Prioritizing Interventions in Hemodynamic Instability

Very Hard Physiological Adaptation Hemodynamics

A 54-year-old male patient presents to the emergency department with sudden onset chest pain radiating to the left arm. His medical history is significant for hypertension and hyperlipidemia. Upon assessment, he is diaphoretic, his heart rate is 112 beats per minute, blood pressure is 88/50 mmHg, and his respiratory rate is 22 breaths per minute. An ECG shows ST-segment elevation in leads II, III, and aVF. The healthcare team suspects inferior myocardial infarction (MI).

Considering the patient's hemodynamic profile and the physiological changes associated with an inferior MI, which of the following interventions should the nurse prioritize to stabilize the patient's hemodynamics?

Administer a bolus of isotonic crystalloid solution.

Initiate nitroglycerin infusion to reduce preload.

Administer high-dose opiate analgesics for pain management.

Start dopamine infusion at a low dose to enhance cardiac output.

Hint

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