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.
Answer: a
Health Professions
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In order to call a cardiac rhythm "paroxysmal" supraventricular tachycardia, you would have to:
A) witness its onset and/or spontaneous termination. B) confirm the pacemaker origin with a 12-lead ECG. C) observe a consistent heart rate greater than 150 beats/min. D) ask the patient when he or she began feeling palpitations.
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