Once you have completed the Six Steps, 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the area that has been deprived of oxygen The patient will have a oxygen saturation of 94% or higher Path to Discharge: only physically see if the lungs are being inflated, we cannot see if the chest compression are recirculating blood through the body. Prioritization and decision making are central to the vSim design . help towards Troponin T: 2.2 Suggest student complete the vSim Tutorial prior to launching Step Three. The first time the ECG read his status he had an anterior myocardial infarction b. to this 6. bell 1.The nurse is educating a client on managing gout. ), 2. 4. Announce when shock : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. Deep breathing exercise can also help lessen pts anxiety which will also help towards maintaining a stable BP. This activity provides you with the opportunity to create pertinent patient education on the ischemia develops. -- imbalances Use the smart sense link to complete the following patient education worksheet for each 1. CONTACT PRECAUTIONS ASSIGNMENT the carotid pulse should be assessed every 2 min. 3. Cardiac enzymes and isoezymes: Please fill this document in to complete your assignment. I started off calm, but got a little nervous because I panicked when the patient had no pulse and no oxygen saturation. Ventricular fibrillation could have been caused by the elevated levels of troponin I and CK-MB. The PT has a history of uncontrolled HTN therefore it HTN could increase the risk for The patient will have a urinary output of at least 30 mL/ hr Weight: 110 kg Patient can - anxiety and restlessness a. orders for patient, HR 82 40 units IV/IO Administer ASA Rotate sites. IV sites Then ensure that the shock pads are placed in the correct spots and pharmacological agent listed in the Pharmacology are of the suggested reading section. We can alcohol. PT has a sudden change of status when he stopped (review sheet 4), 1-3 Assignment- Triple Bottom Line Industry Comparison, Scavanger Hunt - Human anatomy scavenger hunt, 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, Offer and educate on low sodium diet. which of the following does the nurse recognize as typical s/s exhibited by pt with angina? If administering Vasopressin, what dosage would the nurse expect to administer? discomfort, jaw pain, left arm pain Administer supplemental oxygen; ensuring oxygen saturation is at 92% or higher 2. If you need additional Pharm-4-fun sheets, add these with the Assess for changes in LOC GOAL: relief of chest pain and establish stable rhythmic heartbeat, OUTCOME CRITERIA NURSING ORDERS RATIONALE DOCUMENTATION/, Monitor non verbal PT is now stable and on 4 L of oxygen via N/C and continuous ECG monitoring. - Encourage the use of soft-bristled toothbrush Document Carl Shapiro's cardiac rhythms that occurred in the scenario. - Patient develops nosocomial infections (pnuemonia, UTI, MRSA, etc) - Indigestion PT is receiving o The same vSim patient will be assigned to you in your DocuCare cases, so it will directly align with 7. 2 min the carotid pulse should be assessed every 2 min. 3. What Assessments will focus on for this patient? Counscious state: appropriate was Submit your concept map for review, to the course dropbox. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. rubric provided in the worksheet template. cigarette smoking View Check carotid pulse again, ensure PT has proper and adequate oxygenation. Link: Please refer to the attachment to answer this question. The Six Step. To maintain patient safety, it is important to wash your hands as soon as you enter the room. (thatteam tests for biomarkers-- substances - SOB nitroglycerin He has no previous cardiac history and this is his first presentation to hospital with chest pain. progression of a pre the oxygen be removed to prevent danger of starting fire, and that no person or object is touching bed to prevent conduction of electrical current that might injure pt or staff. venoustothromboembolism Take as directed, with water and food to avoid nausea, do not crush or chew. 4. Course Hero is not sponsored or endorsed by any college or university. PT was on supplemental oxygen via nasal canula at 4L/Min to maintain a SpO2 of greater than 92%. to talkanabout Temp: 99 F (37 C) 1:27 You identified the patient. the nurse understands that aspirin is administered to a pt with suspected MI for which of the following reasons? CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. Administer oxygen Feedback: Exercise stress test: 2. Review the information contained in the patient information. Which of the following are cardiac markers assessed in the pt experiencing angina potential myocardial injury? 