Question

A 48-year-old male is complaining of chest pain that he describes as dull, located substernally, but radiating to his neck. He rates the pain a 6 on a scale of 1 to 10 and complains of nausea and lightheadedness. His skin is cool and diaphoretic. HR = 96, BP = 124/82, RR = 14, SaO2 = 97%. The 12-lead ECG is nondiagnostic. In addition to oxygen, an IV of normal saline at a keep open rate, and transport to the emergency department, which of the following would be most appropriate?

A) Nitroglycerin, morphine, and furosemide

B) Reassurance that likely his condition is not cardiac in nature

C) Nitroglycerin

D) Aspirin, nitroglycerin, and morphine

Answer 1

The most appropriate treatment for the patient's symptoms, which may indicate myocardial ischemia, is aspirin, nitroglycerin, and morphine alongside oxygen, IV normal saline, and transport to emergency care.

Step-by-step explanation:

Based on the clinical presentation of chest pain described as dull, located substernally, radiating to the neck, accompanied by nausea, lightheadedness, and diaphoresis, the most appropriate treatment option, in addition to oxygen, IV normal saline, and transport to the emergency department, would be aspirin, nitroglycerin, and morphine.

This combination of medications can help address the potential underlying issue of myocardial ischemia by relieving chest pain, improving blood flow, and reducing clot formation.