Nurse Curriculum
Level 2Symptom Triage

Palpitations Triage

Tell benign palpitations from the dangerous kind — red-flag features and safe routing.

Intermediate~13 min

Learning Objectives

  • 1.Screen palpitation calls for high-risk features.
  • 2.Distinguish benign from concerning palpitations.
  • 3.Route palpitation calls by urgency.

Purpose

Most palpitations are benign, but some signal a dangerous arrhythmia. The red flags are the company they keep — chest pain, fainting, or breathlessness.

What to ask

  • Happening now? Fast/slow? Regular or irregular?
  • Associated chest pain, lightheadedness, near-fainting, or fainting?
  • Shortness of breath?
  • How long, how often, what triggers it?
  • History: AFib, heart disease, fainting?

Red flags — escalate

  • Palpitations WITH chest pain, fainting/near-fainting, or severe shortness of breath.
  • Sustained very fast heart rate, or feeling about to pass out.
  • Known heart disease with new sustained palpitations.

Escalate

Palpitations with chest pain, syncope, or severe dyspnea → 911/ED and notify the provider. Isolated brief skips in a healthy patient are lower risk.

Sort the urgency

  • Emergent (911/ED): palpitations + chest pain/syncope/severe dyspnea.
  • Urgent (provider): sustained or recurrent, cardiac history.
  • Routine: brief, isolated "skips," no red flags — monitor per protocol.

What to send the provider

  • Now vs. resolved, rate/regularity, associated symptoms, duration/frequency, history, urgency read.

Patient education script

  • "If your heart races AND you feel chest pain or like you might pass out, call 911." / "Note when it happens and what you were doing."

Spanish phrase

Do you feel chest pain or like you might faint with the palpitations?

¿Siente dolor de pecho o como que se va a desmayar con las palpitaciones?

SYEN-teh doh-LOR deh PEH-cho oh KOH-moh keh seh vah ah des-mah-YAR kon las pal-pee-tah-SYOH-nes

Mini case

A patient calls with a racing, irregular heartbeat for the past hour, now feeling lightheaded and short of breath.

What now?

Show answer

Sustained palpitations with lightheadedness and dyspnea are concerning for a significant arrhythmia (e.g., AFib with rapid rate). Escalate urgently/emergently per severity — likely 911/ED — and notify the provider.

Checklist

  • Asked if palpitations are active and the rate/regularity.
  • Screened for chest pain, syncope, dyspnea.
  • Routed by urgency; escalated red-flag combinations.

Knowledge Check Quiz

Disclaimer: This content is for educational purposes only. It is not medical advice, does not replace clinical judgment, and is not a substitute for institutional protocols or certified medical interpreters. No patient health information (PHI) should be entered into this application.