1000: Mr Jeffries is a 59 year old Caucasian male.

1000: Mr Jeffries is a 59 year old Caucasian male. He presents to the ER with c/o substernal chest pain radiating down his left arm, nausea, & shortness of breath.
PMH: Mr Jefferies states that he has a 2 year history of CAD and has been taking S/L nitroglycerine (NTG) for occasional chest pain. He has had controlled HTN for 7 years, Type II diabetes for 3 years, and hyperlipidemia.
History of Present Illness: Prior to arriving in the ER, he began experiencing chest pain at rest. He took 3 NTG tablets with minimal relief. He decided he should go to the ER by personal car.
Social/Personal History: He reports being under a lot of stress, He was divorced 2 years ago and since then been eating out a lot. He has gained a lot of weight and is unable to exercise because of his work schedule. Work has become very stressful and busy. He started smoking at age 16 and reports a 60 pack per year smoking history.
Family History: His father died at age 55 of a heart attack, a brother with HTN, mother died of breast cancer, and sister has no medical history.
Medications:
Glyburide 10 mg po Q AM, 5mg po Q PM
EC ASA 81 mg
Metoprolol 20 mg po twice daily
lisinopril 10 mg po twice daily
Nitroglycerine .4 mg s/l tablets PRN as needed for chest pain
Atorvastatin 20 mg po at night
Q 1. Based on the previous findings, what are your next steps in caring for Mr. Jeffries? Describe labs that would be drawn, assessments you would make, interventions on what the nurse would do to give medications what the nurse could anticipate? What would the nurse do first?