Thursday, March 31, 2011

ER

1. Pt having Chest Pain- 
#1- Ask nurse for their vitals, if on monitor, ask if they are having EKG changes. Order Stat Cardiac enzymes, EKG, tell nurse to give pt Morphine, NTG, O2. 
#2- GO SEE THE PATIENT NOW!



2. Pt Aggitated/Mental status change- 
#1- Ask the nurse for vitals, Find out if this is baseline, or if this is new,
#2-Go see the patient, Check their meds and see if something you are giving might have caused it,
#3- Check UA (especially in older pts), ABG, Chem 7, #4- Haldol 5mg IV x1 if needed.

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