On arrival to ED, prompt identification and intervention is essential to ease both the physical and emotional symptom of breathlessness and optimise outcome. When the patient presented with symptoms of cardiac failure an initial assessment, lab test and diagnostic test need to be carried out in order to confirm the diagnosis. Initial assessment of patient’s medical history and physical examination is the most important piece. Nurses are often the first person who obtained data from the patient about their history. Task it is important to gather the entire patient’s information knowing the risk factors, history of cardiac events and respond to previous treatment since this is not the first cardiac event for Mrs J. In order to elicit important
