High-intensity statin for all patients with ACS – atorvastatin 80mg po Qbedtime or rosuvastatin 20-40 mg daily. – H eparin. For all patients with non-ST elevation ACS, start anticoagulation ASAP after you’ve made the diagnosis.

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.

Universities, websites, and educational videos commonly use a mnemonic for morphine, oxygen, nitrates, and aspirin (MONA) to refer to the adjuvant treatment used for the management of ACS. We review the scientific data pertaining to treatment strategies for the management of ACS and discuss whether MONA remains relevant in the present scenario.

2023年3月31日 · MONA is a mnemonic device previously used for initial heart attack treatment. It stands for morphine, oxygen therapy, nitrates and aspirin.

2017年11月5日 · Background: Morphine is a commonly used medication in acute coronary syndromes (ACS) to help relieve pain which in turn can help reduce sympathetic tone. Over the past few years however, there has been some concern raised about the drug-drug interactions with antiplatelet agents causing impaired platelet inhibition as well as an association ...

2023年8月11日 · Renin-angiotensin-aldosterone-system (RAAS) suppression via angiotensin-converting enzyme (ACE) inhibition after an MI improves left ventricular ejection fraction later down the line through its effects on ventricular remodeling.14 The OPTIMAAL trial compared ACE inhibitors with angiotensin receptor blockers (ARBs).

Medical professionals and students often use the mnemonic 'MONA' (morphine, oxygen, nitroglycerin and aspirin) to recall treatments for ACS; however, this list of therapies is outdated. We provide a historical perspective on 'MONA,' attempt to uncover its origin in the medical literature, and demonstrate the myriad changes that have occurred ...

2024年6月18日 · The mnemonic device “MONA,” which stands for morphine, oxygen, nitroglycerin, and aspirin, is outdated and can be harmful to patients with acute coronary syndrome. Instead of giving every patient with chest pain morphine, oxygen, and nitroglycerin, nurses should prioritize early recognition, such as an ECG and lab diagnostics.

2019年6月3日 · Let’s break down the relevance of MONA in today’s management of ACS patients, starting with the appropriate order of operations. 1. Aspirin. That’s right; the first consideration that should...

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).