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
Question 2
Palpation and inspection of the point of maximal impulse can reveal certain conditions, such as:
A) pneumothorax.
B) enlarged right ventricle.
C) coronary insufficiency.
D) cardiac tamponade.
Male tule elk in Point Reyes
On March 25, 1911, as scores of young factory girls leaped to their deaths from the eighth, ninth, a
Heiltsuk, Bent-Corner Chest (Kook).
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