03
Sep
Mona Chest Pain. Patients with chest pain of suspected cardiac origin should receive up to 3 doses of nitroglycerine given either by sublingual tablets or spray such as nitromist administered at 3 to 5 minute. Immediate treatment typically includes morphine oxygen nitroglycerin and aspirin mona. Morphine sulfate is the analgesic of choice for the management of chest pain associated with stemi. Keep your focus on nitroglycerine and aspirin.
Although the order of the mnemonic has never been in the order to give it is even more complicated today. For those of you who remember introducing your chest pain patients to mona or for those of you who still do this four part acronym was a staple answer for nearly any acute coronary syndrome. However if the angina doesn t respond to nitroglycerin then the patient is generally instructed to treat it as a heart attack. Morphine sulfate is the analgesic of choice for the management of chest pain associated with stemi. Keep your focus on nitroglycerine and aspirin. The original mnemonic stood for.
Morphine is commonly used for pain control and relief of symptoms in patients with acs.
Nitroglycerin aspirin mona to the editor. However in the era of evidenced based medicine a review of this mnemonic is needed fig. Changes in nitroglycerin recommendations from mona if a patient has a prescription for nitroglycerin manage angina then the patient should still take nitroglycerin as directed when they have chest pain. Morphine sulfate is the analgesic of choice for the management of chest pain associated with stemi. With mona no longer meeting chest pain patients at the door it is nice to know that our first responders and emts now have the tools and knowledge to deliver life saving interventions to patients who present with chest pain potentially of acute coronary syndrome origin. Nitroglycerin aspirin mona to the editor.