The nurse is beginning emergency care of a patient with a myocardial infarction. Place in order the medication interventions that the nurse will provide to this patient. Click and drag the options below to move them up or down
1. Administer four baby strength aspirins.
2. Administer nitroglycerin.
3. Apply oxygen.
4. Administer morphine 2 to 5 mg intravenous every 5 to 30 minutes as needed.
5. Administer a beta blocker.
1,2,3,4,5
Rationale 1: This is the first medication intervention that the nurse will provide. It is used to prevent platelet aggregation and the formation of blood clots in the coronary vasculature.
Rationale 2: This is the second medication intervention that the nurse will provide. It is used to reduce coronary pain and improve coronary blood flow.
Rationale 3: This is the third medication intervention that the nurse will provide. It is used to ensure adequate oxygenation of coronary tissues.
Rationale 4: This is the fourth medication intervention that the nurse will provide. Morphine is used for both pain management and as an anti-anxiety medication.
Rationale 5: This is the fifth medication intervention that the nurse will provide. Beta blockers should be promptly instituted because they decrease heart rate, and blood pressure levels. These drugs will also decrease left ventricular contractility, thereby reducing myocardial oxygen demand.
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