HeadachePain that is projected onto the arm, neck, back Diaphoresis / sweating Shortness of breath Tachycardia Pale Difficulty sleeping (insomnia) Nausea, vomiting, anorexia Anxiety, nervous, focus on yourself Weakness The seem upwards tense, thousand erintih, crying Changes inwards consciousness
Primary Assessment - Nursing Care Plan for Chest Pain
a. Airway
- How airway clearance?
- Is at that topographic point whatever obstacle / accumulation of secretions inwards the airway?
- How to breath sounds, is at that topographic point whatever additional breath sounds?
b. Breathing
- What is the blueprint of breath? frequency? the depth in addition to rhythm?
- What is the role of auxiliary respiratory muscles?
- Are at that topographic point whatever additional breath sounds?
c. Circulation
- How does the peripheral arteries in addition to carotid arteries? character (content in addition to voltage)
- How capillary refill, what at that topographic point is akral cold, cyanosis or oliguria?
- Is at that topographic point a decrease inwards consciousness?
- How vital signs? blood pressure, temperature, pulse, respiration?
2. Secondary Assessment - Nursing Care Plan for Chest Pain
Important things that ask to live on studied farther inwards breast hurting (coronary):
a. place of pain
Where to start, propagation (coronary breast pain: from the sternal edge radiating to the neck, mentum or shoulder to the left arm of the ulna)
b. The nature of pain
Feeling of fullness, heaviness such every bit seizures, squeezing, stabbing, choking / burning, etc..
c. Characteristics of pain
Degree of pain, duration, how many times arise inwards a given fourth dimension period.
d. chronological pain
Beginning at that topographic point is hurting in addition to progress inwards sequence
e. Circumstances at the fourth dimension of the attack
Whether arising inwards times / circumstances
f. Factors that reinforce / salve hurting such every bit mental attitude / posture, movement, pressure, etc..
g. Other symptoms that may live on introduce whether or non the human relationship amongst breast pain. Sumber http://nanda-nursinginterventions.blogspot.com/
Primary Assessment - Nursing Care Plan for Chest Pain
a. Airway
- How airway clearance?
- Is at that topographic point whatever obstacle / accumulation of secretions inwards the airway?
- How to breath sounds, is at that topographic point whatever additional breath sounds?
b. Breathing
- What is the blueprint of breath? frequency? the depth in addition to rhythm?
- What is the role of auxiliary respiratory muscles?
- Are at that topographic point whatever additional breath sounds?
c. Circulation
- How does the peripheral arteries in addition to carotid arteries? character (content in addition to voltage)
- How capillary refill, what at that topographic point is akral cold, cyanosis or oliguria?
- Is at that topographic point a decrease inwards consciousness?
- How vital signs? blood pressure, temperature, pulse, respiration?
2. Secondary Assessment - Nursing Care Plan for Chest Pain
Important things that ask to live on studied farther inwards breast hurting (coronary):
a. place of pain
Where to start, propagation (coronary breast pain: from the sternal edge radiating to the neck, mentum or shoulder to the left arm of the ulna)
b. The nature of pain
Feeling of fullness, heaviness such every bit seizures, squeezing, stabbing, choking / burning, etc..
c. Characteristics of pain
Degree of pain, duration, how many times arise inwards a given fourth dimension period.
d. chronological pain
Beginning at that topographic point is hurting in addition to progress inwards sequence
e. Circumstances at the fourth dimension of the attack
Whether arising inwards times / circumstances
f. Factors that reinforce / salve hurting such every bit mental attitude / posture, movement, pressure, etc..
g. Other symptoms that may live on introduce whether or non the human relationship amongst breast pain. Sumber http://nanda-nursinginterventions.blogspot.com/