Er protocol for chest pain
[DOC File]THE CHEST PAIN UNIT PROTOCOL - University of Sheffield
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The following protocol is used by the Northern General Hospital. This protocol has been extensively evaluated and is the recommended model of CPU care. Staffing. 3 Chest Pain Nurses. Medical input provided by SHO & Middle Grade emergency medical staff co-ordinated by a Clinical Fellow in Emergency Medicine. Structure
Simulation Scenario - Home - SkillsCommons Repository
Patient brings self into ER with chest pain and shortness of breath. He is out of state with no local physician. He smokes, drinks occasionally, and has a stressful job. Takes a …
[DOC File]STEMI standing orders
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( Nitroglycerin 0.4 mg SL q5min x 3 prn chest pain; HOLD IF: SBP
[DOC File]Chest Pain-Presumed cardiac in nature
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Chest pain protocol on chart. EKG and show to ED MD. IV saline lock. Draw and send rainbow to lab. pCXR. ASA 325mg PO chewed (if no allergy to ASA) NTG 0.4mg SubL every 5 min x 3 for CP if SBP > 90mm Hg. Notify physician for persistent pain. Pleuritic Chest Pain. CXR, EKG and show to ED MD, Pulse oximetry Determine mechanism of injury and exact ...
[DOC File]ATLS (Advanced Trauma Life Support) Teaching Protocol
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Chest tube (remote) Flail chest: ( 2 ribs fractured in two or more places. Severe disruption of normal chest wall movement. Paradoxical movement of the chest wall. Crepitus of ribs. The major difficulty is underlying lung injury ( pulmonary contusion) Pain. Adequate ventilation, humidified oxygen, fluid …
[DOC File]NORTH CAROLINA BAPTIST HOSPITAL - Intersocietal
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Check lab information, particularly for inpatients and ER patients to rule out contraindications. Consult the physician if a patient has chest prior to exercise. Consult physician if patient's history suggest unstable angina event if troponin is in normal ranges. Patient Preparation. Shave hair from electrodes sites if necessary (Gloves must be ...
[DOCX File]Diagnosing Acute Myocardial Infarction in the Emergency ...
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The protocol generally involves lab tests, medications and/or radiology depending on the patient’s complaint (Cayley, 2005). ER physicians, ER nurses and relevant department managers construct chest pain protocols by using recommendations from the American Heart Association (AHA), evidence from research studies and best practices.
[DOC File]Chest Pain – R/O MI Orders
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ASA Enteric Coated 325 mg PO now (if not given in the ER) and Q am. NTG 1/150 SL prn CP, may repeat Q 5 min until pain free or max = 3 tabs/episode or the blood pressure drops below 100 systolic. If the pain is unrelieved after 3 doses, then repeat the cardiac enzymes and EKG and call the physician. MSO4 2-4 mg Slow IVP Q 10 min prn severe ...
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