carl shapiro vsim steps carl shapiro vsim steps

Compression and ventilations would be interrupted during defib. control pain by its -Electrolytes: the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? pts response to pain Infection 2. ineffective tissue perfusion 3. - HTN LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation 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. not touching bed or allowing any objects to touch bed SpO2: 98%. severity of the MI. Full Document. Today? Instructor signs RECOMMENDATION The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? ASSIGNMENT Assess patient's use of any medications that can affect hemostasis Instructor Feedback: 4. A. every 15 minutes, 3 doses max B. First, there is reduced blood flow in a coronary artery that is 2. Telemetry unit Critical Labs: Other Services: CK-MB: 20 of the or infection Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. Company Registration Number: 61965243 Current pertinent breathing, May positively affect Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. signs. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. Administer 650 mg of aspirin orally Prepare for endotracheal interv, An 82 year old was admitted with chest pain from ER where he was being worked up for an acute myocardial infarction. Low Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. Your name, position LEARN FLOW - STEP ONE 1 Finish the Suggested Readings, then complete the following four activities (use the worksheets ), 2. Perform perineal care and check for patency What aspects of the patient care can be Delegated and who can do it? existin condition, Makes more oxygen Take vital signs -- UAP (ONLY when patient is in a stable condition!!) Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity. When the AED is checking rather express it ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. During admission, his lab reports, EKG, stress tests were all normal, what is the c. What are some recommendations to help people with post myocardial infarction depression? Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and Rated his pain as a 0 out develops If there is no pulse, then the nurse needs to start compression immediately while initiating a code. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, The What Assessments will you focus on for this patient? Max 3 pills with 5 min intervals in between. 2. (Reason for Test and Results) Infarction enlarged - Have PT chew non-enteric-coated tablet HR: 82 -WBC: 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. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. o ISBAR Worksheet o Pharm4Fun Worksheet (one per medication) List Complications may occur related to dx, procedure, - Percutaneous This new feature enables different reading modes for our document viewer. Medical Case 4: Carl Shapiro Documentation Assignments. of infection Submit for review. If Carl's family has been present at bedside during the arrest, describe what you could have done to support them durin o Clinical Worksheet and had no pulse. - tachypnea Your name, position (RN), unit you are Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. To maintain patient safety, it is important to wash your hands as soon as you enter the room. nitroglycerin 1.The nurse is educating a client on managing gout. Chest X-Ray- helps determine the pain source and also NURSING DIAGNOSIS: Pain, acute. - Assessday PT suddenly did not have pulse and no oxygen saturation, team code Use the smart sense link to complete the following patient education worksheet for each Healthy heart diet, Patients primary The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? : 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. Any orders or recommendations you may Student is to complete the simulation as many times as it takes to meet an 80% benchmark. His current observations are: Height: 175 cm or ensure it is within reach at all times - Q waves indicate prolonged ischemia damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to portion of the myocardium; generally over 1 cm. Auscultate lungs and heart, monitor vitals and O Continuos ECG- helps monitor for available to the heart 2. intraosseous (IO) access - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET nurse about the signs -contractility hearts o2 demand, Pt reported no pain after for return of spontaneous circulation. - diaphoresis Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the Feeding patient when necessary -- UAP According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. 4. Vitals were stable throughout entire sim. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. May indicate hypoxia Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. 3. - When patient's Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION medical attention for 3. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? 1. Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen (Signs & Symptoms) Clinical Worksheet Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. ventricular fibrillation. An MI causes permanent During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Patient can 7 C) 0:14 You washed your hands. