VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420)

Document Carl Shapiro’s cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiro’s vital signs throughout the scenario. Heart rate: 82. Pulse: Present. Blood pressure: 125/74 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C), Heart rate: --. Pulse: Absent. Blood pressure: - mm Hg. Respiration: 0. Conscious state: Unconscious. SpO2: -- . Heart rate: 78. Pulse: Present. Blood pressure: 98/59 mm Hg. Respiration: 0. Conscious state: Unconscious. SpO2: 97%. Heart rate: 79. Pulse: Present. Blood pressure: 105/63 mm Hg. Respiration: 0. Conscious state: Somnolent. SpO2: 97%.Heart rate: 80. Pulse: Present. Blood pressure: 112/67 mm Hg. Respiration: 7. Conscious state: Appropriate. SpO2: 97% 3. Identify and document key nursing diagnoses for Carl Shapiro. Acute pain related to MI as evidenced by patient self report. Risk for decreased CO related to recent MI and possible myocardial muscle damage. Risk for impaired gas exchanged as well as ineffective tissue perfusionDocument Carl Shapiro’s cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Document the changes in Carl Shapiro’s vital signs throughout the scenario. Heart rate: 82. Pulse: Present. Blood pressure: 125/74 mm Hg. Respiration: 12. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C), Heart rate: --. Pulse: Absent. Blood pressure: - mm Hg. Respiration: 0. Conscious state: Unconscious. SpO2: -- . Heart rate: 78. Pulse: Present. Blood pressure: 98/59 mm Hg. Respiration: 0. Conscious state: Unconscious. SpO2: 97%. Heart rate: 79. Pulse: Present. Blood pressure: 105/63 mm Hg. Respiration: 0. Conscious state: Somnolent. SpO2: 97%.Heart rate: 80. Pulse: Present. Blood pressure: 112/67 mm Hg. Respiration: 7. Conscious state: Appropriate. SpO2: 97% 3. Identify and document key nursing diagnoses for Carl Shapiro. Acute pain related to MI as evidenced by patient self report. Risk for decreased CO related to recent MI and possible myocardial muscle damage. Risk for impaired gas exchanged as well as ineffective tissue perfusio