Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). Labs were ordered. - When patient's teach-back verbalize their pain but Take as directed, with water and food to avoid nausea, do not crush or chew. - PCI also - tachycardia Allergies: No known hospitalization): List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG ECG: sinus rhythm w/ anterior myocardial infarction. 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. progression of a pre RR: 12 4. learn flow in vSim is to be followed as instructed below. damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to I would like to recommend continuous ECG monitoring. Students also viewed Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. artery Administer medications as ordered List Complications that may occur related to dx, procedure, comorbidities: 2. - Record patient's maintain SpO2 greater than 92%. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning Assist with Ambulation of patient -- UAP Help with Toileting schedule -- UAP PT was stable and transfered telemetry unit. Once you have completed the Six Steps, SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. existin condition, Makes more oxygen RR 12 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. 2. Upload your study docs or become a Submit the completed worksheet. or show PATIENT INFORMATION DIAGNOSTIC TESTS pulmonary edema. 2. This question was created from Unit 5 Post-Class Using Quotations and Paraphrasing Activities. 2 min the carotid pulse should be assessed every 2 min. tests for biomarkers-- substances The Six Step. presented in your assigned vSim. 8 minutes into the scenario he went into ventricular fibrillation then went unconscious and CPR needed to be performed. 2 min You will utilize this worksheet for each drug Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic relate o Plan of Care Concept Map Compression and ventilations would be interrupted during defib. - Encourage PT shocked and had 2 REPLACEMENT Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. signs. helped relieved chest pain. You will download the word document to answer the questions and then - determines CV response to activity vSim ISBAR ACTIVITY His chest pain improved with the nitroglycerin. Assessing carotid pulse (REASON FOR TEST AND RESULTS) increase blood flow) and decreasing the hearts demand for oxygen. Adults: 75 to 325 mg PO daily or 162.5 mg extended-release capsule PO daily PURPOSE FOR TAKING THIS MEDICATION Monitor lab studies such as Na+, K+, BUN, and ABGs Rotate sites. & anxiety, Monitor continuos ECG suggested reading. process To prevent injury to staff! Initial i. HR 82 ii. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access flow). existing heart issues - coolness in extremities nurse about the signs -inflammatory The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. hearts o2 demand, Pt reported no pain after - Educate PT to discard ASA tablets that have a strong vinegar-like odor vSim. -- Patient During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. and 2 doses of NTG 0.4 mg intradermal. - Have PT chew non-enteric-coated tablet Patients primary diagnosis, date of 1. chest pain episodes, May help distinguish 1. ECG and SpO2 monitoring and morphine 2mg IV push PRN for chest When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? including a focused assessment that reflects all areas of assessment performed in the vSim What Assessments will you focus on for this patient? 30 Report Document Comments Please sign inor registerto post comments. Course Hero is not sponsored or endorsed by any college or university. Management of Care: What needs to be done for this Patient Today? Student is to complete the simulation as many times as it takes to meet an 80% benchmark. suggested reading area. cardiovascular hx and The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Decreased Cardiac Output related to: He was diagnosed Is the following statement true or false? for infiltration is going to be delivered, and again ensure PT is clear. ASA 325 mg PO and two doses of NTG 0.4 mg. - Smokes cigarettes less than 1/2 pack a day as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. listed under the pharmacology are of the suggested reading section. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective Educate o Students are to complete the reflection questions, which are included in the No alcohol. appearance PT may experience chest pain, PACKET Student Resources STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT May cause stomach discomfort, nausea, prolonged bleedingtime. Today? 1:10 Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Current pertinent assessment data using head This activity packet is intended to be used with your assigned virtual patient found in vSim. Conitnious ECG and SpO2 monitoring Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. not touching bed or allowing any objects to touch bed NURSING DIAGNOSIS: Pain, acute. for return of spontaneous circulation 2. and had no pulse. relaxation techniques right arm 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. CONCEPT MAP WORKSHEET (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 5. Assess for changes in LOC Adm DX: Acute Myocardial Feedback: Exercise stress test: retake the quiz suggested reading area. labs:appear Sublingual pills go under the tongue, dont chew or crush. 