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A62-year-old man is being treated for an acute myocardial infarction. he originally came to the ed with substernal chest pain and diaphoresis. given his risk factors of hypertension, diabetes, tobacco use, and family history, he is considered high risk. an ecg in the ed reveals a left-bundle branch pattern, and cardiac enzymes are elevated slightly. after a focused evaluation in the ed, the patient receives iv thrombolytics. although his bundle branch pattern never resolves, the patient is chest pain-free and haemodynamically stable after thrombolysis. two days later, however, the patient reports episodes of recurrent chest discomfort and shortness of breath overnight. in evaluating for potential myocardial reinfarction, which of the following is the most appropriate diagnostic test? - creatinine kinase- dynamic ecg changes- lactate dehydrogenase- myoglobin levels- troponin i level

You are assessing an 86-year-old postoperative patient who has an unexpressive, stoic demeanor. when you enter the room, the patient is curled into the fetal position and your assessment reveals that his vital signs are elevated and he is diaphoretic. you ask the patient what his pain level is on a 0-to-10 scale that you explained to the patient prior to surgery. the patient indicates a pain level of “three or so.” you review your pain-management orders and find that all medications are ordered prn. how would you treat this patient's pain?

About how many individuals in the us go bankrupt each year due to medical bills?