RN

first response to chest pain conplaint
first response to chest pain conplaint

My first response is always vital signs and to assess the patient and the nature of the pain (worsens with breaths, radiates, etc.), and consider whether there are any other things going on that may cause "chest pain" (laparascopic surgery and what not). Then go from there.

My first response was denial, but finally I went to a cardiologist.

assess! vital signs, description of pain, alleviating or worsening factors. The next step then depends on the setting. in the hospital: page MD, get EKG, is the patient prescribed nitro? At home: is the patient prescribed asa or nitro? then determine if 911 should be called or call PCPs office immediately ask for clinician on call who can help asap. the steps after assess really depend on the setting and situation (such as are there other signs of acute distress? are u on telemetry floor, in the ED, in the OR or are you in pt's home?). also look into your agency's protocol. Hope this helps a little.

I think if they are a student they need to tell us what they think first. If they are a patient we can't give medical advice.OP we need more information in order to help you.

For inpatient:Quickly assessVitalsI would order an EKG and labs (RNs in my critical care unit can do this per protocol)Page MD

I'4:01 pm by turtle0206assess! vital signs, description of pain, alleviating or worsening factors. The next step then depends on the setting. in the hospital: page MD, get EKG, is the patient prescribed nitro? At home: is the patient prescribed asa or nitro? then determine if 911 should be called or call PCPs office immediately ask for clinician on call who can help asap. the steps after assess really depend on the setting and situation (such as are there other signs of acute distress? are u on telemetry floor, in the ED, in the OR or are you in pt's home?). also look into your agency's protocol. Hope this helps a little."9:42 pm by Dranger For inpatient:"Quickly assess VitalsI would order an EKG and labs (RNs in my critical care unit can do this per protocol)Page MD"I'm incredibly frustrated by posters who literally answer homework questions for first-time posters (those who join Allnurses.com in order to obtain easy answers to homework questions). Those who freely give answers to basic anatomy, pharmacy & nursing questions are doing so much harm to the student who is seeking the easy way out. Those who seek & receive easy answers to their questions are learning nothing in the process and are literally being set up for failure in the future.

Quote from roser13Those who seek & receive easy answers to their questions are learning nothing in the process and are literally being set up for failure in the future.

first response to chest pain conplaint

Throw my hands in the air and run through the ER screaming "STEMI!!"

Quote from Racer15Throw my hands in the air and run through the ER screaming "STEMI!!"

Quote from Mr. MurseYou could at least find out whether that is what's going on or not........possible that it's just a newer nurse making sure they made the right decisions. or just nervous about a hypothetical situation.