An adult was c/o weakness and dizziness before a syncopal ep…

An adult was c/o weakness and dizziness before a syncopal episode. The pt is disoriented (GCS 9). VS: BP 78/44; pulse present, HR per ECG; R 18; SpO2 92%. Lungs are clear bilaterally; skin is pale and moist. rhythm 9.png Vascular access has not been obtained. Which of these is indicated first?

An adult is c/o severe substernal chest pain that began 15 m…

An adult is c/o severe substernal chest pain that began 15 minutes ago, rated as 9/10, with weakness, and is experiencing intermittent vomiting (but not active). The patient had surgery 7 days ago. VS: BP 140/88; P 75; R 24; SpO2 94%. Lung sounds are clear bilaterally; Rhythm: see below. 12-L shows an acute anterior MI. rhythm.jpg Considering the provided information, which medication is indicated for this patient and safest to be administered first?

An adult began experiencing substernal chest pressure (9/10)…

An adult began experiencing substernal chest pressure (9/10) and nausea about 30 minutes ago while resting. The pain does not change with rest, position, or deep breathing. The patient took one of their own NTG without relief. PMH: HTN, angina; 30-yr hx of smoking; moderate obesity. Meds: Lopressor. Skin is pale, cool & moist. VS: BP 130/70, pulse present, HR & rhythm as below; R 22; RA SpO2 95%, heart and lung sounds are normal. rhythm2.jpg The pain persists and there are no contraindications to administer nitro. How many additional NTG tabs may be given to reach the max total per SOP, considering the amount taken prior to EMS arrival?