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Cardiovascular Emergencies    SAMPLE COURSE
OPQRST

As part of collecting a medical history for a patient with a suspected cardiac condition, you will focus on the character of his or her specific complaints such as pain or discomfort. OPQRST is an excellent tool for assuring a thorough medical history. It helps define the patient's complaint which will assist in assessment.

+ Elaboration — OPQRST

OPQRST
 
 
Onset What was patient doing when the pain started?
  • moving
  • resting
Provocation What makes it better or worse?
  • inspiration
  • palpation
  • movement
  • walking
  • working
  • exercise
  • eating
  • swallowing
  • position
  • antacids
  • nothing
Quality Can you describe it?
What does it feel like?
  • local tenderness
  • sharp
  • squeezing
  • dull
  • pressing
  • pressure
  • crampy
  • burning
Radiation Where do you feel it?
Where does it go?
localized point discomfort
chest pain radiates to arm, jaw or upper back
all over
Severity How bad is it on a scale of 1 to 10? 10 (ten being the worst)
0 (nothing hurts)
Time When did the pain begin? about 2 hours ago



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