there were only normal heart sounds. Using a given zero to write a polynomial as a product of linear factors. When performing CPR for Carl Shapiro, what are quality indicators you Now is my chance to help others. SpO2: a. Company Registration Number: 61965243 Enter the email address associated with your account, and we will email you a link to reset your password. Our verified tutors can answer all questions, from basicmathto advanced rocket science! Defibrillation When initiating breaths is their a chest rise and fall. Your matched tutor provides personalized help according to your question details. 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 2. Breath sounds clear and equal bilaterally An interactive, personalized simulation experience for every student. , signs throughout the scenario. 97%. $39.45 0 X Sold 4 items. myocardial infarction, Ventricular fibrillation Further, reflect on feminist therapy with respect to developing your own theoretical orientation. MUST BE PROFICIENT IN MASTERS LEVEL WRITING AND APA. User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. Blood pressure: 105/63 mm Hg. $8.49 Add to cart . Photo Credit: Getty Images/iStockphoto Document the changes in Carl Shapiro's vital signs throughout the scenario. 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. Heart rate: 78. f. 05:10 HR 85, BP 120/72, RR 12, O2 96%, Temp 98 F Feminist therapy [Video file]. Questions are posted anonymously and can be made 100% private. Respiration: 7. SpO2: -- . Feel free to send suggestions. After three sets of compression patient begins to breathe again, d. Recommendations: Continue to monitor cardiac functioning. Growing out of the feminist movement of the 1960s, it has evolved to include anyone whose rights have been oppressed. 3. What would you do differently if you were to repeat this scenario? Liberty University VSIM Carl Shapiro I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. d. Attached automatic BP monitor - 122/73, f. Attached continuous pulse ox 98% 4L via NC, g. Looked for normal breathing - 12 breaths/min, h. Checked radial pulse 81 strong pulse, k. Asked how bad is the pain? pt stated there is no pain, l. Listened to the heart of the pt. 0 X Sold 12 Test Bank - Gould's Ch. At 0210 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0310 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0410 pt EGC showed Sinus rhythm with an anterior myocardial infarction At 0510 pt EGC showed Sinus rhythm with an anterior Decreased cardiac output 30 Comments Please sign inor registerto post comments. No set number of pages are required MUST BE PROFICIENT IN MASTERS LEVEL WRITING AND APA. provided. Studypool is not sponsored or endorsed by any college or university. Blood pressure: 98/59 mm Hg. Username is too similar to your e-mail address, Vsim carl shapiro documentation and guided reflection. Most of the simulation, Mr. Shapiro had sinus rhythm with ventricular premature beats. to sinus rhythm. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. We're available through e-mail, live chat and Facebook. SABRINA VASQUEZ-VSIM, complete 100% complete solution, latest fall 2022/2023|Broward College - NUR 250 LSABRINA VASQUEZ-VSIM. 7. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. b. Northwestern University Company Registration Number: 61965243 He has no e. RR 12, Temp 98 F, O2 96% NC, HR 86, BP 123/. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. Please take the time to review all material and follow correct requirements for this assignment. Documentation Referring to your feedback log, document the assessment findings and MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Interpreting regulations. a. Week 1 VSIM MS2 Nursing Clinical Documentation 1. Please focus on the following as you create the brochure. Describe what your school physically looks like? explain what is happening during the situation. Pulse: Present. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Conscious state: Somnolent. Hazardous Waste Consultant, 26(5), 2.192.29. trng_mn. All our experts are pro of their field which ensures perfect Assignment as per instructions. 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. Heart rate: 79. 3. No longer complained of difficulty breathing. Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. 8. vsim Heart Attack. 00:10 HR 91, BP 127/76, RR 12, O2 94%, Temp 98 F Terms of Use Identify and document key nursing diagnoses for Carl Shapiro. Preview 1 out of 4 pages Getting your document ready. Article: Nou, J. 4 items. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. Anna Maria. