Chest Pain Diagnostic Studies

There are also symptoms that involve the chest. These involve chest pain due to pleurisy, and irritation of the membranes lining the inside of the chest around the lungs, and pain due to pericarditis, and inflammation of the sack surrounding the heart. With both of these conditions there is difficulty in breathing, pain, shortness of breath, or a rapid heartbeat.

The physician was notified of the pain and discomfort related to the chest tube, which pain medication was given. Other notifications were the amount of drainage from both the chest tube and the JP. Both were under normal limits. SOB and fatigue with activities were also notified to the

Cardiac: Mrs. Elliot states she has experienced chest pain 5-6 times starting three weeks ago when she is Short of breath. The pain she said is on the left side of chest and describes is as sore and uncomfortable. Additionally, the patient has experienced palpitations the past few weeks and is positive for peripheral edema. Denies redness, cyanosis, jaundice, flushing.

Client complains of chest pain and shortness of breath (SOB). Client states that he was working with heavy stones and has a sedentary office jobs and sedentary life styles. Client has a medical history of asthma & GERD. Client also complains of indigestion and has not eaten much today. Beside this information, the nurse would ask the following questions to the client in order to complete the client history which would help to make nursing diagnosis: Where exactly is the pain? Does it radiate/ go anywhere? When did the pain start? Was the onset sudden or gradual? What are you doing when it started? What does your pain feel like- burning /stabbing/ aching/ squeezing/ cramping/ sharp/ itching/ shooting/ crushing etc.? How severe is the pain,

Chest pain is a frequent cause of emergency department presentation. Many times, chest pain can be an indicator of myocardial infarction. Yearly, about 600,000 people die of heart disease in the United States, with a total of about 700,000 having a myocardial infarction. The leading source of death for both men and women is heart disease ("Heart disease facts," 2014). Managing the challenging clinical problems of those presenting with chest pain can be demanding. While clinical judgment is imperative in managing these patients, rapid treatment protocols to evaluate risk

Pericarditis: She has pain in the center of the chest, but it is not sharp, short lived, episodic, and radiating to the back in the trapezial area. The pain did decrease when she rolled on to her right side, but it did not decrease when she leaning forward. She doesn’t have dyspnea and tachycardia.

Traumatic Brain Injury (TBI), often called concussions, are very common occurrences in children. These are bruises in the brain which occur when an impact to the head causes the brain to shake back and forth against the skull. Children, including preschoolers, toddlers, and even infants, often bruise or bump their heads from variety of methods, including motor vehicle or bicycle accidents, falls from heights (beds, stairs, etc.), and sport related impacts (Duhaime et al., 1992). Occasionally, these impacts can be hard enough and result in a TBI.

Serious causes for chest pain include: Acute Coronary Syndromes (ACS): New onset angina, accelerating or crescendo angina and prolonged angina or coronary insufficiency, non ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). The typical features of cardiac chest pain are 1.) located under the breastbone or at least some of the pain is situated in this area, 2.) other features include provocation by exercise or stress and 3.) relief by rest or nitroglycerin. If all three features are present the patient is

Chest X-ray: Though not used for diagnosis, can show signs of conditions that resemble PE.

66). Prevention education is the main focus to treat and reduce the occurrences of SBS (Hockenberry & Wilson, 2011, p. 632). Once a child has been admitted for treatment for SBS, a nurse will perform “a through history and physical assessment with detailed documentation” (Parsh & Jacoby, 2013, p. 66). The nurse will also frequently assess the child’s level of consciousness, “need for resuscitation,” bulging of the soft spot, and swelling of the cranium (Parsh & Jacoby, 2013, p. 66). The healthcare team will assess the child’s respiratory status and effort because hypoxemia can easily occur due to the severe head trauma (Parsh & Jacoby, 2013, p. 66). If the child survives, specialty or focused care must be sought to maintain the child’s permanent disabilities. (Parsh & Jacoby, 2013, p. 66). According to Parsh & Jacoby, “child abuse is a crime” and should be reported to child protective services immediately (2013, p.

Respiratory: Patient denies having history of lung diseases such as asthma, emphysema, bronchitis, pneumonia, or tuberculosis. She also denies having chest pain with breathing, wheezing or noise breathing, shortness of breath, hemoptysis, sputum, toxin or pollution exposure. Patient states that she had common cold with some productive cough for about a week last month. Also, patient states that occasionally she experiences shortness of breath when she runs for more than 40 minutes. Patient states that her last chest x-ray was 1 years ago, and the results were negative.

Head injuries is defined as any external structural damage or functional impairment of the cranial contents. In the United States, it is estimated that there are 1.7 million head injuries, in which 275,000 are admitted to the hospital and 52,000 in deaths. However, many individuals do not seek medical attention when having an injury thus affecting the actual number of reported cases. When a patient has had a head injury, the health care practitioner needs to collected information that will guide him/her to utilized the appropriate diagnostic test. The information that needs to be collected include a description of injury from the patient or witness of the traumatic event while identifying the cause of the head injury, how it occurred (direct or indirect injury), and what type of force was exerted. Also, confirm the patient’s level of consciousness at the time of the injury and after

In the cases of inflicted brain trauma, abuse can sometimes be difficult to diagnose because the baby may not have any external marks, other than bruises on chest and extremities from where the infant was held (Lyden, 2011). Researchers say that retinal hemorrhages in infant’s eyes should be considered as signs of abuse until proven otherwise, although they acknowledge that retinal bleeding in infants can be caused by other conditions, those conditions can be ruled out through history, physical exam, and labs (Lyden, 2011).

One to two patients presented in the clinic area has heart murmurs heard on auscultation. The patients are asymptomatic, and the primary care will continue to monitor the patient. One particular patient stands out. A 6-year-old child verbalizes she will need a pacemaker as she gets older. She experienced shortness of breath, dizziness, severe fatigue (tiredness), fainting spell, and poor appetite. The child blood works were typical, expect the EKG showed completed heart block. She wore a Holter monitor for 24 hours, and echocardiography from the cardiologist. On assessment, the heart rate was 65pbm and regular, no chest discomfort, dizziness, palpitation or shortness of breath. The mother calms she checked her daughter pulse rate and records

The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.