patient assessment

squeezing doll pressure commonly radiating down the arms or to the jaw. sudden onset of sweating difficulty of breathing (dyspnea) Anxiety/irritability feeling of impending doom nausea/vomiting unresponsive to stimuli

onset of symptoms duration of symptoms pain on inspiration length of time fever smoking history past medical history of associated disease

onset of symptoms duration of symptoms pain on inspiration length of time fever smoking history past medical history of associated disease

respirations pulse blood pressure temperature pulse oximetry

o p q r s t a onset provocation quality radiation severity time association

sudden gradual overtime known cause or triggers

constant and recurrent

A. sudden chest pain caused by lack of oxygen supply to a portion of the heart muscle. B. reduced blood flow to heart muscle usually due to the coronary artery disease C. concurrent with or following: sign and symptoms

physical activity stress heavy meals exposure to cold windy weather

1.pain pressure tightness or squeezing feeling in the chest area lasting 3 to 5 minutes 2.radiation of pain to neck jaw teeth shoulder arms upper back or abdomen 3.shortness of breath 4weakness 5nausea /indigestion 6sweating

it is the death of a portion of myocardium caused by inadequate blood or oxygen supply through the coronary arteries

inadequate blood supply through the coronary arteries long enough in duration that myocardium is damage from oxygen starvation. damage of myocardium causes disruption of normal electrical conduction resulting in a regular and or in effective heart activity. blood supply may be reduced or stop by: coronary artery spasm, embolus arteriosclerosis and atherosclerosis

1. sum of all signs and symptoms of angina pectoris. 2. pain maybe intermittent 3. duration of pain maybe 30 minutes to several 4. pain may occur while at rest 5. rest and/or nitroglycerin, do not relieve Pain 6. sign of shock 7. dyspnea 8. anxiety,irritability or denial

failure of heart to pump blood adequately to maintain tissue perfusion

disease heart valve hypertension obstructive pulmonary disease ineffective pomping of left/right ventricle

agitation tachycardia disney a witch shallow and labored respiration orthopnea noisy respiration edema in extremities diaphoresis possible chest pain distended neck veins upright posture

a m p l e allergies medications past medical history last oral intake events leading to onset

inflammation of mucous membranes increased mucus production sore throat coughing

consider pain reliever drink plenty of fluid rest

most often caused by viral infection. may be caused by bacteria such as group a streptococcus which is commonly term strep throat

sore throat difficulty swallowing fever swollen lymph nodes exudate on tonsils beefy red throat

antibiotics

cost by any number of respiratory viruses

cough, usually productive shortness of breath wheezing rales, rhonchi sore throat

the term copd identify patient with emphysema and chronic bronchitis

characterized by an excess of bronchial secretions

characterized by destruction of air spaces with permanent airspace enlargement

smoking pollution infection allergies

excessive chronic cough sputum production chronic, increasing shortness of breath dyspnea on exertion in early stages of the disease patient may be asymptomatic

nation of lungs caused by viral infection

respiratory syncytial virus for pediatrics influenza

cough headache muscle stiffness shortness of breath fever sweating fatigue

humidified air increase fluids suplemental oxygen may be indicated antiviral medication may be considered consult md/pa for treatment

chronic inflammatory disorder characterized by increasing responsiveness of the airway to multiple stimuli

respiratory infection exercise cold air smoke and other pollutants stress or anxiety allergies