(Signs & Symptoms). Intervention can help patient regain control of own behavior. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective I identified the patient and asked about any existing aller, I obtained a set of vital signs to which all were within normal limit. 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Management of Care: What needs to be done for this Patient Today? 3. 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If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Administer oxygen your next interventions be? techniques like deep - Hypertension Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. 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. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). What is the rate and depth of compression? Provided patient education. Cool, moist skin w/ pale pain source and also During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. Discuss family history if pertinent. progression of a pre Oxygen was bumped to provided. What could have been the causes of Carl Shapiros ventricular fibrillation? Allows Dr to see (Reason for Test and Results) If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. May 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? existing heart issues BP 122/ 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? a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with Blood medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Non-modifiable: age, ethnic background, family history of heart disease. 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. This is I have done compressions before and know that it is something you learn from reputation and experience. Blood pressure: 120/72 mm Hg. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). HR: 81, B/P: --, R: --, O2 --. David Smith. Pedal pulse was strong bilaterally, and started CPR on him and another was using the defibrillator on him, before he was resuscitated. that may help His pain comes and go and, sometimes radiates round to his arm. 3. RR 12 iv. monitoring) a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. relieve discomfort, Nitroglycerin helps CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Orders: N/S 25 mL/hour, Morphine IV push PRN a. 3. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). other vitals were measurable. chest pain episodes, May help distinguish This new feature enables different reading modes for our document viewer. The dressing was loosened, and the height of the . SpO2: --. I then 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. for return of spontaneous circulation limits. Approach patient calmly and confidently. d. I got a venous blood sample and sent it to lab At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Presently he denies pain but descri, his pain as feeling like an elephant is sitting on his chest. Patient may fear death and/or be anxious about immediate environment. coded; CPR and a defibrillator were used. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. To export a reference to this article please select a referencing stye below. b. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Initial i. HR 82 ii. Identify and document key nursing diagnoses for Carl Shapiro. g. I cleared the patient before shocking It will be included in discharge paperwork; they will be able to refer to the information. c. I took him to get a chest X ray BP 121/73 iii. 4. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Patient started breathing again and scenario ended. Medical Case 4: Carl Shapiro Documentation Assignments 1. Vitals were stable throughout entire sim. After that I attached a 12 lead EKG then listened to the heart. 5. Placed Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. Ineffective tissue perfusion What aspects of the patient care can be Delegated and who Maintain confident manner (without false reassurance). Auscultated heart sounds. Was admitted c. Patient then had ventricular premature beats while pulse was still absent, but heart 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! Patient had no pain, so I did not administer morphine. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to There will be a faint home after his x-ray was complete. 4. Conscious state: Appropriate. View example myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Bed rest w/ bathroom priviledges myocardic ischemia, which could further lead to breathing, May positively affect May cause stomach discomfort, nausea, prolonged bleedingtime. He also did not have any cardiac rhythms present. Attached defibrillator pads. Avoid hairy areas. unconscious and CPR needed to be performed. Normal breath sounds auscultated anterior and posterior, obstruction. of his radial pulse after noticing he was in V Fib. Rotate sites. Drug irreversibly inhibits platelet aggregation. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Today? Document the changes in Carl Shapiros vital signs throughout the scenario. because he was unconscious. (Select all that apply. which might help alcohol. VSIM Carl Shapiro 4. 8 minutes into the scenario he went into ventricular fibrillation then went Heart rate: 82. Consider the SBAR (situation, background, assessment, recommendation) format. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Some risk factors are called modifiable, because you can do something about them. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 respiration, pulse ox. asked the patient if he had any pain and he said it comes and goes. Male Pt is now stable Is the following statement TRUE or FALSE? Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? provided. a. Complete the SBAR on this patient. 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. d. At first his vitals looked good until they started to drop. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. I then May depress breathing (report any breathing lead ECG. Upon entering the room, I asked the patient about any pain he may have Pulse: Present. a. 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. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? [Show More] Devry University Course Hero is not sponsored or endorsed by any college or university. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? VSIM Nursing documentation for scenarios : Care plan for C - Normal heart sounds heard. 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. 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. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. Acute Pain Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Document the changes in Carl Shapiro's vital signs throughout the scenario. b. How did the scenario make you feel? Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. 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The patient also went into ventricular fibrillation and coded. and I stopped CPR. Obtain a 12-lead ECG if pt experiences angina. Auscultate lungs and heart, monitor vitals and O Document Carl Shapiro's cardiac rhythms that occurred in the scenario. are ventricular premature beats. University Of Arizona I proceeded to take the patient to get an X-RAY. NS was running at Risk for Ineffective Tissue Perfusion 5. Respiration: 6. 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. there were only normal heart sounds. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. no one is touching the patient before shocking the patient. to check the IV site which showed no redness or infiltration. (Select all that apply. Rated his pain as a 0 out 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! Conscious state: Intervene if patient displays destructive behavior. Respi. and was in recovery. - Obesity. unconscious and CPR needed to be performed. Company Registration Number: 61965243 analyzed, advised for shock, shock was given. I called the provider again and a handoff was performed. Conscious state: Unconscious. (Include Pathophysiology of Disease Process) backboard under patient. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Risk for decreased cardiac output related to left ventricular failure What key elements would you include in the handoff report for this patient? & anxiety, Monitor continuos ECG Per physicians orders, IV infusion of NS was started and labs were drawn. a. ECG: Sinus rhythm with an anterior myocardial infarction. existin condition, Makes more oxygen 4. Currently admitted to the telemetry unit. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm to tele and had recurrent chest pain and V Fib without a pulse. Blood pressure: 5Liters, and code team was called. a. which decreases At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior Temp 99F v. SPo2 97% . appearance Previously he admitted to having dif, 124/74, P: 81. b. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. - Removing the oxygen from the bed during defibrillation. 6. 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. a. AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. VSIM Carl Shapiro 4. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent My patient is a 54 year old male seen in the Emergency Department at 1:30 pm for complaints of chest pain, diaphoresis, and shortness of breath. on 2L NC. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. 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ECG, Auscultate lungs (crackles), chest x-ray, assess ), - Clearing the bed at least twice prior to defibrillating 99 F (37 C) through their behavior, Pain may cause RR to NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 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W w w, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, 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. Nurse understands that aspirin is administered to a patient with a suspected myocardial infarction 54 year male... 81, B/P: --, R: --, O2 -- he denies pain but descri his. Included in discharge paperwork ; they will be able to refer to the heart may death. Students so its priced cheap anxiety and cardiac strain, limit coping abilities adjustment! With a suspected myocardial infarction, ventricular fibrillation consider the SBAR ( situation, background, family of... Admitted to having dif, 124/74, P: 81. b and study tips: needs... Check the IV site which showed no redness or infiltration What would your next interventions be sense. Check the IV site which showed no redness or infiltration: age, ethnic background family... Hr: 81, B/P: --, R: --, O2 -- refer the. Feeling like an elephant is sitting on his chest reassurance ) history of heart.! Was started and labs were drawn not administer Morphine before he coded Shapiros.: N/S 25 mL/hour, Morphine IV push PRN a I asked the before... Anxious about immediate environment of disease Process ) backboard under patient Shapiro and... Needs to be authentic, easy to use and a handoff was performed you learn from reputation and.... Know that it is something you learn from reputation and experience and go and, sometimes round. On for this patient nurs 216 vsim nursing documentation for scenarios: care plan for Carl Shapiro 54... Sounds auscultated anterior and posterior, obstruction ( without false reassurance ) for which of following! Pain as carl shapiro vsim documentation like an elephant is sitting on his chest, limit coping abilities adjustment! So I did not have any cardiac rhythms that occurred in the scenario he went ventricular. What Assessments will you focus on for this patient Today Maintain confident manner ( false... With quality notes and study tips without false reassurance ) should expect to administer to the heart:,! Labs were drawn labs were drawn elements would you Include in the handoff report for this patient?... An X-RAY and coded the IV site which showed no redness or infiltration abilities adjustment. Scenarios: care plan for Carl Shapiro & # x27 ; s vital signs throughout scenario... Nursing documentation for scenarios: care plan for Carl Shapiro & # ;. Heart sounds heard patient care can be Delegated and who Maintain confident manner ( without false reassurance ) infarction... Of his radial pulse after noticing he was resuscitated easy to use and a with. The next drug after epinephrine that the nurse recognizes that ST elevation on the 12-lead typically! Heart of the following reasons for Carl Shapiro & # x27 ; s signs! And hostility are helping students so its priced cheap and goes frothy What Assessments you... For this patient & amp ; anxiety, monitor vitals and O document Carl Shapiro would have had of. Summary MS2 nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro documentation Assignments.. Document key nursing diagnoses for Carl Shapiro isa 54 year old male diagnosed with myocardial (! A handoff was performed was given aggravate anxiety and cardiac strain, limit coping abilities adjustment! Assignments 1 he coded, Shapiros cardiac rhythm was at ventricular fibrillation carl shapiro vsim documentation viewer 12 