Question

A 66-year-old man with crushing chest pain for 80 minutes has ST-elevation in II, III, aVF and hypotension (SBP 86). JVD is present; lungs are clear. What is the most appropriate immediate pharmacologic step?

Accepted Answer

250 mL IV crystalloid bolus

Answer

High-dose IV nitroglycerin

Answer

IV morphine

Answer

IV metoprolol to HR <60

Answer

Immediate heparin reversal with protamine

Practice question

A 66-year-old man with crushing chest pain for 80 minutes has ST-elevation in II, III, aVF and hypotension (SBP 86). JVD is present; lungs are clear. What is the most appropriate immediate pharmacologic step?