Morphine or Oxygen?

[rnaria]

I'm reviewing MI and some places, it says morphine should be given first because it reduces oxygen demand while other places say oxygen is always first priority. I learned morphine, oxygen, nitrates, and aspirin but does anyone know what the NCLEX asks?

[lalorn]

Oxygen first !!! Then aspirin, nitro and morphine last!

[Yukinara]

based on what I learned from NCSBN and LaCharity: morphine first, because morphine decrease pain and anxiety, also dilate blood vessel. All of those decrease O2 consumption, thus decreasing the heart workload.

But honestly, that's what I believe, and when you review more than 1 book, sometimes you will see conflicting things like this. So, trust your instinct.

But for me, if I were to come across that kind of question, I'll pick morphine 1st, just for MI. For other heart condition, I'll pick O2 first.

[buspar]

According to HURST, Morphine is 1st (M.O.N.A.)

[natalieewans]

Hi,

Accordingly to ABCDE the Oxygen is first,without the O2 brain will die in about 4 minutes,then circulation -aspirin and clopidrogel and then IV morphine and referral for re-perfusion.....I am too doing MI for my OSCE but if you have different references,please advice..

[GundeRN]

Stupid NCLEX, never matches real life. Morphine will never be first because you aren't going to make the person wait to get their oxygen while you mess with putting in an IV. One nurse is going to be giving O2, nitro, and aspirin while another starts he IV.

[diamond_girl, BSN, RN]

When I was studying Hurst and PDA both say morphine first. In school, I was taught o2 first. Reality is, everything would happen simultaneously. This didn't come up on my nclex but if it did I would have chosen morphine based on the review sources.

[rnaria]

Thanks everyone! I think for the sake of the NCLEX, I'll probably just choose morphine first as that is how I learned it. I think I just need to remember that a real hospital is not like the "NCLEX hospital" because you are the only nurse/person working there unless the question states otherwise.

[lifelearningrn, BSN, RN]

I always use MONA. Morphine, O2, Nitro, Aspirin.

[Asteria]

I know this is too confusing too .. Because my husband who took his ACLS.. They said not MOrphine first , now it's Nitrates.. Anybody has any idea which one really is for nclex?