Published Jul 29, 2014
chicho
1 Post
first response to chest pain conplaint
TheCommuter, BSN, RN
102 Articles; 27,612 Posts
Mr. Murse
403 Posts
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.
parascribe
44 Posts
My first response was denial, but finally I went to a cardiologist.
turtle0206
20 Posts
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.
Esme12, ASN, BSN, RN
20,908 Posts
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.
Dranger
1,871 Posts
For inpatient:
Quickly assess
Vitals
I would order an EKG and labs (RNs in my critical care unit can do this per protocol)
Page MD
roser13, ASN, RN
6,504 Posts
I'4:01 pm by turtle0206
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."
9:42 pm by Dranger
"Quickly assess Vitals
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.
You 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.
akulahawkRN, ADN, RN, EMT-P
3,523 Posts
I'm both an RN and a Paramedic. Because I need further information from you about what you're looking for, I'm going go over here to the other side of the room, sit down, mediate a bit, possibly ruminate on something a bit... and ensure that I still have a pulse.
What I do and in what order kind of depends upon many factors. I need to know what you mean before I even come close to making any sort of response to the above.
Racer15, BSN, RN
707 Posts
Throw my hands in the air and run through the ER screaming "STEMI!!"
LadyFree28, BSN, LPN, RN
8,429 Posts
Oh my.