I suspect the cause of Ms. Jackson signs and symptoms associated with cardiac problems. From the case study, the patient’s back pain not mitigated by administration of drugs and repositioning throughout the night. Furthermore, the patient experiences nausea and fluctuating mental status. Notably, most women experience back pain as a sign for coronary problems.Ms. Jackson also tired in, and her vital signs keep on changing fluctuating.

Furthermore, it a bit complicated to differentiate fatigue associated with the radical mastectomy done to her and any other problem. Fatigue in women is symptomatic of prodromal and AMI. My first course of action to ascertain the cause of the symptoms in Ms. Jackson is to urgently call the doctor and brief him/her of the problem.

After which I will also contact SWAT MEDIC squad, highly responsive team designed to respond to critically ill patients. The group divided into different specialties, therefore, I will call upon a cardiac squad to handle the emergency. The team will provide adequate back to the doctor to conduct a necessary assessment of the patient including medical history and family background. The vital signs will also be reassessed and the pattern recorded. I will perform cyanosis checkup which is possibly caused by poor cardiac performance. I will also check for edema; a condition primarily manifested through an abnormal accumulation of fluids in tissues under the skin. Mastectomy can cause edema, causing pain and restlessness. Lung and heart activities will also be monitored since cardiac performance potentially affects. Other lab tests include a chest x-ray to check for any problem, stat 12 lead EKG, baseline EKG, and troponin level. Cardiac enzyme assessment will be conducted and 6 hours to monitor changes. Also, cardiac catheterization tests will be required. In the meantime, the nurse supervisor will notify the standby nurses to cater for an emergency. Since a lot of time may be taken to assess and treat Ms. Jackson other nurses on standby should take over other patient delivery services.

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