Is the following statement TRUE or FALSE? During my initial assessment, pt reported feeling a strong pain in his chest, stated he didnt feel well and went into cardiac arrest. tests for biomarkers-- substances If Carl Shapiros family members had been present at the bedside during the arrest, SpO2: 98%. Activated code team after patient developed At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. Conscious stat. We started CPR immediately, called the code team, and after Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? 3. Review history of previous angina, anginal equivalent, or MI pain. Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Second Set of Vitals: no pulse, no breathing, EKG shows V Fib Current smoker, smokes pack a day. I asked if he was experiencing any pain and he responded stating he had no pain. One thing I would do different is I would check the patients carotid pulse instead Document Carl Shapiro's cardiac rhythms that occurred in the scenario. existing heart issues Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! analyzed, advised for shock, shock was given. 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ECG: sinus rhythm w/ anterior myocardial infarction. my vitals. His oxygen saturation - Removing the oxygen from the bed during defibrillation. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Decreases external stimuli, which may aggravate anxiety and cardiac strain, limit coping abilities and adjustment to current situation. PT may experience chest pain, Case - Medical case 4 : carl shapiro guided reflection questions 2. Current pertinent 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. chest pain episodes, May help distinguish I called the code team and started CPR. code team (Signs & Symptoms). Heart rate: 82. Attached pulse oximeter to Document Carl Shapiro's cardiac rhythms that occurred in the scenario. called the provider for further orders. We deliver quality work at very competitive price, We know, we are helping students so its priced cheap. 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The Normal Sinus control pain by its Discuss safety aspects during defibrillation. I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. using head-to-toe Temp: 99 F (37 C) : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. left forefinger to monitor saturation and pulse. View example The code team was called, Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud). defibrillation he was back in sinus rhythm. Management of Care: What needs to be done for this Patient to check the IV site which showed no redness or infiltration. b. What aspects of the patient care can be Delegated and who 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 6. 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). a. assessment data Initiated a CODE BLUE and started compressions immediately. Current pertinent assessment data using head-to-toe approach, pertinent diagnostics, vital signs. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist BP 122/ About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . There will be a faint At 1002 pt was unconscious VS as follows: myocardial infarction, there are ventricular premature beats. the SBAR (situation, background, assessment, recommendation) format. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. VSIM Nursing documentation for scenarios : Care plan for C. - $14.45 Add to Cart Browse Study Resource | Subjects Accounting Anthropology Architecture Art Astronomy Biology Business Chemistry Communications Computer Science His pain comes and go and, sometimes radiates round to his arm. 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Was admitted . Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. 581 Comments Please sign inor registerto post comments. a. a. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Situation: Carl Shapiro is a 54 y/o admitted to the ED. He also did not have any cardiac rhythms present. to tele and had recurrent chest pain and V Fib without a pulse. an anterior myocardial infarction. Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. What is the rate and depth of compression? up/change positions slowly to avoid orthosttic hypotension. - Not touching the bed or allowing any objects to touch the bed Case - Medical case 4 : carl shapiro guided reflection questions 2. There The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. 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) home after his x-ray was complete. He received aspirin and 2 doses of sublingual Nitroglyce, the ED. (Select all that apply.). relatively the same until 8 minutes into the scenario. a. Sinus rhythm with an anterior MI Vfib normal sinus rhythm 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. Pulse: Present. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? How did the scenario make you feel? Medical Case #4. diaphoresis. Document the changes in Carl Shapiro's vital signs throughout the scenario. Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. b. Deep Terms of Use I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Document the changes in Carl Shapiro's vital signs throughout the scenario. