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NURS MISC - Robert Ross. Case Study.

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NURS MISC - Robert Ross Robert Ross 17- -year old male CC: chest pain Observations Visual: Moderate distress secondary to pain Auditory: mild conversational dyspnea but able to speak in full sentences Skin: Pale, diaphoretic Vitals ● Fever of 102.2 ● Pulse is 140bpm ● RR 24 History 1. How can I help you today? a. I've got this bad chest pain, started about 6 hours ago 2. Do you have any other symptoms or concerns we should discuss? a. Yeah, my heart’s been beating funny and I have a fever and chills...the shaking kind. And for a few days I've been short of breath, my muscles have been aching. I thought I was getting over my cold 3. What are the events surrounding the start of your chest pain? a. I was just watching tv, doing nothing 4. Does anything make it better or worse? a. No its just there. Position doesn't affect it either 5. What does the chest pain feel like? a. Deep, dull, achy 6. Where more precisely is your chest pain? a. Right in the middle of my chest 7. Does your chest pain radiate anywhere? a. No, it stays right there 8. How severe is the pain in your chest? a. Guess a 7

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University Of Pikeville
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NURS MISC - Robert Ross









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NURS MISC - Robert Ross

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Written in
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Type
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Grade
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