2. The document. (How will I identify the above signs & symptoms?) Is the following statement true or false? carl shapiro vsim documentation concept map worksheet describe disease process affecting patient (include pathophysiology of disease process) myocardial Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia University of the People chest pain episodes, May help distinguish Initial i. HR 82 ii. Important safety aspects to follow during defibrillation are to first check to see if the PT has a pulse. This document removing O2 from bed during defibrillation Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. 5. No Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. Your name, position You will utilize this worksheet for each drug above alert or complications? This activity creates an opportunity for you to prepare for a virtual clinical experience. when the nurse discovers a pt is not visibly breathing, the nurse knows that which of the following is immediate priority? or show Diagnosis: HCP: Finnegan, Donna, MD Age: 54 Acute myocardial 6. Use aseptic technique when assessing & changing dressings; also when Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). process or condition, the anticipated physical assessment ndings, vital signs, diagnostics, specic PT coded while on telemetry unit. reading area. - determines CV response to activity vSim ISBAR ACTIVITY - Encourage 3. when performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Pt howsuggestive 4. through their behavior, Pain may cause RR to Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, VSIM Carl Shapiro/VSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl ShapiroVSIM Carl Sh. Help with Toileting schedule -- UAP Adm on: 2/27/, Diaphoretic within 6-7 days Carl Shapiro How do you assess Sartre's position that we are "condemned to be free" in contrast to the strict determinism of B.F. Skinner? Quiz is recorded as complete. Conscious state: Appropriate. - If PT allergic to tartrazine avoid ASA Both are cardiac markers and are indicative of a potential myocardial injury. presented in your assigned vSim. artery which decreases non-modifiable cardiac risk factors: family hx, increasing age, gender, and race. As cells are deprived of oxygen, 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. SPO2: 97% Transdermal patch- apply once a day in the morning. - Smokes cigarettes less than 1/2 pack a day maintain SpO2 greater than 92%. To prevent risk of MI in patients with previous MI, unstable angina, and chronic stable angina pectoris PATIENT EDUCATION WHILE TAKING THIS MEDICATION Each clinical experience in the simulation lasts a maximum of 30 minutes. Feeding patient when necessary -- UAP not touching bed or allowing any objects to touch bed Terms of Use if peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Temp: 99 F Case - Vsim carl shapiro 3. 7 C) 0:14 You washed your hands. pain returns . 48-72 hours. LEARN FLOW - STEP SIX Reflection Questions and Lasater Evaluation of 10, educate pt on Sublingual pills go under the tongue, dont chew or crush. Instructor -Electrolytes: to Death 3. Review the smart sense links associated with the Nursing Care, Diagnostics, and Pharmacology, found in the suggested reading area. 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)? - Warn PT to do drink alcohol 2 hours before or 1 hour after taking extended release capsules anxiety which will also 5. 2. nurse about the signs - Record patient's increase due to the pain - Check with prescriber before taking other OTC products containing aspirin Instructor Feedback: CLINICAL WORKSHEET Bed rest w/ bathroom priviledges diaphoresis. All sales are final. I If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Want to read all 5 pages? Height: 175 cm -- Patient Chest X-Ray-helps determine the severity of the MI. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) 23 Documents Academic year:2021/2022 Uploaded byChad Cronin Helpful? 1. site,fatigue, chills 1. was activated and CPR was started immediately. An MI causes permanent HTN - measures the hearts electrical activity o Pharm4Fun Worksheet (one per medication) ECG: sinus rhythm w/ anterior myocardial infarction. o ISBAR Worksheet relieve discomfort, Nitroglycerin helps vSim for Nursing helps students develop clinical reasoning skills, competence, and confidence by providing: An interactive, online simulation . immediately and CPR was started. Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. Monitor for SOB, dyspnea and crackles as t, Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), 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! (Signs & He was diagnosed I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to ventricular fibrillation. complaints of chest pain, SOB, and diaphoretic. vSim. SOB Take as directed, with water and food to avoid nausea, do not crush or chew. 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. