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Chest pain |
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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 four 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 ECGs 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, ie. 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 CEs, UECs and FBC.
OUTCOMES:
Pain free status in patient.
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