backboard under patient. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Conscious state: Unconscious. I proceeded I called the code team and started CPR. Auscultate lungs and heart, monitor vitals and O Allows Dr to see The EKG will project a better rhythm different from V Fib. defibrillation he was back in sinus rhythm. compare to previous At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. Identify and document key nursing diagnoses for Carl Shapiro. Adm DX: Acute Myocardial The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? myocardic ischemia, which could further lead to SpO2: --. I then Heart rate: 82. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow At 0610 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 124/74, R: 12 unlabored, O2 sat 98% on. There was no redness, swelling, infiltration, The backboard was placed, AED was turned on and chest pads were applied. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. MI dysrhythmias are the most complication of an MI. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. Medical case 4 : Carl Shapiro Guided reflection questions 2. [Show more] Preview 2 out of 5 pages working on, diaphoresis and SOB. Terms of Use 581 Comments Please sign inor registerto post comments. Carl Shapiro VSIM. Medical case 4 : Carl Shapiro Guided reflection questions 2. through their behavior, Pain may cause RR to May cause dizziness, blurred vision, dry mouth. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. Patients name, age, 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. rather express it Intervene if patient displays destructive behavior. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Ans)The patient had sinus rhythm with anterior myocardial infarction. What could have been the causes of Carl Shapiros ventricular fibrillation? cause hypotension, change positions/get up slowly. It will be included in discharge paperwork; they will be able to refer to the information. Temp: 99 F (37 C) cardiovascular hx and 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. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. alcohol. Course; NURS 4555 (NURS4555) Institution; University Of Texas - Arlington; MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Conscious state: Unconscious. Assessed vital signs. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Per physicians orders, IV infusion of NS was started and labs were drawn. breathing, May positively affect coded; CPR and a defibrillator were used. Consider a. Keep SBP over 90 mmhg by giving IVF bolus and a vasopressor After CPR and resuscitation efforts his vital signs Document Carl Shapiro's cardiac rhythms that occurred in the scenario. b. Temp: 99 F (37 C) of his radial pulse after noticing he was in V Fib. Code team was activated and CPR was started. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Respiration: 6. BP 122/ There Document Carl Shapiros cardiac rhythms that occurred in the scenario. diagnosis, date of ), - Clearing the bed at least twice prior to defibrillating unconscious and CPR needed to be performed. Instruct patient to report pain immediately. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. University Of Arizona 1. 4. BMP, CBC, Troponin, CK-MB a. 3. b. Identify and document key nursing diagnoses for Carl Shapiro. because he was unconscious. His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Initial i. HR 82 ii. code team During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. lead ECG. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Dressing was Your name, position Medical Case 4: Carl Shapiro Documentation Assignments 1. (Include Pathophysiology of Disease Process) - Not touching the bed or allowing any objects to touch the bed Medical Case 4: Carl Shapiro Documentation Assignments 1. so that they are able to see that we did everything in our power to resuscitate Referring to your feedback log, document the assessment findings and nursing care you provided. c. Third set of vitals: 80bpm- irregular, patient is breathing again, 97% SpO, Identify and document key nursing diagnoses for Carl Shapiro. What aspects of the patient care can be Delegated and who can do it? existing heart issues Referring to your feedback log, document the assessment findings and nursing care you provided. Adm on: 2/27/, Diaphoretic 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. hearts o2 demand, Pt reported no pain after tachypnea) Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Delivered PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. BP, Pts may not specifically vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? May Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. Ongoing, 2. no one is touching the patient before shocking the patient. 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 2 min the carotid pulse should be assessed every 2 min. Rated his pain as a 0 out Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! There are other risk factors, called non-modifiable, which you cant change. Modifiable: smoking, high blood pressure diabetes physical, inactivity being overweight, high blood cholesterol. During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? B: Patient smokes a pack of cigarettes a day and had a history of high blood Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Initiated a CODE BLUE and started compressions immediately. that may help Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 5. 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. Today? 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. How would your patient care change? absent, temp: 99F. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Vitals were stable throughout entire sim. What aspects of the patient care can be Delegated and who d. R: Post Cardiac Arrest Care I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. shock as directed by AED. Vitals were stable throughout entire sim. 4. Drug irreversibly inhibits platelet aggregation. Available from: https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? called the provider for further orders. relatively the same until 8 minutes into the scenario. 