An adult male patient is admitted to emergency following a fall in which he sustained a large laceration to the occipital area of his head

Question

Prior to the fall, he says he developed unrelieved chest pain that had been present for approximately 20 minutes and is still present. The doctor diagnoses the patient with an MI and deep laceration. To minimize cardiac damage, which of the following physician's order will the nurse expect to see for this patient?
A) Thrombolytics, oxygen administration, and bed rest
B) Morphine sulphate, oxygen administration, and bed rest
C) Oxygen administration, anticoagulants and bed rest
D) Bed rest, albuterol nebulizer treatments, and oxygen administration

Answer 1

Ans: B
Feedback: Morphine sulphate reduces preload and decreases workload of the heart, along with increased oxygen from oxygen therapy and bed rest. With decreased cardiac demand, this provides the best chance of decreasing cardiac damage. Thrombolytics and anticoagulants are contraindicated in patients who are bleeding or have a bleeding disorder. Albuterol is a medication used to manage asthma and respiratory conditions and will increase the heart rate.