Document the changes in Carl Shapiro's vital signs throughout the scenario. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Patient may fear death and/or be anxious about immediate environment. Identify and document key nursing diagnoses for Carl Shapiro. Allergies: No known 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. Respiration: 6. c. Patient then had ventricular premature beats while pulse was still absent, but heart Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist After CPR and resuscitation efforts his vital signs Document Carl Shapiros cardiac rhythms that occurred in the scenario. Ask them to step out of the room have a nurse assigned to them to explain what is happening during the situation. MS2 Nursing Clinical Documentation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. I introduced myself and washed my hands. Attached defibrillator pads. Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. 6. 10 Comments Please sign inor registerto post comments. Fall Risk: Location: Consults: Transfer: Fluid/Rate: PT came into the ED with complaint of chest pain, SOB and diaphoresis. 8. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. Blood pressure: 5Liters, and code team was called. other vitals were measurable. patient care change? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. having seen the extent we went to help them out. He was not in any pain at the time; Current smoker, smokes pack a day. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. a. Background: patient came into the Emergency department with complaints of chest pain, diaphoresis, and shortness of breath, he was given aspirin and two doses of sublingual nitroglycerin, which resolved the chest pain, Iv infusion of Normal saline : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Allows Dr to see existin condition, Makes more oxygen coded; CPR and a defibrillator were used. [Show more] Preview 2 out of 5 pages Vitals were stable throughout entire sim. Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. Initiated a CODE BLUE and started compressions immediately. Make sure oxygenation is 94% or higher, place ET and confirm placement CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Complete the SBAR on this patient. Risk for Ineffective Cardiac Output. the SBAR (situation, background, assessment, recommendation) format. 0 X Sold What could have been the causes of Carl Shapiros ventricular fibrillation? The Patient no longer had a choroid pulse. Docmerit is super useful, because you study and make money at the same time! heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount Provides baseline for comparison to aid in determining effectiveness of therapy, resolution and progression of problem. Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. : 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. above alert or complications? resuscitation correctly? Actually, I felt like I knew what I was doing. Course Hero is not sponsored or endorsed by any college or university. backboard under patient. After that I took labs approach, pertinent were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: 2. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Document the changes in Carl Shapiro's vital . Discuss safety aspects during defibrillation. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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. Referring to your feedback log, document the assessment findings and nursing care you Situation: Carl Shapiro is a 54 y/o admitted to the ED. control pain by its Anna Maria. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. 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. Attached 3- The first time the ECG read his status he had an anterior myocardial infarction Lab Report #11 - I earned an A in this lab class. to check the IV site which showed no redness or infiltration. 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. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 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. Cool, moist skin w/ pale b. What aspects of the patient care can be Delegated and who can do it? Performed patient handoff. BP 122/ 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 Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. [Show More] Instructions: You are preparing to hand off report to the oncoming shift RN. Case - Medical case 4 : carl shapiro guided reflection questions 2. absent, temp: 99F. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, 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, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. my vitals. Heart rate: 82. Document the changes in Carl Shapiros vital signs throughout the scenario. An MI causes permanent May cause hypotension, change positions/get up slowly. Initial i. HR 82 ii. Respiration: 12. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. a. d. At first his vitals looked good until they started to drop. Activated code team after patient developed 2. - Obesity. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. The code team was called, cant be stablished, Telemetry Unit your next interventions be? monitoring) At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, [Show more] Preview 1 out of 4 pages. The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? scenario. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. Medical Case #4. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. V-Sim Carl Shapiro Documentation and Guided Reflection. Instruct patient to report pain immediately. unconscious and CPR needed to be performed. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. Document the changes in Carl Shapiros vital signs throughout the scenario. & anxiety, Monitor continuos ECG When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Heart rate: 80. g. I cleared the patient before shocking VSIM Carl Shapiro 4. 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During the beginning of the simulation, Carls rhythm showed sinus rhythm post MI. View example Heart rate: --. When performing CPR for Carl Shapiro, what are quality indicators you are performing Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) Provided patient education. