You have been dispatched to the scene of a patient who is ha…

You have been dispatched to the scene of a patient who is having a “possible heart attack”.  Upon arrival, you find a patient who exhibits an altered mental status, drooling, slurred speech with incoherent words and a positive facial droop.  Vitals are BP in the right arm is 170/70 and in the left arm is 146/76, HR is 50; RR is 14, regular and blood glucose is 50 g/dl.  His past medical history includes AMI, diabetes.  From the following, select the most appropriate treatment.