From the data given, identify: Primary Data Source. Secondary Data Source. Subjective Data. Objective Data.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter23: Vital Signs And Measurements
Section: Chapter Questions
Problem 23.2CS
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From the data given, identify:

Primary Data Source.

Secondary Data Source.

Subjective Data.

Objective Data.

Rose Montefalco, age 78, comes to ED with chest pain. Subjective and objective data include:
Patient states, “My chest is killing me; it feels like l'm in a vice." Pain severity 10/10; difficulty
breathing, blood pressure (BP) 170/110 mmHg; pulse 118 beats/min and regular; respirations
32/min; temperature of 37.6°C; pulse oximetry 90% on room air, patient diaphoretic, pale and
clammy; cardiac monitor shows sinus tachycardia with occasional premature ventricular
contractions, electrocardiogram (ECcG), chest x-ray and cardiac enzymes done; oxygen via nasal
cannula at 3L/min. Intravenous nitroglycerine started, and chest pain decreased to 8/10 within 2
hour after starting nitrogylcerin; BP 160/100 mmHg; pulse 110 beats/min; respirations 28/min;
pulse oximetry 93% on 3L of oxygen. Old records show history of hypertension.
Transcribed Image Text:Rose Montefalco, age 78, comes to ED with chest pain. Subjective and objective data include: Patient states, “My chest is killing me; it feels like l'm in a vice." Pain severity 10/10; difficulty breathing, blood pressure (BP) 170/110 mmHg; pulse 118 beats/min and regular; respirations 32/min; temperature of 37.6°C; pulse oximetry 90% on room air, patient diaphoretic, pale and clammy; cardiac monitor shows sinus tachycardia with occasional premature ventricular contractions, electrocardiogram (ECcG), chest x-ray and cardiac enzymes done; oxygen via nasal cannula at 3L/min. Intravenous nitroglycerine started, and chest pain decreased to 8/10 within 2 hour after starting nitrogylcerin; BP 160/100 mmHg; pulse 110 beats/min; respirations 28/min; pulse oximetry 93% on 3L of oxygen. Old records show history of hypertension.
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