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A 70 year old female presents with 1 hour of epigastric abdominal pain, shortness of breath and diaphoresis. Her BP is 110/70 and RR is 16. You are working in a rural community hospital and initiate treatment based on EKG # 1. What does the EKG #1 show and what is your diagnosis? Rate: 54 Rhythm: sinus bradycardia Axis: normal PR: 0.08 ST: 3-4 mm elevation in II,III,AVF QRS: narrow complex EKG diagnosis: inferior wall MI Clinical diagnosis: Acute inferior wall MI Initial treatment: oxygen, aspirin, nitrates?, morphine?, thrombolytics, Do NOT give Beta blockers with pulse of 54. EKG # 2 is obtained 1 hour after EKG # 1and initial treatment, now what should be your treatment if you have already not done this? Transfer to cath lab OMT Questions? Reference: Foundations for Osteopathic Medicine p.433 T or F If there is a tachyarrhythmia associated with a right pectoralis muscle trigger point, the tachyarrhythmia is often unresponsive to antiarrhythmic drugs.
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