Chest Pain Syndrome Analysis

A 68 year old male presented to the emergency department at 0800 hours via ambulance after experiencing chest discomfort and intermittent palpitations since 0500 hours. Prior to presentation, the patient stated he

Prior to starting medical treatment, I would like to obtain an ECG first to make sure that your chest pain is not related to any heart disease. GERD is most likely the cause of noncardiac chest pain, but it is important for patient safety that we get an ECG to make sure that we don’t overlook the possibility that you are having any cardiac symptoms (Buttaro et al., 2017).

To determine if the patient’s chest pain is related to injury, you would look for ST-segment elevation. Myocardial injury represents a worsening stage of ischemia. If ST-segment elevation is greater than or equal to 1mm above the isoelectric line, it is significant and treatment needs to be prompt and effective to try to restore oxygen to the myocardium, and to avoid or limit infarction. The absence of serum cardiac markers confirms that infarction has not

The dental office can be a place of weakness for any cardiac attacks. Whether stable or unstable angina, patients subject to these attacks should be handled with a higher level of awareness. If a patient with a known history of angina experiences chest pain during a dental procedure, the procedure should be immediately stopped. The patient should be seated upright and given GTN sublingually and oxygen immediately. If the patient’s pain is not relieved within 3 minutes this pain may be caused by a possible myocardial infarction and medical help should be summoned.

Patients experiencing chest pain require immediate assessment, including a twelve lead ECG within the time frame of ten minutes, will provide vital evidence of a cardiac, plueretic or musculoskeletal event (Acute Coronary Care Clinical care standards 2014).

On Tuesday August 30, 2016 a Male 63 years of age came into Christus Spohn South Heath Center with a diagnostic order for chest and rib x-rays. He was being seen because of chest pain on his right side due to a fall. He had an extensive patient history of x-rays that went as far back as 2014. For the year of 2016 he received approximately 12 different x-ray series. For example, on January 12, 2016 he received a chest 1 view image and cardiac catheterization. On May 21, 2016 he received a chest 1 view and a complete 4 view foot. On May 30, 2016 he received a cardiac catheterization. On June 1, 2016 and again on June 2, 2016 he received a chest 1 view. On June 10, 2016 he received a catheterization. On August 25, 2016 he received a chest 2 view. On August 26, 2006 an upper extremity without contrast. The patient also has a history of open heart surgery and receives dialysis treatments and is on oxygen.

D-This writer met with the patient to address the status of her appointment at Charter Oak. According to the patient, the clinic only did a medical assessment, not a physical and an EKG. The patient as she reported has to wait 30 days for a physical exam and an order for an EKG, which upset the patient In addition, it was recommended for the patient to see a cardiologist specialist for block arteries and

As a provider, one will take care of many females with varying degrees of chest discomfort. Therefore, one must be able to assess, diagnose, and treat this problem. For the purpose of this discussion, I will evaluate a patient that presents with chest pain. I will evaluate a case, consider the signs and symptoms presented by the woman, and develop differential diagnoses for the issue. I will also evaluate treatment options and education strategies for the patient.

Mrs. Lee will require blood work. Cardiac enzymes will be drawn, including a troponin and a creatine kinase. All cardiac patients should have biomarkers

How would you evaluate and manage a pediatric patient who has a chest pain? Which diagnostic studies would you recommend for this patient and why? When would you refer the patient to a specialist?

Overnight patient complain of increased chest pain 8/10 nitroglycerine drip had to increased to a 100mg/min. After the increased of the drip the chest pain decreased to 5/10 by this am chest pain was 1/10. Dr Beacon Cardiologist in to see patient and informed the patient and wife that he will be cancelling the catherization since there was no ST elevation show on the ekg he thought he could manage his chest pain medically.

Vital sign: Patient weigh 169 pounds, temperature 99, pulse is 56, respiration rate 16, pulse ox 98%, blood pressure 96/60. Pain level

Sharp pain in the back, chest and shoulders along with difficulty breathing are indicators of pericarditis rather than a heart attack. Assessment of the patient’s medical history with heart surgery, diseases, radiation treatment, and viral illnesses is reviewed. The doctor will perform a physical exam and listen to the heart with a stethoscope. Pericarditis produces a rough creaking sound that is best heard when the patient holds their breath and leans forward. This sound, called a pericardial rub, is created by inflamed pericardial layers rubbing against each other. If the disorder is serious there will be crackling in the lungs and muffled heart sounds. Jugular vein distention in the neck is also present with progressed pericarditis that results in cardiac tamponade. Several diagnostic procedures and tests are used for

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.

Although there are a large number of different methods to assess chest pain, the ‘PQRST’ method will help in the selection of apposite pain medication for my patient and appraise his response to the particular treatment chosen, ("PQRST Pain Assessment Method - Crozer-Keystone Health System - PA", 2017). The ‘PQRST’ mnemonic, self-reporting pain assessment will result in obtaining information for my patients nursing care plan. Characteristics including: What provokes the pain and its factors, what the quality of the pain is (stinging, dull, sharp and burning pain), does the pain radiate and its location, what the severity of pain is on a scale of 0 – 10 (0 being no pain and 10 being worst possible pain) and finally what the timing of the pain is intermittent or continuous, (Wood, 2016). After conducting a thorough assessment of my patient’s presentation, if his scaling of severity is a serious concern, I would activate a Medical emergency team (MET) to further assess my patient providing appropriate and rapid emergency assistance. In addition to this, I would also perform an electrocardiography (ECG) as this is a critical assessment in the situation of chest discomfort and shortness of breath. Performing an ECG will help the medical emergency team detect chest pain conditions by measuring the electrical activity of the heart to determine treatment methods for my patient