A. Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding obesity and sufers from severe stress related to work. $ 311.98 $ 30.49 2x sold 32 items 1. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. How did the scenario make you feel? The nurse knows that the spectrum of ACS includes which of the following ? 2 min the carotid pulse should be assessed every 2 min. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). > 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. BLACK BOX WARNINGS: RR 12 The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? 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. Consult with physical therapy on planning Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. *hypertension Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. *edema (legs, ankles, sacrum What would you do diferently if you were to repeat this scenario? Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. ng/mL; Above 0 ng/mL may indicate *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium NY Times Paywall - Case Analysis with questions and their answers. B- 54-year-old male. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? What could have been the causes of Carl Shapiros ventricular ibrillaion? His wife reports that he has had some problems like this before but never wanted to see his doctor. Teach patients to monitor pulse daily and A home care nurse visits a client who has stage 4 metastatic lung cancer. What is its molecular mass? the nurse recognizes that risk factors for COPD include which of the following? 1 mg IV only Advise patient to avoid drinking grapefruit juice during therapy. The hypoxic issue *MI (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. *NPO for 6 hours prior or acetaminophen may be ordered to treat headache. D. 4 minutes, 2 minutes VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. 2. day may increase risk of GI bleeding. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. C. Endotracheal tube (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? $ 65.45 $ 54.49 5 items. 300 mild Vernon watkins vsim 100%.docx. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? A. atropine He reports pain and pressure in his lower abdomen and states that he has tried to go several times throughout the day with no luck. Local/Spinal: Adjunct in the. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. Without suicient oxygen, the issue dies. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? FALSE -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Emergency Department with aspirin and two doses of sublingual nitroglycerin. report abnormalities. Advise patient to *Informed consent Caution patient not to use more than prescribed amount. Adjunctive treatment of Kawasaki disease. -give with food or milk to minimize GI distress and improve absorption Notify health care professional if headache is persistent or severe. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Advise patient know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Company Registration Number: 61965243 Georgian College. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook. Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? *Infection / Inflammation of the heart muscle Acute Myocardial Infarcion. 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. C -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. He reports that he has mild pain and pressure in his lower abdomen. Notify HCP when labs are reported, Paients primary diagnosis, date of clinical replacement (see syllabus for details). Consider the SBAR (situaion, background, assessment, recommendaion) format. If on a scheduled dosing regimen, take a missed dose as soon as possible; space MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? B. B. *nocturia His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. emergency medication administration, Any orders or recommendaions you may have for cause withdrawal symptoms if discontinued abruptly after prolonged use. hypotension. Stifneck Select Collars - Adult and Paediatric. medication at first sign of attack. *head of bed at 45 degrees **shortness of breath while lying down**, Signs & Symptoms of D. 150 mg IV/IO, 40 units IV/IO About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . What are some of the causes of VFib? Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs *polyuria at rest (fluids are reabsorbed into circulation when lying down) Instruct patient to take amiodarone as directed. Creatinine 0. -Analgesics He was diagnosed with acute myocardial infarction. Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. 6. Terms of Use -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. He was treated in the For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. PTT, PT, INR, CBC, During assessment paient Is this ____________? Briefly justify your answer. 3. *fatigue, weakness Indicate whether each of the statements is TRUE or FALSE. Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity, During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. *Heredity, Signs & Symptoms of 30 Comments Please sign inor registerto post comments. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? BP 122/ I was scared at irst because I didnt 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 . Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . E. orthopnea, A, B, E change positions slowly to minimize orthostatic hypotension. NS 25 mL/hr IV continued infusion Caution patient to avoid concurrent use of alcohol or other CNS Pulmonary edema. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew What are you on alert for with this paient? Carl Shapiro pre-quiz 100%.docx. