HISTORY:
Chest pain for
Onset: , following ,
Location:
Radiation:
Severity: , / 10
Type:
Pattern:
Episode duration:
Worsening factors or triggers: , ,
Treatments tried: ,
, /IV
,
,
Cardiovascular risk factors:
Pulmonary embolism risk factors:
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Chest: on
Abdomen: , , ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- ECG
- Chest X-ray
- Blood work: , , , , , , , , ,
- Stress test
- CT angio of the chest
- Cardiac catheterization
- Aspirin 80mg 4 tablets po STAT then 1 tablet daily
- Nitroglycerin 0.4mg sublingual q 5 min up to 3 doses
-
- Referral to cardiologist
- Referral to ER
- Follow up if does not improve or if worsens, or if new symptoms develop