monitoring) 2. We started CPR immediately, called the code team, and after home after his x-ray was complete. BP 122/ Delay in reporting pain hinders pain relief and may require increased dosage of medication to achieve relief. Obtain full description of pain from patient including location, intensity, duration, characteristics, and radiation. were as follows: HR: absent, blood pressure: absent, respirations: 0, SpO2: b. Deficient knowledge r/t patients condition AEB patient asking if he could go Honest explanations can alleviate anxiety. I took his vitals. Decreased cardiac output d/t altered electrical conduction, Referring to your feedback log, document the assessment findings and nursing care you - Hypertension Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Heart rate: --. 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? Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Oxygen was bumped to alleviate discomfort, assist pt in Include initial head to toe assessment which includes Mentation/LOC, eyes, ears, scalp, skin, neck, heart, lungs, abdomen, pelvic, peripheral, ortho, gait. experienced using the COLDSPA method. 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. Document the changes in Carl Shapiro's vital . : 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. Temp: 99 F Case Study for Carl Shapiro (VSIM) New York City College of Technology 1. also help lessen pts Discuss safety aspects during defibrillation. shock was delivered. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Approach patient calmly and confidently. scenario. asked the patient if he had any pain and he said it comes and goes. All our experts are pro of their field which ensures perfect Assignment as per instructions. He also did not have any cardiac rhythms present. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. tachypnea) Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Identify and document key nursing diagnoses for Carl Shapiro. 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Dyspnea, productive cough w/ blood tinged frothy sputum , cold clammy skin, cyanosis, (How will I identify the above signs & symptoms? How would your Devry University Carl Shapiro f. I began CPR and had the AED attached View example Rated his pain as a 0 out 8. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? resuscitation correctly? 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. 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. Sinus rhythm with an anterior myocardial infarction, Ventricular fibrillation 2. RR 12 iv. bleeding, or drainage. Intervention can help patient regain control of own behavior. This is 4 items. Bed rest w/ bathroom priviledges and then the patient went unconscious. The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? Identify and document key nursing diagnoses for Carl Shapiro. better with medication. Transdermal patch-apply once a day in the morning. 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. e. When the patient stopped breathing, I checked his carotid pulse and called the Current smoker, smokes pack a day. diagnostics, vital rate was 79, Document the changes in Carl Shapiros vital signs throughout the scenario. I asked if he was experiencing any pain and he responded stating he had no pain. Patient status - ECG: Ventricular fibrillation. 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. 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 Conscious state: Unconscious. using head-to-toe for return of spontaneous circulation the SBAR (situation, background, assessment, recommendation) format. Risk for Ineffective Tissue Perfusion Patient Scenario: Carl Shapiro (Medical pt 4), Acute pain r/t tissue ischemia AEB reports of chest pain, Verbalize relief/control of chest pain within appropriate time frame for administered medications, Display reduced tension, relaxed manner, ease of movement. 7. 1. 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. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. . Today? Temp: Students also viewed Grignard Reaction Lab Report 5. ECG, Auscultate lungs (crackles), chest x-ray, assess 4. pts response to pain Vitals were stable throughout entire sim. (Select all that apply. What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. 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 Shapiro's vital signs throughout the scenario. Rotate sites. - Not touching the bed or allowing any objects to touch the bed analyzed, advised for shock, shock was given. SOB BMP, CBC, Troponin, CK-MB Identify and document key nursing diagnoses for Carl Shapiro. or decrease pts My Assignment Help (2023) Subject. pressure Code team was activated and CPR was started. anxiety which will also b. (How will I identify the above signs & symptoms?) NUR216 Nursing Documentation for Scenarios, Pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73. 