Question

In: Nursing

A 64 yr old man comes to the emergency department with acute chest pain. He is...

A 64 yr old man comes to the emergency department with acute chest pain. He is holding his chest with his fist directly over his sternum. He is diaphoretic. He is in work clothes and has been mowing the lawn. It is 98F outside.
What nursing actions would be appropriate immediately?

Solutions

Expert Solution

Immediate nursing actions:-

a)Firstly nursing approach should be perfect.she has to put all her skills properly.

b) Nurse have to take the response to decrease the tension of patient ,making them to be calm/stabilize to control the situation and his sweating.

c) check for the airway,breathing, circuation

d) Immediately check for vital signs such as respiratory rate,pulse rate and check for the blood pressure and have to monitor the cardio vascular system.

e)Ask about brief history of location, intensity and duration of chest pain.

f)Blood investigations of troponoin and ck-mb,ECG,portable chest x-ray can be done,these all are help in the diagnosis of the condition.

g)Acetyl salicylate (aspirin) shouble be given to control the pain it is given based on patients condition.

Conclusion:-

The nurses ultimate aim for these all immediate nursing actions,is to manage and stabilize the patient and for proper care of patient and to prevent complications and she has to take responsibility for prevention of worsening of condition of patient.

please do leave a like for my answer

Thank you

All the best


Related Solutions

S.H. is a 25-year-old man who comes to the emergency department with chest pain radiating to...
S.H. is a 25-year-old man who comes to the emergency department with chest pain radiating to the arm, behind sternum. Subjective Data Character. Substernal chest pain, pressure, heaviness, or discomfort. Other sensations include a squeezing, aching, burning, choking, strangling, or cramping pain. Severity. Pain score of 10 Location. Behind middle or upper third of sternum radiating to the arm. Objective Data Physical Examination Blood pressure 189/92, pulse 120, temperature 97.7° F, respirations 22 Labs 1.The health care provider diagnoses S.H....
An 80-year-old man comes to the emergency department reporting acute upper to mid abdominal, sporadic pain...
An 80-year-old man comes to the emergency department reporting acute upper to mid abdominal, sporadic pain and cramping. Upon assessment, the nurse observes abdominal distention and high-pitched bowel sounds. The physician has ordered flat plate and upright abdominal x-rays that show distention of loops of intestine, with fluid and gas in the small intestine in conjunction with absence of gas in the colon. The physician has diagnosed a bowel obstruction. What could be the problem? What do you assess? Name...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves by leaning forward. On review, he has noted a flu-like illness over the last several days including fever, runny nose and cough. Upon further investigation his blood test indicates signs/parameters for infection. He denies tobacco, alcohol or drug use. His head and neck examination is notable for clear mucus in the nasal passages. However, his jugular venous pressure is high. Also, during his cardiac...
JC is a 41-year-old man who comes to the emergency department with complaints of acute low...
JC is a 41-year-old man who comes to the emergency department with complaints of acute low back pain he states that he did some heavy lifting yesterday went to bed with a mile back ache and awoke this morning with terrible back pain which he States as a 10 on a 1 to 10 scale. he admits to having had a similar episode of back pain years ago after I lifted something heavy at work. JC has a past medical...
.C. is a 41-year-old man who comes to the emergency department with complaints of acute low...
.C. is a 41-year-old man who comes to the emergency department with complaints of acute low back pain. He states that he did some heavy lifting yesterday, went to bed with a mild backache, and awoke this morning with terrible back pain, which he rates as a 10 on a 1-to-10 scale. He admits to having had a similar episode of back pain years ago "after I lifted something heavy at work." J.C. has a past medical history of peptic...
A 50-year-old male patient arrives in the emergency department complaining of severe chest pain. He is...
A 50-year-old male patient arrives in the emergency department complaining of severe chest pain. He is taken to the cardiac cath lab for a coronary angiogram and left ventriculogram. The cardiologist discovers a lesion in the left main coronary artery branch and orders an immediate CABG. 1. What does the acronym CABG stand for? 2. Why does the location of this lesion make it more dangerous than lesions in other locations? 3. Could the cardiologist perform an angioplasty to repair...
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you. 1.The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at...
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you. 1. Which assessment data will you perform on his arrival to the ED? Why? 2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest...
Mr. Hunt presents to the emergency department reporting excruciating chest pain. He is a 76-year-old white...
Mr. Hunt presents to the emergency department reporting excruciating chest pain. He is a 76-year-old white male who has been working in his yard for the past several days. He reports that the pain has gotten increasingly worse, and he just knows he is going to have a heart attack and die. He is immediately placed on a cardiac monitor and given nasal O2at 2 L/min. (Learning Objectives: 12, 15, 16, and 17) 1. What questions would be helpful at...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest pain and shortness of breath. Subjective data: PMH: HTN, hyperlipidemia, coronary artery bypass graft 4 years ago secondary to myocardial infarction Sudden onset shortness of breath Crushing feeling, chest pain 10/10 Current smoker, 1 pack a day for 41 years Objective data: Vital signs: T 37 C, P 72, R 20, BP 144/64 Lungs: clear bilaterally O2 sat: 94% Skin: cool to touch CV:...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT