Question

Date: Name ck female. She is admitted at midnight with a diagnosis of Harriett is a 59 year old black female. She is admitte eezing type pain across her chest and into her left Chest Pain She complains of a squeezing type pain across her che jaw area ssure-200/110, Pulse-128 beats per minute: Respirations- 26 Vital signs are: Blood Pressure-200/110, Pulse-128 beats re.99.8: Saturation of Oxygen-86% on room air pain level 9/10 ards per minute: Temperature-99.8; Saturation of Oxygen During your initial assessment she is rubbing her mid-chest grimacing and is diaphoretic. The pain has been occurring intermittently throughout the night. Her color is pale except around her lips which are bluish. Cardiac auscultation reveals a rapid regular rhythm and a murmur, no puise deficit. She has never had this pain before. Lungs sounds are crackles in both bases with clear upper lobes She is afraid she is going to die. Per standing orders, a nurse administers & administers Nitroglycerine 0.4mg sublingually, applies cardiac electrodes for continuous cardiac monitoring, obtains an electrocardiogram, places a peripheral intravenous catheter with saline lock; positions patient in low Fowlers, and draws labs. On assessment vital signs are Blood Pressure-180/95: Pulse-108 beats per minute: Respirations- 22 per minute: Temperature-99.0: Saturation of Oxygen-90% on 2 liters per minute: Pain level 8/10. She says her chest pain hasn't changed. Heart and lung sounds are unchanged. Color is pale without previous blue changes 1. Is the type of pain this patient is having typical or atypical of cardiac type of chest pain. 2. What other types of pain would indicate a cardiac type problem but would not be specifically in the chest area? 3. Describe how women often present with cardiac problems and how they are different from men. 4. What health history information would the nurse assess after the patient's pain is gone.

Answer 1

1 Here the patient is experiencing squeezing type of pain in the left side of chest. and also pain is present in the jaw area.these are the typical symptoms of angina pectoris. angina is a chest pain or discomfort caused when heart muscles doesn't get enough oxygen rich blood.

  2 In case of cardiac type problem instead of this squeezing like pain ,pricking sensation, heart burn like sensation, Along with this pain the patient may experience pain in the epigastric pain will present,back pain,neck area pain,pain in the jaw area,or  pain in the shoulders

3  High blood pressure or diabetes during pregnancy can increase the mother's long term risk of high blood pressure and diabetes.the conditions also make women more likely to get heart disease.However we now realize that heart disease is the leading cause of death in both men and women.cardiac problems are caused by life style diseases like diabetes ,hypertension,cholesterol and also some sort of non medical causes also.these can be caused by any gender at any time.if precipitating factors are present it can be caused for everyone.

4 previous history of hospitalization

previous usage of any medications

laboratory values

ECG changes in the previous report if present

ask with the patient about previous history of breathing difficulty

5 here the patient have changes in the vital signs blood pressure is 200/110 indicates hypertension

patient is having high temperature ,tachycardia and tachypnea and here the patient experiencing severe pain so thet the pain level marked as 9/10 oxygen saturation is also comparatively less that is 86%