A 68 yo pt is brought to the ED w/ substernal chest pain that started 2 days ago. Sx include nausea and diaphoresis, but no SOB. PMH: HTN, DM2, obesity. Allergies: Shellfish. Meds: HCTZ, Fortamet, and Glyburide. Vitals: BP 187/91, Pulse 122, RR 18, T 98.4 F, O2 Sat 97%. Labs: Troponin (-), Gluc 230 mg/dL, BUN 45 mg/dL, SCr 1.0 mg/dL. EKG: Sinus tachycardia w/ ST elevation. He is currently receiving morphine sulfate, oxygen, nitroglycerin, and aspirin 325 mg. Which of the following are appropriate txs to add to his therapy?
A. Alteplase
B. Metoprolol
C. Atorvastatin 80 mg
D. Prasugrel LD of 60 mg
E. PCI stent