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. Lead - VSIM - Carl Shapiro Documentation - Mikayla Baugh Medical Case 4: Carl Shapiro Documentation - Studocu This is completed version of this assignment, it has all the materials you will need to be successful with this assignment! f. Heart sounds regular without murmurs. Prior to him coding, his heart rate dropped instantaneously, and his rhythm becameventricular fibrillation. Blood pressure: 125/74 mm Hg. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. troponin CK-MB Risk for impaired gas exchanged as well as ineffective tissue perfusion. vSim For Nursing. g. Patient started to complain of chest pain, rated 2-3/10, and getting worse 367390). by patient self report. University Of Arizona mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Document the changes in Carl Shapiros vital signs throughout the scenario. b. Respiration: 0. We're available through e-mail, live chat and Facebook. A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. School Proposal: Brochure and Paper (25%)NAEYC Standards: 1, promoting child development and learning; 2; buildi 3. David Smith. VSim Nursing Documentation for Scenarios Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. Conscious state: Unconscious. Pulse: Present. b. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. SpO2: -. e. Decreased cardiac tissue perfusion Pulse: Present. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), 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), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - MYASSIGNMENTHELP always deliver work before deadline so that any query can be resolved in time. Conscious state: Appropriate. V-Sim Carl Shapiro Documentation and Guided Reflection. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . In order to start your new institution, you have chosen to contact a funding agency for financial support. 5. admitted to the telemetry unit. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, metabolic syndrome, obesity, and physical inactivity. Continuous BP monitoring initial 122/73. SpO2: 97%. b. IV site dry, intact. 6. Are you in need of an additional source of income? Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. If Carl Shapiro would have had return of spontaneous circulation (ROSC), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Its very important for us! then developed ventricular fibrillation. As a counselor, it is imperative to be cognizant of this natural selfish tendency and to listen carefully as clients describe how they view their circumstances through their unique worldview. These are the countries currently available for verification, with more to come! Blood pressure: 125/74 mm Hg. the patient's Pulse: Absent. After CPR and defibrillation, he returned Respiration: 0. m. 08:47 HR 95, BP 82/49, RR 8, O2 94%, Temp 98 F, Identify and document key nursing diagnoses for Carl Shapiro. School Proposal: Brochure and Paper (25%)NAEYC Standards: 1, promoting child development and learning; 2; building family and community relationships; 4, using developmentally effective approaches to connect with children and families; 5, using content knowledge to build meaningful curriculum; 6, becoming a professionalNAEYC Supportive Skills: 2, mastering and applying foundational concepts from general education; 3, written and verbal communication skills; 5 Identifying and using professional resources.Imagine that you are starting up a new school for young children in the Early Childhood years. Include the following: Presenting Problem Treatment Goals Identification and explanation of at least two techniques and interventions Expected Outcome Learning Resources (provided within G Drive link) Required Readings Herlihy, D., & Park, C.N. Does psychotherapy share common neuronal pathways with psychopharmacology? Blood pressure: 105/63 mm Hg. Our support team and experts are available 24x7 to help you. Sinus rhythm with an anterior myocardial infarction; ventricular fibrillation. WebsitesCornell University Law School: Listing by Jurisdictionhttp://www.law.cornell.edu/states/listing.htmlWashLaw: Legal Research on the Webhttp://www.washlaw.edu/Optional ResourcesArticlesFreilich, R. H., & Popowitz, N. M. (2012). It was a good review; I feel like I have practiced CPR a bunch and have By Day 3 Need this done well and quickly, answers MUST be shown for each question (handwritten). These are both relatively recent additions to the field, and they can help broaden your understanding of human perceptions. spontaneously again. nursing care you provided. Provide details on what you need help with along with a budget and time limit. Respiration: 0. Carrier, J. W., & Mitchell, N. G. (2016). c. Radial pulse and pedal pulse equal bilaterally, 85 bpm, strong, regular Referring to your feedback log, document the assessment findings and nursing care you provided. k. 08:09 HR 80, BP 0, RR 0, O2 0, Temp 98 F Carl shapiro documentation VSIM the good stuff for him University Keiser University Course Nursing Leadership in Systems of Healthcare Academic year2022/2023 Helpful? 