A conscious, awake, and alert male complaining of left sided chest pain for 2 hours duration is being seen in the emergency department. The patient has an easy work of breathing; RR 18; BP 148/92; HR 112; and SpO2 92% on room air. What is the best plan of action to manage this patient?
A. Page a cardiologist STAT to assess this patient. B. Regard the chest pain as benign since the patient has already been experiencing it for 2 hours and is not displaying any symptoms. C. Order a CT scan to rule out a stroke. D. Gather a focused history; obtain a 12 lead EKG; obtain blood for laboratory testing. Apply oxygen to maintain SpO2 above 94%.
Gather a focused history; obtain a 12 lead EKG; obtain blood for laboratory testing. Apply oxygen to maintain SpO2 above 94%.
This patient should be identified as stable and a complete assessment can be performed to identify the underlying cause of the chest pain. The assessment should include a 12 lead EKG, a focused history, and laboratory tests which include troponin and CPK. The patient does not have signs of a stroke; all chest pain is considered serious until a non-serious cause can be identified; cardiology will rely upon your assessment to identify interventions for the patient.