What is Mona in ACLS?

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.

Is Mona still used for MI?

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.

Why is aspirin administered for MI?

Aspirin is effective in reducing the blood clots that are blocking a coronary artery during an acute heart attack. Anyone who has already had a heart attack, or who has an increased risk of having one in the future, should always carry a few non-coated adult aspirins with them.

What is STEMI and Nstemi?

STEMI results from complete and prolonged occlusion of an epicardial coronary blood vessel and is defined based on ECG criteria..NSTEMI usually results from severe coronary artery narrowing, transient occlusion, or microembolization of thrombus and/or atheromatous material.

What is Mona in MI?

Sir, Morphine, oxygen (O2), nitrates and aspirin, have long been the preferred initial therapeutic measures for the emergency care of patients with acute coronary syndromes (ACS). The acronym ‘MONA’ has been formed as a mnemonic of these therapeutic modalities in training and everyday practice.

What is Mona bash used for?

–Morphine sulfate 2 to 4 mg IV PRN for severe pain. May repeat dose of 2 to 8 mg at 5 to 15-minute intervals. –Nitroglycerin (NTG) 0.3-0.6 mg SL q5min PRN chest pain.

Is nitrate and nitroglycerin the same?

Nitroglycerin is a type of nitrate.

Why is clopidogrel given for MI?

Clopidogrel reduces the risk of death and cardiovascular complications in patients with symptomatic atherosclerotic disease, in the setting of percutaneous coronary intervention (PCI), and in patients with unstable angina or non-STEMI.

Why is heparin given for MI?

The roles of heparin and warfarin in reducing morbidity and mortality after acute myocardial infarction (AMI) are reviewed. Full-dose i.v. heparin, with or without thrombolytic therapy, is indicated for the prevention of reinfarction and thromboembolism after AMI.

What is a Type 4 MI?

Type 4b (MI related to stent thrombosis): MI associated with stent thrombosis as detected by coronary angiography or autopsy in the setting of myocardial ischemia in combination with a rise and/or fall of cardiac biomarkers with at least one value above the 99 th percentile URL.

Can a NSTEMI be fatal?

This condition gets its name because — unlike an ST-elevation myocardial infarction (STEMI heart attack) — it doesn’t cause a very specific, recognizable change to your heart’s electrical activity. Any heart attack, including an NSTEMI, is a life-threatening medical emergency and needs care immediately.

Who is Mona B?

The Story Behind Mona B We at Mona B, we believe in making a great product while helping the environment through sustainable business practices. Our founder and creative director, Mona Bhatia, is a dedicated, creative designer who is passionate about genuine style that doesn’t compromise when it comes to environmental impact.

What is Mona and why is it important?

However, what many students don’t realize is that MONA never represented the order in which you should administer these treatments as a nurse. It is a mnemonic intended to help you remember the components of MI treatment, NOT the prioritization of them.

What is the past recommendation for Mona?

Past Recommendations for MONA. In a medical setting, when treating a patient with Myocardial Infarction, it used to be recommended to give: Oxygen first, then nitrates, then aspirin, then morphine. The rationale was that there were two therapeutic goals: Decrease cardiac oxygen demand (usually by slowing the heart rate), and.

Is Mona safe for the cardiac patient?

Evidence-based medicine (EBM) now shows that MONA is no longer as beneficial to the cardiac patient as was once believed.