C/O chest pain

Specialties School

Published

Whats the best assessment for a student complaining of chest pain? I always ask if they have a cold or been coughing a lot or if it is heart burn. If they say no to either I check their HR and BP and do a visual assessment to see if they are faint or sweating. Is there anything else that I am missing?

Specializes in IMC, school nursing.
I ask about caffeine intake. My school is right next to Dunkin' Donuts. So. Much. Caffeine. (And sugar, but that is another thread).

I get a lot of chest pain complaints during the flu season. Usually the kid is coughing up a storm at the same time, so if those two are together with the description "it hurts when I breathe in" I think muscle soreness and respiratory. But I'll run vitals based on answers - usually a quick HR and auscultation.

But I also have had a student with costochondritis - that student had a doctor's order for 600 mg ibuprofen.

I would love to be right next to a DD, and I don't drink coffee. Glad I'm not, but I can dream.

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Specializes in Pediatrics Retired.
my specialty in the "before life" was trauma and orthopedics - i always am glad to learn from someone with a lot more know power!!

I was thinking the same thing. You have to be able to know a lot of stuff to be a cardiac nurse. The only rhythm I can read is asystole; sometimes. That really is a good assessment overview Mr. Thanks

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Specializes in IMC, school nursing.

Specialties are just that. Cardiac is no harder than school nursing. I am amazed at what you all know. I have less than a year, I feel like a newbie. Glad that I could give an overview that you can access for those uncommon complaints.

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Aw. A BROMANCE! :inlove:

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Specializes in Pediatrics Retired.
Aw. A BROMANCE! :inlove:

You're just jealous. But not to worry. There is enough of us to go around.

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You're just jealous. But not to worry. There is enough of us to go around.
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Specializes in Pediatrics Retired.
[ATTACH]20339[/ATTACH]

yea, really

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yea, really

Did someone switch out OldDude's chamomile tea with 5 hour energy and Vodka?

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Specializes in Pediatrics Retired.
Did someone switch out OldDude's chamomile tea with 5 hour energy and Vodka?

In my mind, yea really, bring it on!!

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In my mind, yea really, bring it on!!

Dude.

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And then again, quite often the pain is just a "wandering fart."

My students have lunch, then recess. They act like wild animals after eating, then wonder why they are uncomfortable...

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Specializes in School nursing.
And then again, quite often the pain is just a "wandering fart."

My students have lunch, then recess. They act like wild animals after eating, then wonder why they are uncomfortable...

Truth.

Kids are surprised - especially the girls, everyone farts, ladies - when I suggest going into my bathroom and seeing if they need to expel gas. Oddly enough, when I used to work with elementary kids, they jumped at the chance to let one rip (boys and girls!), but the MS and HS kids...nope.

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