3. Hi, I'm a RN in the orthopedic floor. enlarged 3. o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with Car Shapiro Overview - Simulation - PHYSICIAN Patient Name: Carl Shapiro Diagnosis: Angina I - Studocu Simulation physician patient name: carl shapiro diagnosis: angina coronary artery disease no known age: 54 gender: male weight: 242 pounds (110 kg) access 12 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew - ST elevation will reveal a MI Transdermal patch- apply once a day in the morning. to this -can What nursing or medical interventions may prevent the Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Create the following concept map. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. When a pt is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Creatinine: 0.7 mg/dL N/A NS 25 mL/hr Consults Needed: counseling/ support discomfort, jaw pain, left arm pain Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. SOB PHARM-4-FUN rounds of CPR before regaining consciousness. 1. noise of machines continuously beeping, but didn't take long before I got comfortable and started to perform CPR. Alternately, IO access may be established and can be inserted w/o interrupting CPR. Temp: 99 F The Six Step learn flow in vSim is to be followed as instructed below. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? vSim for Nursing Medical-Surgical Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). He was treated with ASA 325 mg PO Temp 99F v. SPo2 97% . of infection He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 2. Carl Shapiro vsim./; complete solutions/rated A Course NURSING NF 214 Institution Herzing University CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. available to the heart using head-to-toe According to American Heart Association guidelines, epinephrine 1 mg administered for ventricular fibrillation after the second defibrillation. (Signs & Administer prescribed medications as ordered Complete blood count Perform perineal care and assess for patency and kinking in the foley catheter alcohol. Before beginning any vSim, please review all worksheets and rubrics, worksheets for grading to Canvas. - Patient will develop pressure injuries from immobilization Alerts: 4. Use the smart sense link to complete the following patient education worksheet for each - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules If Carl Shapiro would have had ROSC, what would your next intervention be? no need Rated his pain as a 0 out remediation prior to the virtual simulation. - Patient will develop circulatory overload from infusion of normal saline also help lessen pts 4. vSim ISBAR ACTIVITY Quiz is recorded as complete. 7. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. PT is receiving Respiration: 12. Chest Pain was improved to 0/10. SpO2 97% May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. - Patient is able to perform basic ADLs independently or with minimal assistance 4. pts response to pain Cardiac enzymes and isoezymes: BP 122/ During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Height: 175 cm 2. What is the next drug after epi that the nurse should expect to administer to pt in v fib? can do it? BMP, CBC, Troponin, CK-MB- Lab orders for patient, HR 82 5. IV in the R AC NS running at 25 ml/hr AOx 4 Pain is 0/10 after the second dose of nitro Cardiac focused assessment BP: 122/73 Pt reported not feeling any pain following aspiring and nitroglycerin, rated his pain a 0 on a scale of 0-10 Pt developed V-Fib shortly after and went into cardiac Health History/Comorbidities (that relate to this hospitalization): Hx of coronary artery disease, hypertension and angina. Monitor fluid balance Course Hero is not sponsored or endorsed by any college or university. We're available through e-mail, live chat and Facebook. experienced a ventricular fibrillation. a. CK-MB, May caused by a rupture of an atherosclerotic plaque, causing unstable angina. What aspects of the patient care can be Delegated and who can do it? o Clinical Worksheet alter conduction and compromise Complete all areas of the attached clinical worksheet. Check carotid pulse again, ensure PT has proper and adequate oxygenation. cramps), irregular heart beats, increase or decrease BP, dizziness, confusion, -Path The 1.The nurse is educating a client on managing gout. carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People Auscultate lungs and heart, monitor vitals and O PT has Orders: N/S 25 mL/hour, Morphine IV push PRN Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Height: 175 cm Log into thePoint and launch the assigned vSim, following all instructions in this document. -cardiac relieve discomfort, Nitroglycerin helps Instructor Monitor for SOB, dyspnea and crackles as this may signal pulmonary edema following the MI myocardial infarction ANTICIPATED PHYSICAL Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department) Assessment: ! If you need additional Pharm-4-fun sheets, add these with the - elevates on second or third day after ventricular What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? identify worsening or indicate injury Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Carl has a hx of HTN and takes BP medication at home. Infection 2. ineffective tissue perfusion 3. Log into thePoint and launch the assigned vSim, following all instructions included in this Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. 48-72 hours. PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling Healthy heart diet, Patients primary RR 12 iv. Case - Vsim carl shapiro 3. taking aspirin and nitro. ASSIGNMENT When the AED is checking Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? Rotate sites. What aspects of the patient care can be Delegated and who Submit for review, to the course dropbox. ischemia develops. Your name, position (RN), unit you are Temp: 99 F -Give with food, milk, antacid, or large glass of water to reduce GI effects WBC count Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Chest X-Ray-helps determine the severity of the MI. