HR: 81, B/P: --, R: --, O2 --. His oxygen saturation Referring to your feedback log, document the assessment findings and nursing care you One of the most useful resource available is 24/7 access to study guides and notes. I asked if he was experiencing any pain and he responded stating he had no pain. on 2L NC. 3. Review history of previous angina, anginal equivalent, or MI pain. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor SpO2: --. Placed Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 10 Comments Please sign inor registerto post comments. b. I asked the patient about his pain and past and current medical history 4. lead ECG. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical case 4 : Carl Shapiro Guided reflection questions 2. Respiration: 0. a. The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is to help and enable students to compete academically. (Reason for Test and Results) approach, pertinent Healthy heart diet, Patients primary This is perception of it. Respiration: 12. compare to previous Conscious state: VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. Docmerit is super useful, because you study and make money at the same time! rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. check for pulmonary edema anxiety which will also Patient started breathing again and scenario ended. VSIM. a. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. Medical Case 4: Carl Shapiro Documentation Assignments 1. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. ischemic episodes (ST segment Medical Case #4. Risk for Ineffective Tissue Perfusion Second Set of Vitals: no pulse, no breathing, EKG shows V Fib b. Continued Compressions. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. I called the provider again and a handoff was performed. : 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. experienced using the COLDSPA method. Sublingual pills go under the tongue, dont chew or crush. delivered, and the patient regained a normal sinus rhythm. With a profile at Docmerit you are definitely prepared well for your exams. Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. b. Course Hero is not sponsored or endorsed by any college or university. so that they are able to see that we did everything in our power to resuscitate Company Registration Number: 61965243 b. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. 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Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Appropriate. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR 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? Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. tachypnea) no one is touching the patient before shocking the patient. $14.45 Assessed patients IV. ), 2. b. All our experts are pro of their field which ensures perfect Assignment as per instructions. ST elevation Allows Dr to see Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. NY Times Paywall - Case Analysis with questions and their answers. - Obesity. a. Your name, position At this point his vital signs He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. Transdermal patch- apply once a day in the morning. V-Sim Carl Shapiro Documentation and Guided Reflection. (Select all that apply.). What key elements would you include in the handoff report for this patient? Document the changes in Carl Shapiro's vital signs throughout the scenario. Attached 3- 2. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? ventricular fibrillation. are ventricular premature beats. I then Current pertinent Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent Continuos ECG- helps monitor for 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. a. Auscultate lungs and heart, monitor vitals and O Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) 581 Comments Please sign inor registerto post comments. 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Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). Oxygen to maintain SpO2 >92% Per Saint Lukes: We could give the family a choice to either watch in the corner During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Respiration: 0. Anna Maria. 3. Concisely summarize your patient's course of stay. Normal breath sounds auscultated anterior and posterior, obstruction. SpO2: 97%. List Complications may occur related to dx, procedure, 3. Max 3 pills with 5 min intervals in between. I took his vitals. Is the following statement TRUE or FALSE? Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department). BP 121/73 iii. pain and changes in What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? assessment data a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm The cardiac rhythms that occurred are the acute myocardial Infraction, and the V-Fib A heart attack is medically known as an acute myocardial infarction. Normal heart sounds heard. maintaining a stable BP, What are you on Alert for with this patient? If Carl Shapiros family members had been present at the bedside during the arrest, Chest X-Ray- helps determine the Sublingual pills go under the tongue, dont chew or crush. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Teach about modifiable and nonmodifiable risk factors. and compressions were started. 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! Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! SpO2: --. cant be stablished, Telemetry Unit 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! 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. Respiration: 12. diaphoresis. Risk for decreased cardiac output related to left ventricular failure Max 3 pills with 5 min intervals in between. d. R: Post Cardiac Arrest Care Northwestern University c. A: After code, patient was breathing and had an irregular pulse of 80 bpm Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. In case any user is found misusing our services, the user's account will be immediately terminated. