Order Health assessment – Chest pain essay paper help
Health assessment – Chest pain
Health assessment – Chest pain
Order and get your assignment on Presenting and Associated Symptoms done by our best nursing writers
Chest pain from acute myocardial infarction is usually sudden onset in the substernal area, which may or may not radiate. Associated symptoms are weakness, dyspnea, diaphoresis, nausea, vomiting, palpitations, and anxiety. The pain usually lasts thirty minutes or more. Morphine and nitroglycerin do not completely relieve the pain (Uphold, & Graham, 2013).
Specific diagnostic tests used in the work up
Vital signs including heart rate, temperature, and blood pressure, and oxygen saturation should be done at regular intervals. Diagnostic tests include a 12 lead ECG, the cardiac biomarkers of CPK with isoenzymes, troponin T or I, high sensitivity C-reactive protein, CBC, erythrocyte sedimentation rate, serum electrolytes, BUN and serum creatinine. Perform a complete heart and lung exam. Assess peripheral pulses, and assess extremities for edema, cyanosis, and clubbing. Echocardiography should be ordered. This is the gold standard in diagnosing wall motion abnormalities, ventricular function, valvular or septal defects, and ejection fractions (Mcconaghy, & Oza, 2013).
1st line therapeutic interventions, patient education and follow up expectations
The first line therapeutic interventions are: aspirin 162-325 mg chewed, give nitroglycerin every 5 minutes times three doses or until chest pain is perceived as a 0 out of 10 on the pain score. Monitor the patient for hypotension. The patient should be transferred to a hospital emergency department with access to a cardiac catheterization lab. This will allow immediate reperfusion therapy with angioplasty within 2 hours if available (Dunphy, Winland-Brown, Porter, & Thomas, 2015).
Support whether or not you would refer the patient to another health care provider for treatment. Include the name of the specialty and your rationale for the referral.
Patients who present with chest pain, with or without radiation, SOB, weakness, diaphoresis, nausea, lightheadedness and a suspected MI, should be transported to the ER (Uphold & Graham, 2013). Patients with a negative ECG but their clinical presentation is suspicious should be referred to the ER. Non-urgent cases can be referred to cardiology for further investigation (Biesemans, Cleef, Willemsen, Beatriis, Reniere, Buntinx…Dinant, 2018).
Patient Education
Patient education should include teaching about medications usage, adverse effects, and how to take nitroglycerin prophylactically. Patients should also be taught proper care of the nitroglycerin tablets. Patients with a higher BMI should be placed on a low-fat reduced calorie diet. Patients should be encouraged to enter a cardiac rehabilitation program of safe exercise and risk factor modification including smoking cessation (Dunphy, Winland-Brown, Porter, & Thomas, 2015).
-
- We handle assignments for all nursing courses. So, don’t worry about the topic of the essay you want, we are ready to help you with your assignment regardless of the course or topic.
- Our writers read, understand, and follow one by one, the instructions provided to deliver the most accurate essays. We offer the correct form and style of essays.
- You can be sure the paper will have proper references based on the type of citation style you choose.
- You can always work with the same writer you liked. You can include the writer’s ID in the order form and we will ensure your expectations are met. We have writers who are experienced in all areas of study.
- Affordable services. Relax! we are not expensive, by the way, our prices are fair for the writers, but affordable to you as a customer. We will offer you a discount to try our services. Become part of our loyalty discount program by coming back for more and more services.
- We have a very flexible pricing system. The good news is that we let you choose from five quality levels; from High School to Ph.D. We also let you choose from different deadline;, from 5/6 hours to 20 days.