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A patient complains of shortness of breath and chest pain radiating to the neck. Blood pressure is 80/50 mm Hg and the respiratory rate is 40 per minute. Oxygen and an IV has been started. The monitor shows the following rhythm. What should the next treatment be?

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A patient complains of shortness of breath and chest pain radiating to the neck. Blood pressure is 80/50 mm Hg and the respiratory rate is 40 per minute. Oxygen and an IV has been started. The monitor shows the following rhythm. What should the next treatment be?






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