NSG 625 - Shadow Health Focused Exam Chest Pain.docx - Chief Complaint Established chief complaint o Do you have chest pain History of Present Illness

NSG 625 - Shadow Health Focused Exam Chest Pain.docx -...

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Chief Complaint Established chief complaint o Do you have chest pain? History of Present Illness Asked about onset of pain o When did your chest pain start? Asked about location of pain o Where is the pain? o Does the pain radiate? o Are you experiencing arm pain? o Are you experiencing shoulder pain? o Are you experiencing back pain? o Are you experiencing neck pain? Asked about duration of pain episodes o How long does your chest pain last? Asked about frequency of pain o How many times in the last month have you had chest pain? o Did the episodes seem associated? Asked about severity of pain o How would you rate your pain on a scale of zero to ten? Asked about characteristics of pain o Can you describe your pain? o Is the pain crushing? o Is the pain gnawing? o Is the pain burning? Asked about aggravating factors o What makes the pain worse? o What activity triggered the pain? o Is the pain worse when you eat? o Is the pain worse after you eat spicy food? o Is the pain worse after you eat high-fat foods? Asked about relieving factors o What relieves your pain? o Did you take anything for the chest pain? Past Medical History Confirmed allergies o Do you have new allergies? Asked about related medical conditions o Do you have a history of angina?
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o Do you have high blood pressure? o Do you have high cholesterol? o Do you have coronary artery disease? o Do you have diabetes? o Have you had previous treatment for chest pain? Asked about blood pressure monitoring o How often do you measure your blood pressure? o When do you measure your blood pressure? o What is your typical blood pressure reading? Asked about past cardiac tests o Have you recently had an EKG? o Have you recently had a stress test? Followed up on results of cardiac tests o What were the results of your last EKG? o What were the results of your last stress test? Home Medications Asked about home medications o Do you take medication for high blood pressure? o Do you take medication for high cholesterol? o Do you take over the counter medications? o Do you take any supplements? o Do you take aspirin? Followed up on high blood pressure medication o What medication do you take for high blood pressure? o What dose of medication do you take for high blood pressure?
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