Mr. Jameson, a 62-year-old male, arrives at the emergency de…
Mr. Jameson, a 62-year-old male, arrives at the emergency department with crushing substernal chest pain that started 45 minutes ago while he was watching television. He describes the pain as “pressure-like,” radiating to his left arm and jaw. He is diaphoretic, pale, and anxious. His wife states that he has a history of hypertension, hyperlipidemia, and type 2 diabetes. Vital Signs on Admission: BP: 150/90 mmHg HR: 110 bpm, irregular RR: 22 breaths/min SpO2: 94% on room air Current Medications: Lisinopril 10 mg daily Metformin 500 mg BID Simvastatin 20 mg daily Diagnostic Findings: ST-segment elevation noted on ECG Troponin level pending The healthcare provider orders the following: Oxygen at 2 L/min via nasal cannula Nitroglycerin sublingual, every 5 minutes PRN for chest pain Aspirin 325 mg, chewable Morphine sulfate 2 mg IV PRN for pain Metoprolol 5 mg IV Prepare for percutaneous coronary intervention (PCI) Which is the priority intervention?
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