Identify the priority interventions for managing symptoms of an acute myocardial infarction (AMI)in the ED.
A) Administration of morphine
B) Administration of nitroglycerin (NTG)
C) Dopamine infusion
D) Oxygen therapy
E) Transfusion of packed red blood cells

Question

Quizplus · Accepted Answer

The initial pain of AMI is treated with morphine sulfate administered intravenously.NTG may be given to reduce the ischemic pain of AMI.NTG increases coronary perfusion because of its vasodilatory effects.Oxygen administration is important for assisting the myocardial tissue to continue its pumping activity and for repairing the damaged tissue around the site of the infarct.Transfusion is not required except in the setting of severe anemia,which may limit oxygen delivery to the heart.Dopamine infusion is usually used to treat hypotension but causes tachycardia which would be deleterious for the patient having an AMI because it increases the heart's workload and demand for oxygen.

Identify the Priority Interventions for Managing Symptoms of an Acute