Mary is a 32 year old woman who presents in the ER complainingof chest pains, palpitations and shortness of breath, diaphoresis ,light headedness and fears of dying. Her husband reports that shehad had these symptoms episodically over the past 4 to 6 months andreports bringing her in today because of hi fears of her havingheart attack. The emergency department physician orders an ECG anddiagnostic studies, including cardiac enzymes, chemistry profile,CBC and toxicology screen. The physician informed Mary and herhusband that she does not have a medical problem and tells her thatit sounds like she is having panic attack. She refers Mary for spsychiatric consultation but the couple expresses anger, statingthat her symptoms are real and that she is not crazy.

DISCUSSION: ANSWER THE FOLLOWING QUESTIONS

1. What is the most important consideration in the care ofclient with panic?

2. What would be your plan of care to Mary?

3. Is the client with panic disorder have high incidence forsuicide? Why?

4. Make a nursing care plan of Mary based from the problemidentified.

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