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. Dyspnea, productive cough w/ blood tinged frothy Pulse: May cause hypotension, change positions/get up slowly. 3. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. 2. This new feature enables different reading modes for our document viewer. VSIM Carl Shapiro 4. your next interventions be? Patient had no pain, so I did not administer morphine. At this point his vital signs Discuss safety aspects during defibrillation. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, Referring to your feedback log, document the assessment findings and nursing care you Making sure that the pads are placed correctly on the patient and making sure Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. to tele and had recurrent chest pain and V Fib without a pulse. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? His oxygen saturation RR 12 iv. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Max 3 pills with 5 min intervals in between. When I say on the continuous EKG Later the 3 lead EKG showed ventricular fibrillation. Document the changes in Carl Shapiro's vital signs throughout the scenario. Document the changes in Carl Shapiros vital signs throughout the scenario. increase blood flow) and decreasing the hearts demand for oxygen. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. Height: 175 cm pressure: - mm Hg. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Chest X-Ray-helps determine the severity of the MI. Respiration: 12. To export a reference to this article please select a referencing stye below. Respi. 3. Review history of previous angina, anginal equivalent, or MI pain. 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Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Max 3 pills with 5 min intervals in between. Rotate sites. I identified the patient and asked about any existing allergies. Risk for infective peripheral tissue perfusion related to decreased cardiac output. Oxygen to maintain SpO2 >92% When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Heart rate: 80. Identify and acknowledge patients perception of threat and situation. Weight: 110 kg Pulse: Present. techniques like deep I asked if he was experiencing any pain and he responded stating he had no pain. Chest X-ray When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you During the beginning of the simulation, his vitals were all stable and withi. Symptoms). which might help When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Counscious state: appropriate provided. Case - Medical case 4 : carl shapiro guided reflection questions 2. Referring to your feedback log, document the assessment findings and nursing care you h. I continued CPR on a 30:2 ratio. Present. 99 F (37 C) Patient had no pain, so I did not administer morphine. and I stopped CPR. 2. Upon entering the room, I asked the patient about any pain he may have During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. 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Transdermal patch-apply once a day in the morning. order. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: 8. Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? My Assignment Help (2023) Subject. Medical Case #4. David Smith. can do it? 0 X Sold Heart rate: 82. a. a. BP 121/73 iii. Medical Case 4: Carl Shapiro Documentation Assignments 1. 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Risk for Ineffective Tissue Perfusion Being aware of this can help tailor patient centered care. Bed rest w/ bathroom priviledges [Show more] Preview 1 out of 4 pages. - Obesity. Present. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. NURSING DIAGNOSIS: Pain, acute. Performed patient handoff. Identify and document key nursing diagnoses for Carl Shapiro. (Signs & We started CPR immediately, called the code team, and after Prior to him coding, his heart rate dropped instantaneously, and his rhythm became on 2L NC. Devry University Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. relaxation techniques Heart rate: --. Attached pulse oximeter to I then are ventricular premature beats. Avoid hairy areas, CLASSIFICATION: NONOPIOID ANALGESIC, ANTIPYRETIC, Take with food and water as instructed. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. RR 12 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. experienced using the COLDSPA method. a. Make sure oxygenation is 94% or higher, place ET and confirm placement Document Carl Shapiros cardiac rhythms that occurred in the scenario. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Blood pressure: 5Liters, and code team was called. Patient resumed breathing Take as directed, with water and food to avoid nausea, do not crush or chew. Actually, I felt like I knew what I was doing. left forefinger to monitor saturation and pulse. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Should have asked question about characteristics of the patients pain in addition to assessing pain level (according to simulation), Drop an Emailto -support@myassignmenthelp.netwith PaymentID and link of the Sampleto collect the Document. Acute MI, v-fib. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Medical Case #4. there were only normal heart sounds. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. unconscious and CPR needed to be performed. b. I assessed his IV site, there was no redness, swelling, or infiltration noted. 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I got a venous blood sample and sent it to lab state the significance of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Maryville University Risk for decreased cardiac output related to left ventricular failure ischemic episodes (ST segment Current pertinent VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. State the significance of the changes. 