In cardiac emergency you are attending to a 70-year old male patient complaining of acute severe chest pain radiating to left arm for last 2 hours and dyspnea. ECG of the patient was showing ST-segment elevation consistent with acute anterior wall myocardial infarction. Administration of which of the following agents is a priority nursing intervention in this patient?
  1. Streptokinase
  2. Oxygen
  3. Heparin
  4. Nitroglycerine
Explanation
Answer- B - Administering oxygen in this patient is the priority nursing intervention. The correct sequence of treatment for this patient is oxygen, streptokinase, and heparin. A Patient presenting with dyspnea and chest pain should first be administered oxygen inhalation. This patient is suffering from acute myocardial infarction presenting within 6 hours, so he is a candidate for thrombolytic therapy. He should be administered streptokinase followed by heparin. Nitroglycerine may not be needed in this patient.
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