November 2008, Volume 38 Number 11 , p 72 - 72
COTTRELL, DAMON RN, CCNS, CCRN, CEN, CNS-BC, MS
Issue: Volume 38(11), November 2008, p 72 Publication Type: [ACTION STAT] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Clinical Nurse Specialist, Cardiology Washington Hospital Center • Washington, D.C.
RESPONDING TO THE CALL bell, you find Arlene Weir, 70, anxious, in distress, and complaining of chest pain. You reassure her and quickly take her vital signs: BP, 156/96; heart rate, 108; respirations, 22; and SpO 2 , 93% on room air. The cardiac monitor shows normal sinus tachycardia. Ms. Weir rates her pain as an 8 on a 0-to-10 pain intensity rating scale, where 0 is no pain and 10 is the worst pain imaginable.
What's the situation?
Ms. Weir came to the ED earlier today complaining of sudden onset of excruciating chest pain that radiated to the left arm and jaw and was associated with shortness of breath, weakness, and nausea. An ECG showed an acute inferior-wall myocardial infarction (MI), so Ms. ...