Which of the following statements indicates that the speaker has an understanding of chest pain and acute myocardial infarction?
a. If the chest pain started during activity, it is most likely cardiac in origin. If the pain started while the patient was at rest, it is most likely not cardiac in origin.
b. If the patient's chest pain does not go away with nitroglycerin, you can assume that the medication has expired and is no longer effective.
c. If the patient experiences chest pain that radiates into the left arm, it is most likely a heart attack. If the pain radiates anywhere else, it is most likely not cardiac in origin.
d. Some patients experiencing acute myocardial infarction do not have actual chest pain; instead, they may experience a sensation of severe heartburn.'
Question 2
You have been called to treat a 47-year-old man complaining of chest pain. He is alert, oriented, and complaining of pain in his chest that came on suddenly about 15 minutes ago. His skin is diaphoretic and cool. Which of the following actions should you take first?
a. Apply oxygen at 15 LPM through a nonrebreather mask.
b. Radio for an ambulance with ALS.
c. Help him administer his nitroglycerin.
d. Obtain a SAMPLE history.
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