ok here we go ill give you all the issues and you figure it out and what the possible outcome maybe and a bonus question who can guess the troponin level.
47 y/o/m c/o chest pain for on / off period of 10 days, last night being bad but relieved with rest. today started again roughly 8 am but does not seek treatment, calling 9-1-1 due to chest pressure that makes the left arm go numb pt stating that the pressure is a 10 / 10 (-) diaphoresis, n/v/ha/ vision disturbances, no meds history and or allergies. pt placed on high flow o2, with room air saturations 97%.
monitor started with subsequent 12 lead showing sinus bradycardia with no ectopy as per monitor " otherwise normal ecg" b/p 102 / 60 respirations 16 - 18, skin warm dry (-) pallor, motteling, flushing.
how would you treat pt presentation, and what would you expect to have happen. bonus ? what is pt's troponin level????
have fun