The patient is admitted to the cardiac unit. Chart View Physician Orders IV sali
ID: 243946 • Letter: T
Question
The patient is admitted to the cardiac unit.
Chart View
Physician Orders
IV saline lock
O2 titrate to keep sats above 92%
Cardiac monitor
Cardiac ECHO
Atenolol 50mg by mouth daily
Aspirin 81 mg by mouth daily
NPO
Call with results of ECHO
Patient was admitted to the inpatient unit and is having a second episode of chest pain and dyspnea, this time with lightheadedness.
Based upon the patient symptoms, what steps (in order of priority) will you take as the nurse in the cardiac unit?
Chart View
Physician Orders
IV saline lock
O2 titrate to keep sats above 92%
Cardiac monitor
Cardiac ECHO
Atenolol 50mg by mouth daily
Aspirin 81 mg by mouth daily
NPO
Call with results of ECHO
Explanation / Answer
Inform to the senior staff and the consultant
Perform pain assessment according to PQRST-position/provoking factors, Quality, Radiation, Severity/symptoms, time
Document vital signs
Monitor goal directed oxygen therapy
Aspirin administration if not contraindicated
Perform 12 lead ECG
Make arrangements for defibrillator
CBC, Biochemistry, Troponin and electrolytes
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