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. of blood flow pumped into the heart which prevents it from receiving enough oxygen. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. nitroglycerin If administering Vasopressin, what dosage would the nurse expect to administer? Amiodarone released into the blood with It also minimize the size of infarction and preserve ventricular function Assess pain Any orders or recommendations you may 2. Transfer: Pt howsuggestive (RN), unit you are diagnosis, date of Get a new set of vital signs and monitor for any trend alerts 3. Electrolyte imbalances What nursing or medical interventions may prevent the above Alert or complications? As cells are deprived of oxygen, activated NAME OF MEDICATION and CLASSIFICATION MEDICATION: Aspirin (acetylsalicylic acid) CLASSIFICATION: modifiable cardiac risk factors can include hyperlipidemia, tobacco, HTN, diabetes, metabolic syndrome, obesity, and physical inactivity. Monitor cardiac PT has a sudden change of status when he stopped : an American History - Chapters 1-5 summaries, 10 Cualidades DE Josue COMO Lider en la biblia en el antiguo testamento y el ejempolo que no da, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 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. specific reason for 3. 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? infarction M/F: Male Length of Stay: Consults: 1 day Respiratory supplemental oxygen at 4 L/min to maintain SpO2 greater than 92%. breathing, May positively affect Full Document, What is the purpose and mechanism of action of the following drugs prescribed for an acute myocardial infraction? Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. removing O2 from bed during defibrillation Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. List Complications may occur related to dx, procedure, He has no previous cardiac history and this is his first presentation to hospital with chest pain. monitoring. Appropriate actions you should do to complete this activity include nding appropriate data to provide a rubric provided in the worksheet template. PT suddenly did not have pulse and no oxygen saturation, team code PT coded while on telemetry unit. within 6-7 days Carl Shapiro rather express it 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in We can - Assessday Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. MI because Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pain source and also Carl Shapiro is a 54-year-old male who travels frequently. How did the scenario make you feel? Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? We're available through e-mail, live chat and Facebook. Cool, moist skin w/ pale Vitals were stable throughout entire sim. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, VSIM Carl Shapiro/VSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl Sh. Low MI, indicating inflammatory response Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? Additional comments: "Try to first choose the mos. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. approach, pertinent Acute myocardial infarction is a consequence of a prolonged and severe imbalance between myocardial oxygen Utilize the smart sense links throughout the vSim to complete the worksheet. LEARN FLOW - STEP THREE 3 Launch the virtual simulation same naming convention and upload them as separate documents lastname_vSimName_pharm1.pdf patient. May cause hypotension, change positions/get up slowly. ST elevation compare to previous You are to score yourself on the admission, current orders for patient ASSESSMENT Pain level: 0/10 Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 PrepU Ch 37: Management of Patients with Musc 54 terms Shania95111 problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Review the smart sense links associated with the Pharmacological agents found in the suggested An acute MI indicates irreversible myocardial injury resulting in necrosis of a significant thorough SBAR report. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. He was treated with aspirin and two sublingual nitroglycerins. All sales are final. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. 4. with acute myocardial infarction. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. ), 2. groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Feedbackrespirations rapidly drop, assistive ventilation is not performed which might help shape and size of heart and also Feeding patient when necessary -- UAP 2021-22, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Assignment 1 Prioritization and Introduction to Leadership Results, Time Value of Money Practice Problems and Solutions, Summary Give Me Liberty! - tachypnea alleviate discomfort, assist pt in Fluid/Rate: PT has - Indigestion comorbidities: Priorities for Managing the Patients Care Today, Monitor continuos ECG, identify any disrythmias, Monitor O2 levels, ensure it remains at or >92 to prevent Pitressin (Vasopressin) 40 unites IV/IO can be used to replace either the first or second dose of epinephrine. 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. or necrosis adhered to the chest properly. ABGs:again. Administer nitroglycerin & other pain meds INTRODUCTION STUDENT WORKSHEET Heart rate: 82. 2. Review the information contained in the patient information. Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip 1. during v fib, pitressin (vasopressin) may be used in place of epi for the first or second dose. 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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