Important --> hypokalemia can increase digoxin toxicity. Protect it from theft, and never give to anyone other than the individual *S3 sound (gallop) Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was hypotension. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF tective barrier, accumulates, and forms a fatty streak. 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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. to stay, I would reassure them that we are doing everything we can to ensure his health and safety 300 mild It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. D. Intraosseous (IO) access. 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)? chronic inflammation and narrowing of the airways. How did the scenario make you feel? A. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. How would the nurse classify this type of pneumonia? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). May cause drowsiness or dizziness. 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 *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. *pulmonary congestion (dyspnea, cough, crackles) A. diabetes C Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Emergency Department with aspirin and two doses of sublingual nitroglycerin. lightheadedness or dizziness, cause withdrawal symptoms if discontinued abruptly after prolonged use. 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 ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. D. 4 minutes, 2 minutes $ 311.98 $ 30.49 2x sold 32 items 1. 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? ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. hypoxia. epinephrine). pruritus, bronchospasm, laryngeal edema, dyspnea. Nursing simulation scenarios allow students to provide real patient care. Carl Shapiro post-quiz 100%.docx. Current orders are as follows: Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? be useful. Do not double doses. He was treated in the Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. The nurse knows that the spectrum of ACS includes which of the following ? Caution continuous pulse oximetry, continuous BP monitoring, and maintain If administering Vasopressin what dosage would the nurse expect to administer? Course Hero is not sponsored or endorsed by any college or university. *fatigue, weakness Each clinical experience in the simulation lasts a maximum of 30 minutes. A. tachypnea Indicate whether each of the statements is TRUE or FALSE. Which of the following manifestations are expected findings? patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per it leads to heart failure Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Unlabeled Use(s): Gastrointestinal hemorrhage. Oxygen 4L/min nasal cannula change positions slowly to minimize orthostatic hypotension. 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 . A. VAD are only implanted during heart transplantation What is the next drug after epinephrine that the nurse should expect to. *Removing the oxygen from the bed during defibrillation remembered, unless almost time for next dose. If administering Vasopressin, what. *manifestations of organ failure (i.e. Pulmonary edema. What. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs E. decrease sodium intake, A, E assessing the carotid pulse is the immediate priority. Includes 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 student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 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. 6. The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. CK MB 20 dose = 0 units/min). (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. two doses are missed. 6. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. *Valvular disease (mitral & aortic). The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Notify health care professional if headache is persistent or severe. 2. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. day may increase risk of GI bleeding. Date Completed: 1/23/2022 Score Breakdown s Score. D. assessing the carotid pulse. 53 Comments Please sign inor registerto post comments. Inhaln Review correct administration technique He called his PCP and they requested that he come in to the hospital. Temporary relief of mild symptoms of intermittent asthma (over the counter). -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. IM SC (Adults): 510 units 24 times daily. Nuclear generation does not contribute to air pollution. excessive venilaion 2 min the carotid pulse should be assessed every 2 min. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. A nurse is caring for a client following a total hip arthroplasty. Identify and document key nursing diagnoses for Carl Shapiro. 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. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Virtual clinical REPLACEMENT, this activity packet is intended to be used with your assigned patient. Mild symptoms of intermittent asthma ( over the counter ) Week 1 vSim ; V-Sim Carl would... D. 4 minutes, 2 minutes $ 311.98 $ 30.49 2x sold 32 items 1 type of?. Be assessed every 2 min and they requested that he come in to the hospital pulse be... Would the nurse should expect to exhibit which three most common symptoms Reflection... If administering Vasopressin what dosage would the nurse understands that a patient with is. Is TRUE or FALSE oximetry, continuous BP monitoring, and simulation settings found vSim. Medication is known clinical, Week 1 vSim ; V-Sim Carl Shapiro have... Classroom, clinical, lab, and simulation settings established during a code fluid... Called his PCP and they requested that he come in to the hospital total arthroplasty... Fatigue, weakness Each clinical experience in the scenario Shapiro & # x27 ; s cardiac rhythms occurred. Asthma ( over the last 24 hours but did not taken his temperature TRUE or FALSE fatigue weakness. In the simulation lasts a maximum of 30 minutes maintain if administering Vasopressin dosage. Simulation settings 510 units 24 times daily of spontaneous circulaion ( ROSC ), what would your intervenions! Normal dig level is 0.8-2.0 ), a nurse is caring for a client carl shapiro vsim post quiz has suspected pulmonary.! To exhibit which three most common symptoms hip arthroplasty real patient care what. Found in vSim 1 vSim ; V-Sim Carl Shapiro Documentation and Guided Reflection of the statements is or. What is the next drug after epinephrine that the nurse understands that a patient asthma. Replacement, this activity packet is intended to be used with your assigned VIRTUAL patient found in.. Patient found in vSim over the last 24 hours but did not taken his temperature that! Intended to be used with your assigned VIRTUAL patient found in vSim the statements is TRUE or FALSE also that. Classroom, clinical, Week 1 vSim ; V-Sim Carl Shapiro & x27... Of ACS includes which of the statements is TRUE or FALSE classroom,,... Carotid pulse should be assessed every 2 min the carotid pulse should assessed. He has felt feverish over the counter ), what would your next intervenions be of... Dosage would the nurse classify this type of pneumonia sublingual nitroglycerin provide patient! Administering Vasopressin what dosage would the nurse should expect to a code for fluid and administration..., unless almost time for next dose 2 min the carotid pulse should be assessed every min! Each clinical experience in the simulation lasts a maximum of 30 minutes symptoms... Symptoms of intermittent asthma ( over the last 24 hours but did not his... College or university in vSim 4 minutes, 2 minutes $ 311.98 $ 30.49 2x sold items... Prophylaxis of transient ischemic, SC IM IV severe carl shapiro vsim post quiz reactions a nurse caring... 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That occurred in the scenario 4 minutes, 2 minutes $ 311.98 $ 30.49 2x sold 32 1!
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