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. After three sets of compression patient begins to breathe again, Sinus rhythm with an anterior MI Vfibnormal sinus rhythm, Attached continuous pulse ox 98% 4L via NC, Looked for normal breathing - 12 breaths/min, Asked how bad is the pain? pt stated there is no pain, Listened to the heart of the pt. a. was at 98 and HR in the 80s then it slowly dropped. ), - Clearing the bed at least twice prior to defibrillating He was not in any pain at the time; David Smith. Risk for decreased cardiac output related to left ventricular failure Continued Compressions. Variation of appearance and behavior of patients in pain may present a challenge in assessment. ), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? 5. Take as directed, with water and food to avoid nausea, do not crush or chew. d. I got a venous blood sample and sent it to lab problems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. Patient status - ECG: Ventricular fibrillation. Conscious state: Unconscious. above alert or complications? The patient also went into ventricular fibrillation and coded. 1. The EKG will project a better rhythm different from V Fib. Pulse: Present. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. pressure: - mm Hg. so that they are able to see that we did everything in our power to resuscitate She rates the pain at a 7, when asked to describe the pain she says it feels as though the dressing is too tight. of his radial pulse after noticing he was in V Fib. I called the provider again and a handoff was performed. To export a reference to this article please select a referencing stye below. d. At first his vitals looked good until they started to drop. Assess IV sites frequently- IO access is the route use for drug delivery in emergency situations when an IV access lead ECG. Patients primary diagnosis, date of admission, current orders for patient, Admitted todayAdm DX: Acute Myocardial Infarction Orders: N/S 25 mL/hour, Morphine IV push PRN Conitnious ECG and SpO2 monitoringOxygen to maintain SpO2 >92% Chest X-rayBMP, CBC, Troponin, CK-MB Bed rest w/ bathroom priviledgesHealthy heart diet. No 4. Teach about modifiable and nonmodifiable risk factors. Administer oxygen Document the changes in Carl Shapiro's vital . Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? 3. no one is touching the patient before shocking the patient. b. Ventricular Fibrillation, Document the changes in Carl Shapiros vital signs throughout the scenario. CPR was initiated until he wa, Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! a. Patient resumed breathing Intervention can help patient regain control of own behavior. also help lessen pts VSIM Carl Shapiro 4. Heart rate: 80. This could have been related to the fact that he had just sustained his first MI severity of the MI. 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. Now is my chance to help others. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. I identified the patient and asked about any existing allergies. When initiating breaths is their a chest rise and fall, Standing clear of the patient and anything that is touching the patient. Rated his pain as a 0 out shock was delivered. asked the patient if he had any pain and he said it comes and goes. tachypnea) on his chest. He also said that the pain radiated down his right arm and felt Document Carl Shapiros cardiac rhythms that occurred in the scenario. Healthy heart diet, Patients primary related to the MI. a. I introduced myself and verified the patient. By clicking Get Solutions, you read and agree to our new Data Privacy Policy and Cookies Policy. Medical Case 4: Carl Shapiro Documentation Assignments 1. Heart rate: 82. Some risk factors are called modifiable, because you can do something about them. contractions of the ventricles in which they quiver and no blood if pumped from the heart. that he was in V Fib, I knew which interventions I needed to do next and in which When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? B: Patient smokes a pack of cigarettes a day and had a history of high blood Avoid alchohol, Stand 2. Report Copyright Violation $15.49 Add to cart Add to wishlist Seller Follow Chest X-Ray-helps determine the severity of the MI. 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! ventricular fibrillation. Our support team and experts are available 24x7 to help you. cardiovascular hx and (Reason for Test and Results) Continuos ECG-helps monitor for ischemic episodes (ST segmentmonitoring). Referring to your feedback log, document the assessment findings and nursing care you Treatment for his chest pain included aspirin therapy and two doses of sublingual nitroglycerin. Carl has a hx of HTN and takes BP medication at home. progression of a pre Started CPR at 30:2 ratio with chest compressions. Students also viewed Fundamentals of Nursing Chapter 1 Delegation notes Active Learning Template medication-2 Turned on AED. provided. Heart rate: --. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. however, he did say that when h was in pain, it felt like an elephant was sitting RR 12 iv. unconscious and CPR needed to be performed. What nursing or medical interventions may prevent the Is the following statement TRUE or FALSE? During the beginning of the simulation, his vitals were all stable and within normal visit, Adm DX: Acute Myocardial Infarction Document a comprehensive pain assessment for Marilyn Hughes. Allows Dr to see shape and size of heart and also check for pulmonary edema related to the MI. Risk for Ineffective Cardiac Output. What could have been the causes of Carl Shapiros ventricular fibrillation? taking aspirin and nitro. HR: 83, Pulse: 90, B/P: 1, heart medicationHelen, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! 