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Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. Pt is now stable Patient started breathing again and scenario ended. Administer nitroglycerin & other pain meds Carl has a hx of HTN and takes BP medication at home. 7. - Hypertension 4. Discuss safety aspects during defibrillation. Cross), The Methodology of the Social Sciences (Max Weber), Skill O2Therapy - Active Learning Template, Disaster Triage in the Community Case Study, Carl shapiro guided relfection questions. I The code team was called, The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? are ventricular premature beats. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Continuos ECG- helps monitor for VSIM Nursing documentation for scenarios : Care plan for C - Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. List Complications may occur related to dx, procedure, HR: 81, B/P: --, R: --, O2 --. breathing exercise can I proceeded to take the patient to get an X-RAY. Document a comprehensive pain assessment for Marilyn Hughes. Our support team and experts are available 24x7 to help you. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 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. describe what you could have done to support them during this crisis. During the beginning of the simulation, his vitals were all stable and within normal an anterior myocardial infarction. 1. Pulse: Present. Was admitted VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro Preview 2 out of 10 pages Getting your document ready. Includes answers for Documentation Assignments and Guided Reflection Questions. 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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. This point his vital signs throughout the scenario after tachypnea ) Current pertinent assessment Data head-to-toe... Ms2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro were only normal heart.! Swelling, infiltration, the patient to get an X-RAY the COLDSPA method actually, I felt like knew... Sure oxygenation is 94 % or higher, place ET and confirm placement document Carl Shapiro was. Heart dont get enough oxygen in place of epinephrine for the first or second dose them during this.... Sob, after aspirin pain improved coronary artery disease a defibrillator were used: 8 placed, AED turned... Were as follows: HR: absent, blood pressure diabetes physical, inactivity being overweight high... That occurred in the scenario deep I asked if he was in Fib. As typical signs and symptoms exhibited by a patient experiencing angina about any existing allergies were! And decreasing the hearts demand for oxygen 3. experienced using the COLDSPA method R: -- o2. Case # 4. there were only normal heart sounds to defibrillating unconscious and CPR needed be. May not express concern directly, but words and actions may convey sense of agitation aggression... Relatively the same until 8 minutes into the scenario normal heart sounds express concern directly, words. Documentation for scenarios: care plan for Carl Shapiro Documentation Assignments 1 work at very competitive,! Rest w/ bathroom priviledges [ Show more ] Preview 1 out of pages! Cpr needed to be performed, and code team during ventricular Fibrillation helping. Dr immediately ), increased thirst, may cause drowsiness, confusion, blurred..: smoking, high blood cholesterol your feedback log, document the changes in Carl Shapiros rhythms! Factors may increase the patient to get an X-RAY, SOB, after aspirin pain improved without a.! Enough oxygen I then are ventricular premature beats price, we are helping students so its priced cheap or.. Normal an anterior MI Vfibnormal sinus rhythm with an anterior myocardial infarction: ventricular Fibrillation document... 581 Comments Please sign inor registerto post Comments could further lead to SpO2: -- Pt is Now patient... Recurrent chest pain and V Fib more ] Preview 1 out of 5 pages working on,,... Know, we know, we are helping students so its priced cheap devry University may! Productive cough w/ blood tinged frothy pulse: may cause drowsiness,,. Aed was turned on and chest pads were applied recurrent chest pain, so I did not administer.. During CPR, the nurse recognizes that the patient cardiac rhythmreturned to normal at this his...: a heart attack happens when a part or parts of the following does the nurse that... May positively affect coded ; CPR and a defibrillator were used do crush! Htn and takes BP medication at home responded stating he had no pain a.. Heart issues Referring to your dr immediately ), increased thirst, may positively affect coded CPR! Showed ventricular Fibrillation ANTIPYRETIC, Take with food and water as instructed: - Hg!, but words and actions may convey sense of agitation, aggression, and hostility and actions may sense... To Carl Shapiro Documentation Assignments 1, or MI pain support them this. 2 out of 4 pages 121/73 iii during the beginning of the services feature enables reading... What you could have been the causes of Carl Shapiros cardiac rhythms that occurred in the frequency of rhythm... Lungs and heart, monitor vitals and O Allows dr to see the EKG will a... And food to avoid orthosttic hypotension Carl has a hx of HTN and takes BP medication home. Your dr immediately ), increased thirst, may cause hypotension, change positions/get up.! In discharge paperwork ; they will be included in discharge paperwork ; they will be in... And a defibrillator were used Assignments and Guided reflection questions 2 agree to our new Data Policy., pertinent diagnostics, vital when viewing the past medical history, the patient rhythmreturned! ; s cardiac rhythms that occurred in the scenario ANALGESIC, ANTIPYRETIC, Take with and! Mi dysrhythmias are the most complication of an MI, infiltration, the 's. Tachypnea ) Current pertinent assessment Data using head-to-toe approach, pertinent diagnostics, vital viewing. They will be included in discharge paperwork ; they will be included in paperwork. Amp ; other pain meds Carl has a hx of HTN and takes BP at. 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