Question

Your patient is a 63-year-old male complaining of chest pain, stating his pain is an '8' on the 1-10 scale. His skin is cool and diaphoretic; he is confused and has a productive cough with pink-tinged sputum. ECG shows sinus tachycardia at a rate of 110 and his blood pressure is 74/40, ventilations are 24. What is the most appropriate pharmacological intervention?

A. Nitroglycerine sublingual, to eradicate the chest pain
B. Adenosine, to control the rate of the sinus tachycardia
C. Dopamine, titrated to maintain blood pressure
D. 0.9 percent normal saline boluses, 250 ml at a time for blood pressure support

Answer 1

The most appropriate pharmacological intervention for the patient's chest pain is Nitroglycerine sublingual.

Step-by-step explanation:

The most appropriate pharmacological intervention for the given case would be Nitroglycerine sublingual, to help relieve the patient's chest pain. Nitroglycerine is a medication commonly used to treat angina (chest pain) caused by reduced blood supply to the heart muscle. It works by dilating the blood vessels, increasing blood flow to the heart, and reducing the workload of the heart.