324 mg baby aspirin (chewable). If patient states they cannot take ASA due to “stomach problems” or “doctor’s orders”, call medical control for guidance
Nitroglycerin 0.4 mg SL every 5 minutes while symptoms persist if SBP >90. Avoid this for patients who take Sildenafil, tadalafil, or vardenafil in past 48 hours
If ECG suggests AMI, consider Morphine Sulfate 2 mg IVP every 5 minutes up to 10 mg if pain persists and SBP >90
Consider Fentanyl 25-50 mcg for patients with a morphine allergy or know right ventricular infarction