A patient with a
possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3
sublingual nitroglycerine tablets. There are no contraindications
and 4 mg of morphine sulfate was administered. Shortly, BP falls to 88/60 and
the patient complains of increased chest discomfort. You would:

Question

A patient with a
possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3
sublingual nitroglycerine tablets.  There are no contraindications
and 4 mg of morphine sulfate was administered. Shortly, BP falls to 88/60 and
the patient complains of increased chest discomfort. You would:

Accepted Answer

Give normal saline 250 mL to 500 mL fluid bolus

Answer

Give an additional 2 mg of morphine sulfate

Answer

Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic

Answer

Give nitroglycerin 0.4 mg sublingually

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A patient with a possible acute coronary syndrome has ongoing chest discomfort u...

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