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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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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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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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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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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Small Pain in My Chest by Michael Mack was read over to 5000 people‚ at the funeral of the first Blackhawk helicopter pilot‚ who was shot down in Iraq. It is also read at the Vietnam Veterans meetings. The poem shows the pain suffered by the soldiers in a war. It also portrays the human spirits in times of war and crisis. The summary of the poem Small Pain in My Chest is given below. Stanza 1: The narrator comes across a soldier who was sitting under a tree‚ peacefully. As the narrator walks towards
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PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend to about the 10th
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