HISTORY:
Chest pain for
Onset: , following
Location:
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Treatments tried: ,
, /IV
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- ECG
- Cardiac monitoring
- Blood work: , , , , ,
- Serial troponins every 3 hours x 3
- Chest X-ray
- Echocardiogram
- Coronary angiogram
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-
-
-
-
-
-
- Oxygen therapy to maintain SpO2 > 94%
- Referral to cardiologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as chest pain or shortness of breath
- Go to ER if severe chest pain, severe shortness of breath, or fainting occurs