What is Mona for chest pain?
MONA no longer answers the door Morphine, oxygen, nitrates, and aspirin — collectively known as MONA — are no longer the preferred door prizes for chest pain patients entering the emergency cardiac care system.
What are Mona drugs?
MONA No Longer Answers the Door Morphine, oxygen, nitrates, and aspirin — collectively known as MONA — are no longer the preferred door prizes for chest pain patients entering the emergency cardiac care system.
What are Mona and oxygen?
Morphine, oxygen, nitrates, and aspirin — collectively known as MONA — are no longer the preferred door prizes for chest pain patients entering the emergency cardiac care system.
What is Mona no longer answers the door?
MONA no longer answers the door Chest pain? MONA no longer answers the door Morphine, oxygen, nitrates, and aspirin — collectively known as MONA — are no longer the preferred door prizes for chest pain patients entering the emergency cardiac care system.
What replaced Mona in a heart attack?
Cardiovascular disease and its sequalae remain one of the largest health care problems in the United States. Each year there are approximately 620,000 new cases of acute coronary syndrome (ACS) and 295,000 recurrent ACS events.
Is Mona still a thing?
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 Mona used for stemi?
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.
Is Mona the correct order?
Nitroglycerin: Major actions and misconceptions Much to our acronym-infatuated dismay, however, MONA was actually out of order and didn't accurately align with the proper sequence of medication administration for our cardiac patients.
When does Mona stop working for A?
Mona was kicked off of the A-Team in the season three finale. However, Mona joins the new "A.D." team in Season 7, after "A.D." sends Wren to kill her and she offers to help instead.
When do you give Mona?
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).
What is chest pain protocol?
This is an essential tool to support decision-making in the Emergency and Urgent Care Unit, in identifying 25% of patients with acute coronary syndrome (ACS) / coronary artery disease (CAD) that would be released without a correct diagnosis.
What is the best treatment for ST elevation MI STEMI?
Primary percutaneous coronary intervention (p-PCI) has become the treatment of choice for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously by an experienced team.
What if nitroglycerin does not work?
If you typically use nitroglycerin to relieve angina and if one dose of nitroglycerin has not relieved your symptoms within 5 minutes, call 911.
Do you give aspirin or nitroglycerin first?
This study hypothesizes that the order of administering these drugs is important, and giving aspirin several minutes before nitroglycerin can lead to a better patient outcome and theoretically can help in re-vascularization.
Does nitroglycerin reduce mortality?
1 Seven randomized controlled trials of intravenous nitroglycerin in a total of about 850 patients have been reported. Overall, there were 51 deaths (12.5%) in the nitroglycerin group and 87 (20%) in the control group. This indicates a 48% reduction in the odds of death (P < 0.001, 95% confidence limits (25% to 64%)).
What order should you give 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.
Does Mona become A Again?
In the books, Mona becomes "A" as revenge for the Liars taking part in the blinding of Jenna Cavanaugh. In the TV show, Mona joins the "A-Team" because she feels that the Liars (possibly including Alison, as she received notes from "A" as well) "took" Hanna away from her.
When does Mona return PLL?
Mona returns to Rosewood in "She's No Angel" and is nervous of what Alison will do to her after learning that she staged her death and framed her for it.
When is Mona found alive?
Mona was revealed to be alive in "Welcome to the Dollhouse" and was being held captive by "A" in the dollhouse for five months. Tanner finds out that Mona is alive and has been held captive in the dollhouse, meaning that none of the Liars are guilty of anything.
Did Mike know Mona was alive?
Unfortunately, Mike didn't think Mona was alive anymore. He was supposed to meet her multiple times, but she never showed. He thought A had double-crossed Mona and killed her, and he'd been visiting Alison to find out anything he could about Mona.
Does Mona work for chest pain?
Chest Pain? MONA No Longer Answers the Door. Morphine, oxygen, nitrates, and aspirin — collectively known as MONA — are no longer the preferred door prizes for chest pain patients entering the emergency cardiac care system. The Emergency Cardiac Care (ECC) Guidelines 2010 put the kibosh on the morphine and oxygen piece of MONA after research ...