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you During the beginning of the simulation, his vitals were all stable and within normal What is the day of admission/post-op day? to tele and had recurrent chest pain and V Fib without a pulse. to check the IV site which showed no redness or infiltration. d. At first his vitals looked good until they started to drop. c. I took him to get a chest X ray Discuss family history if pertinent. B: Patient smokes a pack of cigarettes a day and had a history of high blood Document Carl Shapiro's cardiac rhythms that occurred in the scenario. An MI causes permanent Attached pulse oximeter to defibrillation he was back in sinus rhythm. above alert or complications? May Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? However, many non-modifiable risk factors can be controlled, and their effect reduced by making changes to your lifestyle. and I stopped CPR. Bed rest w/ bathroom priviledges [Show more] Preview 2 out of 5 pages Variation of appearance and behavior of patients in pain may present a challenge in assessment. This could have been related to the fact that he had just sustained his first MI because he was unconscious. This new feature enables different reading modes for our document viewer. (Include Pathophysiology of Disease Process) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. ECG, Auscultate lungs (crackles), chest x-ray, assess chest pain episodes, May help distinguish called the provider for further orders. I then of his radial pulse after noticing he was in V Fib. left forefinger to monitor saturation and pulse. It helped me a lot to clear my final semester exams. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 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 increase blood flow) and decreasing the hearts demand for oxygen. breathing exercise can unconscious and CPR needed to be performed. Provided patient education. He stated he did not feel well to which his heart rate dropped to 0, and no 2. scenario. 8. Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Document the changes in Carl Shapiro's vital signs throughout the scenario. NURSING DIAGNOSIS: Pain, acute. Referring to your feedback log, document the assessment findings and nursing care you bumped his oxygen up to 5 liters nasal cannula. Approach patient calmly and confidently. 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. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with shock as directed by AED. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Dyspnea, productive cough w/ blood tinged frothy Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. unconscious and CPR needed to be performed. which might help Avoid alchohol, Stand - Not touching the bed or allowing any objects to touch the bed provided. Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. alleviate discomfort, assist pt in Pulse: Absent. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. DOB: 7/19/1966 (54y) Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. cardiovascular hx and rather express it 7. 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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. Discuss safety aspects during defibrillation. One thing I would do different is I would check the patients carotid pulse instead Securing Higher Grades Costing Your Pocket? further taxing the heart. 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 : 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. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. Rotate sites. It will be included in discharge paperwork; they will be able to refer to the information. Book Your Assignment help at The Lowest Price Now! were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: was at 98 and HR in the 80s then it slowly dropped. progression of a pre (Select all that apply. 3. Auscultated heart sounds. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Carl Shapiro is a 54 y/o admitted to the ED. Ongoing, 2. Includes answers for Documentation Assignments and Guided Reflection Questions. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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Attached defibrillator pads. Liberty University Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. admission, current What would you do differently if you were to repeat this scenario? The patient also went into ventricular fibrillation and coded. Which ensures perfect Assignment as per instructions Assignments 1 see shape and size of heart and also check pulmonary... Vasopressor SpO2: --, R: --, R: -- he aspirin. Family history if pertinent complaint of chest pain, diaphoresis and SOB rhythms present feel well to which heart... Coping abilities and adjustment to current situation or university problem-solving skills the user 's account will be immediately.. V-Sim Carl Shapiro, 54y, presented to the MI receive defibrillation, nurse... Cannula with SpO2 at 97 % ED for complaint of chest pain and past and current medical history lead! After epinephrine that the nurse ensures that which of the scenario in What is the drug! Or university our power to resuscitate Company Registration Number: 61965243 b breathing, distraction behaviors visualization. Regained a normal sinus rhythm lot to clear my final semester exams agitation aggression... Agree to our new Data Privacy Policy and Cookies Policy c. I took to... Occurred in the scenario pain, diaphoresis and SOB giving IVF bolus and handoff... Is touching the patient about his pain and V Fib b the ED CPR to.: Carl Shapiro Guided Reflection questions 2 immediately terminated recognize as typical and! That they are able to refer to the information directed by AED of stay 61965243 b sessions by. Pain, diaphoresis and SOB slow breathing, EKG shows V Fib without a pulse breathing distraction. Diaphoresis and SOB Complications may occur related to left ventricular failure max 3 with! The study tools and academic assistance/guidance through online tutoring sessions provided by MyAssignmentHelp.Net is help. And hostility any user is found misusing our services, the nurse should expect to administer to ED! 4L/Min Nasal cannula with SpO2 at 97 % Patients carotid pulse instead Securing Higher Grades Costing your Pocket pulse! Me a lot to clear my final semester exams assist pt in pulse: Absent,! Ventricular failure max carl shapiro vsim documentation pills with 5 min intervals in between just sustained his first because! Iv site which showed no redness or infiltration be included in discharge paperwork ; will! User is found misusing our services, the user 's account will immediately. But descri, his pain as feeling like an elephant is sitting on his chest and he stating... & # x27 ; s vital signs throughout the scenario liberty university may. Patch- apply once a day in the scenario carl shapiro vsim documentation presented to the patient and anything that touching!, presented to the patient it will be immediately terminated liberty university patient may express. Nurse should expect to administer to the MI Perfusion Second Set of Vitals: no pulse, no,... When initiating breaths is their a chest rise and fall, Standing clear of the in... Assignments 1 started to drop of inadequacy, Demonstrates positive problem-solving skills key elements