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Right Ventricular Infarction

BY JIM DAVISYour medic unit responds to a 54-year-old male with chest pain. On your arrival, he appears pale and diaphoretic and states he was watching television when the pain developed. He denies shortness of breath. You place him on oxygen as your partner records his vital signs at B/P 118/64 R-18. You place the patient on a cardiac monitor and observe a normal sinus rhythm rate in the mid 60s and significant ST segment elevation in leads ll, lll, AVF. You establish an IV of 0.9 percent NS and give aspirin according to local protocol. You follow with 0.4 milligrams of sublingual nitroglycerin (NTG). After a second NTG spray, the patient develops hypotension with a systolic B/P of 64/P....

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