Virtual Simulation #3
Patient Introduction
Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency
Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. He
was treated in the Emergency Department with aspirin and two doses of sublingual
nitroglycerin. Chest pain improved with nitroglycerin administration. IV infusion of normal saline
was started in the Emergency Department and is running at 25 mL/hour. Ordered lab values are
pending. Provider wants to be called as soon as the labs are available. Patient is receiving
oxygen at 4 L/min with SpO2 values at 97%. Chest pain was last rated as a “0†following second
nitroglycerin dose and nitroglycerine patch 0.4 mg. He has been admitted to the Telemetry Unit.
Medical Scenario 3: Carl Shapiro Pathology Questions
Apply your knowledge of the pathology(ies) R/T Carl Shapiro
Include the following aspects in the Assignment:
Ø In addition to the text, find an outside resource less than 1-2 years old
Ø Answer each question thoroughly, APA formatting is not required, but any references used are to be included
Ø Pathology descriptions should be detailed and include some cellular level changes
Questions
1. Describe the initial pathology
2. What S/S did you assess for that supported the initial pathology?
3. How did the pathology present in this scenario?
4. Describe the effect of the providers orders on the pathology
5. In this pathology nurses rely heavily on lab and ECGs. Describe the pathology aspects that underpin these diagnostics.
6. How did the treatment/medications for the primary pathology affect it?
7. A Risk For would be acute coronary syndrome (MI). What S/S would you assess that would support this secondary pathology?
8. What potential secondary pathologies could occur from the treatment/medications give
APA
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