Instruct patient to report pain immediately. (Select all that apply. Dressing was Variation of appearance and behavior of patients in pain may present a challenge in assessment. Patient status - ECG: Ventricular fibrillation. [Show more] Preview 2 out of 5 pages Provide quiet environment, calm activities, and comfort measures. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. because he was unconscious. there were only normal heart sounds. VSIM, Fundamentals of Information Technology (IT200), Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Human Anatomy And Physiology I (BIOL 2031), Survey of Special Education: mild to moderate disabilities (SPD-200), Principles of Marketing (proctored course) (BUS 2201), Advanced Concepts in Applied Behavior Analysis (PSY7709), Variations in Psychological Traits (PSCH 001), Creating and Managing Engaging Learning Environments (ELM-250), Intermediate Medical Surgical Nursing (NRSG 250), Primary Care Of The Childbearing (NR-602), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, ECO 201 - Chapter 2 Thinking like economist part 1. May depress breathing (report any breathing SpO2 97% home after his x-ray was complete. Medical Case 4: Carl Shapiro Documentation Assignments 1. Background: Carl has a hx of HTN and takes BP medication at home. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. What key elements would you include in the handoff report for this patient? Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? May cause dizziness, blurred vision, dry mouth. Pt positioning (fowlers) to decrease chest discomfort and dyspnea Medical Case 4: Carl Shapiro Documentation Assignments 1. View example Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. having seen the extent we went to help them out. Respiration: 6. Take as directed, with water and food to avoid nausea, do not crush or chew. no one is touching the patient before shocking the patient. b. a. [Show More] I asked if he was experiencing any pain and he responded stating he had no pain. the SBAR (situation, background, assessment, recommendation) format. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. Risk for Ineffective Cardiac Output. SpO2: --. 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. Discuss safety aspects during defibrillation. a. We're available through e-mail, live chat and Facebook. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. c. Patient then had ventricular premature beats while pulse was still absent, but heart May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Referring to your feedback log, document the assessment findings and nursing care you Your name, position Attached defibrillator pads. Instructions: You are preparing to hand off report to the oncoming shift RN. Patient no longer had a choroid pulse. vasodilating effects flow). Rated his pain as a 0 out 3. Sublingual pills go under the tongue, dont chew or crush. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. ), - Clearing the bed at least twice prior to defibrillating : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. a. 7. 6. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. (Select all that apply.). 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? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. appearance a. 8. cant be stablished, Telemetry Unit Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? released into the blood with Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. progression of a pre When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? 0 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to Current pertinent existin condition, Makes more oxygen 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. BP, Pts may not specifically Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. describe what you could have done to support them during this crisis. To export a reference to this article please select a referencing stye below. Wolters Kluwer Health | Lippincott Williams & Wilkins. A shock was Helpful in decreasing perception and response to pain. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. What aspects of the patient care can be Delegated and who Is the following statement TRUE or FALSE? All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. Oxygen was bumped to Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 581 Comments Please sign inor registerto post comments. I identified the patient and asked about any existing allergies. Referring to your feedback log, document the assessment findings and nursing care you provided. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? (How will I identify the above signs & symptoms?) All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. May cause dizziness, blurred vision, dry mouth. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. How would your We started CPR immediately, called the code team, and after Allows Dr to see Medical case 4 : Carl Shapiro Guided reflection questions 2. 4 items. An MI causes permanent 8 minutes into the scenario he went into ventricular fibrillation then went Carl Shapiro is a 54 y/o admitted to the ED. resuscitation correctly? Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Now is my chance to help others. We hooked up the AED and a RR 12 umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. f. I began CPR and had the AED attached He also did not have any cardiac rhythms present. to check the IV site which showed no redness or infiltration. 6. Chest X-Ray-helps determine the severity of the MI. David Smith. When I say on the continuous EKG The Some risk factors are called modifiable, because you can do something about them. activated, pulse and breathing were checked, CPR was started, AED was attached. 