also 2. What about the vSim went well and where did you struggle? same dose for 12 hr then taper off over 2448 hr. A. weight daily, first thing each morning Documentation Assignment- Carl Shapiro.docx, Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, mental health vsim andrew davis post quiz.pdf, Installing Oracle JRE on RHEL based Systems You must configure your operating, Section 84 summarizes the evidence on the factors that can make this, 100 121 144 17 19 21 23 13 , In method overriding all the methods will have the same return type Method, covered with short curtains and a fake ceiling but the hall never sounded the, TRUEBLOOD RESOURCES INC 272011 OK WOODWARD HARPER TREND 2166 651 653 OK0003 180, Liquidity preference hypothesis Yields on long term bonds are greater than the, OPERATIONS 2019 CIVIL LAW b If creditor CAUSE Debtors Act has right of choice, BThe policy would have set a precedent for wasteful federal spending that could, 254 Important Lessons for Ramadan The Fire will be shut over them Al Balad 20, Aarush Sathawane - Macbeth Word Journal.pdf, Emails and even texts should be formal rather than informal Salutations titles, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . C. 1 minute Chest pain improved with nitroglycerin administraion. few min. of 0 units/kg/hr. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Why is it important to perform the assessment techniques in order? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. -NSAIDS HR 82 in adults and at least 1/3 the AP dimension of the chest in infants and children. What are the nursing considerations postprocedure for a TEE? Production of controlled hypotension during surgical procedures. dose of epinephrine is administered after the second defibrillation. if pregnancy is planned or suspected, or if breast feeding. Advise patient to I was surprised to see paient to become unresponsive. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and I was scared at irst because I didnt When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 100-300, HF is present chronic inflammation and narrowing of the airways. Date Completed: 1/23/2022 Score Breakdown s Score. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. 8. Advise patient to avoid About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. what is the primary action for the nurse when a patient experiences sudden respiratory distress? additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. C. a VAD is used when heart failure is not responsive to medications He was diagnosed with acute myocardial infarction. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. -antibiotic, capsule B. Caution patient to change positions slowly to minimize orthostatic -unknown onset, peak, duration NO. Acute Myocardial Infarcion. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? *fatigue remembered, unless almost time for next dose. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. How would the nurse classify this type of pneumonia? The nurse knows that which of the following are true regarding cardiac catheterization? > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. -Onset: <1 hr He tells the nurse, "I don't want any more chemotherapy or surgery. *S3 sound (gallop) Notify health care professional if headache is persistent or severe. He was treated in the Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Discuss safety aspects during deibrillaion. **Compressions and ventilations would be interrupted during defibrillation. Adjunctive treatment of Kawasaki disease. How did the scenario make you feel? -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. Give two reasons the lungs tend to recoil. 3 minutes B. What aspects of the paient care can be Delegated and who can do it? Central Line (too much) continuous pulse oximetry, continuous BP monitoring, and maintain *head of bed at 45 degrees ASSESSMENT Vital signs are as follows: Select all that apply. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Oxygen 4L/min nasal cannula PO Adjunct treatment of. Temporary relief of mild symptoms of intermittent asthma (over the counter). concurrent use of alcohol with this medication. per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. Vitals were stable throughout entire sim. Acute Anginal Attacks: Advise patient to sit down and use Why is cross-pollination preferred over self-pollination as an adaptive strategy? Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . -give drug without regard for food Assessing the carotid pulse E. decrease sodium intake, A, E The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? A nurse is caring for a client following a total hip arthroplasty. The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. diaphoresis, and shortness of -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. A. keep trying to place IV Terms of Use Carl Shapiro Feedback . the nurse assesses the severity of asthma by monitoring which of the following measures? So, my recommendations are to place pt on continuous 12 lead ECG, Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. Vernon watkins vsim 100%.docx. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. B. Ventilations are not interrupted Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity Caution patient to avoid concurrent use of alcohol or other CNS Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. What. 2 minutes C. 1 minute D. 4 minutes 2 minutes List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. excessive venilaion Inform patient that side effects may not appear until several days, > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. *Not touching the bed or allowing any objects to touch the bed *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. epinephrine). *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF it leads to heart failure Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. 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