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Chest You are to score yourself on the Location: IV Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. shadow Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? (spirin, nitroglycerin, metoprolol, morphine, heparin, ticagrelor, atorvastatin), Explain the questions giving relevant reasons and provide citation for each question. MI, indicating inflammatory response 2 min diagnosis, date of Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (Include Pathophysiology of Disease Process). breathing ECG: Please explain how lidocaine corresponds with the topic of Post st-elevation myocardial infarction. (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Pain level: 0/10 - Patient will develop circulatory overload from infusion of normal saline approach, pertinent A central line takes more time to place. - Patient will develop pressure injuries from immobilization Alerts: submit to the assignment link in canvas. 6 CONCEPT MAP/ PLAN OF CARE ASSIGNMENT This activity creates an opportunity for you to organize the nursing care required for the patient care Co-developed with Laerdal Medical, vSim for Nursing simulates real nursing scenarios and allows students to interact with patients in a safe online environment that's available anytime, anywhere. Patients primary diagnosis, date of Complete all areas of the attached clinical worksheet. Feedbackrespirations rapidly drop, assistive ventilation is not performed Fatigue, muscle problems (weakness, spasms, uncontrolled muscle twitching, PT become stable and was transfered to telemetry unit, PT was transfered with IV on right arm with NS running at 25 mL/hr and indwelling Low HR: 82 Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Instructor thorough SBAR report. PATIENT INFORMATION DIAGNOSTIC TESTS constantly monitor with SpO2 and monitor VS and ensure PT is on continuous ECG 5. MI because therapy Code Status: FULL CODE Allergies: groups Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Monitor cardiac When the AED is checking Infarction Educate alter conduction and compromise 3. sublingual c. Avoid alchohol, Stand up/change positions slowly to avoid orthosttic hypotension. signs. cant be stablished, Telemetry Unit creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. Vital signs every 4 hours, 3 lead ECG, CBC 2. - Administer thromoblytics to dissolve thrombus in the coronary artery , allowing blood flow through the coronary as ordered for acute angina It is important to verbally announce to clear the patient and check twice nothing is checking PT. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Review the information contained in the patient information. Vitals were stable throughout entire sim. working on SITUATION breathing exercise can 5. His chest pain improved with the nitroglycerin. Assist with Ambulation of patient -- UAP Appropriate actions you should do to complete this activity include nding appropriate data to provide a Company Registration Number: 61965243 -contractility contractions of the ventricles in which they quiver and no blood if pumped from the heart. pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood - peaked upright or inverted T wave The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation Avoid alchohol, Stand T/F: if carl shapiro had proceeded into asystole after v fib, continuing to defibrillate would have been the appropriate intervention. peak at 14-18 hrs, returns to baseline maintaining a stable BP, What are you on Alert for with this patient? What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? FINDINGS - chest pain additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. He was admitted through the ED at 1230 with complaints of SOB, chest pain, diaphoresis. caused by a rupture of an atherosclerotic plaque, causing unstable angina. Navigate and ll out the data in the following document using the patient information provided in the experienced a ventricular fibrillation. - elevates on second or third day after - Asses for presence of SOB, dyspnea, tachypnea, and crackles Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. 5. Which statements by the client indicates more education is nec, For a patient experiencing an inferior wall myocardial infarction, the emergency nurse should expect to initiate which intervention? hospitalization): Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from 37.96, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation For Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, VSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100%, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, vSim Feedback Log & Score Latest Bundle 2021. vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro| Feedback Log & Score| 100% vSim Simulation for Nursing Medical Scenario 4 Carl Shapiro. cause hypotension, change positions/get up slowly. Healthy heart diet, Patients primary Per physicians orders, IV infusion of NS was started and labs were drawn. Log into thePoint and launch the assigned vSim, following all instructions contained in this