Reply mystery says: June 12, 2010 at 11:58 pm definitely the patient has pain secondary to ischemia of the the myocardial tissue. and because the pain is so severe, as it was described like an elephant sitting on one's chest, the only appropriate analgesic are narcotics, especially MORPHINE. why sedate the patient?? sedation is a chemical restraint. and although bed rest is indicated for MI pati