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Subjective: Jerry reported sudden onset of severe chest pain. Objective: Vital signs: Blood pressure: 140/90 mmHg, Pulse: 80 bpm, Respiratory rate: 16 breaths/min, Oxygen saturation: 98% on room air. Assessment: Jerry is likely experiencing a cardiac event and is in need of further assessment and treatment. Plan: 1. Administer oxygen via nasal cannula at 2L/min. 2. Obtain an electrocardiogram (ECG) and order laboratory tests. 3. Administer aspirin 325 mg orally. 4. Refer Jerry to a cardiologist for further assessment and treatment. |