Zaina El Hajj is a 46 year old woman presenting to the emergency department with a 24 hour history of feeling unwell. Initially she stated she had indigestion and took some Mylanta with no

Zaina El Hajj is a 46 year old woman presenting to the emergency department with a 24 hour history of feeling unwell. Initially she stated she had indigestion and took some Mylanta with no improvement. By this morning, she had pain radiating from her epigastric region up to her jaw.
Zaina is an accountant with a history of hypertension and an ex smoker. She is married to Jasar. Her father was diagnosed with cardiac disease at 42.
Collect cues and information
Zaina had vital signs taken T 36.4; HR 75; BP 140/93; RR 15; Sao2 96%
Zaina states her pain is 8/10
Using the PQRST method, she confirmed that the pain was provoked by exercise, that is was a crushing feeling radiating to the neck and jaw, severe and lasted for more than 20 minutes. She states that she had similar pain last night but the pain resolved with rest.
Zaina is diaphoretic and pale

Using the information provided from the case study, identify the subjective and objective cues provided and the significance of these

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