NURS 3315 Chest Pain Brian Foster SBAR

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Chest Pain Brian Foster SBAR Situation Brian Foster is a 58-year-old man currently experiencing chest pain. He rates the pain at 6/10 and described it as a constant squeezing pressure. He reports p... ressure in his left shoulder and a brief spell of nausea upon onset of the chest pain, but denies other accompanying symptoms. Background Mr. Foster is post-op day 3 for a TURP (Transurethral resection of the prostate). His postoperative course was normal until the chest pain this morning. He has a history of hypertension, hyperlipidemia, and family history of cardiac disease. He does not smoke. Assessment The physical exam revealed an elevated heart rate, between 100-115 beats per minute, and an audible S4 on auscultation. EKG displays sinus tachycardia and occasional PVCs. No ST segment elevation. His respiratory rate is also elevated and he appears in acute distress. Recomendation I recommend immediate emergency intervention per hospital guidelines. Mr. Foster’s wife is nearby and I will notify her of her husband’s condition. [Show More]

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