Company Registration Number: 61965243 When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? This activity provides you with the opportunity to create pertinent patient education on the Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. - measures the hearts electrical activity If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin BP: 122/73 for infiltration View List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Management of Care: What needs to be done for this Patient Today? 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. adhered to the chest properly. IV Type: peripheral Take as directed, with water and food to avoid nausea, do not crush or chew. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for signs RECOMMENDATION List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? o Student is to complete the simulation as many times as it takes to meet a 100% benchmark. RR 12 The Six Step. Pt positioning (fowlers) to decrease chest discomfort and dyspnea - HTN Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. with acute myocardial infarction. also help lessen pts INTRODUCTION STUDENT WORKSHEET not touching bed or allowing any objects to touch bed If Carl Shapiro would have had ROSC, what would your next intervention be? All of the exams use these questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. flow). - Encourage May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. for return of spontaneous circulation Current pertinent assessment data using head If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Educate PT to administer NTG every 5 minutes, maximum of 3 doses when experiencing chest pain LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation suggested reading. The answer key is not visible to the student until after they have submitted the quiz. Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? Following the prompts of the defibrillator closely is important. 5. NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: - tachypnea admission, current Patients name, age, specic reason for visit BACKGROUND What could have been the cause of Carl's ventricular fibrillation? His troponin levels are 2.2, CK-MB levels: 20, creatinine: 0.7 and activated Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. 4. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. (Reason for Test and Results) His current observations are: x-ray: -- leukocytosis Why or why not? BMP, CBC, Troponin, CK-MB-Lab tests for biomarkers--substances released into the blood with existing heart issues, DiaphoreticSOB Cool, moist skin w/ pale appearanceST elevation, Elevated HR & RR (tachycardia & tachypnea), PT may experience chest pain,discomfort, jaw pain, left arm pain & anxiety, Monitor continuos ECG Assess painAuscultate lungs and heart, monitor vitals and O2 Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI Administer nitroglycerin & other pain meds Administer oxygenPt positioning (fowlers) to decrease chest discomfort and dyspnea, Assess IV sites frequently-IO access is the route use for drug delivery in emergency situations when an IV access cant be stablished, Your name, position (RN), unit you are working on, Patients name, age, specific reason for visit. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. As cells are deprived of oxygen, maintaining a stable BP, What are you on Alert for with this patient? ischemic episodes (ST segment existing heart issues Get a new set of vital signs and monitor for any trend alerts 3. May depress breathing (report any breathing pain and changes in related to the MI. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. The patient will not experience a pain level higher than 0/10 throughout day PT came into ED with chest pain, diaphoretic, SOB. Additional comments: "Try to first choose the mos. -- imbalances 1.The nurse is educating a client on managing gout. He reports that he has mild pain and pressure in his lower abdomen. Health History/Comorbidities - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary usually PT has a sudden change of status when he stopped (Include Pathophysiology of Disease Process) He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? Adm DX: Acute Myocardial Is the following statement true or false? (How will I identify the above signs &Symptoms?) o Plan of Care Concept Map teach-back HPlt]tM {sY'j. Per physicians orders, IV infusion of NS was started and labs were drawn. Monitor lab studies such as Na+, K+, BUN, and ABGs Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. We're available through e-mail, live chat and Facebook. rather express it : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 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. monitoring. NURSING DIAGNOSIS: Pain, acute. Administer oxygen shadow Orders: N/S 25 mL/hour, Morphine IV push PRN Once you have completed the Six Steps, Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Instructor - peaked upright or inverted T wave He has no previous cardiac history and this is his first presentation to hospital with chest pain. May cause dizziness, blurred vision, dry mouth. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) . chest pain episodes, May help distinguish 1. 1. site,fatigue, chills 1. Announce when shock PT shocked and had 2 breathing exercise can How did the scenario make you feel? ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. nitroglycerin - Indigestion All sales are final. IV of NS @ 25 mL/hr, continuous 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! Chest X-Ray- helps determine the Chest FINDINGS - chest pain List the pathophysiology associated with the patients disease Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. thorough SBAR report. Telemetry unit Critical Labs: Other Services: CK-MB: 20 - coolness in extremities Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. 2. Assess for decreased urinary output maintain SpO2 greater than 92%. and anxiety, thise will also 3. Transdermal patch- apply once a day in the morning. You will utilize this worksheet for each drug alcohol. Hi, I'm a RN in the orthopedic floor. 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in WBC count -cardiac If administering Vasopressin, what dosage would the nurse expect to administer? or Injury: Course Hero is not sponsored or endorsed by any college or university. Submit the completed worksheet. for indwelling catheter; PT is continent x2 verbalize their pain but Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Sublingual pills go under the tongue, dont chew or crush. 2. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. as ordered Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . Please fill this document in to complete your assignment. Counscious state: appropriate 5. relate vSim. PT may experience chest pain, Avoid hairy areas. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. Carl has a hx of HTN and takes BP medication at home. anxiety which will also caused by a rupture of an atherosclerotic plaque, causing unstable angina. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. DOB: 7/19/1966 2. PHARM-4-FUN (How will I identify the above signs & symptoms?) PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT handling Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Oliguria, anuria, edema, altered skin color, altered LOC, hypotension 2. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. nurse about the signs Please include examples to bolster any statements made. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. Carl Shapiro vsim./; complete solutions/rated A Course NURSING NF 214 Institution Herzing University CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. Submit for review. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. - Patient will develop circulatory overload from infusion of normal saline If PT is hairy, you may have to shave the hair first. pharmacological agent listed in the Pharmacology are of the suggested reading section. -Electrolytes: 30 Report Document Comments Please sign inor registerto post comments. Chest X-ray help towards tachypnea) (Signs & Symptoms) Clinical Worksheet rubric provided in the worksheet template. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? LEARN FLOW - STEP THREE 3 Launch the virtual simulation Continuos ECG- helps monitor for NKA VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, Quiz is recorded as complete. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Company Registration Number: 61965243 hospitalization): - tachycardia
Polish Holiday After Easter, Dallas, Texas Crime Rate, Police Discord Template, Duke University West Campus Map, Articles C