CHEST PAIN SECONDRY TO MYOCARDIAL INFRACTION
Chest pain
Chest cavity is a space in the body that occurs at the top of the abdominopelvic or peritoneal cavity and between the neck and epigastric region, where most organs of various systems including some fetal parts occur. Anatomically it consists of many sub small cavities such as pleural cavity (area between the double folded membrane surrounding each lung) and mediastenum (space between but outside the two lungs) where the heart locates.
Chest pain is the one of the most prominent symptom and complaints of many diseases that affects different systems. The major causes of acute chest pain include cardiac, gastroesophageal, nervous, psychological, musculoskeletal pulmonary condition and others
It considered as a medical emergency because it may symptom a number of many serious conditions. The first thing that you may think after chest pain is a heart attack, although the pain can be a symptom for heart attack but fortunately the case is not always that cardiac in origin, surly chest pain is not something to ignore, and only way to confirm its cause is to seek a medical practitioner to evaluate the condition.
So it is important to diagnose the etiologies of cardiac conditions in patients that suffering a chest pain, in addition to chest pain of non cardiac causes might be common and serious. Performing a history taking and well physical examination stay behind the most critical element for evaluating a patient that
transitory minor episode of chest pain approximately one year ago while she was vacationing in
The signs and symptoms that you need to look out for include the most common chest pain and discomfort which likely happens during physical activity or after meals. However, chest pain may also occur with rest. The lower extremities are swelling and feelings of weakness and fainting also occur. Heart palpitations are present due to the abnormal heart
Ornato, J. P., Sayre, M. R., & Syrett, J. I. (2014). Chest pain and acute coronary syndrome. Emergency Medical Services: Clinical Practice and Systems Oversight, 2 Volume Set, 120.
Mr. XXXX is a 44 years old Caucasian male, a general construction worker who works on a nearby highway for the bridge project, and checked in this urgent care center for complaining of chest pain and shortness of breath (SOB). The chest pain is constant dull and pressure like pain, and started 3 hours ago. The pain is located on the center of chest. He rates the pain 4 out of 10 on a pain scale 0 to 10 while resting. The pain gets worse and increases after eating. He experienced increased chest pain and SOB with simple walking from the parking lot to this office. The pain was not resolved with taking PO 365mg of Aspirin 2 hours ago and resting. He was diagnosed with hyperlipedemia 10 years ago. He is taking medication to manage his high cholesterol level. He denies past history of chest pain, hypertension, and coronary artery disease. He denies any history of heart surgery or cardio artery bypass surgery. He is anxious and fearful for his first chest and SOB. He smokes a half pack a day for past 20 years. He drinks one bottle of bear every evening with meals. He denies taking any herbal medication or illicit drugs. He has been a good appetite. He reported 20 lbs weight gain since his retirement from military. He has an irregular meal time and does not exercise as much as he used to do in the military.
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
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).
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 posed as life threatening-has many definitions ranging from either stabbing, dull, crushing or burning. In certain cases, pain travels up the neck, the jaw, can radiate to the back or down one or both arms. Many different problems can cause chest pain and it can be difficult to determine the exact cause of chest pain (Burman et al’, 2011). Patients’ experiencing chest pain is symptoms consistent with, myocardial ischemia and is a common reason for presenting to ED (Pub Med Central, 2010).
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
It is important for graduate nurses to be familiar with chest pain management and therapeutic interventions as chest pain can evolve rapidly and require quick responses from nurses and collaborative teams. This essay will critically analyse the nursing care of a patient presenting to the emergency department with the primary compliant of chest pain. In this particular case, the patient’s chest pain is being caused an acute coronary syndrome (ACS) possibly an acute myocardial infarction (AMI) (Kervinen, 2013).
Since most people in our society consider chest pain to be of a cardiac origin, pediatric chest pain can not only be scary the child, but can also cause anxiety for the parents due to the fear of their child 's condition. Luckily, many causes of chest pain are usually benign and rarely can be a sign of cardiac disease. With this in mind, providers should complete a preliminary evaluation for chest pain, decide on differential diagnoses, and than develop an appropriate plan. Providers should also be aware of the most likely causes of chest pain in children, which include reactive airway disease, musculoskeletal pain, esophagitis, gastritis, and functional pain (Hay, Levin, Deterding, Abzug, 2014). Will all of those in mind, by far the most common cause in children is chest pain from a musculoskeletal injury. The initial evaluation should include a detailed history and physical examination to help guide the provider to the proper workup, and rarely is there a need for laboratory tests or evaluation by a specialist (Hay, Levin, Deterding, Abzug, 2014). First finding out when the pain started, last month, last year, and so forth, will be of high importance, then once a time frame is establish, details about the most recent episode should be obtained. The provider should ask how long the pain lasted, what made it better,made it worse, and then move on to what brought on the pain, with arm movement, breathing, dizziness, particular activity and so forth. Once the cause
One of the most common symptoms in these cases includes chest pain which is also referred to as angina. It is due to the lack of oxygen in the heart. The pain in the chest can vary from one person to the other. The pain is generally observed under the breast bone. It is seen that the pain is mainly triggered with increased motion and activity. In the case of women, the symptoms can be fatigue, weakness and shortness of breath. Angina is the sign