Question

question 17 of 25
your patient is complaining of chest pain. patients vital signs: hr 79 bp 188/90 rr 18 o2 sats 95%. what would be your immediate next steps?

anticipate stat head ct, notify provider.
contact provider, obtain 12-lead ecg, anticipate asa, morphine and nitroglycerin as ordered, anticipate cath lab or thrombolytics. call for help (rapid response).
give morphine, notify provider, re-evaluate patient in 30 minutes.
continue to monitor patient.

Explanation:

Analyze the clinical presentation and ECG findings

• Patient presents with acute chest pain, elevated blood pressure (\(188/90\text{ mmHg}\)), and normal oxygen saturation (\(95\%\)).
• The ECG rhythm strip shows significant ST-segment elevation (STEMI), indicating an acute myocardial infarction.

Determine the immediate medical intervention protocol

• Acute coronary syndrome (ACS) management requires immediate diagnostic confirmation and therapeutic intervention.
• Standard protocol includes obtaining a 12-lead ECG, contacting the provider, administering MONA therapies (Aspirin, Nitroglycerin, Morphine), and preparing for reperfusion therapy (Cardiac Catheterization Lab or thrombolytics).

Answer:

• Anticipate stat Head CT, notify provider.
• Contact provider, obtain 12-lead ECG, anticipate ASA, Morphine and Nitroglycerin as ordered, anticipate Cath Lab or thrombolytics. Call for help (Rapid response). (Correct answer)
• Give morphine, notify provider, re-evaluate patient in 30 minutes.
• Continue to monitor patient.