1. Patient is a 52 year old male who comes in to the Emergency Room with a sudden onset on sharp chest pain radiating to the back and he is diaphoretic. His pain just started 30 minutes prior to arrival. His vital signs are as follows BP-73/43 P-130, R-20 Temp-97.3 He had just had outpatient labs done at your hospital yesterday that showed a BUN of 12 and a Creatinine of 0.7. Which of the following is the most appropriate action?
A. Get an EKG, give 4 baby Aspirin, apply oxygen and give a nitroglycerin trial.
B. Get an EKG, give 4 baby Aspirin apply oxygen, given a nitroglycerin trial and morphine.
C. Get an EKG, order a stat CT scan with IV contrast, Type and Cross the patient for 4 units, get a second IV line, and notify the cardiologist or vascular surgeon of your results.
D. Get an EKG, give 4 baby Aspirin, apply oxygen, repeat his labs including enzymes, get an a chest x ray and admit.
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