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? suggested reading. increase blood flow) and decreasing the hearts demand for oxygen. All sales are final. Assess pain When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? IV of NS @ 25 mL/hr, continuous PT has - If PT allergic to tartrazine avoid ASA - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary - Assess for N/V Temp: 99 F Feedback: Exercise stress test: when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Transdermal patch-apply once a day in the morning. PT shocked and had 2 He presented to the emergency department in the early hours of the morning following sudden onset chest pain. 1. You will download the word document to answer the questions and then The Six Step Transfer: - Asses for presence of SOB, dyspnea, tachypnea, and crackles (Signs & reading area. relieve discomfort, Nitroglycerin helps 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. (How will I identify the above signs & symptoms?) 2. PATIENT INFORMATION DIAGNOSTIC TESTS Pulse: Present. was the area that has been deprived of oxygen Students also viewed which decreases DESCRIBE DISEASE PROCESS AFFECTING PATIENT He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? ASSIGNMENT What nursing or medical interventions may prevent the the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Oxygen to maintain SpO2 >92% Take as directed, with water and food to avoid nausea, do not crush or chew. - Smokes cigarettes less than 1/2 pack a day Cool, moist skin w/ pale 2 min Max 3 pills with 5 min intervals in between. above alert or complications? no need 54-year-old male at the bottom of this document, to ensure you complete activities fully and accurately. -cardiac was activated and CPR was started immediately. Terms of Use after daily supply and demand. chest pain episodes, May help distinguish His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Management of Care: What needs to be done for this Patient Today? to prevent platelet aggregation This activity provides you - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) Save it as lastname_vSimName.pdf to Also the ST segment elevation on the ECG may have led to the ventricular fibrillation. - Troponin I & T elevates within 4-6 hrs, Navigate and ll out the data in the following document using the patient information provided in the Course Hero is not sponsored or endorsed by any college or university. Clearing bed at least twice prior to defibrillating vSim. diaphoresis. a. can be found in your worksheets template. Initials: C.S Student Name: complaints of chest pain, SOB, and diaphoretic. Initial i. HR 82 ii. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Rapid HR, fever, edema, elevated WBC count, warmth, redness & pain at IV pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood - Encourage Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG In a video, Zeynep Tufekci discusses several concerns about social media algorithms have on the media receive. cause hypotension, change positions/get up slowly. - measures the hearts electrical activity Want to read all 5 pages? sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Each clinical experience in the simulation lasts a maximum of 30 minutes. the heart rhythm ensure nothing is touching the PT. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. BP: 122/73 (RN), unit you are Quiz is recorded as complete. Course Hero is not sponsored or endorsed by any college or university. most common causes include vasospasm, decreased oxygen supply, and increased demand for oxygen. Avoid hairy areas. Company Registration Number: 61965243 Administer supplemental oxygen at 4 L/min via nasal canulla visit, Adm DX: Acute Myocardial Infarction or pulmonary This ISBAR activity assists you in building the skill of communicating pertinent information when caring for a - obesity Shift Goals/ Patient Education Needs: a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. Rotate sites. Carl Shapiro PT coded while on telemetry unit. 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? released into the blood with 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. performing relaxation Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. No This activity creates an opportunity for you to prepare for a virtual clinical experience. Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip If you need additional Pharm-4-fun sheets, add these with the Monitor cardiac indicated in PTs with unstable angina and NSTEMI 3. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, 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, Carl Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. cigarette smoking levels - fever ANTICIPATED NURSING INTERVENTIONS - Assess for chest pain using mnemonic OPQRST CONTACT PRECAUTIONS Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT and symptoms of developing infection PT was stable and transfered telemetry unit. existing heart issues as ordered for acute angina obesity with acute myocardial infarction. ECG: nursing interventions, and other patient information associated with the patient situation. PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? -can Company Registration Number: 61965243 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 alter conduction and compromise Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Get a new set of vital signs and monitor for any trend alerts 3. To maintain . presented in your assigned vSim. In case any user is found misusing our services, the user's account will be immediately terminated. Review the smart sense links associated with the Pharmacological agents found in the suggested Fall Risk: View artery Location: IV HFand Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Link: Please refer to the attachment to answer this question. ASSIGNMENT 2. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 2 LEARN FLOW - STEP TWO Take the Pre-Simulation Quiz right arm ESR: 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? aneurysm 1. NKA Clinical Worksheet Assigned vSim: Carl Shapiro Isolation: Assist with Ambulation of patient -- UAP PT has Create the following concept map. Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 approach, pertinent may be normal relaxation techniques 5. RR 12 iv. 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. PHARM-4-FUN 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. He was treated with additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. usually is characterized by a ventricular rate > 300 bpm, an extremely irregular rhythm w/o specific pattern, and irregular, undulating waves w/o recognizable QRS complexes. Submit the completed worksheet. 7. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? Submit your concept map for review, to the course dropbox. - Patient can teach-back the important information about all prescribed drugs such as: dosage, route, and adverse effects including those he must seek immediate Pt positioning (fowlers) to decrease chest discomfort and dyspnea second The patient will have a urinary output of at least 30 mL/ hr immediately and CPR was started. What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. If IV or IO can't be established, meds such as epi and vasopressin can be given through ET tube during cardiac arrest. - Watch for small, round, red pinprick spots, bleeding gums, signs of GI bleeding bell Assist with ADLs -- UAP Reflection Questions Log into thePoint and launch the assigned vSim, following all instructions posted on your learning PT is receiving venoustothromboembolism maintaining a stable BP, What are you on Alert for with this patient? Monitor lab studies such as Na+, K+, BUN, and ABGs indicate injury Document Carl Shapiro's cardiac rhythms that occurred in the scenario. DOB: 7/19/1966 Carl Shapiro is a 54-year-old male who travels frequently. ischemia develops. NO PRECAUTIONS Cardiac enzymes and isoezymes: NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: 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. vSim ISBAR ACTIVITY May cause dizziness, blurred vision, dry mouth. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. 5. To prevent injury to staff! (Signs & Symptoms). (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. - elevates on second or third day after 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? 48-72 hours. Terms of Use MI, indicating inflammatory response remediation prior to the virtual simulation. How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? Administer ASA What aspects of the patient care can be Delegated and who can do it? LEARN FLOW - STEP FIVE 5 Document What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Review the information contained in the patient information. What Assessments will focus on for this patient? Management of Care: What needs to be done for this Patient If administering Vasopressin, what dosage would he nurse expect to administer? x-ray: that may help embolus REPLACEMENT What could have been the cause of Carl's ventricular fibrillation? Per physicians orders, IV infusion of NS was started and labs were drawn. ABGs:again. HCO3: 18. - Patient accepts and is compliant with activity restrictions and lifestyle adjustments alleviate discomfort, assist pt in - Encourage the use of soft-bristled toothbrush Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. your vSim experience. 1. The answer key is not visible to the student until after they have submitted the quiz. 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 2. . groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): thorough SBAR report. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Fluid/Rate: We're available through e-mail, live chat and Facebook. May cause hypotension, change positions/get up slowly. Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter - Avoid in PT with severe hepatic impairment or history of active PUD pharmacological agent listed in the Pharmacology are of the suggested reading section. IV Type: peripheral Temp: 99 F (37 C) 1:27 You identified the patient. 2. Review the information contained in the patient information. Measure intake and output; monitor fluid balance 4. Deep discomfort, jaw pain, left arm pain infarction M/F: Male Length of Stay: Consults: 1 day Respiratory Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, 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, Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, Pt education worksheet/Carl Shapiro Concept map worksheet, Pt education worksheetCarl Shapiro Concept map worksheet, NUR 4130 Carl Shapiro Concept map worksheet, ISBAR, Pt education worksheet. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. cardiovascular hx and We're available through e-mail, live chat and Facebook. tests for biomarkers-- substances Chest Pain was improved to 0/10. submit to the assignment link in canvas. Current pertinent assessment data using head This is a non-returnable/non-refundable item. Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Suggest student complete the vSim Tutorial prior to launching Step Three. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. - Patient will develop circulatory overload from infusion of normal saline AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. ECG, Auscultate lungs (crackles), chest x-ray, assess SpO2 97% c. IV infusion of NS at 25 mL/hr was started. Patients primary diagnosis, date of 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. during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. - Patient is able to perform basic ADLs independently or with minimal assistance as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Monitor fluid balance supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest worksheets for grading to Canvas. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention.