NUR 3010 vSim | CLINICAL PACKET FOR STUDENTS | Latest Version 2022

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. Document Carl Shapiro’s cardiac rhythms that occurred in the scenario. At the beginning of the scenario, Shapiro’s cardiac rhythm had ventricular premature beats and his heart rate was 91 beat... s per minute. He had no chest pain, and his breathing was 12 respirations per minute. As I was asking him questions, he suddenly said he’s having tightness in his chest and developed ventricular fibrillation. He lost his consciousness seconds later. I called code blue and CPR was started. This helped him regain circulation. After defibrillation, his heart rhythm was back to how it was. 2. Document the changes in Carl Shapiro’s vital signs throughout the scenario. At the beginning, his blood pressure was 122/74 mmHg, heart rate was 91 bpm, respiration was 12, spo2 was 94% and temperature was 98.6 degrees F. When he started developing ventricular fibrillation, his heart rate, pulse, BP, respiration and spo2 were absent and showed no readings because he lost consciousness and had no pulse. 3. Identify and document key nursing diagnoses for Carl Shapiro. Some nursing diagnoses for Carl Shapiro could be activity intolerance, anxiety, Risk for decreased cardiac tissue perfusion, risk for decreased cardiac output and risk for impaired gas exchange. 4. Referring to your feedback log, document the assessment findings and nursing care you provided. As I went in the patient’s room, I introduced myself and washed my hands. I made sure to verify the patient and ask him if he has any allergies. He stated he has no known allergies. I checked his vitals. Respirations were 12 breaths per minute, radial pulse was strong at 90 per minute and regular, blood pressure was 122/74, temperature was 98.6. They all fell within the normal range. I listened to his lung and heart sounds. There weren’t any abnormal sounds. I assessed his pain by asking him questions about his pain. He said he had pain in his chest when he first came and that nothing makes it better. He described the pain by saying that it felt like an elephant sat on his chest and rated it a 5 out of 10 when he had it. I assessed his IV, then requested a chest x-ray, as it was ordered. The chest x-ray didn’t show any abnormal findings. Then the patient had a sudden onset of chest pain. He described it as tightness, and he started losing consciousness. I laid him down, put a CPR backboard under him and activated the code team. They started CPR right away while I attached the defibrillator pads and turned on the AED. [Show More]

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