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A patient has a chest pain score of 8/10 with suspected acute coronary syndrome. Sublingual nitroglycerin 0.4 mg has been given once with no relief. Vital signs: BP 148/92, HR 102, SpO2 96%. What is the next appropriate step?

Repeat sublingual nitroglycerin 0.4 mg every 5 minutes up to a total of 3 doses, monitoring BP Administer 40 mg intravenous furosemide to reduce preload Give intravenous labetalol 20 mg to lower both pain and blood pressure Apply a non-rebreather mask at 15 L/min even though SpO2 is 96%

Correct Answer:

Repeat sublingual nitroglycerin 0.4 mg every 5 minutes up to a total of 3 doses, monitoring BP

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