What is the correct order of Mona?
During the treatment of acute coronary syndrome (ACS) or other coronary events, the mnemonic MONA (morphine, oxygen, nitroglycerin, aspirin) has been used by prehospital providers, emergency room personnel, and educators for years.
Can you give morphine and nitroglycerin together?
Based on the findings of the present study, combined administration of nitroglycerin and morphine had no synergistic effects on reducing postoperative pain. However, the addition of nitroglycerin to morphine can further stabilize hemodynamic parameters. Also, it can improve patient breathing without any side effects.
Do you give Nitro before morphine?
DURHAM, N.C., May 6-Morphine to relieve severe chest pain associated with the non-ST-segment elevation acute coronary syndrome may increase the risk of death by nearly 50%, report Duke investigators. They recommend nitroglycerin as first choice.
How do you administer Mona?
MONA. Immediate treatment typically includes morphine, oxygen, nitroglycerin and aspirin (MONA). Morphine Sulfate: Morphine sulfate is the analgesic of choice for the management of chest pain associated with STEMI. Administer administered in 2 – 4 mg IV repeated at 5- to 15-minute intervals until pain is relieved.
Why does Mona have chest pain?
The mnemonic, MONA, which stands for morphine, oxygen, nitroglycerin, and aspirin, is used to recall the initial management of patients with chest pain (ie, suspected acute coronary syndrome).
When should Nitro not be given?
Nitroglycerin is contraindicated in patients that have reported allergic symptoms to the medication. [18] Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.
Is morphine given to heart patients?
The use of opioids in acute pulmonary oedema is considered standard therapy by many physicians. The immediate relieving effect of morphine on the key symptomatic discomfort associated with acute heart failure, dyspnoea, facilitated the categorisation of morphine as a beneficial treatment in this setting.
Is morphine given for heart pain?
Chest pain is the most common symptom of patients who present with ischemic heart disease. Morphine has traditionally been the drug of choice for managing chest pain in acute coronary syndrome (ACS) due to its high analgesic potency, though its physiological effects are poorly understood.
When do you give Mona?
Is Mona used for chest pain?
Is Mona still ACS?
Presently, use of a few drugs such as aspirin, heparin, or P2Y12 inhibitors is mandatory to treat ACS. Unfortunately, the mnemonic MONA (morphine, oxygen, nitrates, and aspirin) continues to be used as a teaching tool in universities, on websites, and in educational videos.
Is the morphine mnemonic relevant in the era of evidenced-based medicine?
However, in the era of evidenced-based medicine, a review of this mnemonic is needed ( Fig. 1 ). Figure 1 Potential downsides of morphine, oxygen, and nitrates in the treatment of chest pain.
What is the mnemonic Mona used for?
To the Editor: The mnemonic, MONA, which stands for morphine, oxygen, nitroglycerin, and aspirin, is used to recall the initial management of patients with chest pain (ie, suspected acute coronary syndrome). Although morphine is effective at relieving patient anxiety and pain, evidence suggests its use might be harmful.
How much nitroglycerin do you give a patient for chest pain?
Nitroglycerin: Patients with ongoing ischemic discomfort should receive sublingual nitroglycerin (0.4 mg) every 5 minutes for a total of 3 doses, after which an assessment should be made about the need for intravenous nitroglycerin. Most physicians prefer nurses to begin treating chest pain with nitro.