You are by the side of a patient complaining of severe chest pain that radiates into his right arm and neck. He is alert and oriented with an open airway and adequate breathing. His radial pulse is strong, and his skin is cool and diaphoretic. Your partner reports his pulse rate is 84, respirations are 18, blood pressure is 86/62 mmHg, and SpO₂ is 98% on room air. You have obtained a medical history and performed the secondary assessment. The patient states that he has had two heart attacks in the past and is allergic to aspirin and sulfa medications. Which one of the following should you do next?

Question

Quizplus · Accepted Answer

Given the patient's history of heart attacks, current symptoms suggestive of another cardiac event, and specific allergies to aspirin, the best next step is to prioritize rapid transport to a medical facility for further evaluation and treatment. Administering medications like nitroglycerin or aspirin could be contraindicated due to his low blood pressure and allergy, respectively. Immediate transport is crucial for advanced care.

You Are by the Side of a Patient Complaining of Severe