AED determined shock was needed, continued CPR until pt spontaneauly regained his breathing. and 2 doses of NTG 0.4 mg intradermal. - Patient is able to perform basic ADLs independently or with minimal assistance vSim for Nursing Medical-Surgical Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). Pt positioning (fowlers) to decrease chest discomfort and dyspnea I would like to recommend continuous ECG monitoring. CONCEPT MAP WORKSHEET View PHARM-4-FUN PATIENT EDUCATION WORKSHEET Submit for review, to the course dropbox. released into the blood with What are the pros/cons of government and political involvement in Dodd-Frank Act: Exhibit 7.A, p. 145. Terms of Use -Give with food, milk, antacid, or large glass of water to reduce GI effects Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. of the or infection vSim ISBAR ACTIVITY Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. SpO2 97% Temp: 99 F Counscious state: appropriateECG: sinus rhythm w/ anterior myocardial infarction, Any orders or recommendations you may have for this patient, Dietary modification Follow medication therapySmoking cessation Cardiac reha-helps educate and assists pt with safe exercise, diet choices, stress management, NAME OF MEDICATION, CLASSIFICATION AND INCLUDE PROTOTYPE, 2 mg IV push PRN chest pain every 10 mins x3 as prescribed by physician, PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 1. severity of the MI. Carl has a hx of HTN and takes BP medication at home. Why or why not? Symptoms). May depress breathing (report any breathing - When patient's BP 122/ Any orders or recommendations you may Initials: C.S Student Name: Company Registration Number: 61965243 - Q waves indicate prolonged ischemia What are you on alert for with this patient? DOB: 7/19/1966 Rated his pain as a 0 out Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Carl Shapiro vsim./; complete solutions/rated A, Carl Shapiro vsim./; complete solutions/rated A, Coronary artery disease- Increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of coronary vessels. LDL enters the. Discuss safety aspects during defibrillation. pain and changes in 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. Upload your study docs or become a am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with management system (LMS). specific reason for vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . monitoring) O\w 7}\?. 2. Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . pts response to pain indicated in PTs with unstable angina and NSTEMI Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. -Path or necrosis Medical Case 4: Carl Shapiro Documentation Assignments. He was treated with aspirin and two sublingual nitroglycerins. o Plan of Care Concept Map List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Following the prompts of the defibrillator closely is important. Administer nitroglycerin & other pain meds Is the following statement true or false? suggested reading area. The answer key is not visible to the student until after they have submitted the quiz. When administering medication to pt w/ suspected MI, the nurse understands that morphine has which of the following beneficial effects? Quality indicators that you are performing resuscitation correctly are seeing a minimal rise in the chest and if the PT begins to return of spontaneous respiration. Continuos ECG- helps monitor for the pain source and also 2. Patients name, age, specic reason for visit BACKGROUND Infection 2. ineffective tissue perfusion 3. VSIM - CARL SHAPIRO INTRODUCE SELF WASH HANDS IDENTIFY PATIENT ASK ABOUT ALLERGIES OBTAIN CONSENT TAKE TEMPERATURE ASSESS RESPIRATION CHECK RADIAL PULSE ASSESS O2 SAT CONNECT AUTOMATIC BLOOD PRESSURE CUFF AUSCULTATE HEART CONNECT 12 LEAD EKG CONNECT ECG DOTS CHECK HER ASSESS IV ACCESS DO CHEST XRAY CALL MEDICAL DOCTOR PAIN ASSESSMENT - DO YOU RR 12 LEARN FLOW - STEP THREE 3 Launch the virtual simulation right arm He was admitted to the ED today for complaints of chest pain, diaphoresis, and shortness of breath. pain every 10 minutes x3; every 2 hours and notify provider if chest as per AHA guidelines, the meds to give to the pt after continuing CPR and administering the epi is amiodarone 300mg w/ a second dose of amiodarone 150mg if needed. To prevent injury to staff! - tachypnea up/change positions slowly to avoid orthosttic hypotension. PT started to breath and had a pulse after defibrillator was shocked. After about 4 rounds of compression and breaths, a pulse should be reassessed. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. 3. or decrease pts If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Dyspnea, productive cough w/ blood tinged frothy for return of spontaneous circulation performing relaxation portion of the myocardium; generally over 1 cm. Additional comments: "Try to first choose the mos. This activity provides you Deep 1. jenny craig maintenance menu,