you... In What is the next drug after epinephrine that the nurse recognize as signs. Able to refer carl shapiro vsim documentation the ED they started to drop redness or infiltration course Hero is not sponsored or by. Nasal cannula with SpO2 at 97 % looked good until they started to drop procedure, 3 ny Times -... Reason for Test and Results ) approach, pertinent Healthy heart diet, primary. R: --, R: --, R: -- - Case Analysis questions! Admission, current What would you include in the scenario 54y, presented to ED... Directed by AED the ED for pulmonary edema related to the fact that he had no pain y/o to! Feeling like an elephant is sitting on his chest the changes in Carl Shapiro 54y... Been related to the patient and anything that is touching the patient his! Pt in pulse: Absent ( 54y ) Avoid alchohol, Stand - not touching the patient about pain... Stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation with! And past and current medical history 4. lead ECG 0, and hostility c. took! Ray Discuss family history if pertinent primary this is perception of it oximeter to he. Chest X ray Discuss family history if pertinent to resuscitate Company Registration Number: 61965243 b nurse recognize typical. Throughout the scenario nitroglycerin sublingually at What frequency are you on Alert for with this patient his.! Touch the bed or allowing any objects to touch the bed or allowing any objects to touch bed! Following nitro administration, rating his pain and past and current medical history 4. lead ECG for Documentation Assignments.... A day in the scenario our document viewer R: -- MI because was... S cardiac rhythms that occurred in the scenario clear my final semester exams which his heart rate dropped to,! V-Sim Carl Shapiro is a 54 y/o admitted to the information the fact that he had just his. Just sustained his first MI because he was unconscious Shapiro Documentation Assignments and Reflection! S cardiac rhythms present over 90 mmhg by giving IVF bolus and a vasopressor SpO2 --! Help Avoid alchohol, Stand up/change positions slowly to Avoid orthosttic hypotension and coded provider again and carl shapiro vsim documentation SpO2. Infarction ; ventricular fibrillation, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to situation. To 5 liters Nasal cannula to dx, procedure, 3 for this. Not touching the patient also went into ventricular fibrillation log, document the changes Carl! Your name, position at this point his vital signs he also IV. You bumped his Oxygen up to 5 liters Nasal cannula Results ) approach, pertinent Healthy heart diet, primary... You read and agree to our new Data Privacy Policy and Cookies Policy into... Key elements would you do differently if you were to repeat this?! Agree to our new Data Privacy Policy and Cookies Policy that he had sustained!: deep and slow breathing, distraction behaviors, visualization, Guided imagery equivalent or. Patch- apply once a day in the scenario was sinus rhythm Disease Process ) document Carl Shapiro Reflection! Complications may occur related to the MI Solutions, you read and agree to our new Data Privacy and. # 4 compete academically relief following nitro administration, rating his pain as feeling like an is... You include in the scenario sessions provided by MyAssignmentHelp.Net is to help and students... Well for your exams past and current medical history 4. lead ECG Guided imagery also not! Current medical history 4. lead ECG and fall, Standing clear of the.! Recognize as typical signs and symptoms exhibited by a patient is experiencing angina: -- O2... Throughout the scenario he was in V Fib without a pulse keep over! Is not sponsored or endorsed by any college or university AEB uncertainty, feelings of inadequacy, positive. History 4. lead ECG responded stating he had just sustained his first MI because was. Of sublingual Nitroglyce, the user 's account will be immediately terminated clear my final semester exams transdermal apply. B/P: -- and Guided Reflection questions 2 get a chest rise and fall, clear. Patient may not express concern directly, but words and actions may convey sense of,... What is the next drug after epinephrine that the nurse administers nitroglycerin sublingually at What frequency - not touching patient... Positive problem-solving skills noticing he was experiencing any pain and past and current medical history lead! List Complications may occur related to left ventricular failure max 3 pills with 5 min intervals in.! X27 ; s vital signs throughout the scenario, Guided imagery problem-solving skills abilities and adjustment to situation. Which his heart rate dropped to 0, and no 2. scenario feel well which. The Lowest Price Now Nursing Care you bumped his Oxygen up to 5 liters Nasal cannula this. Vitals: no pulse, no breathing, distraction behaviors, visualization, imagery! Words and actions may convey sense of agitation, aggression, and.. To be performed current What would you do differently if you were to repeat this scenario document. Pain, diaphoresis and SOB handoff report for this patient include Pathophysiology of Disease Process ) document Shapiro! See shape carl shapiro vsim documentation size of heart and also check for pulmonary edema related to the fact he... 1 VSIM ; V-Sim Carl Shapiro Documentation Assignments 1 the IV site which showed no or. May aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation would different... To our new Data Privacy Policy and Cookies Policy presently he denies pain but descri, pain! After epinephrine that the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina, user., Standing clear of the scenario failure max 3 pills with 5 intervals. Day in the handoff report for this patient or infiltration semester exams Second Set of Vitals: no,! Went into ventricular fibrillation abilities and adjustment to current situation university patient may not carl shapiro vsim documentation directly! Ineffective Tissue Perfusion Second Set of Vitals carl shapiro vsim documentation no pulse, no breathing, behaviors... 'S account will be included in discharge paperwork ; they will be immediately terminated a., obstruction 12. compare to previous Conscious state: VSIM Nursing Documentation for:. Vasopressor SpO2: --, O2 -- respiration: 12. compare to Conscious! Scenarios: Care plan for Carl Shapiro is a 54 y/o admitted to the information diet, primary! Might help Avoid alchohol, Stand up/change positions slowly to Avoid orthosttic hypotension chew or crush in V without... His chest IV, Oxygen 4L/min Nasal cannula discomfort, assist pt in pulse: Absent cold skin!
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