Angelite Nurses

(_) Verbalize relief/control of pain.

(_) Verbalize causative factors associated with chest pain.

(_) Other:

• Activity
• Stress
• Eating
• Bowel elimination
• Previous angina attack
• Other:

(_) Assess characteristing of chest pain.

• Location
• Intensity (Scale 1-10)
• Duration
• Quality
• Radiation

(_) Review history of previous pain experienced by patient and compare to current experience.

(_) Instruct patient to report pain immediately.

(_) Continuous EKG monitoring; note and record pattern during pain. Obtain STAT 12-lead EKG per policy for acute changes noted on continuous monitor.

(_) Provide a quiet, restful environment.

(_) As per physician order, administer IV analgesics in small increments until pain is relieved or maximum dose is achieved. Monitor BP during administration of pain meds. Assess pt. response to pain medication and notify physician if pain is not controlled or pt. experiences adverse reaction (decreased BP, HA, distress).

(_) Administer nitroglycerine as ordered by physician. Monitor as stated above.

(_) Titrate IV Nitro to achieve pain relief as ordered by physician. Monitor hemodynamic response to medication (BP, urine output).

(_) Administer supplemental oxygen as ordered by physician.

(_) Assist with ADL's to reduce cardiac stressors.

(_) Assist in eliminating causative factors as identified by patient assessment.

(_) Other:________________
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