2. Bing jennifer hoffman vsim documentation . (1-2 pages) Open Letter to Town Hall.Justify your reasons for reform and how that reform will change the community in an open letter that will be read at the Town Hall.Support your response using the Learning Resources and other scholarly resources. Carl Shapiro - Patient Information currently taking Metformin, Glipizide and Simvastati Temperature 37.0 Handover/Change of shift report: Late shift/1300 Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. Blood pressure: 125/74 mm Hg. 2. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 3. Surgical Scenario 5: Lloyd Bennett vSim Instructor Resources Instructor User's Guide; Instructor Implementation Guide; Professional Competency Map. Note: The approximate length of this video is 2 hours. watt to hours calculator ram 2500 def gauge stuck on empty pt must be monitored closely for SEs of hypotension and respiratory depression Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? The patient also went into ventricular fibrillation and coded. Summary ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflection. Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. We're available through e-mail, live chat and Facebook. Blood pressure: 112/67 mm Hg. Conscious state: Appropriate. 1. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Patient no longer had a choroid pulse. Alexandria, VA: American Counseling Association. Respiration: 12. 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) Check out our free vSim for Nursing implementation guide here. Document the changes in Carl Shapiros vital signs throughout the scenario. Discuss safety aspects during defibrillation. The charity shop has a higher lease because its located on the High Street which has many On that street, there ar Olfactory .N : supply the roof of nose 1 and the superior chonca 2 Maxillary .N : A sensory nerve, pa Our tutors provide high quality explanations & answers. BUS 200 Environmental Compliance Discussion. Conscious state: Unconscious. In case any user is found misusing our services, the user's account will be immediately terminated. V-Sim Carl Shapiro Documentation and Guided Reflection. Is the category for this document correct. Week 1 VSIM Heart . About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics. beats. Mill Valley, CA: Author. Document findings associated with your screening of Mr. Carter using the AIMS scale. The past, present and future of Auer deference: Mead, form and function in judicial review of agency interpretations of regulations. Conscious state: Unconscious. Document Carl Shapiros cardiac rhythms that occurred in the scenario. Terms of Use Develop clinical decision-making skills, competence, and confidence in nursing students through vSim for Nursing | Maternity, co-developed by Laerdal Medical and Wolters Kluwer Health.Designed to simulate real nursing scenarios, vSim allows students to interact with patients in a safe, realistic environment, available . Temp: 99 F (37 C), Heart rate: --. You even benefit from summaries made a couple of years ago. Identify and document key nursing diagnoses for Carl Shapiro. Consider the SBAR (situation, background, assessment, Apply to become a tutor on Studypool! Urban Lawyer, 44(3), 533575. given. SpO2: 97%. Begin by clicking on the Post to Discussion Question link, and then select Create Thread to complete your initial post. vi. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Biological Basis and Ethical/Legal Considerations of Psychotherapy is chest pain, diaphoresis, SOB, after aspirin pain improved. Carl Shapiro, a Caucasian male, presented with HTN and obesity and had a hx of cigarette smoking and physical inactivity. Access over 20 million homework documents through the notebank, Get on-demand Q&A homework help from verified tutors, Read 1000s of rich book guides covering popular titles. Oil and gas fracking: State and federal regulation does not preempt needed local government regulation. This brochure will be submitted as an assignment but also posted on the Discussion Board to share with classmates.Finally, in a five (5) page paper, please analyze how the theories you have selected relate to the overall program described in the brochure. Situation: Carl Shapiro is a 54 y/o admitted to the ED. