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학습 자료 둘러보기 →A patient with sudden onset severe chest pain and diaphoresis must be treated as a medical emergency. This presentation is a classic sign of Acute Coronary Syndrome (ACS), an immediate threat to circulation per the ABC framework.
The nurse's priority actions are to obtain a 12-lead ECG within 10 minutes of arrival, establish IV access, and administer oxygen if saturation is <94%. Continuous cardiac monitoring is essential to detect lethal dysrhythmias.
Do not delay ECG or intervention for other abnormal findings like hyperglycemia or edema. A normal ECG does not rule out unstable angina, and pain control with nitroglycerin or morphine is secondary to rapid diagnosis.
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