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학습 자료 둘러보기 →In triage, a patient with an acute myocardial infarction and sudden severe chest pain is the highest priority. This presentation indicates an evolving ischemic event with high risk for lethal dysrhythmias and cardiac arrest.
The primary goal is to minimize myocardial damage by reducing the time from presentation to intervention. Immediate nursing assessment and continuous monitoring are critical for identifying hemodynamic instability.
Do not delay assessment for a patient with active chest pain to administer routine medications or treat non-critical findings. A blood pressure of 150/90 mmHg or a blood glucose of 180 mg/dL are not immediate life threats in this context.
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