A 80-year-old complains of chest pain that began 1 hour ago. The patient is pale and diaphoretic. BP is 80/50 and respiratory rate is 24. The monitor shows the following rhythm. Treatment?

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1. A 80-year-old complains of chest pain that began 1 hour ago. The patient is pale and diaphoretic. BP is 80/50 and respiratory rate is 24. The monitor shows the following rhythm. Treatment?