(After 3 sublingual nitroglycerin sprays, Andrew's pain is unchanged. Felicia: I need to give you 2 mg of morphine to help with your chest pain Andre (Felicia administers 2 mg of morphine sulfate lv) Felicia: (After checking the blood pressure) Since your blood pressure has not decreased from the nitro, I will be administering metoprolol, which will help lower your blood pressure and should improve your pain. I need to push the medicine through the Iv very slowly. Andrew: Felicia: Some lab tests were slightly abnormal, for example, your potassium was a little low, so the doctor has ordered some potassium for you to take by mouth Andrew: Felicia: Thats what you came to the hospital for, right? Andrew Felicia: The troponin level, which is a cardiac enzyme, was normal. That means that so far there has not been any significant heart damage, which is good news. However the test will be repeated every 4-6 hours for 3 to 6 times while you are in the hospital depending on your results. This lab test is a very sensitive indicator of a heart attack Andrew Felicia: Dr. Smith will be in shortly to go over any further questions with you. How is your pain after the morphine? Felicia: Good. Now, if you need me, or if your pain comes back, press the call light Andrey Felicia: You bet(After 3 sublingual nitroglycerin sprays, Andrew’s pain is unchanged.) Felicia: I need to give you 2 mg of morphine to help with your chest pain. Andrew: (Felicia administers 2 mg of morphine sulfate IV.) Felicia: (After checking the blood pressure) Since your blood pressure has not decreased from the nitro, I will be administering metoprolol, which will help lower your blood pressure and should improve your pain. I need to push the medicine through the IV very slowly. Andrew: Felicia: Some lab tests were slightly abnormal, for example, your potassium was a little low, so the doctor has ordered some potassium for you to take by mouth. Andrew: Felicia: That’s what you came to the hospital for, right? Andrew: Felicia: The troponin level, which is a cardiac enzyme, was normal. That means that so far there has not been any significant heart damage, which is good news. However the test will be repeated every 4-6 hours for 3 to 6 times while you are in the hospital depending on your results. This lab test is a very sensitive indicator of a heart attack. Andrew: Felicia: Dr. Smith will be in shortly to go over any further questions with you. How is your pain after the morphine? Andrew: Felicia: Good. Now, if you need me, or if your pain comes back, press the call light. Andrew: Felicia: You bet