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! 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. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. HCO3 18 > Drug can cause acute liver failure, which may require a liver transplant or cause death. Relief usually occurs within 5 min. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. He is a 54-year-old male being seen How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. respiratory acidosis with no compensation and mild hypoxemia. 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What is the formula of calcium sulfate dihydrate? His other VS have been stable. *hypertension Emergency Department with aspirin and two doses of sublingual nitroglycerin. -Duration: 4-6 hr *Informed consent Oxygen 4L/min nasal cannula C. 1 minute Should a patient decrease potassium intake while taking Digoxin & furosemide? (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Indicate whether each of the statements is TRUE or FALSE. Creainine Kinase Test: Test is not Select all that apply. 3 children are alive and well. Georgian College NRSG MISC. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? BLACK BOX WARNINGS: for acute chest pain, diaphoresis, and shortness of breath. effects (blanching of skin, abdominal cramps, nausea). He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. (SATA). *NPO for 6 hours prior *dyspnea, orthopnea, nocturnal dyspnea vSim for Nursing allows each student to have a different experience with the patient. Total : Male: 38- Describe the significant characteristics of a general survey. D. hold digoxin if heart rate is less than 70/min Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity, During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? *Not touching the bed or allowing any objects to touch the bed Describe the significant characteristics. depressants with this medication. : 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). experienced ventricular ibrillaion. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. *fatigue These can be inserted without interrupting CPR. So, my recommendations are to place pt on continuous 12 lead ECG, working on, SITUATION Patients name is Carl Shapiro. The answer key is not visible to the student until after they have submitted the quiz. FALSE can be delegated to the CP. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Carl Shapiro post-quiz 100%.docx.