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NR 101 - Carl Shapiro Guided Reflection Questions And Answers

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Medical Case 4: Carl Shapiro Guided Reflection Questions 1. What could have been the causes of Carl Shapiro’s ventricular fibrillation? Carl Shapiro’s ventricular fibrillation could have been ... caused by the elevated levels of troponin and CK-MB which are both cardiac markers that are indicative of a potential myocardial injury. The injury would lead to the ST segment being elevated which may have led to the ventricular fibrillation. 2. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Also, discuss safety aspects during defibrillation. Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the patient begins has return of spontaneous respiration. Unfortunately, we can only physically see if the lungs are being inflated. We can not see if the chest compressions are circulating blood through the body. Important safety aspects to follow during defibrillation are to first check to see if the patient has a pulse. Then you want to ensure that the shock pads are placed in the correct spots and adhere to the chest properly. If the patient is hairy, you must shave the hair first. Following the prompts closely is vital. When the AED is checking the heart rhythm, nothing can be touching the patient. It’s important to verbally announce to clear the patient and anything touching the patient and announce when a shock is going to be [Show More]

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