You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
|
|
initiate transcutaneous pacing (TCP)
|
|
|
administer nitroglycerine 0.4 mg SL
|
|
|
continue monitoring patient, prepare for TCP
|
|
|
start epinephrine 2 to 10 ụg/kg per minute and titrate
|
|
|
give atropine 0.5 mg IV
|