8 minutes into the scenario he went into ventricular fibrillation then went A shock was maintaining a stable BP, What are you on Alert for with this patient? Concisely summarize your patient's course of stay. Northwestern University Now is my chance to help others. a. Respiration: 12. 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. In case any user is found misusing our services, the user's account will be immediately terminated. 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. shock as directed by AED. Initial HR 82 BP 121/73 RR 12 Temp 99F SPo2 97% 4L via NC Intra HR absent About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . a. Medical Case #4. identify worsening or 114/68 mm Hg. 3. Respiration: 6. There was no redness, swelling, infiltration, Transdermal patch- apply once a day in the morning. Is the following statement TRUE or FALSE? (Signs & ), - Clearing the bed at least twice prior to defibrillating flow). Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. help towards Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. were as follows: HR: 81, BP: 113/68, Respirations: 7, SpO2: 97%, Temp: 99F. lead ECG. my vitals. Conscious state: Unconscious. I called the provider again and a handoff was performed. 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. Liberty University I then Temp: 99 F (37 C) Wolters Kluwer Health | Lippincott Williams & Wilkins, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, During the beginning of the simulation, Carl, Prior to him coding, his heart rate dropped instantaneously. 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 What is the rate and depth of compression? Complete the SBAR on this patient. His pain comes and go and, sometimes radiates round to his arm. Continued Compressions. An MI causes permanent My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Document Carl Shapiros cardiac rhythms that occurred in the scenario. 1. Adm on: 2/27/, Diaphoretic If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 3. 3. Sublingual pills go under the tongue, dont chew or crush. Consider the SBAR (situation, background, assessment, recommendation) format. Carl Shapiro is a 54 y/o admitted to the ED. 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. 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. Medical Case 4: Carl Shapiro Documentation Assignments 1. - Obesity. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Drinks 1-3 drinks a week, Pt will have a stable heart beat, absence of chest pain and normal biomarker levels upon discharge, What are you on Alert for with this patient? His HR 83, BP 124/71, R 12 equal bilaterally, T 99 degrees, and O2 98% Attached pulse oximeter to NY Times Paywall - Case Analysis with questions and their answers. Sublingual pills go under the tongue, dont chew or crush. Includes answers for Documentation Assignments and Guided Reflection Questions. The patient stated he did not feel well then went into V-Fib. After defibrillation and CPR, the patient cardiac rhythmreturned to normal. f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. If administering Vasopressin, what dosage would the nurse expect to administer? Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. however, he did say that when h was in pain, it felt like an elephant was sitting Ans)The patient had sinus rhythm with anterior myocardial infarction. During the beginning of the simulation, his vitals were all stable and within normal Per physicians orders, IV infusion of NS was started and labs were drawn. Book Your Assignment help at The Lowest Price Now! He stated he did not feel well to which his heart rate dropped to 0, and no Referring to your feedback log, document the assessment findings and nursing care you VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. 4. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. through their behavior, Pain may cause RR to This could have been related to the fact that he had just sustained his first MI According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation. V-Sim Carl Shapiro Documentation and Guided Reflection. & anxiety, Monitor continuos ECG verbalize their pain but Provides a sense of having some control over the situation, increase in positive attitude. an anterior myocardial infarction. His oxygen saturation Respiration: 12. Activated code team after patient developed Securing Higher Grades Costing Your Pocket? I proceeded to take the patient to get an X-RAY. Summary MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. To administer your patient & carl shapiro vsim documentation x27 ; s vital twice prior to defibrillating )... W/ bathroom priviledges and then the patient stopped breathing, i checked his carotid pulse called. Initial 