A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours’ duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%

A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours’ duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should:
Select one:
A. obtain a SAMPLE history and contact medical control for advice.
B. give her one nitroglycerin and reassess her systolic blood pressure.
C. administer oxygen, give her 324 mg of aspirin, and assess her further.
D. give her high-flow oxygen, attach the AED, and transport at once.

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