Which of the following interventions is MOST likely to be administered to a patient who is complaining of chest pain and has a pulse ox reading of 92%?
A. Nitroglycerin
B. Oxygen
C. Aspirin
D. Rapid transport
Answer: B. Oxygen
Ensure a patent airway and provide positive pressure ventilation with oxygen connected to the device if breathing is inadequate. If the respiratory rate and tidal volume are both adequate, consider supplemental oxygen. Remember that not every episode of chest pain is caused by a heart attack; there are multiple reasons for chest pain, and only some are related t an oxygen deficient heart. However, the use of oxygen is on Tarth EMT that the chest pain patient should receive, regardless of aetiology. According to the current AHA guidelines, administer supplemental oxygen if the patient's is dyspneic, is hypoxemic, has obvious signs of heart failure, or has an SpO2 reading of less than 94% or is unknown. Administer oxygen via a nasal cannula at 2 to 4 lpm, and titrage the concentration an litre flow to achieve and maintain an SpO2 of more than 94%.
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