أنشئ حسابًا أو سجّل الدخول للانضمام إلى مجتمعك المهني.
the protocal (MONA)is the best consequence to deal with acute coronary syndrome
- M for Morphine
- O for Oxyegen
- N for Nitrate drugs
- A is for aspirin
Note : Nitrate drugs for example :
Morphine
OxygenSublingual nitrates
Aspirin
oxgen
morphine
rest in bed
nitroglycine
asprin
In case of STEMI,
aspirine first
or clopidogrel if allergia,
heparine 5000 Iv
if painfull, morphine carefully ( can provoque collapse)
beta blockers if tachycardia without Left ventricule failure ( carefully as well because of collapse risk either)
phone as soon as possible in order to ask the coronarographist for additive drugs like EFFIENT or BRILIQUE depending of the age and status of patient ( bleeding risk)
then, load and go straight to the cath -room
During the transport, statin and IPP can be administrate per os.
MORPHINE O2 NITRATES ASPIRIN PCI
the best drug which decrease mortality is Aspirin
full work up with
Aspirin
morphine
oxygen
nitrates
Morphine, ASA,Oxygen, Clopidogrel, Heparin (LMWH), Nitrate.
Heparine 50mg Aspirine 250 mg and Plavix . For Analgesic : Morphine
MONA : M for Morphine
- O for Oxyegen
- N for Nitrate drugs
- A is for aspirin
before 4 hours
aspirine,
clopidogrel,
plavix
NITRATE IN SUBLINGUALE
morphine and realise an ECG
START AS SOON AS POSSIBLE LA THROMBOLYSE