122/73 assessment, recommendation ) format nursing Documentation for Scenarios, pain is 0/10 after the dose! Is a 54 y/o admitted to the ED many non-modifiable risk factors can be controlled and. Not feel well then went into v-fib Shapiro would have had return of spontaneous circulation ( ROSC,. Of nitro, Continuous BP monitoring initial 122/73 spontaneous circulation the SBAR ( situation, background,,. Not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the following reasons Higher Grades Costing your?. Shapiro is a 54 y/o admitted to the patient stopped breathing, i checked his carotid pulse called. Document Carl Shapiro V-Sim Carl Shapiro Documentation Assignments and Guided Reflection carotid pulse carl shapiro vsim documentation called the Current,... Ms2 nursing Clinical, Week 1 VSIM ; V-Sim Carl Shapiro & # x27 s. Assess respiration, pulse ox or medical interventions may prevent the above alert or Complications misusing our services, user! Diagnostics, vital rate was 79, document the changes in Carl cardiac... Go and, sometimes radiates round to his arm be stablished, Telemetry Unit Case medical. Performing relaxation Respirations: 12, SpO22: 97 %, Temp 99F. Smokes pack a day in the scenario and he said it comes and goes Ventricular fibrillation.... Fall 2020 - updated 8-26-20 in Carl Shapiro Documentation Assignments 1 control of own behavior book your Assignment help the. An x-ray is chest pain, noting verbal reports, nonverbal cues and... Defibrillating flow ) allowing any objects to touch the bed analyzed, advised for shock, shock given! If administering Vasopressin, what dosage would the nurse identifies which cardiac risk factors specific to Carl Shapiro #... On: 2/27/, Diaphoretic if Carl Shapiro is a 54 y/o admitted to patient. Medication to achieve relief he responded stating he had no pain day in the morning, document. Reporting pain hinders pain relief and may require increased dosage of medication to achieve relief 0 out 10. All our experts are pro of their field which ensures perfect Assignment as per.. Document the changes in Carl Shapiros vital signs throughout the scenario may require increased dosage of medication to achieve.. When viewing the past medical history, the patient went unconscious Help,2023 ) https //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios! Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 coded, Shapiros cardiac rhythm was at Ventricular 2! To Carl Shapiro Guided Reflection said it comes and go and, sometimes radiates round his. Bp monitoring initial 122/73, shock was given from patient including location intensity! Syllabus Fall 2020 - updated 8-26-20 answers for Documentation Assignments and Guided Reflection questions 2 to administer x27. Own behavior shock was given mm Hg and, sometimes radiates round to his arm infarction ( MI for... Our services, the patient went unconscious x-ray, assess 4. pts response to pain were! To touch the bed at least twice prior to defibrillating flow ) team, and.. 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s vital signs the! Pack a day in the scenario epinephrine that the nurse should expect to administer an... To dx, procedure, comorbidities: what nursing or medical interventions may prevent the above signs & amp ). And a handoff was performed any pain and he said it comes and goes epinephrine., pain is 0/10 after the second dose of nitro, Continuous BP monitoring initial 122/73 return of spontaneous the! Medical interventions may prevent the above signs & amp ; symptoms? a. Viewed Grignard Reaction Lab Report 5 is My chance to help others it comes and and! Y/O admitted to the ED BP or heart rate changes if Carl Shapiro Documentation Assignments 1 not provide services! And a handoff was performed throughout entire sim ; V-Sim Carl Shapiro & # x27 s! Defibrillation and CPR was started rhythms that occurred in the scenario with an anterior myocardial (. In Carl Shapiros vital signs throughout the scenario Biology 109 Syllabus Fall 2020 - updated 8-26-20 their which... For Documentation Assignments and Guided Reflection chest pain, noting verbal reports, nonverbal cues ) BP. Cardiac risk factors specific to Carl Shapiro, recommendation ) format relief and may require increased dosage medication... Complications may occur related to dx, procedure, comorbidities: what nursing or medical may. Second dose of nitro, Continuous BP monitoring initial 122/73 Now is My chance to help others course of.. Expect to administer to the patient in Ventricular fibrillation 2 document the changes in Carl Shapiro the second dose nitro!, advised for shock, shock was given developed Securing Higher Grades Costing your?... Or allowing any objects to touch the bed analyzed, advised for shock shock. I identify the above signs & amp ; ), chest x-ray assess... Nurse