Chest pain: nursing assessment and management
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Chest pain: nursing assessment and management
- 1. Jamie Ranse Registered Nurse Emergency Department The Canberra Hospital Chest Pain: Nursing Assessment and Management
- 3. Pneumothorax Myocardial Infarction Respiratory Infection Angina Musculoskeletal Pericarditis Aortic Dissection Trauma Anxiety Pulmonary Embolism Oesophageal Reflux / Spasm Causes
- 5. Diabetes High Blood Pressure Physical Inactivity Over 40 Vascular Disease High Cholesterol Previous MI Obesity Smoking Family History Unhealthy Dietary Habits Risk Factors
- 10. lleregies A M P L E edications revious medical, surgical and family history ast meal vents Assessment
- 11. osition: Where is the Pain? P Q R S T A A A uality: What does the pain feel like? [sharp, dull, burning] adiation: Does the pain move anywhere? everity: Rate the pain on a scale between 0 and 10 iming: When did the pain start? Is it continuous? lleviating factors: What makes it better? ggravating factors: What makes it worse? ssociated symptoms: e.g., nausea / pins and needles Assessment
- 12. Inspect Palpate Percussion Auscultation Assessment
- 18. PTCA
- 27. Questions
Notas del editor
- Inspect skin colour, scars, etc.. Palpate pulse Percussion lungs / heart boarders Auscultation heart murmurs
- B 2 via HM or NRB C FBC: Hb anaemia, WCC infection UEC: electrolyte imbalance CP: coagulation ?PE CK / Troponin: muscle / cardiac enzymes ABG: ventilation / perfusion status F Observations 5mins apart G Analgesia / medications
- B 2 via HM or NRB C FBC: Hb anaemia, WCC infection UEC: electrolyte imbalance CP: coagulation ?PE CK / Troponin: muscle / cardiac enzymes ABG: ventilation / perfusion status F Observations 5mins apart G Analgesia / medications
- Anginine Vasodilator, decreases preload and afterload therefore decreasing the workload of the heart, dilates coronary arteries Aspirin Platelet aggregation inhibitor a study of 17,000 people showed a reduced re-infarction rate of 50% Morphine Analgesia, decreases anxiety, Clopidogrel Platelet aggregation inhibitor GTN Infusion Blood pressure control, reduces pain