ALS and Morphine

ALS MCQ - Crushing central chest pain
Crushing central chest pain

A 51 year – old woman who is profusely diaphoretic and hypertensive reports crushing substernal chest pain and severe shortness of breath. She has a history of hypertension. She chewed 2 low – dose aspirins at home and is now receiving oxygen in the ambulance. Which treatment is appropriate?:

a) Morphine and then nitroglycerin, but only if morphine fails to relieve the pain: TRUE / FALSE.

b) Nitroglycerin and then morphine, but only if ST elevation is > 2 mm and no contraindications exist: TRUE / FALSE.

c) Nitroglycerin and then morphine, but only if nitroglycerin fails to relieve the pain and no contraindications exist: TRUE / FALSE.

d) Nitroglycerin only because chronic hypertension is a contraindication for morphine: TRUE / FALSE.

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