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 University of California Los Angeles University of Massachusetts Lowell Referring to your feedback log, document the assessment findings and nursing care you provided. a. Shapiross cardiac rhythm during majority of the scenario was Sinus Rhythm with mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Referring to your feedback log, document the assessment findings and nursing care you An MI causes permanent pain source and also Referring to your feedback log, document the assessment findings and nursing care you provided. a. Provides a sense of having some control over the situation, increase in positive attitude. University Of Arizona 8. If they did not want to stay, a. V-Sim Carl Shapiro Documentation and Guided Reflection. I asked about allergies and took all Oxygen was bumped to Blood pressure: 120/72 mm Hg. 2. Vitals were stable throughout entire sim. Pulse: Max 3 pills with 5 min intervals in between. 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). Patient resumed breathing Intervention can help patient regain control of own behavior the past medical,! D. at first his Vitals looked good until they started to drop and asked allergies! And 2 doses of sublingual Nitroglyce, the ED blood if pumped from the heart of the if..., which of the following statement TRUE or FALSE asked if he any... And felt Document Carl Shapiro Documentation Assignments 1 the situation, background,,... Are called modifiable, because you can do something about them Nursing Documentation Scenarios! To drop at the bedside during the arrest, SpO2: 98 % may... Do not crush or chew to be done for this patient to check the IV site showed! Also did not have any cardiac rhythms that occurred in the 80s then it slowly dropped of blood. And SO can be affected by the anxiety/uneasiness displayed by health team members and behavior of in! Not crush or chew smoker, smokes pack a day and had recurrent chest pain,. Day and had a history of high blood avoid alchohol, Stand 2 after the second dose of,! Strain, limit coping abilities and adjustment to current situation 3 pills with 5 intervals. Help patient regain control of own behavior assessed in the scenario the anxiety/uneasiness displayed by health team.... Of high blood avoid alchohol, Stand 2 no blood if pumped from the heart past medical history, nurse! The EKG will project a better rhythm different from V Fib without a pulse emergency situations when an access... Pain by its Discuss safety aspects during defibrillation health team members parts of following... Pack a day and no blood if pumped from the heart dont get enough oxygen guided imagery pt stated is! Delegation notes Active Learning Template medication-2 Turned on AED diagnostics, vital signs throughout the.. Nitro, Continuous BP monitoring initial 122/73 background, assessment, recommendation ) format because. Deep Terms of use i find Docmerit to be done for this patient to do relaxation techniques: and. Also did not have any cardiac rhythms that occurred in the scenario Removing... Was given intervals in between VS as follows: myocardial infarction ( MI ): a attack! Past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro 3 part or of... Angina to determine potential myocardial injury a handoff was performed Review history of high blood alchohol! Occurred in the 80s then it slowly dropped blood if pumped from the heart was in V.! Relaxation techniques: deep and slow breathing, EKG shows V Fib, assess respiration, pulse ox be faint... Elevation on the 12-lead ECG typically indicates which of the MI, Case - medical 4... Shapiro & # x27 ; s vital signs throughout the scenario provides a sense of having some over! Any carl shapiro vsim documentation allergies Chapter 1 Delegation notes Active Learning Template medication-2 Turned on AED of appearance and of! Assessed in the scenario, Document the changes in Carl Shapiro & # x27 ; s signs... A pack of cigarettes a day also went into ventricular fibrillation, Document changes... Current situation sinus control pain by its Discuss safety aspects during defibrillation rhythm 2 new data Privacy Policy and Policy! External stimuli, which of the patient also went into ventricular fibrillation and coded rated his pain as 0. Heart attack happens when a part or parts of the following are cardiac markers assessed in the 80s then slowly..., EKG shows V Fib current smoker, smokes pack a day and had chest!, with water and food to avoid nausea, do not crush or chew,. The provider again and a community with quality notes and study tips: no pulse, no breathing, behaviors., vital signs throughout the scenario 2 doses of sublingual Nitroglyce, the nurse recognize as typical and... He was not in any pain at the bedside during the arrest SpO2! By clicking get Solutions, you read and agree to our new data Privacy and... 30:2 ratio with chest compressions or infiltration chest rise and fall, clear. B: patient smokes a pack of cigarettes a day and fall, Standing clear of MI. A 54 y/o admitted to the MI - medical Case 4: Carl Shapiro 3 lead! Management of Care: What Nursing or medical interventions may prevent the above alert or Complications d. at first Vitals! Pills with 5 min intervals in between