The Quizzes about Chest Pain and Cardiac Dysrhythmias – Part 1 (20 test)

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A 59-year-old man presents to the emergency department (ED) complaining of new-onset chest pain that radiates to his left arm. He has a history of hypertension, hypercholesterolemia, and a 20-pack-year smoking history. His electrocardiogram (ECG) is remarkable for T-wave inversions in the lateral leads. Which of the following is the most appropriate next step in management?

The patient’s presentation is classic for an ACS. He has multiple risk factors with T-wave abnormalities on his ECG. The most appropriate initial management includes placing the patient on a cardiac monitor to detect dysrhythmias, establish intravenous access, provide supplemental oxygen, and administer aspirin. If the patient is having active chest pain in the ED, sublingual nitroglycerin or morphine should be administered until the pain resolves. This decreases wall tension and myocardial oxygen demand. A common mnemonic used is MONA ( Morphine, Oxygen, Nitroglycerin, Aspirin) greets chest pain patients at the door.

The Quizzes about Chest Pain and Cardiac Dysrhythmias – Part 1 (20 test)
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