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If we suspect that a patient has an acute coronary syndrome, the next step would be to check more in depth vital signs. It would be the team leader’s role to ask another available team member to attach the Blood Pressure cuff, place the patient on Pulse Oximeter, check pulse and respiration. In addition, an ECG monitor should be attached soon and an IV established. This first medication to give would be aspirin at 324mg chewed orally. Oxygen may be needed, but is not recommended for an O2 saturation reading that is 94% or greater. If the patient has chest pain with a blood pressure of 90 systolic or higher, Nitroglycerin at 0.4mg may be administered. The most important interventions early on for an acute coronary syndrome patient are to provide adequate oxygenation, administer pharmacologic interventions to reduce pain and anxiety, perform a timely assessment using a 12 lead ECG, history and blood labs.