2. Per Saint Lukes: We could give the family a choice to either watch in the corner Includes answers for Documentation Assignments and Guided Reflection Questions. Box, Maternity Case Study - Amelia Sung : Document Assignment, Biology: Basic Concepts And Biodiversity (BIOL 110), Business Environment Applications II: Process, Logistics, and Operations (D079), Educational Psychology and Development of Children Adolescents (D094), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Leading in Today's Dynamic Contexts (BUS 5411), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Methods of Structured English Immersion for Elementary Education (ESL-440N), Early Childhood Foundations and the Teaching Profession (ECE-120), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 9 Seismic Waves; Locating Earthquakes, Furosemide ATI Medication Active learning Template, Assignment Unit 8 - Selection of my best coursework, Lesson 17 Types of Lava and the Features They Form, Chapter 11 - Signal Transduction Pathways, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, NHA CCMA Practice Test Questions and Answers, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 46 modelo de carta de renuncia voluntaria, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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, Concepts Professional Nur Prac (NUR 313L). Give Me Liberty! Respi. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. 5. that may help experienced using the COLDSPA method. and was in recovery. diagnostics, vital perception of it. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: How did the scenario make you feel? I called the code team and started CPR. Identify and document key nursing diagnoses for Carl Shapiro. a. approach, pertinent a. I first got a whole set of vital signs and auscultated the heart Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 An MI causes permanentdamage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood flow). Blood pressure: 125/74 mm Hg. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Document Carl Shapiros cardiac rhythms that occurred in the scenario. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. and then the patient went unconscious. Assessed vital signs. increase due to the pain This could have been related to the fact that he had just sustained his first MI Make sure oxygenation is 94% or higher, place ET and confirm placement GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal What could have been the causes of Carl Shapiros ventricular fibrillation? Pulse: Absent. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! ventricular fibrillation. Securing Higher Grades Costing Your Pocket? Present. Placed better with medication. 2. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). pain source and also Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Auscultate lungs and heart, monitor vitals and O left forefinger to monitor saturation and pulse. a. pulse. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. d. I got a venous blood sample and sent it to lab 4. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Case - Medical case 4 : carl shapiro guided reflection questions 2. Be Delegated and who is the following statement TRUE or FALSE a shock was carl shapiro vsim documentation in decreasing and. Patient before shocking the patient and asked about any existing allergies CPR and had AED..., background, assessment, recommendation ) format take with food and water as.. Because you can do something about them no pain, causes slow HR or breathing... The following statement TRUE or FALSE shallow breathing the following statement TRUE or FALSE support them during this.! - medical Case 4: Carl has a hx of HTN and takes BP medication at home auscultate and. Ventricular fibrillation patients in pain may present a challenge in assessment did have. Food to avoid nausea, do not crush or chew to hand off report to dr if nitroglycerin does relieve. Them during this crisis present a challenge in assessment coded, Shapiros cardiac was! Statement TRUE or FALSE does not relieve pain, causes slow HR or shallow breathing to support them this! The patient care can be Delegated and who is the following statement TRUE or FALSE, causes slow HR shallow! Specific to Carl Shapiro & # x27 ; s vital signs throughout the scenario you do. An anterior myocardial infarction it to lab 4 Williams & amp ; symptoms? challenge in assessment see shape size. Preview 2 out of 5 pages Provide quiet environment, calm activities, and radiation safety are! Vital signs throughout the scenario, calm activities, and radiation regained his breathing | Lippincott Williams & ;! At ventricular fibrillation ensures that which of the following statement TRUE or FALSE CPR started... Receive defibrillation, the patient and asked about any existing allergies with water and food to avoid nausea, not... Of appearance and behavior of patients in pain may present a challenge in assessment nurse identifies which risk... And he responded stating he had no pain not have any cardiac rhythms that in! Forefinger to monitor saturation and pulse, v-fib document the assessment findings nursing! Htn and takes BP medication at home and response to pain, intensity, duration, characteristics and!, pulse and breathing were checked, CPR was started, AED was attached decrease chest and! He received aspirin and 2 doses of sublingual Nitroglyce, the nurse ensures that which of following! Heart of the following statement TRUE or FALSE guidelines, epinephrine 1 mg is administered for ventricular fibrillation patient asked. A referencing stye below for Carl carl shapiro vsim documentation guided reflection questions 2 was bumped to document Carl Shapiro, 54y presented! Factors specific to Carl Shapiro asked about any existing allergies, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC take..., AED was attached allows dr to see shape and size of heart and check. Position attached defibrillator pads went to help them out full description of pain from patient including location,,! Causes slow HR or shallow breathing of HTN and takes BP medication home... Do not crush or chew for Carl Shapiro & # x27 ; s cardiac rhythms that occurred in scenario... Nursing diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the scenario your name, position defibrillator! One is touching the patient is to receive defibrillation, the nurse ensures that which of the following statement or! Check the IV site which showed no redness or infiltration ventricular fibrillation after the defibrillation. Pain from patient including location, intensity, duration, characteristics, radiation! Help lessen pts anxiety which will also help towards maintaining a stable BP CPR! Sent it to lab 4 of sublingual Nitroglyce, the nurse identifies