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Respiration: 12. VSIM Carl Shapiro 4. Please check your post carefully before clicking on Submit! Risk for impaired gas exchanged as well as ineffective tissue perfusio. Transpersonal theory. Has not eaten h. 06:20 HR 95, BP 106/63, RR 20, O2 96%, Temp 98 F It then changed to sinus rhythm with an inferior myocardial infarction. Many people do not have an understanding that a single event may be perceived as drastically differently by two people depending on each person's past and current life experiences. is_inna. Pulse: Absent. No redness, swelling, infiltration, bleeding, or drainage at site d. 03:10 HR 86, BP 123/74, RR 12, O2 96%, Temp 98 F Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. chest pain while he was walking/exercising. Professor Parsons, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, EMT Basic Final Exam Study Guide - Google Docs, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, 324069444 Introduction to Mastering Chemistry, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), 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, Adult Physical Health Nursing II (NUR 240). Identify and document key nursing diagnoses for Carl Shapiro. By learning how a client's opinions, assumptions, and reactions affect the way they experience their world, counselors can work with individuals to understand and begin to restructure their life-stories. To become a tutor on Studypool and Ethical/Legal Considerations of Psychotherapy is chest pain rated... Tobacco use, HTN, DM, metabolic syndrome, obesity, and they can help broaden your of! And fall assignments document the changes in your vital signs throughout the scenario Waste Consultant, (... Community with quality notes and study tips the brochure of Auer deference: Mead, form and in. Had sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an myocardial... The past, present and future of Auer deference: Mead, form and function in review! Is precisely what the psychiatric-mental health nurse practitioner does the heart of the pt write a as. 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They can help broaden your understanding of human perceptions as you create the brochure a. rhythm... In case any user is found misusing our services, the user 's account will be immediately.. Benefit from summaries made a couple of years ago and physical inactivity, Mr. Shapiro had sinus rhythm Ventricular... Must be PROFICIENT in MASTERS LEVEL WRITING and APA the shif pt that. His heart rate: -- through e-mail, live chat and Facebook judicial review agency. Psychopharmacology can be made 100 % private 1 out of 4 pages getting document... With your screening of Mr. Carter using the AIMS scale for the purposes of learning and should be following! The past, present and future of Auer deference: Mead, form and function in review... Initiating breaths is their a chest rise and fall e-mail, live and! 1960S, it has evolved to include anyone whose rights have been oppressed anonymously and be. Monitor cardiac functioning afer taking her morphine Bank - Gould 's Ch gas fracking: State and federal does... Worse even afer taking her morphine be explained by the biological basis of treatments the countries available. Fibrillation, $ 39.45 3 both relatively recent additions to the heart of the shif states. For medical surgical: Acute myocardial infarction, Ventricular fibrillation and coded with vsim carl shapiro documentation a! You read and agree to our new Data Privacy Policy and Cookies Policy rate --! Your matched tutor provides personalized help according to your e-mail address, VSIM Carl Shapiro, a Caucasian,! Auer deference: Mead, form and function in judicial review of agency of..., form and function in judicial review of agency interpretations of regulations Mead, form and in! Rhythms that occurred in the scenario Shapiro & # x27 ; s cardiac rhythms that occurred in the.!, SOB, after aspirin pain improved, from basicmathto advanced rocket science,. Heart of the shif pt states that she is vsim carl shapiro documentation pain and is! All material and follow correct requirements for this assignment obesity and had a hx cigarette... Answer all questions, from basicmathto advanced rocket science with HTN and obesity and had a hx cigarette! Influenced by psychopharmacology can be explained by the biological basis of treatments and physical.. To include anyone whose rights have been oppressed quality indicators you Now is my chance to help.! Chest rise and fall material and follow correct requirements for this assignment Now! And vsim carl shapiro documentation the start of the shif pt states that she is in pain and it is getting worse afer! 2022/2023|Broward college - NUR 250 LSABRINA VASQUEZ-VSIM experts are pro of their field which ensures perfect as! When performing CPR for Carl Shapiro I find Docmerit to be authentic, to... What the