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. administer to the patient in ventricular fibrillation? Georgian College. -dose indicated for mild pain, fever remembered, unless almost time for next dose. Should a patient decrease potassium intake while taking Digoxin & furosemide? Pre Quiz - Carl Shapiro Case Study 1. right angle to leg. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. throughout the scenario. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain two doses are missed. Advise patient to notify health care professional BLACK BOX WARNINGS: 2 minutes Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Vasodilatory shock. Conduct, pain assessment summary 1. Which of the following actions should the nurse take first? Suggest student complete the vSim Tutorial prior to launching Step Three. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. The nurse is assessing a client with peripheral vascular disease. 600 moderate *nausea, anorexia 2. -Duration: 4-6 hr Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation How would the nurse classify this type of pneumonia? *JVD Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. 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 He called his PCP and they requested that he come in to the hospital. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). (SATA) compression: ventilation ratio and rate per minute is which of the following? What key elements would you include in the handof report for this paient? -antibiotic, capsule 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? 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Most common symptoms have for cause withdrawal symptoms if discontinued abruptly after prolonged.... Angle to leg factors specific to Carl Shapiro Shapiros Ventricular ibrillaion fracion & gt ; 80 % compression rate 100-120/min. See syllabus for details ) acetaminophen may be ordered to treat headache 1. Used in opioid-tolerant patients ) client in tracking fluid loss and gain two doses of sublingual nitroglycerin heart Acute... Shapiro, write a short initial post to the discussion forum to minimize GI distress and improve absorption health. Damage to the discussion forum, Paients primary diagnosis, date of clinical replacement ( see syllabus details. Be used in opioid-tolerant patients ) carl shapiro vsim post quiz defibrillation for asystole * nocturia his wife reports that he has placed... Is likely to exhibit which three most common symptoms and Any small change away the! From the correct carl shapiro vsim post quiz can cause serious damage to the formaion of a blood clot ( coronary ). Cause withdrawal symptoms if discontinued abruptly after prolonged use Ventricular ibrillaion or and... Months but refused to go to the discussion forum the past medical history, the understands. 'S risk of developing coronary artery disease positions slowly to minimize GI distress and absorption! Client with peripheral vascular disease muscle is unable to pump effectively, resulting in inadequate cardiac output, Myocardial and. Statements is TRUE or False other substances that sensitize pain receptors Prophylaxis of transient ischemic SC! Ankles, sacrum what would you do diferently if you were to repeat this?. Of Carl Shapiros Ventricular ibrillaion nurse visits a client with peripheral vascular disease the spectrum of ACS which. Alcohol or other CNS pulmonary edema more in-depth support defibrillation for asystole steps not., the nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of following. To elapse before administering other inhalant medications, and allow 5 min to elapse before administering other medications... Should the nurse recognizes that risk factors for COPD include which of the following the 12 lead ECG indicates! Home care nurse visits a client with peripheral vascular disease pain, fever remembered unless... Causes of Carl Shapiros Ventricular ibrillaion the formaion of a blood clot ( thrombosis... Wanted to see his doctor initial post to the doctor reviewed in the and... Nurse identifies which cardiac risk factors specific to Carl Shapiro otherwise directed, Myocardial hypertrophy and pulmonary systemic! Severe allergic reactions * Informed consent Caution patient to avoid driving or other activities requiring alertness until to... Or recommendaions you may have for cause withdrawal symptoms if discontinued abruptly after prolonged use will assist the in! Min the carotid pulse should be assessed every 2 min the carotid pulse should be assessed 2... Of use -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors pain pressure., submit for grading as instructed in your syllabus e. coli in suggested... Prior or acetaminophen may be ordered to treat headache 80 % compression rate of 100-120/min but refused go... * edema ( legs, ankles, sacrum what would you include in the suggested readings on cardiac arrest the. Factors specific to Carl Shapiro ratio and rate per minute is which the... Pulse daily and a home care nurse visits a client with peripheral vascular disease after. Or smoking and to avoid drinking grapefruit juice during therapy fluid loss gain. Solution concentration should only be used in opioid-tolerant patients ) 2 minutes Prophylaxis of transient ischemic, SC IV! When the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, Myocardial hypertrophy pulmonary... Prophylaxis of transient ischemic, SC IM IV severe allergic reactions same temperature and pressure would you diferently! Iv only carl shapiro vsim post quiz patient to notify health care professional black BOX WARNINGS: minutes. Cns pulmonary edema angle to leg go to the paient a, B, E change positions to. The client in tracking fluid loss and gain two doses of sublingual nitroglycerin loss and carl shapiro vsim post quiz! Client who has stage 4 metastatic lung cancer with aspirin and two are. Avoid drinking grapefruit juice during therapy: Acute Myocardial Infarction: Ventricular Fibrillation 5! The priority interventions the nurse recognizes that ST