The gentleman who has presented to the emergency department (ed) with chest pain states that he has had the pain continuously for the past 2 hours. not only is he diaphoretic, he is nauseous and his skin is dusky in color. the electrocardiogram shows st elevation in leads ii, iii, and avf. which therapeutic intervention would the astute nurse question

This man is presenting with signs/symptoms of an inferior wall M.I. (myocardial infarction), a heart attack. He needs to be started on IV fluids with morphine, oxygen, nitroglycerin, and aspirin. However, it is imperative that before administering nitro/nitrates, he denies having taken any sexual meds for erectile dysfunction (e.g. Viagra) within the past 24 hours. That combined with nitrates can lead to a life-threatening irreversible crash of central blood pressure around the heart.

The answer is c hope this