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Would you send that patient right back or hand them number 110 and send them to the waiting room to wait for 40 minutes?
I am not an ER nurse but I think this pt should be seen right away and treatment started. Including a EKG, troponins, O2, Nitro and Morphine, and ASA (unless allergic). Pt has s/sx of MI/Stroke and cardiac history. Deffinately sent back ASAP.
Cardiac monitor asap, with O2, EKG, IV and labs. Get the doc at the bedside quickly and be prepared to push meds.
The BP alone is reason enough to send them straight back. The rest merely adds to the urgency as they indicate the possibility of more than only acute hypertension as the chief complaint.
Straight back......... I would have to "see" the pt., but probably would give them a Level 2 triage class.
One of 2 things, provide very good care and see them stat. Or, totally screw up and send them home with antacids and a F/U with PMD. Converting from manual to electronic record SUCKS!!!
I've never worked in triage, but I think chest tightness and SOB gets high priority. The other symptoms are also symptoms of MI.
I'm sorry but we can't provide chairside advice for this situation. As one poster stated, we would need to see the pt and get more info. If you have concerns about this patient, I would seek advice from the ER who treated them.