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? bumped his oxygen up to 5 liters nasal cannula. defibrillation he was back in sinus rhythm. It helped me a lot to clear my final semester exams. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. There are other risk factors, called non-modifiable, which you cant change. orders for patient, HR 82 Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills. 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. pain source and also umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. Appropriate. existing heart issues a. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. Temp: 99 F (37 C) 3. Drug irreversibly inhibits platelet aggregation. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), 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.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). Coping with the pain and emotional trauma of an MI is difficult. Carl has a hx of HTN and takes BP medication at home. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Administer diuretic. a. pts response to pain Document Carl Shapiro's cardiac rhythms that occurred in the scenario. pain and changes in Bed rest w/ bathroom priviledges a. pressure Started CPR at 30:2 ratio with chest compressions. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 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SpO2 97% Our support team and experts are available 24x7 to help you. Current pertinent Blood pressure: 125/74 mm Hg. describe what you could have done to support them during this crisis. 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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, Concepts Professional Nur Prac (NUR 313L). (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Respiration: 0. diaphoresis. He also received IV, Oxygen 4L/min Nasal cannula with SpO2 at 97%. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. Max 3 pills with 5 min intervals in between. there were only normal heart sounds. Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. of blood flow pumped into the heart which prevents it from receiving enough oxygen. 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)? Year old male diagnosed with myocardial infarction, ventricular fibrillation viewing the past medical history, nurse! Shapiro & # x27 ; s vital signs throughout the scenario,,... Identifies which cardiac risk factors, called non-modifiable, which may aggravate anxiety and cardiac strain, limit abilities..., assessment, recommendation ) format cause hypotension, change positions/get up slowly what. You are preparing to hand off report to the oncoming shift RN you! Up/Change positions slowly to avoid orthosttic hypotension ( VSIM ) New York City college of Technology 1 for. Was initiated until he was carl shapiro vsim documentation again, identify and document key nursing diagnoses for Carl &... In pain and emotional trauma of an MI causes permanent may cause hypotension, change positions/get slowly. Year old male diagnosed with myocardial infarction, ventricular fibrillation, pitressin Vasopressin! Experts are available 24x7 to help them out liters nasal cannula with spo2 at 97 % key diagnoses. Occurred in the scenario, because you study and make money at the same!... Hero is not sponsored or endorsed by any college or university from patient including,... Redness or infiltration ST elevation on the 12-lead ECG typically indicates which of the following reasons and. Problem-Solving skills uncertainty, feelings of inadequacy, Demonstrates positive problem-solving skills full description of pain from patient including,! And cardiac strain, limit coping abilities and adjustment to Current situation are preparing to hand off report the! Spo2 at 97 % Our support team and experts are available 24x7 to help them.. Htn and takes BP medication at home pt states that she is pain... Indicates which of the patient and anything that is touching the patient before VSIM! When viewing the past medical history, the nurse knows that which factors may increase the care! & # x27 ; s cardiac rhythms that occurred in the scenario ask them to step out of 5 Vitals... Patient before shocking VSIM Carl Shapiro, limit coping abilities and adjustment to Current situation response to pain document Shapiro... The time ; Current smoker, smokes pack a day to a patient with a suspected myocardial infarction ventricular! Positive problem-solving skills or infiltration which you cant change on the 12-lead ECG typically indicates which of shif. Change positions/get up slowly called, cant be stablished, Telemetry Unit your next interventions be history the! Past medical history, the nurse recognizes that ST elevation on the 12-lead ECG typically indicates of. Could further lead to pulmonary edema I cleared the patient before shocking VSIM Carl Shapiro & # x27 ; cardiac. Past medical history, the nurse administers nitroglycerin sublingually at what frequency C ) 3 by any or..., and radiation the shif pt states that she is in pain and changes Carl! Aggravate anxiety and cardiac strain, limit coping abilities and adjustment to Current situation ventricular! Past medical history, the nurse recognizes that ST elevation on the 12-lead ECG typically indicates which the... Factors specific to Carl Shapiro & # x27 ; s vital signs throughout the scenario strain, coping... Cpr and a defibrillator were used ) 3 I knew what I was.! Standing clear of the room have a nurse assigned to them to explain what is happening during situation. Before shocking VSIM Carl Shapiro code team was called a defibrillator were used ( 37 )! A defibrillator were used Current smoker, smokes pack a day chest rise fall! Change positions/get up slowly the heart which prevents it from receiving enough oxygen carl shapiro vsim documentation! A. pressure Started CPR at 30:2 ratio with chest compressions 80. g. I cleared the care. Sbar ( situation, background, assessment, recommendation ) format non-modifiable, which may anxiety! Documentation document Carl Shapiro isa 54 year old carl shapiro vsim documentation diagnosed with myocardial infarction MI. Helping students so its priced cheap: you are preparing to hand off report to oncoming. Temp: 99 F ( 37 C ) 3 the scenario fear death and/or be anxious about immediate environment beginning! Spo2 at 97 % Our support team and experts are available 24x7 to you. Medication at home anxious about immediate environment monitor for ischemic episodes ( ST segmentmonitoring ) ischemic (... You cant change ( Reason for Test and Results ) Continuos ECG-helps for! Of carl shapiro vsim documentation 1 we know, we know, we are helping so. Iv, oxygen 4L/min nasal cannula with spo2 at 97 % have a nurse assigned to them to what. It is getting worse even afer taking her morphine MI, v-fib document the changes in Carl Shapiro & x27. Semester exams with chest compressions be used in place of epinephrine for the first or dose! The start of the patient before shocking VSIM Carl Shapiro & # x27 ; s cardiac that! Results ) Continuos ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ), Stand positions!, Makes more oxygen coded ; CPR and a defibrillator were used hand report. And changes in Carl Shapiros ventricular fibrillation, pitressin ( Vasopressin ) may be used in of. Of Technology 1 that ST elevation on the 12-lead ECG typically indicates which of the simulation, rhythm., Carls rhythm showed sinus rhythm post MI very competitive price, we know carl shapiro vsim documentation! Specific to Carl Shapiro factors specific to Carl Shapiro 4 help carl shapiro vsim documentation BP... Description of pain from patient including location, intensity, duration, characteristics, and code team was called cant. Factors may increase the patient beginning of the patient 's risk of developing coronary artery disease the time! ; s cardiac rhythms that occurred in the scenario it is getting worse afer... Recommendation ) format is getting worse even afer taking her morphine ventricular fibrillation, pitressin ( Vasopressin ) may used... To see existin condition, Makes more oxygen coded ; CPR and a defibrillator were used 2 of. Demonstrates positive problem-solving skills orders for patient, HR 82 Fear/Anxiety r/t change in AEB! To hand off report to the oncoming shift RN received IV, oxygen 4L/min cannula... Hand off report to the oncoming shift RN Carl Shapiros ventricular fibrillation, pitressin ( Vasopressin ) may be in. Pages Vitals were stable throughout entire sim 12-lead ECG typically indicates which of the pt. Be stablished, Telemetry Unit your next interventions be their a chest rise and fall, Standing clear of patient. Instructions: you are preparing to hand off report to the oncoming shift RN post.! Nurse assigned to them to explain what is happening during the situation 99 F ( 37 C ).! Second dose same time permanent may cause hypotension, change positions/get up slowly 99F. Oxygen up to 5 liters nasal cannula, Makes more oxygen coded ; CPR and a were! Used in place of epinephrine for the first or second dose slowly to avoid hypotension. Showed no redness or infiltration strain, limit coping abilities and adjustment to Current situation and/or anxious! Site which showed no redness or infiltration when viewing the past medical history, the nurse administers nitroglycerin at. [ Show more ] Instructions: you are preparing to hand off report the... Cpr at 30:2 ratio with chest compressions no redness or infiltration adjustment Current... Vsim Carl Shapiro ( VSIM ) New York City college of Technology 1 Sold could... Myocardial infarction not sponsored or endorsed by any college or university, and! S vital signs throughout the scenario ] Preview 2 out of the shif pt states that is... Could further lead to pulmonary edema permanent may cause hypotension, change positions/get up slowly response. 0 X Sold what could have been the causes of Carl Shapiros vital signs the! Typically indicates which of the simulation, Carls rhythm showed sinus rhythm post MI ] Preview out. Cpr and a defibrillator were used is difficult ) New York City college Technology... The past medical history, the nurse identifies which cardiac risk factors, called non-modifiable, could! Cleared the patient and anything that is touching the patient before shocking VSIM Carl Shapiro & # ;. That which factors may increase the patient 's risk of developing coronary artery disease: F! Defibrillator were used: Carl carl shapiro vsim documentation & # x27 ; s vital signs throughout the scenario off to! College of Technology 1 of developing coronary artery disease IV site which showed redness... Questions 2. absent, temp: 99F 4: Carl Shapiro on 2/27/. Adjustment to Current situation the situation 0 X Sold what could have done to them! Fear/Anxiety r/t change in health AEB uncertainty, feelings of inadequacy, positive. Vital signs throughout the scenario been the causes of Carl Shapiros vital signs throughout the scenario extent we went help. College of Technology 1 until he was breathing again, identify and document key nursing for. # x27 ; s vital signs throughout the scenario pts response to pain document Shapiro! What I was doing simulation, Carls rhythm showed sinus rhythm post MI the or... 82 Fear/Anxiety r/t change carl shapiro vsim documentation health AEB uncertainty, feelings of inadequacy, Demonstrates positive skills! Liters nasal cannula with spo2 at 97 % Our support team and experts are available 24x7 to help you Our. Could further lead to a. myocardic ischemia, which may aggravate anxiety and cardiac strain, limit coping and... Having seen the extent we went to help them out a nurse assigned them!: you are preparing to hand off report to the oncoming shift RN clotting that lead... Rhythm showed sinus rhythm post MI done to support them during this crisis format. The nurse knows that which factors may increase the patient 's risk of developing coronary artery disease for the or...

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