Initial stabilization of acute ST-elevation MI?,”- Supplemental oxygen (if SAO2 <90% or dyspnea)- Aspirin 325 mg- P2Y12 inhibitor (eg, clopidogrel)- Nitrates (sublingual)- Beta-blocker (unless hypotension, bradycardia, chronic heart failure, heart block)- High-dose statin (eg, atorvastatin 80 mg)- Anticoagulation (drug depends on planned revascularization)* Pulmonary edema? -> IV furosemide (not if patient is hypotensive or hypovolemic)* Persistent pain, hypertension, or heart failure? -> IV nitroglycerin (not if hypotension, RV infarct

Initial stabilization of acute ST-elevation MI?,”- Supplemental oxygen (if SAO2 <90% or dyspnea)- Aspirin 325 mg- P2Y12 inhibitor (eg, clopidogrel)- Nitrates (sublingual)- Beta-blocker (unless hypotension, bradycardia, chronic heart failure, heart block)- High-dose statin (eg, atorvastatin 80 mg)- Anticoagulation (drug depends on planned revascularization)* Pulmonary edema? -> IV furosemide (not if patient is hypotensive or hypovolemic)* Persistent pain, hypertension, or heart failure? -> IV nitroglycerin (not if hypotension, RV infarct

or severe aortic stenosis occurs)* Persistent severe pain? -> IV morphine”