#january2020usmle2k
A 48-year-old man with a long history of type 1 diabetes and hypertension develops sudden chest pain and dizziness. On examination, pulse is 110, blood pressure is 80/50, no pulsus paradoxus, lungs are clear and jugular veins are dilated. ECG shows sinus tachycardia with ST elevation in leads II, III and AVF.
What is the best next step of action?
A- IV fluids stat
B- IV heparin
C- Sublingual glyceryl nitrate (GTN)
D- IV dobutamine
E- IV calcium gluconate
A 48-year-old man with a long history of type 1 diabetes and hypertension develops sudden chest pain and dizziness. On examination, pulse is 110, blood pressure is 80/50, no pulsus paradoxus, lungs are clear and jugular veins are dilated. ECG shows sinus tachycardia with ST elevation in leads II, III and AVF.
What is the best next step of action?
A- IV fluids stat
B- IV heparin
C- Sublingual glyceryl nitrate (GTN)
D- IV dobutamine
E- IV calcium gluconate
