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An 84 year old male with a history of “Heart problems” complains of chest pain. The...

An 84 year old male with a history of “Heart problems” complains of chest pain. The chest pain started 30 minutes ago while at rest, vitals are BP 110/70, P92, R20, SpO2 95%, what should you do ?

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Answer #1
  1. Assess the level of pain based on PQRST.
  • Position - Where the pain,

Provocation - What were you doing when the pain occurs?

  • Quality - How would you describe the pain?

Quantity - whether the pain is constant?

  • Radiation - Can you feel the pain anywhere else?   

Relief - Anything makes the pain better?

  • Severity - Ask to rate the pain between 1-10 by using pain scale.
  • Timing - How long the pain occurs?

2. Assess the associated symptoms such as dyspnea, palpitations, nausea, and dizziness.

3. Evaluate whether the pain radiates to jaw, neck, shoulder, arm, and hand.

4. Make the patient in comfortable position and elevate the bed.

5. Monitor the vital signs every 5 min.

6. Do blood investigations (CK-MB, Troponin, CBC, Electrolytes, LFT, fasting profiles and take ECG.

7. Administer Aspirin 325mg to chew.

8. Start anticoagulation therapy based on physician's order.

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