You have been called by the emergency nurse to help administer IV medication to the following patients. To which of the patient would you consider administering medication first?
  1. 65-year-old male patient diagnosed to have pulmonary edema to whom IV lasix (furosemide) is to be given
  2. 78-year old female patient presenting with chest pain diagnosed to have acute anterior wall myocardial infarction to whom IV morphine is to be given
  3. 27-year female presenting with palpitations and diagnosed to have anxiety disorder to whom IV midazolam is to be given
  4. 35-year old male patient presenting with chest pain and diagnosed to have angina pectoris to whom intravenous nitroglycerine is to be given
Explanation
Answer- A - The medication should be administered first to the 65-year old male patient diagnosed to have pulmonary edema to whom IV lasix (furosemide) is to be given, as this is an urgent case. .. The patient with acute myocardial infarction and should also be attended and given IV morphine urgently. However, he can wait for few minutes. Giving intravenous nitroglycerine is also important but not very urgent. Administering midazolam to a female with anxiety disorder is not urgent and can be attended to later.
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