chbare Posted August 4, 2006 Share Posted August 4, 2006 You are snug in your bunk after 16 hours of sitting on your butt watching "General Hospital" reruns. You have not had such a perfect shift, and you start to doze off, and in a dream you finally realize the Sarah is alive and her twin sister seperated at birth is actually the "Phantom Killer." Then, your perfect day is ruined by that evil tone. Your unit is called to the scene of a 64 year old male having chest pain. What would you like to know? Take care, chbare. Link to comment Share on other sites More sharing options...
Scaramedic Posted August 4, 2006 Share Posted August 4, 2006 Well first off I would like an address. Peace, Marty :joker: Link to comment Share on other sites More sharing options...
chbare Posted August 4, 2006 Author Share Posted August 4, 2006 Scaramedic, 1112 Ponderosa Lane City of OZ, 91111 The neighborhood is a middle class area of town. Take care, chbare. Link to comment Share on other sites More sharing options...
AZCEP Posted August 4, 2006 Share Posted August 4, 2006 Anything out of the ordinary for the neighborhood? Where is the patient found? What does he look like? Responsiveness? Respiratory effort? Skin color/condition? Link to comment Share on other sites More sharing options...
chbare Posted August 4, 2006 Author Share Posted August 4, 2006 AZCEP, Quiet night in the neighborhood, nothing out of place. Patient is found sitting up in bed. Patient is AO times 4, he looks pale, and complains of chest pain and tightness with dyspnea. His ariway is patient and he is breathing at about 24 times a minute. Take care, chbare. Link to comment Share on other sites More sharing options...
MedicRN Posted August 4, 2006 Share Posted August 4, 2006 What time did it start? (what time is it now?) What was he doing at time of onset - watching General Hospital? mowing grass? cuddling with the wife? the Boogie Man jumped out of the woodwork?? Cardiac history (or other significant history)? Location/radiation/quality of the pain? Does he have NTG prescribed? If so, has he taken any? Medication list (any sildenafil citrate?) History of trauma? Vitals? ----- more questions pending answers to the above ----- Link to comment Share on other sites More sharing options...
hammerpcp Posted August 4, 2006 Share Posted August 4, 2006 What time did it start? (what time is it now?) What was he doing at time of onset - watching General Hospital? mowing grass? cuddling with the wife? the Boogie Man jumped out of the woodwork?? Cardiac history (or other significant history)? Location/radiation/quality of the pain? Does he have NTG prescribed? If so, has he taken any? Medication list (any sildenafil citrate?) History of trauma? Vitals? ----- more questions pending answers to the above ----- Ya, what she said. Link to comment Share on other sites More sharing options...
chbare Posted August 4, 2006 Author Share Posted August 4, 2006 MedicRN & Hammerpcp; -The pain started suddenly at 21:30 it is now 22:00. -He was sitting down watching the television. -He states he had a heart attack 6 days ago and was discharged from the hospital yesterday. -The pain is located over his heart and radiates into the substernal area. He states it is hard to describe it, but "it feels very different from his heart attack and he just does not feel good at all." -He does have NTG tablets but misplaced them. -He misplaced his meds as well, but states he takes a blood pressure/heart pill and an aspirin every day. -No history of trauma noted. -Pulse: 110 weak slightly irreg at the radial. RR: 22-24 moderately labored. B/P: 88/46. SAO2: 90% on room air. Pain: 9/10. Skin: pale and starting to look diaphoretic. Take care, chbare. Link to comment Share on other sites More sharing options...
medic429 Posted August 4, 2006 Share Posted August 4, 2006 lung sounds? abdomen? is there any edema? Link to comment Share on other sites More sharing options...
AZCEP Posted August 4, 2006 Share Posted August 4, 2006 JVD? Hooding? Tracheal deviation? Oxygen NRB/IVs/ECG--12 lead if possible/BGL Move quickly to transporting unit. Link to comment Share on other sites More sharing options...
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