This man is presenting with signs/symptoms of an inferior wall M.I. (myocardial infarction), a heart attack. He needs to be started on IV fluids with morphine, oxygen, nitroglycerin, and aspirin. However, it is imperative that before administering nitro/nitrates, he denies having taken any sexual meds for erectile dysfunction (e.g. Viagra) within the past 24 hours. That combined with nitrates can lead to a life-threatening irreversible crash of central blood pressure around the heart.
