A 45-year-old man is alert and oriented, complaining of chest pain. He describes a two-day history of worsening pain, described as a burning sensation below his left breast that radiates across his chest. He states that the pain seems to get better right after eating, but then worsens again. Medical history includes myocardial infarction, hypertension, and type 2 diabetes. His medications include
Inderal, Vasotech, Glucotrol, and Lopid. Physical examination reveals cool, dry skin; clear lungs; and no JVD or peripheral edema. HR = 102, BP = 132/86, RR = 12, SaO2 = 98%. The patient is on oxygen by nasal cannula at 4 liters per minute. Which of the following should be done next?
A) Give 81 mg aspirin by mouth.
B) Start precautionary IV of normal saline and transport.
C) Give 0.4 mg nitroglycerin sublingually.
D) Do a 12-lead ECG.
D
You might also like to view...
Once you have established with reasonable certainty that your patient is suffering from a behavioral emergency, which of the following is the best course of action?
A) Begin intense individual counseling with the patient. B) There is no need to assess for medical conditions if the patient does not have a history of past medical problems. C) Attempt to determine if there is a possible physical cause for the patient's behavior. D) Establish the best way to restrain the patient before he has the opportunity to become violent.
_____________________ is the absorption of the fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload
A. Wertheim procedure C. Extravasation B. Distention D. Tubal anastomosis
The central nervous system is composed solely of the brain and the ________.
A. synaptic knob B. myelin sheath C. spinal cord D. peripheral nerves
A patient experiencing hematuria has:
renal stones a nosebleed blood in stomach secretions blood in the urine