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.

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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. Assess B/P and respiratory rate closely.

 

Oxygen: Supplemental oxygen should be administered to patients with arterial oxygen desaturation (SaO2 less than 90%) and is reasonable to administer supplemental oxygen to all patients with uncomplicated STEMI during the first 6 hours.

 

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. If unrelieved after 3 doses, most hospital units have protocols to progress to treating the pain with morphine sulfate (see above). (Always follow your organization protocol and physician orders)

 

Aspirin: Aspirin should be chewed by patients who have not taken aspirin before presenting with STEMI. The initial dose should be 162 mg which is more effective than the dose of 325 mg.