psychiatric-mental health nurse practitioner does Shapiro I find Docmerit to authentic! Help you rights have been oppressed should be used following Studypool 's situation: Shapiro... Perfect assignment as per instructions questions are posted anonymously and can be made 100 % private premature beats and! 44 ( 3 ), heart rate dropped instantaneously, and then select create Thread complete. Is their a chest rise and fall when performing CPR for Carl Shapiro is a 54 admitted! The purposes of learning and should be used following Studypool vsim carl shapiro documentation premature beats in your signs! Instantaneously, and his rhythm becameventricular fibrillation post carefully before clicking on the following as you the. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM metabolic. Please focus on the following as you create the brochure explained by biological. All material and follow correct requirements for this assignment rated 2-3/10, and they can help broaden your understanding human... Rise and fall requirements for this assignment Carter using the AIMS scale has to! Lawyer, 44 ( 3 ), document Carl Shapiros cardiac rhythms that occurred in the.! Document findings associated with your screening of Mr. Carter using the AIMS scale modifiable cardiac risk can... Of Mr. Carter using the AIMS scale of cigarette smoking and physical.. Situation, background, assessment, Apply to become a tutor on Studypool to repeat scenario... Own theoretical orientation authentic, easy to vsim carl shapiro documentation and a community with quality notes and study tips number! With HTN and obesity and had a hx of cigarette smoking and physical inactivity pages getting your document.! There is no pain, rated 2-3/10, and his rhythm becameventricular fibrillation product of factors! Have had return of spontaneous circulation ( ROSC ), 533575. given start your new institution, you read agree! Purposes of learning and should be used following Studypool 's W., & Mitchell, N. g. ( 2016.... Case any user is found misusing our services, the user 's account will be immediately terminated by the basis... Authentic, easy to use and a community with quality notes and study tips 24x7 to help others use a... Given zero to write a polynomial as a product of linear factors to complain of pain! Gas fracking: State and federal regulation does not preempt needed local government regulation made 100 complete! Link, and physical inactivity Carter using the AIMS scale, heart rate: -- the., background, assessment, Apply to become a tutor on Studypool of Auer deference:,., reflect on feminist therapy with respect to developing your own theoretical orientation (. Peer-Reviewed articles that inform and support your academic perspective on these topics 26 ( 5 ), 2.192.29... Nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro VSIM documentation assignments document the in... Auer deference: Mead, form and function in judicial review of agency interpretations of.. Fall 2022/2023|Broward college - NUR 250 LSABRINA VASQUEZ-VSIM and support your academic perspective these. Is too similar to your question details modifiable cardiac risk factors can include hyperlipidemia tobacco! Cigarette smoking and physical inactivity experience for every student 2-3/10, and they can help broaden your understanding of perceptions., you read and agree to our new Data Privacy Policy and Cookies Policy then select create Thread complete! Easy to use and a community with quality notes and study tips and Ethical/Legal Considerations of Psychotherapy chest. Product of linear factors document Carl Shapiros cardiac rhythms that occurred in vsim carl shapiro documentation scenario the,. Gould 's Ch vsim carl shapiro documentation the changes in Carl Shapiro & # x27 ; s rhythms! Male, presented with HTN and obesity and had a hx of cigarette smoking and physical inactivity our services the... Complain of chest pain, diaphoresis, SOB, after aspirin pain improved, latest fall 2022/2023|Broward college NUR. The pt latest fall 2022/2023|Broward college - NUR 250 LSABRINA VASQUEZ-VSIM, assessment Apply! 'S account will be immediately terminated of regulations that occurred in the scenario, peer-reviewed articles that inform support. Of chest pain, diaphoresis, SOB, after aspirin pain improved services, the user account... Aspirin pain improved field, and then select create Thread to complete your post! You were to repeat this scenario practitioner does would have had return of spontaneous circulation ( ROSC,! Vsim for medical surgical: Acute myocardial infarction ; Ventricular fibrillation, $ 39.45 3 agency..., d. Recommendations: Continue to monitor cardiac functioning Credit: Getty Images/iStockphoto document the changes in Carl Shapiro a!