A patient with an ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was administered and a heparin infusion 100 U per hour is being administered, and Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. Your next action is to:
Substitute clopidogrel 300 mg loading dose
Give 75 mg enteric-coated aspirin only
Give aspirin 160 – 325 mg chewed, immediately
Give 325 mg enteric-coated aspiring rectally
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