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
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
Based off of the case study regarding a 47 year old man who has recently been diagnosed with a heart disease known as CAD; I decided to further my research on this topic because it was intriguing to discover all heart diseases including coronary heart disease are taking the lives of countless individuals each year in our nation. A tremendous number of more than 13 million Americans (2005-2015, WebMD).
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
Cook County was having more patients than it could handle complaining about chest pain. Also, determining if the pain could be a heart attack was a very inefficient and a long process with too much information. So they streamlined the process, mainly considering 4 things which were the EGG, fluid in lungs, systolic pressure, and unstable angina. The results were more accurate and saved time. This showed that, sometimes with too much information, there is too much of the complicaticated information and an answer can’t be reached and with less information a correct answer can be reached quickly.
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,
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.
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.
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
Children are taken to the emergency department for various reasons, but pain is one of the most common. Habich and Letizia state, “Despite the high frequency of pain, pediatric patients are often not appropriately assessed for pain.” Nurses and other medical personnel failing to properly assess the pain in the emergency department is a problem that needs to be fixed. To resolve this problem, Habich and Letizia decided to conduct an evidence based protocol to review what ways the program needed to review.
Chest pain is a common presenting symptom among nearly 10% of school-age children seeking health care services. Studies have shown that at least 80% of pediatric patients seeking medical evaluation for chest pain are not cardiac related, hence, the diagnosis of non-cardiac chest pain (NCCP). On the other hand, if cardiac cause is a possibility, a prompt referral to a cardiologist is extremely important. (Lee, J. L., Gilleland, J., Campbell, R. M., Johnson, G. L., Simpson, P., Dooley, K. J., & Blount, R. L. 2013). A complete health history detailing
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.
In today’s society, people are gaining medical knowledge at quite a fast pace. Treatments, cures, and vaccines for various diseases and disorders are being developed constantly, and yet, coronary disease remains the number one killer in the world.