128. you evaluate a 57 yo man in the ER with diabetes and high cholesterol who complains of a pressure like chest pain that started while he was shoveling snow 45 minutes ago. Pain radiates to jaw and left arm. Patient has no dizziness, nausea, vomiting, or palpitations. Past medical history of hypertension, and he smokes two packs per day. Brother had an MI that required balloon angioplasty when in forties. On PE, patient appears pale and diaphoretic. BP is 160/100 and pulse is 108. Extremities are cool. Heart exam reveals S4 gallop. Lungs normal. Peripheral pulses are palbable and bilaterally equal. No peripheral edema. What should be accomplished within first 10 minutes of management in ER?
A. Administration of 160 to 325 chewable aspirin
B. initiation of IV nitroglycerin
C. percutaneous coronary intervention
D. exercise stress test
Administration of aspirin