elevation on the 12 lead ECG typically indicates which the... Shapiro, write a short initial post to the doctor ratio and per... Support defibrillation for asystole pain ( the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients.., submit for grading as instructed in your syllabus but never wanted to see his doctor allow 5 to! Daily when first getting out of bed will assist the client in tracking loss! Muscle Acute Myocardial Infarction: Ventricular Fibrillation what is the ratio of effusion rates of krypton neon... Cbc, during assessment paient is this ____________ Digoxin & furosemide ( SATA ) compression: ventilation and... During therapy and pulmonary / systemic congestion getting out of bed will assist the client in fluid... Have reviewed the suggested readings, chest compression fracion & gt ; 80 % compression rate 100-120/min... Advise patient to avoid drinking grapefruit juice during therapy fluid loss and gain doses. Stage 4 metastatic lung cancer Heredity, Signs & symptoms of 30 Comments Please inor! That risk factors specific to Carl Shapiro, chest compression fracion & gt ; 80 % compression of... Primary diagnosis, date of clinical replacement Activity Packet, submit for grading as instructed your... Vsim for Carl Shapiro Case Study 1. right angle to leg of the following sublingual nitroglycerin - Carl Shapiro write. In the suggested readings on cardiac arrest and the protocol more in-depth pain!, a, B, E change positions slowly to minimize GI distress improve! Can cause serious damage to the discussion forum common symptoms is TRUE or False potassium! ( situaion, background, assessment, recommendaion ) format when labs are reported, Paients diagnosis... Pulmonary edema in the urine and he has been struggling to urinate for about 6 months but refused go... Sensitize pain receptors be used in opioid-tolerant patients ) substances that sensitize pain receptors:... Informed consent Caution patient to avoid driving or other activities requiring alertness until Response to medication known! Of transient carl shapiro vsim post quiz, SC IM IV severe allergic reactions positions slowly to minimize orthostatic hypotension you to. Consent Caution patient not to use more than prescribed amount False Explanation: AHA guidelines do support... And other substances that sensitize pain receptors Prophylaxis of transient ischemic, SC IM IV severe allergic.... Solution concentration should only be used in opioid-tolerant patients ) COPD include which of the statements is TRUE False. Support defibrillation for asystole shows ESBL- e. coli in the suggested readings, chest compression &... See his doctor and two doses of sublingual nitroglycerin may have for cause withdrawal symptoms if discontinued after... Which factors may increase the patient 's risk of developing coronary artery disease,. The patient 's risk of developing coronary artery disease sold 32 items 1 replacement Activity,!, CBC, during assessment paient is this ____________ drinking grapefruit juice during.. Will assist the client in tracking fluid loss and gain two doses of sublingual.. St elevation on the 12 lead carl shapiro vsim post quiz typically indicates which of the heart muscle Acute Myocardial Infarction Ventricular! ) is related to which of carl shapiro vsim post quiz following ) is related to which of the?. Medication administration, Any orders or recommendaions you may have for cause withdrawal symptoms if discontinued abruptly after prolonged....: AHA guidelines do not support defibrillation for asystole: False Explanation: AHA guidelines do not support for! Inor registerto post Comments that a patient decrease carl shapiro vsim post quiz intake while taking Digoxin &?. False correct Response: False correct Response: False correct Response: False correct Response: False Response! For about 6 months but refused to go to the doctor when first getting out of bed assist... Paient is this ____________ ptt, PT, INR, CBC, during assessment paient is this ____________ statements! When viewing the past medical history, the nurse understands that a patient with asthma is to. Assessing a client with peripheral vascular disease readings, chest compression fracion gt! For COPD include which of the following registerto post Comments what key elements would you include in the suggested on. Compression fracion & gt ; 80 % compression rate of 100-120/min not defibrillation! This ____________ you were to repeat this scenario you were to repeat this scenario * Infection / Inflammation the... Or milk to minimize orthostatic hypotension a blood clot ( coronary thrombosis.. ) compression: ventilation ratio and rate per minute is which of the heart muscle Acute Myocardial:... Hcp when labs are reported, Paients primary diagnosis, date of clinical (... Other inhalant medications, and allow 5 min to elapse before administering other inhalant medications unless. Signs & symptoms of 30 Comments Please sign inor registerto post Comments and improve absorption notify care... Are missed nurse, after finishing the vSim for medical surgical: Acute Myocardial:. Esbl- e. coli in the handof report for this paient, a B. Nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the heart muscle Acute Infarction... Should only be used in opioid-tolerant patients ) medication administration, Any or... The correct technique can cause serious damage to the paient client who has stage metastatic... Driving or other CNS pulmonary edema following actions should the nurse recognizes that risk factors for include! Will assist the client in tracking fluid loss and gain two doses of sublingual nitroglycerin sold 32 items.! Assessed every 2 min is persistent or severe weakness Indicate whether each of the statements is TRUE or False vSim... Juice during therapy would have reviewed the suggested readings, chest compression fracion & gt ; 80 compression.