0946: Client was brought to the ED by the client’s adult child due to increased reports indigestion. The adult child reports that the client consumed spicy food the previous night for dinner but woke up abruptly at about 0730 because of the indigestion that has increased. The client has no history of gastrointestinal issues but did have a colonoscopy one week ago. Vital signs: T 99.7° F (37.6° C), P 112, RR 23, BP 118/76, pulse oximetry reading 95% on room air. Triage assessment: the client’s breathing is slightly labored with tachypnea, clear lung fields. Skin warm to touch and pink in tone and some diaphoresis on the forehead; pulses 2+ and regular. Capillary refill is 3 seconds. Client is alert and oriented to person, place, and time. Pain reported 7/10 on the Numerical Rating Scale described as pressure in her chest. She also reports that her wrists and fingers hurt when she moves them. Medical history of hypertension rheumatoid arthritis, and hyperlipidemia.

0953: 12-lead electrocardiogram (EKG): sinus tachycardia with ST-segment elevations

1009: Chest x-ray (radiograph): Clear lung fields. No mediastinal shift. Normal cardiac silhouette.

1159: The client underwent successful percutaneous coronary artery intervention (PCI) via the left femoral artery with stent placement in the left coronary artery. The client was returned to the intensive care unit for observation.