Question: Case: Chest Pain F.C. Is A 57-year-old Male Who Presents To The Emergency Department With Chest Pain And Shortness Of Breath. Subjective Data: PMH: HTN, Hyperlipidemia, Coronary Artery Bypass Graft 4 Years Ago Secondary To Myocardial Infarction Sudden Onset Shortness Of Breath Crushing Feeling, Chest Pain 10/10 Current Smoker, 1 Pack A Day For 41 Years …

Case: Chest Pain

F.C. is a 57-year-old male who presents to the emergencydepartment with chest pain and shortness of breath.

Subjective data:

• PMH: HTN, hyperlipidemia, coronary artery bypass graft 4 yearsago secondary to myocardial infarction
• Sudden onset shortness of breath
• Crushing feeling, chest pain 10/10
• Current smoker, 1 pack a day for 41 years

Objective data:

• Vital signs: T 37 C, P 72, R 20, BP 144/64
• Lungs: clear bilaterally
• O₂ sat: 94%
• Skin: cool to touch
• CV: heart rate regular, positive peripheral pulses, EKG = nochanges

Medications: metoprolol 50 mg per day,Simvastatin 75 mg at night, 325 mg of aspirin per day

Questions:

1. What other questions should the nurse ask about the chestpain?
2. What other assessments are necessary for this patient?
3. What are some of the causes of chest pain?
4. Develop a problem list from objective and subjective data.
5. What should be included in the plan of care?
6. What are the risk factors associated with this age group?
7. Based on the readings, what is the most likely cause ofshortness of breath and chest pain for this patient?