This paper explains how to asses a new patient coming in for chest pain and how an Electrocardiogram (EKG) and other tests would be performed to diagnose the patient’s condition. Using two scholarly resources the paper will further explain the information that will be needed to know before performing the EKG on this new patient. A physician can request an EKG for different reasons in this scenario the patient has had a history with Myocardial Infarctions (MI’s) and when he comes in to the ER complaining of angina and shortness of breath the EKG technician notices another MI is present. Different procedures and blood tests can be done to open the coronary artery that is causing the MI and to determine the damage to the area that the MI has
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John Smith who is 51 years old came in complaining of heavy chest pain and shortness of breath to the local ER in his community. When he came in, the ER nurse on duty asked him to identify himself by stating his name and date of birth and he stated that he was John Smith and his date of birth was April 26, 1964. She asked what was wrong, Mr. Smith complained of a lot of chest pain in his mid-chest and his left arm as well and he was getting really short of breath. As the ER nurse left to get him admitted into the hospital Mr. Smith got really deprived of breath and he fell to the floor. When the ER nurse noticed she performed an emergency EKG on Mr. Smith and noticed he was on ventricular fibrillation so she and another ER nurse defibrillated him and she ran an EKG on him right after. She then noticed that in the EKG a convex ST elevation was shown which meant Mr. Smith was having an MI at the moment. The nurse administered aspirin to prevent more clotting in the artery. The medications did seem to make his condition any better. She then contacted the cardiologist of the unit and they agreed to go in for an emergency PCI and took him straight to the catheterization lab to open his coronary artery that was very deprived of blood and occluded as well. In the PCI the cardiologist opened Mr. Smith’s artery with a balloon. As Mr. Smith stays in the hospital’s ICU a nurse is assigned to keep the cardiologist updated when she performs EKGs to see if Mr. Smith continues to complain of chest pain from having more MI’s . Mr. Smith pressed his call light because he was getting that pressuring angina is his chest again and the nurse took him to the catheterization lab for the second time to get his artery opened again because it was once again occluded to the point where he was having another MI. Mr. Smith stayed in the hospital for a couple days for recovery time and he learned that once an MI has occurred the EKG will show significant Q waves (Ellis, 2007,
John Smith who is 51 years old came in complaining of heavy chest pain and shortness of breath to the local ER in his community. When he came in, the ER nurse on duty asked him to identify himself by stating his name and date of birth and he stated that he was John Smith and his date of birth was April 26, 1964. She asked what was wrong, Mr. Smith complained of a lot of chest pain in his mid-chest and his left arm as well and he was getting really short of breath. As the ER nurse left to get him admitted into the hospital Mr. Smith got really deprived of breath and he fell to the floor. When the ER nurse noticed she performed an emergency EKG on Mr. Smith and noticed he was on ventricular fibrillation so she and another ER nurse defibrillated him and she ran an EKG on him right after. She then noticed that in the EKG a convex ST elevation was shown which meant Mr. Smith was having an MI at the moment. The nurse administered aspirin to prevent more clotting in the artery. The medications did seem to make his condition any better. She then contacted the cardiologist of the unit and they agreed to go in for an emergency PCI and took him straight to the catheterization lab to open his coronary artery that was very deprived of blood and occluded as well. In the PCI the cardiologist opened Mr. Smith’s artery with a balloon. As Mr. Smith stays in the hospital’s ICU a nurse is assigned to keep the cardiologist updated when she performs EKGs to see if Mr. Smith continues to complain of chest pain from having more MI’s . Mr. Smith pressed his call light because he was getting that pressuring angina is his chest again and the nurse took him to the catheterization lab for the second time to get his artery opened again because it was once again occluded to the point where he was having another MI. Mr. Smith stayed in the hospital for a couple days for recovery time and he learned that once an MI has occurred the EKG will show significant Q waves (Ellis, 2007,