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- On a Friday afternoon, Theodore, a 50 yrs. old man went to the park with Joyce, his granddaughter. Suddenly, he felt his chest tightening. He tried to ignore the pain, but it kept going, which eventually made him feel exhausted and lightheaded.
- Joyce immediately took his grandfather to the nearest hospital. While they were on their way, Theodore was beginning to feel the pain in his left arm, neck, and jaw. Little did they know that he was currently experiencing a heart attack.
- M-my chest feels heavy. I-It feels like there is an e-elephant sitting on my chest!
- Upon arrival, Theodore immediately told the nurse his chief complaint and was then immediately assessed using the PQRST pain assessment.
- The nurse reported all of the significant findings on the patient as soon as possible to the attending physician. The doctor gave an order to administer the initial interventions, which are Morphine, Oxygen, Nitroglycerin, and Aspirin.
- The nurse will administer Morphine sulfate as prescribed until pain is relieved. Assessing the patient’s vital signs, especially the BP and respiratory rate, and if there are any characteristics of pain after medication has been administered is crucial. Naloxone (Narctan) will also be placed on the patient’s bedside beforehand in case of any toxicity.
- Next, the nurse will assist the patient in a semi-fowler's position to promote lung expansion and administer supplemental oxygen of 1-2L, as ordered. Once the normal range has been achieved, discontinue administering.
- BY: ECLEVIA, SHANICE DAPHNE
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