Vital signs including heart rate, temperature, and blood pressure, and oxygen saturation should be done at regular intervals. Diagnostic tests include a 12 lead ECG, the cardiac biomarkers of CPK with isoenzymes, troponin T or I, high sensitivity C-reactive protein, CBC, erythrocyte sedimentation rate, serum electrolytes, BUN and serum creatinine. Perform a complete heart and lung exam. Assess peripheral pulses, and assess extremities for edema, cyanosis, and clubbing. Echocardiography should be ordered. This is the gold standard in diagnosing wall motion abnormalities, ventricular function, valvular or septal defects, and ejection fractions (Mcconaghy, & Oza, 2013). 1st line therapeutic interventions, patient education and follow up expectations

Reply cathy db chest ache

The primary-line therapeutic interventions for chest ache from acute myocardial infarction embody administration of aspirin 162-325 mg chewed and nitroglycerin each 5 minutes occasions three doses or till chest ache is perceived as a 0 out of 10 on the ache rating. It is very important monitor the affected person for hypotension. The affected person needs to be transferred to a hospital emergency division with entry to a cardiac catheterization lab for rapid reperfusion remedy with angioplasty inside 2 hours if out there.

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