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Assess for ABC. Give O2, semi, positioned to semi fowler. Ask the client for any medication he/she taking for chest pain. If client is taking nitroglycerin then give another one. Assess pain considering PQRTS. Anticipate ECG to be taken. If pain persist, anticipate morphine to be given as ordered.
put him on a rest position it could be semi or high fowlers. tell him to relax, try and tell him to cough, cough can boost blood circulating through the body.
First do not call yourself or other staff as novice nurse Ok!. In my own view as an ER nurse. Immediately assess any patient that complain chest pain unless proper investigation and diagnosis have been done. Place the patient in semi fowlers on bed, cardiac monitor should be attach start checking VS in the monitor, ECG must be taken to know what type rhythm that the patient has. IF you see MI start Oxygen and let the ER doctor see the patient immediately. Because we need to know WHEN is the onset of chest pain to reverse the condition of the patient with proper management or else patient may die. If normal ECG no history of precipatating factor the dr may prescribe pantoprazole IV to differenciate gastritis vs chest pain. Blood works esp cardiac enzyme needs to do just to be safe. Observe the patient accordingly with vital signs monitoring.
Well i will assess the pain on a scale subjectively and notify the physician immediately. The pgysician must order first certin treatment based on the diagnosis. If the diagnoses is Angina, Then what is the cause, is it athereoscerosis or artereosclerosis, could ir be spasm on the cardiac arteries. So this must be determined first by the Physician. But as fast as possible. You may need to administer quick releive Medications. So, remenber to utilize this.
What is your dependent role?
What is your independent role?
Even your inter dependent role?
You may notice i mentioned the answers earlier so read up and research on more of these roles
check vitals, take a lead ecg and diagnose the reason for chest pain
