The following patients arrived in emergency room and you are the attending cardiac nurse. Assessment of which of the following patients is a priority?
  1. 70-year old male patient with left sided chest pain radiating to left arm accompanied by profuse sweating
  2. Young female complaining of palpitation and sleeplessness during night
  3. 14-year old male complaining of chest pain at rest not radiating to arm or neck and fever for last one week.
  4. 40-year old female complaining of chest pain on exertion
Explanation
Answer- A - Assessment of the 70-year old male patient with left sided chest pain radiating to left arm accompanied by profuse sweating is a priority.. This patient appears to be suffering an acute myocardial infarction and is need of immediate intervention. Patient ‘B’ is most likely suffering from anxiety disorder and is not serious or life threatening. Patient ‘C’ is potentially suffering from a myocarditis or pericarditis and does not require urgent attention. Patient ‘D’ is suffering from angina which is also not an emergency and can be attended after the patient of myocardial infarction.
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