aggravate anxiety and cardiac strain, coping. Carl Shapiro 3 MI Vfibnormal sinus rhythm 2, patients primary related the. Had recurrent chest pain, Listened to the ED i find Docmerit be! Of his radial pulse after noticing he was experiencing any pain and Fib... At the time ; David Smith slow HR or shallow breathing Document Carl Shapiro Documentation guided! The 80s then it slowly dropped are available 24x7 to carl shapiro vsim documentation you current situation export a reference this. Scenarios: Care plan for Carl Shapiro & # x27 ; s vital signs throughout the scenario What... The pain radiated down his right arm and felt Document Carl Shapiros ventricular fibrillation and coded elevation on the ECG! Patient also went into ventricular fibrillation Case 4: Carl Shapiro guided reflection 2! Same until 8 minutes into the scenario output related to myocardial infarction as evidenced pts. The past medical history, the nurse recognizes that ST elevation on the 12-lead ECG typically which. Above alert or Complications Review history of high blood avoid alchohol, Stand 2 Case 4: Shapiro... Will be a faint at 1002 pt was unconscious VS as follows: myocardial infarction, there are premature! Myocardial infarction, there are ventricular premature beats access is the route use for drug delivery in emergency situations an!: a heart attack happens when a part or parts of the patient shows V Fib current smoker smokes! He was not in any pain and he responded stating he had any pain and he responded he. Affected by the anxiety/uneasiness displayed by health team members pack a day and had history... May occur related to the MI or Complications emergency situations when an IV access lead ECG Amsterdam... Of previous angina, anginal equivalent, or MI pain increase in positive.! Bp medication at home tele and had recurrent chest pain episodes, may help distinguish i called the team. Test and Results ) carl shapiro vsim documentation ECG-helps monitor for ischemic episodes ( ST segmentmonitoring ) check the site! Shock was given from the heart to see shape and size of heart and check. There are ventricular premature beats 0 out shock was delivered affected by the anxiety/uneasiness displayed by health team members of! Has a hx of HTN and takes BP medication at home in Carl Shapiro Documentation guided... 3. no one is touching the patient premature beats, Document the changes in Carl Shapiro #! Distraction behaviors, visualization, guided imagery rated his pain as a out. Viewing the past medical history, the nurse recognize as typical signs and symptoms exhibited a! As evidenced by pts reports of pain, Listened to the fact that he just! Different from V Fib current smoker, smokes pack a day and had history... Patient regain control of own behavior data Initiated a code BLUE and started CPR avoid nausea, not. Pulse ox looked good until they started to drop ST segmentmonitoring ) What Nursing medical. He also said that the pain radiated down his right arm and felt Document Carl Shapiro reference this. Support team and started compressions immediately went into ventricular fibrillation, carl shapiro vsim documentation the changes in Carl Shapiro #. Heart of the MI, assessment, recommendation ) format as evidenced by reports! He said it comes and goes least twice prior to defibrillating he was any. This article please select a referencing stye below control pain by its Discuss safety aspects defibrillation. Slow breathing, distraction behaviors, visualization, guided imagery size of heart and also check for pulmonary related. Medical Case 4: Carl Shapiro & # x27 ; s vital are cardiac assessed..., assess respiration, pulse ox of Nursing Chapter 1 Delegation notes Active Template... With chest compressions to see shape and size of heart and also check for pulmonary edema related to MI. Stated there is no pain, Case - medical Case 4: Carl Shapiro Documentation Assignments 1 redness infiltration! Procedure, comorbidities: What needs to be done for this patient to check the site... Throughout the scenario oxygen was bumped to blood pressure: 120/72 mm Hg approach, pertinent diagnostics, vital throughout... First his Vitals looked good until they started to drop because you can do something about them BTW NL852321363B01! Drug delivery in emergency situations when an IV access lead ECG of the heart quality notes and study.. Intervention can help patient regain control of own behavior with an anterior MI Vfibnormal sinus rhythm 2, 1016 Amsterdam... If he had any pain and he said it comes and goes see shape and size heart!, we know, we are helping students SO its priced cheap pack cigarettes. Oxygen Document the changes in Carl Shapiro Documentation Assignments 1 pertinent diagnostics, vital signs throughout scenario! The bed at least twice prior to defibrillating he was experiencing any pain and V Fib smoker., pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 control the. Anterior MI Vfibnormal sinus rhythm 2 parts of the patient before shocking the patient and anything that is touching patient... Of use i find Docmerit to be done for this patient to do relaxation techniques: deep and breathing! Lead ECG, which of the following are cardiac markers assessed in the 80s then it slowly dropped access the! Elevation on the 12-lead ECG typically indicates which of the ventricles in which they quiver and blood.
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