Dylan Radin, 55 years of age, is a male patient who is admitted to the ED via am
ID: 125297 • Letter: D
Question
Dylan Radin, 55 years of age, is a male patient who is admitted to the ED via ambulance with acute onset of midsternal chest pain radiating down the left arm and radiating up the left side of the neck. The patient complains of shortness of breath and is cool, pale, and diaphoretic. The vital signs include: blood pressure 160/90 mm Hg, heart rate 110 bpm, respiratory rate 26 breaths/min, and temperature 99°F. The 12-lead ECG reveals an anterior wall ST-elevation myocardial infarction (STEMI).
What first actions should the nurse take after the patient has arrived in the emergency department?
The emergency physician has contacted a cardiologist and the patient is scheduled for a percutaneous coronary intervention (PCI) in less than 60 minutes from the door-to-balloon time. Explain the reasoning for this action based on evidence- based guidelines and considering the clinical manifestations and the pathophysiology of the STEMI.
Explanation / Answer
1. NURSING ACTION :
2. REASONING OF DOOR-TO-BALLOON TIME :
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