Dear Nurses

Wednesday, March 11, 2020


Scenario: Mrs. R is a 48 year-old female who has a history of a previous myocardial infarction. She was admitted 2 days ago with mild chest pain. She was resting comfortably when she suddenly started feeling short of breath. She is anxious and calls the nurse.

What actions did the nurse take?
-The nurse reassures Mrs. R. She does an assessment, vital signs, and oxygen saturation. She gives oxygen per protocol.

-The nurse notifies the doctor of what has occurred and her assessment findings. She also mentions the vital signs, low oxygen saturation, and steps that were taken to correct the saturation. The doctor gives further orders, including a transfer to CCU.

Why chest pain assessment?
It must be remembered that a patient with heart damage will also experience chest pain. Assessment of the pain should also be included. This may be sharp, with radiation to shoulder/jaw, or it may feel like chest pressure.

Helpful Hint:
Chest pain should always be assessed.
 Enjoy learning more about this topic by clicking on the link:
Simplifying Cardiogenic Skock


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