Doris Bowman Post Op NV,WELL EXPLAINED GRADED A.

Documentation Assignments 1. Document Carl Shapiro’s cardiac rhythms that occurred in the scenario. Sinus rhythm with an anterior myocardial infarction, ventricular fibrillation, sinus rhythm with an anterior myocardial infarction 2. Document the changes in Carl Shapiro’s vital signs throughout the scenario. HR 82, BP 121/72, R 12 O2 98% T 99F HR – Pulse absent, BP – R 0 Unconscious, O2 0 T 99F HR 79 BP – R 0 O2 0 T 99F unconscious HR 78 BP 93/55 R 0 O2 97% T 99F HR 80 BP 112/67 R 7 O2 97% T 99F 3. Identify and document key nursing diagnoses for Carl Shapiro. Acute pain related to cardiac ischemia Activity intolerance related to Imbalance between oxygen supply/demand Nausea related to pharmaceutical agents 4. Referring to your feedback log, document the assessment findings and nursing care you provided. NKA, pt. denies any pain, normal breathing at 12 bpm, chest moving normally on both sides, pulse is regular, strong 80 bpm, BP of 123/73. 12-lead ECG attached. Pt developed V Fib. Code team activated. CPR began at a ratio of 30:2, starting with chest compressions. Defibrillator attached and shock administered. CPR resumed. Patient obtained return of spontaneous circulation and began breathing spontaneously again. CPR stopped. Pt handed off.