A patient with an acute MI on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerine. BP is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
|
reperfusion therapy
|
|
intravenous nitroglycerin for 24 hours
|
|
Temporary pacing
|
|
atropine 0.5 mg IV, total dose 2 mg as needed
|
|
atropine 1 mg IV, total dose 3 mg as needed
|