section name header

Notes

Clinical Findings

Neuro:Anxiety, restlessness, dizziness, light-headedness, syncope, possible sense of impending doom.

Resp: SOB, tachypnea, abnormal lung sounds.

CV: Tachycardia or bradycardia, signs of congestive heart failure.

Skin: Coolness, pallor, cyanosis, diaphoreses.

MS: Substernal pain, weakness, fatigue, sensation of chest heaviness or chest tightness.

GI/GU:Nausea and vomiting.

Collaborative Management

MedicationDose
Nitroglycerin0.4 mg SL (hold for BP <90 mm Hg)
Aspirin160-325 mg chewed (not enteric coated)
Morphine2-4 mg IV (hold for SBP <90 mm Hg)