question about MI treatment

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I was reading in the fact throwing that to treat an MI, you use MONA, morphine first for pain(rationale to decrease O2 demand which makes sense), then oxygen, YET...the Saunders book as I glanced in it said to give oxygen, then niitro, then morphine...which one is it?

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quick bump

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I have always heard it as MONA....The rationale behind MONA is.....Morphine first, because as you said it decreases O2 demand, therefore giving O2 would be counter productive it you gave it completely first...So while these steps are generally done interchangebly in the NCLEX world morphine comes first...(in the real world, you would probably have O2 on hand so you would grab that first)...BUt remember this is always what inclex world wants....Then Nitro, then aspirin!!

Good luck to you!!!!

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Specializes in CTICU.

MONA is a mnemonic to understand the actions, not the order. ACLS training tells us:

- oxygen

- nitrates

- aspirin

** morphine only if nitrates x3 fail to relieve pain **

In NCLEX world, you always do ABC, of which AIRWAY is first = O2.

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Yep.....ABC's......Don't mind me...I guess I am a little sleep deprived this morning....haha sorry!

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Specializes in ED, ICU, lifetime Diabetes Education.

I also think the O2 would be first because as soon as the pt comes to the ED you can easily apply that nasal cannula or mask on. I don't have any ED experience but my thinking is that with the other meds you have to go get them and and either open the packages and get the pt to swallow the pills. Morphine you need to draw it up and have IV access. Why not give the pt O2 while getting the other meds ready?

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