A 76-year-old male called 911 because he could not breathe. He pants as he speaks and must take several breaths between each word. He is diaphoretic, and his lips and nailbeds are cyanotic. The problem has been worsening for about four days. When he breathes, he has a sharp pain in his left lower chest that is not constant and lasts only a few seconds at a time. He has a chronic cough and smokes
three packs of cigarettes a day. He says he has no history of cardiovascular disease. Vital signs are blood pressure 130/88; pulse 130 strong, regular; respirations 42 labored. The patient's temperature is 102°F. Crackles (rales) and wheezes are present in the left lower chest. The MOST appropriate medications to use in managing this patient would be:
a. oxygen, nitroglycerin, and morphine.
b. oxygen, nitroglycerin, morphine, and furosemide.
c. oxygen and morphine.
d. oxygen and albuterol.
d
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