Question: Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.

Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.Initial pathology for Mr. Shapiro reported chest pain, diaphoresis, and shortness of breath. To address these symptoms, the Emergency Department staff administered aspirin and two doses of sublingual nitroglycerin. The chest pain improved following administration of the nitroglycerin. In addition, an IV infusion of normal saline was started at 25 mL/hour to provide hydration. Oxygen was also prescribed at a rate of 4 L/min with SpO2 values monitored at 97%. A nitroglycerine patch at 0.4 mg was applied before admission to the Telemetry Unit. Lab values were ordered and provider wants to be contacted as soon as they are available.