CHEST PAIN Chest Pain Overview If you are having severe pain‚ crushing‚ squeezing‚ or pressure in your chest that lasts more than a few minutes‚ or if the pain moves into your neck‚ left shoulder‚ arm‚ or jaw‚ go immediately to a hospital emergency department. Chest pain is one of the most frightening symptoms a person can have. It is sometimes difficult even for a doctor or other medical professional to tell what is causing chest pain and whether it is life-threatening. * Any part of the
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attention when they experience chest pain. Many patients assume the chest pain is from indigestion or acid peptic symptoms. These patients waste time with antacids. Chest pain may be accompanied with vomiting‚ sweating and breathlessness. It is known that 15-20% of heart attacks can be painless especially in diabetics and elderly. Severe chest pain can be caused by several other issues and it needs to be ruled out to receive proper treatment. Five known causes for chest pain are pericarditis‚ aortic
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Case Study-Harry Tonka (Chest Pain) Case Scenario Harry Tonka entered the emergency department with midsternal chest pain‚ which started while he was playing basketball at the gym. Harry Tonka is 42 years old and 5’10” tall‚ and weighs 205 pounds. He smokes one pack of cigarettes per day and works in a office. On admission‚ he complains of nausea but no vomiting and no diaphoresis. His blood pressure is 175/92 mm Hg; his temperature is 99ºF‚ pulse is 127 beats per minute‚ and respiration rate is
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Most likely diagnosis considering the clinical picture Localised chest pain over the sternum is a common symptom and can be an indicator of a large assembly of conditions. Commonly seen in cardiac diseases including angina pectoris‚ myocardial infarction and pericarditis (Patient.info‚ 2017). As well as in disorders of the gastroesophageal‚ psychiatric and pulmonary diseases; pneumothorax‚ gastro-oesophageal reflux disease‚ pleurisy‚ panic attack and pulmonary embolism (Kaski‚ 2016; Eslick‚ Jones
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Chest pain or pressure that patients feel is commonly called angina. This usually occurs as a symptom of a problem with the heart and its blood supply. There are two types of angina called stable and unstable. Stable angina is where a person is feeling pain‚ chest pressure‚ or radiant pain in left arm and back with exertion. The more serious type is unstable angina‚ which means having those symptoms even at rest. There is a system of arteries that supply oxygen rich blood to the myocardium‚ or heart
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Nursing Care Plan for Chest Pain NURSING DIAGNOSIS OUTCOME/GOALS INTERVENTIONS EVALUATION Acute chest pain related to ischemic cardiomyopathy as evidenced by tightness in chest. Patient will be chest pain free for duration of shift. Assess for chest pain q 4 hours during shift. Monitor vital signs q 4 hours during shift. Educate patient on importance of lifestyle modifications such as weight loss. Goal was met. Pt was chest pain free during shift. NURSING DIAGNOSIS
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Patient Desire Desires 0 pain‚ will accept 1-2 on 0-10 pain scale. Has incision pain of 2-3 between drsg changes‚ which is controlled by two Percocet‚ has a 6 during changes. Scenario K.C. 43 y.o. female 280 lb‚ I&D of renal abscess 2nd post op day. Being d/c’d home where daughter will do drsg changes. What is Pain? According to (Lewis‚ 2011) The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or
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lips finished the last word‚ I felt a drop of sweat fall onto my pant leg. My head ached and I started to hyperventilate. Everyone else seemed to be fine‚ so normal. I grabbed my friend’s shoulder as I felt like my heart was going to burst out of my chest. In a muttered manner I said‚ “I need some fresh air.” As I scraped my feet along the door‚ I stepped to the outside of the door with the hope that some cold air would aid‚ what seemed to be‚ a heart attack. I wanted to figure out the cause of
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ic Case 4: Brittany Long Guided Reflection Questions Opening Questions How did the simulated experience of Brittany Long’s case make you feel? Brittany Long’s case gave me the experience of providing care for a patient diagnosed with sickle cell. Initiallly‚ I was unsure on which pain medications to give being that she had orders for acetaminiophen‚ ibuprophen and morphine. I decided to stck with the morphine after retrying since her pain level was severe. Describe the actions you felt went well
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THE CHEST EXAMINATION Physical examination of the chest The chest indicates the region that lies under the neck and above the abdomen. Chest wall is composed of sternum‚ ribs‚ and vertebras. The anterior part is a little shorter than the posterior part. Chest examination includes many components: chest shape‚ chest wall‚ breasts‚ vessels‚ mediastinum‚ bronchus‚ lung‚ pleura‚ heart‚ and lymph nodes‚ etc. In addition to general physical examination‚ the following check methods have been
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