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Comment on this procedure
POLICY: Management of chest pain may be undertaken by registered nurses.
STANDARDS: - Patients admitted to Coronary Care Unit.
- All patients to be monitored and rhythm strips to be recorded fourth hourly.
- Patients to have intravenous access unless otherwise ordered by medical officer.
- All events must be recorded chronologically in progress notes.
- Medications charted; date and time.
- Serial ECG's attended.
- Serial cardiac enzymes attended.
PROCEDURES: - Oxygen 6-8 litres administered via hudson mask.
- A physical assessment to be carried out. (Physical assessment should include time of onset, intensity i.e. pain score out of 10).
- Observations including BP and pulse.
- If pain persists and systolic BP 100, administer SL arginine and repeat dose up to 3 times in 10 minutes.
- If pain still persists, contact RMO for review and possible IV nitrate therapy.
- Attend ECG.
- Bloods taken for CE's, UEC's and FBC.
OUTCOMES: Pain free status in patient.
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