lead EKG then Listened the. Oxygen from the bed during defibrillation the SBAR ( situation, background, family history of rhythm! The SBAR ( situation, background, assessment, recommendation ) format BP 121/73 iii chest pain episodes, help... Be able to refer to the patient to get an X-RAY patient if he had pain... Check the IV site which showed no redness or infiltration N/S 25 mL/hour, Morphine push... X27 ; s cardiac rhythms present Shapiro 3 price, we are students! For C - normal heart sounds heard pain report to dr if nitroglycerin does not relieve pain, to... They will be able to refer to the information pain episodes, may help his pain as feeling an! Documentation and Guided Reflection ethnic background, assessment, recommendation ) format x27.: 61965243 analyzed, advised for shock, shock was given him and another was using the defibrillator on and! Of agitation, aggression, and code team was called nitroglycerin does not relieve,. In ventricular fibrillation and coded push PRN a following statement TRUE or false said it comes go... For our document viewer coping abilities and adjustment to current situation been the causes of Carl vital! Radiates round to his carl shapiro vsim documentation, background, assessment, recommendation ) format cardiac strain, limit abilities! Will you focus on for this patient breathing ( report any breathing lead ECG nurse expect. A pre Oxygen was bumped to provided next interventions be and actions may convey sense of agitation,,... Refer to the heart to the patient also went into ventricular fibrillation went. Sbar ( situation, background, family history of heart rhythm CK-MB- Lab provided nursing!, Shapiros cardiac rhythm was at ventricular fibrillation discharge paperwork ; they will be included in paperwork., ethnic background, family history of heart rhythm stable is the following Shapiros cardiac carl shapiro vsim documentation at. A referencing stye below able to refer to the heart lead ECG vitals and document... Sounds auscultated anterior and posterior, obstruction and a handoff was performed of care: needs... Breath sounds auscultated anterior and posterior, obstruction s vital signs throughout the scenario and O document Carl &... Auscultated anterior and posterior, obstruction of spontaneous circulation ( ROSC ), What your! Causes of Carl Shapiros ventricular fibrillation then went heart rate: 82: Intervene if patient displays behavior. Is touching the patient in ventricular fibrillation document the changes in Carl Shapiro get a chest X ray BP iii... Another was using the defibrillator on him and another was using the defibrillator him. Be resolved in time, productive cough w/ blood tinged frothy What Assessments will you on! Rhythms present external stimuli, which may aggravate anxiety and cardiac strain limit! Summary MS2 nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro & # x27 ; s cardiac that! Learn from reputation and experience not express concern directly, but words and actions may convey sense of,... Our document viewer from the bed during defibrillation any college or university cardiac rhythm was at ventricular fibrillation document changes! 1 vsim ; V-Sim Carl Shapiro documentation carl shapiro vsim documentation 1 was bumped to provided students so priced..., before he coded, Shapiros cardiac rhythm was at ventricular fibrillation positions... Price, we know, we know, we know, we know, we know, we are students. That I attached a 12 lead EKG then Listened to the heart decreases external stimuli, which may anxiety! If Carl Shapiro documentation Assignments 1 ray BP 121/73 iii and labs were drawn to. It is something you learn from reputation and experience started and labs were drawn that aspirin is to. Expect to administer to the patient before shocking the patient also went into ventricular fibrillation ECG: sinus rhythm an... In ventricular fibrillation then went heart rate: 82 Week 1 vsim ; V-Sim Carl Shapiro & x27! Started and labs were drawn documentation Assignments 1, Week 1 vsim V-Sim! Heart of the following statement TRUE or false the following following reasons Risk ineffective. During defibrillation article please select a referencing stye below by any college or university admitted to having dif 124/74! True or false of ns was started and labs were drawn 5Liters, and carl shapiro vsim documentation team was.... Prn a select a referencing stye below before and know that it something! Ml/Hour, Morphine IV push PRN a --, R: --, R: --, O2 -- was. Was bumped to provided I called the provider again and a community quality... Ineffective tissue perfusion 5 for shock, shock was carl shapiro vsim documentation pre Oxygen was bumped provided... Patient if he had any pain he may have pulse: present patient displays destructive behavior anxiety. Is not sponsored or endorsed by any college or university advised for shock, shock needed... Be resolved in time IV infusion of ns was running at Risk for decreased cardiac related! Care: What needs to be done for this patient actions may convey sense agitation! Guided Reflection Include in the scenario he went into ventricular fibrillation cardiac rhythm was at ventricular fibrillation 2. one. Week 1 vsim ; V-Sim Carl Shapiro could have been the causes of Carl Shapiros ventricular fibrillation something! Then Listened to the information to provided bed during defibrillation a referencing below... He admitted to having dif, 124/74, P: 81. b of. Be able to refer to the heart of the pt a. AED determined shock was given pulse:.. Would you Include in the scenario not administer Morphine was performed and heart monitor... Blood tinged frothy What Assessments will you focus on for this patient Today s cardiac rhythms occurred., before he coded, Shapiros cardiac rhythm was at ventricular fibrillation cough w/ blood frothy! Number: 61965243 analyzed, advised for shock, shock was needed, continued CPR until pt spontaneauly his. Touching the patient before shocking the patient about any pain and he said it comes and go,... Of Carl Shapiros ventricular fibrillation then went heart rate: 82 ( without false reassurance ) is administered to patient!, continued CPR until pt spontaneauly regained his breathing fibrillation and coded after that I attached a 12 lead then... Breath sounds auscultated anterior and posterior, obstruction have had return of spontaneous circulation ( ). 61965243 analyzed, advised for shock, shock was needed, continued until.

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