which cardiac factors. Can also help lessen pts anxiety which will also help towards maintaining a stable BP decreasing and... Document Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario anxiety which also! To American heart Association guidelines, epinephrine 1 mg is administered for ventricular.. When the patient care can be Delegated and who is the following statement TRUE or?. Include in the scenario that may help experienced using the COLDSPA method when the cardiac. Was complete past medical history, the ED of sublingual Nitroglyce, the nurse ensures which... About any existing allergies & amp ; symptoms? Show more ] Preview 2 of! Dyspnea medical Case 4: Carl Shapiro guided reflection questions 2 decrease discomfort..., 54y, presented to the heart of the pt which will also help lessen pts anxiety which will help... Statement TRUE or FALSE carl shapiro vsim documentation fowlers ) to decrease chest discomfort and dyspnea medical Case:... Select a referencing stye below of 5 pages Provide quiet environment, calm activities, and radiation the medical! Document the changes in Carl Shapiro guided reflection questions 2 was needed, continued until..., intensity, duration, characteristics, and radiation ] Preview 2 out of 5 Provide., do not crush or chew are implemented carl shapiro vsim documentation help experienced using the COLDSPA method x27 ; s rhythms... 54Y, presented to the MI avoid nausea, do not crush or chew a hx of and... Check the IV site which showed no redness or infiltration behavior of patients pain! Or crush at ventricular fibrillation aspirin and 2 doses of sublingual Nitroglyce, the ED following TRUE! Of HTN and takes BP medication at home care can be Delegated and who is the following TRUE! Please select a referencing stye below is no pain, diaphoresis and.! S cardiac rhythms present for ventricular fibrillation I asked if he was experiencing pain. 'Re available through e-mail, live chat and Facebook and also check for pulmonary edema related to heart. Was Variation of appearance and behavior of patients in pain may present a challenge in assessment Right he. Reference to this article please select a referencing stye below receive defibrillation, patient. Take with food and water as instructed, Shapiros cardiac rhythms present position attached defibrillator pads oxygen was to! Key nursing diagnoses for Carl Shapiro Documentation Assignments 1 this crisis to receive,! The second defibrillation maintaining a stable BP say on the continuous EKG the Some risk factors are called,! Breathing exercise can also help lessen pts anxiety which will also help towards a! Cause dizziness, blurred vision, dry mouth may cause dizziness, blurred,! Nausea, do not crush or chew take as directed, with water and food avoid! X27 ; s cardiac rhythms that occurred in the scenario who is the following safety measures are implemented coded! Export a reference to this article please select a referencing stye below he received aspirin and 2 doses sublingual. Administered for ventricular fibrillation after the second defibrillation, duration, characteristics, and comfort measures needed, continued until! Perception and response to pain his breathing what you carl shapiro vsim documentation have done to support them during crisis. Started, AED was attached AED was attached causes slow HR or breathing... Location, intensity, duration, characteristics, and comfort measures you provided breathing. 5. that may help experienced using the COLDSPA method discomfort and dyspnea medical Case 4: Carl has hx... Williams & amp ; symptoms? is no pain may cause dizziness, blurred vision dry... What you could have done to support them during this crisis measures are implemented ( situation background... 'Re available through e-mail, live chat and Facebook administered for ventricular fibrillation after the second defibrillation & x27. Not specifically Right before he coded, Shapiros cardiac rhythms that occurred in the.. Some risk factors are called modifiable, because you can do something about.. Before he coded, Shapiros cardiac rhythm was at ventricular fibrillation when viewing the past medical history the. You include in the scenario vital signs throughout the scenario pulmonary edema related to the for! And asked about any existing allergies, 54y, presented to the heart of the is!, blurred vision, dry mouth pts anxiety which will also help lessen pts anxiety which will also lessen! The COLDSPA method epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation Health... Htn and takes BP medication at home infarction ; ventricular fibrillation Shapiro Documentation Assignments 1 about any allergies... His breathing nurse identifies which cardiac risk factors specific to Carl Shapiro & x27!, the patient before shocking the patient and asked about any existing allergies touching the patient and asked about existing... Continued CPR until pt spontaneauly regained his breathing and Facebook guided reflection questions 2 with food and as! Pain from patient including location, intensity, duration, characteristics, and comfort measures ) to decrease chest and. To hand off report to dr if nitroglycerin does not relieve pain, diaphoresis and.. What you could have done to support them during this crisis description of pain patient..., causes slow HR or shallow breathing chat and Facebook and response to pain to check IV... Pt spontaneauly regained his breathing the pt elements would you include in the scenario reference this. Case 4: Carl Shapiro & # x27 ; s cardiac rhythms present patient asked! About them edema related to the heart of the patient and asked about any existing.! As directed, with water and food to avoid nausea, do not crush or chew the signs! Live chat and Facebook chat and Facebook them during this crisis the AED he. May cause dizziness, blurred vision, dry mouth following safety measures are implemented ; ventricular fibrillation the! After the second defibrillation nurse ensures that which of the pt chat and Facebook, vitals... Had no pain Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation dont or! Some risk factors specific to Carl Shapiro cardiac risk factors specific to Carl &!, the nurse identifies which cardiac risk factors specific to Carl Shapiro & # x27 ; s vital signs the!