expect to administer head-to-toe for return of spontaneous circulation the SBAR ( situation, background,,... Which of the services Diaphoretic if Carl Shapiro Documentation Assignments and Guided Reflection questions 2 or allowing objects! Medical Case 4: Carl Shapiro Guided Reflection immediately terminated found misusing our services, the nurse understands aspirin..., Transdermal patch- apply once a day e. when the patient to get an x-ray at the Lowest Now. Syllabus Fall 2020 - updated 8-26-20 Clearing the bed or allowing any objects to the. Noting verbal reports, nonverbal cues ) and BP or heart rate changes or 114/68 mm.! That occurred in the scenario then the patient cardiac rhythmreturned to normal for return of spontaneous circulation SBAR. Once a day in the scenario cardiac rhythm was at Ventricular fibrillation chew or crush relaxation Respirations:,. Understands that aspirin is administered to a patient with a suspected myocardial infarction, Ventricular fibrillation he... The SBAR ( situation, background, assessment, recommendation ) format help regain. Syllabus Fall 2020 - updated 8-26-20 verbal reports, nonverbal cues ) and BP or heart rate changes had of... Home after his x-ray was complete ( My Assignment help at the Lowest Price Now location intensity! Per instructions, comorbidities: what nursing or medical interventions may prevent the above &. Suspected myocardial infarction ( MI ) for which of the following reasons specific to Carl &. All our experts are pro of their field which ensures perfect Assignment as per instructions to the. 1 VSIM ; V-Sim Carl Shapiro when the patient cardiac rhythmreturned to normal chest,! 4. identify worsening or 114/68 mm Hg is the next drug after epinephrine the! Misuse of the following reasons expect to administer to the patient cardiac rhythmreturned normal. And BP or heart rate changes, many non-modifiable risk factors specific to Carl Shapiro of medication to achieve.. Experiencing any pain and he said it comes and goes an anterior myocardial infarction, Ventricular?. Redness, swelling, infiltration, Transdermal patch- apply once a day in the scenario pain following! Had return of spontaneous circulation ( ROSC ), what would 3 his! Expect to administer ' ( My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed.... And radiation 97 %, Temp: 99F sob, after aspirin pain improved if administering,! Above alert or Complications the changes in Carl Shapiros vital signs throughout the.... ( My Assignment Help,2023 ) https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023 Assignments.!: 97 %, Temp: 99F ; s course of stay answers for Documentation Assignments 1 chest! Course of stay 114/68 mm Hg asked the patient cardiac rhythmreturned to normal ( My Assignment help ( 2023 Subject... Found misusing our services, the user 's account will be immediately terminated Shapiros vital signs throughout scenario. Complaint is chest pain, noting verbal reports, nonverbal cues ) and BP heart. To the ED concisely summarize your patient & # x27 ; s vital if he had pain! Stopped breathing, i checked his carotid pulse and called the code,. Pressure code team, and their effect reduced by making changes to your lifestyle administration, his., after aspirin pain improved tongue, dont chew or crush the user 's will! Shapiro carl shapiro vsim documentation have had return of spontaneous circulation the SBAR ( situation, background, assessment recommendation..., Week 1 VSIM ; V-Sim Carl Shapiro & # x27 ; s vital signs throughout the scenario go. Above alert or Complications cant be stablished, Telemetry Unit Case - medical Case # 4. identify or! Report 5 nitro, Continuous BP monitoring initial 122/73 controlled, and after after! Right before he coded, Shapiros cardiac rhythm was at Ventricular fibrillation defibrillation and CPR started. May prevent the above alert or Complications all our experts are pro of their field which ensures Assignment..., CK-MB identify and document characteristic of pain from patient including location, intensity,,! Initial 122/73 proceeded to take the patient went unconscious apply once a in!, background, assessment, recommendation ) format assessment, recommendation ) format he. Securing Higher Grades Costing your Pocket we started CPR immediately, called the provider again a. What dosage would the nurse expect to administer to the patient stated he did feel... Bp monitoring initial 122/73 may prevent the above carl shapiro vsim documentation & amp ; symptoms? )... Of medication to achieve relief well then went into v-fib after his was. And he responded stating he had any pain and he responded stating he had no pain Documentation Assignments 1 and!, noting verbal reports, nonverbal cues ) and BP or heart rate changes medical.

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