Can nitrates be used for chest pain?
This is great news for BLS providers who are trained and ready to deliver both medications currently recommended for chest pain patients.
Can Mona meet chest pain patients?
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. Keep your focus on nitroglycerine and aspirin. Meeting patients at the door with these two medications will improve outcomes and help you to help your patients.
What is MONA for Heart Attack?
First, for those who don’t already know, MONA is a mnemonic that stands for: M orphine, O xygen, N itrates, and A spirin. These are the 4 primary interventions that used to be routinely performed when treating a patient with suspected Heart Attack/Myocardial Infarction (MI).
What is the first thing you give a patient with myocardial infarction?
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:
What to take if you have angina and are not taking nitrates?
If they are in a non-medical setting, then the patient might need to take nitrates first (if the patient has them prescribed and available for angina episodes), or aspirin first if nitrates are not available and a heart attack is suspected.
How does aspirin help with myocardial infarction?
This helps get rid of any clots in the coronary arteries that might be contributing to the blockages causing the Myocardial Infarction.
What is the best medicine for clots?
Basically, the only MONA recommendation that remains unchanged is this one: take aspirin. Aspirin still helps to prevent additional clots from forming by reducing the ability of platelets to stick together, which is something that can prevent further cardiac damage.
Can you give oxygen to a patient with myocardial infarction?
Bottom line: Don’t routinely administer oxygen therapy during myocardial infarction. Only consider oxygen therapy if the patient is also showing signs of hypoxemia. If the patient is normoxemic, then skip the oxygen.
Can you take morphine during a heart attack?
Other research studies have found no change in mortality or complications. Bottom line: Don’t routinely administer morphine during myocardial infarction.
Where does Mona live?
Jun 3, 2019. MONA has retired ... and now she lives at Del Boca Vista with the Costanzas. 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 patient: Morphine. Oxygen.
What is the best medicine for chest pain?
1. Aspirin. That’s right; the first consideration that should cross our mind for cardiac-origin chest pain patients is aspirin. Aside from any contraindications, aspirin still holds a place in the management of ACS patients. The key to this equation is ACS patients.
Is Mona out of order?
Aspirin. MONA was actually out of order and didn’t accurately align with the proper sequence of medication administration for our cardiac patients. (Photo/City of Westford) Much to our acronym-infatuated dismay, however, MONA was actually out of order and didn’t accurately align with the proper sequence of medication administration ...
Can you carry morphine in an ambulance?
In the event that you still do administer (or even carry) morphine, please consider an antiemetic chaser to coincide with it. After all, strapping your patient to a cot and facing them backwards in a moving ambulance is only asking for trouble.
Does vasodilation help chest pain?
As a vasodilator, it seems right that increasing the size of the pipe would increase blood flow and, therefore, decrease chest pain. This, however, has not really been proven to be effective. The vasodilation part, don’t get me wrong, is effective – but the pain management part – not so much.
Can you replace Mona with fentanyl?
Replace MONA’s morphine with fentanyl. Yes, morphine sulfate is still listed as part of the formulary of options for ACS pain management, but considering its longer onset and slurry of side effects ( nausea, vomiting and acute hypotension, to name a few), transitioning toward fentanyl is showing to be a safer alternative.
Is Mona good for cardiac patients?
Evidence-based medicine (EBM) now shows that MONA is no longer as beneficial to the cardiac patient as was once believed. In a review by Kline, Conti, and Winchester (2015), they listed recent information that could be used to deter providers from using MONA on a routine basis. 5 Morphine had been found to potentially mask ischemic symptoms ...
Does oxygen help with myocardial injury?
The prevailing thought has been supplemental oxygen provides improved oxygen delivery to cardiac tissue, which then decreases the size of infarcted myocardium and ischemic injury. Despite that information, there are definite risks with using oxygen routinely with every cardiac patient.
Does morphine help with ACS?
Morphine is commonly used for pain control and relief of symptoms in patients with ACS. Despite its ability to decrease oxygen demand on the myocardium through anxiolysis, venodilation, and decreased blood pressure and heart rate through increased vagal tone, no large randomized trials have shown an improvement in outcomes. 5
