What would your ER do?

Nurses General Nursing

Published

Specializes in Peds.

If this patient presented at your ER trige, what would be done?

C/O: nausea, vertigo, chest tightness, headache, SOB on exertion and a BP of 178/135

H/O: HTN, Wolff Parkinson White Syndrome & Mitral Valve Prolapse

Would you send that patient right back or hand them number 110 and send them to the waiting room to wait for 40 minutes?

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Specializes in Neuro ICU and Med Surg.

I am not an ER nurse but I think this pt should be seen right away and treatment started. Including a EKG, troponins, O2, Nitro and Morphine, and ASA (unless allergic). Pt has s/sx of MI/Stroke and cardiac history. Deffinately sent back ASAP.

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Cardiac monitor asap, with O2, EKG, IV and labs. Get the doc at the bedside quickly and be prepared to push meds.

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The BP alone is reason enough to send them straight back. The rest merely adds to the urgency as they indicate the possibility of more than only acute hypertension as the chief complaint.

Ayrman

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I am not an ER nurse but I think this pt should be seen right away and treatment started. Including a EKG, troponins, O2, Nitro and Morphine, and ASA (unless allergic). Pt has s/sx of MI/Stroke and cardiac history. Deffinately sent back ASAP.

Agree!

What happened with this patient?

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Specializes in PICU, surgical post-op.

I'd be VERY interested to know their heartrate and see their EKG. And I'd also be drawing up meds.

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Specializes in ICU,ER.

Straight back......... I would have to "see" the pt., but probably would give them a Level 2 triage class.

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Specializes in TCU,ICU,OHRR,PACU,5Solid Organ Transplan.
If this patient presented at your ER trige, what would be done?

C/O: nausea, vertigo, chest tightness, headache, SOB on exertion and a BP of 178/135

H/O: HTN, Wolff Parkinson White Syndrome & Mitral Valve Prolapse

Would you send that patient right back or hand them number 110 and send them to the waiting room to wait for 40 minutes?

One of 2 things, provide very good care and see them stat. Or, totally screw up and send them home with antacids and a F/U with PMD. Converting from manual to electronic record SUCKS!!!

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Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

I've never worked in triage, but I think chest tightness and SOB gets high priority. The other symptoms are also symptoms of MI.

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Specializes in Nephrology, Cardiology, ER, ICU.

I'm sorry but we can't provide chairside advice for this situation. As one poster stated, we would need to see the pt and get more info. If you have concerns about this patient, I would seek advice from the ER who treated them.

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