A patient with an ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was
administered and a heparin infusion 100 U per hour is being administered,
and Aspirin was not taken by the patient because he had a history of gastritis
treated 5 years ago. Your next action is to:

Question

A patient with an ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was
administered and a heparin infusion 100 U per hour is being administered,
and Aspirin was not taken by the patient because he had a history of gastritis
treated 5 years ago. Your next action is to:

Answer

Give aspirin 160 - 325 mg chewed, immediately

Answer

Give 325 mg enteric-coated aspiring rectally

Answer

Give 75 mg enteric-coated aspirin only

Answer

Substitute clopidogrel 300 mg loading dose

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A patient with an ST-segment elevation MI has ongoing chest discomfort. Fibrinol...

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