00:01
Okay, this question here says a 50 year old man has had crashing super external pain with radiation to his left arm the aphoresis in this media for the past 12 hours.
00:10
His pulse is 90 beats per minute, respiration is at 20 per minute and blood pressure is 110 over 76 millimeters mercury in the left arm while he is still in spine.
00:23
A diagnosis of acute anterior wall transmural myocardial infarction is made.
00:29
In chest intravenous administration of heparin, nitrolyzing and metoprolol is started.
00:35
After 60 minutes the patient continues to have chest pain.
00:38
Morphine is the most appropriate analgesic at this time because of which are the following characteristics.
00:43
So you have morphine here.
00:47
So first, morphine remember that is a potent analgesic that provides pain relief by reducing myocardial oxygen demand.
00:55
By reducing pain and anxiety, morphine helps to decrease sympathetic nervous system activity, also the heart rate and also the blood pressure.
01:14
And all of this is going to lead to or even to reduce the workload of the heart and myocardial oxygen demand...