What are the first aid drugs for a patient with acute coronary syndrome?

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 :

• Nitroglycerin (such as Nitro-Dur, Nitrolingual, Nitrostat).
• Isosorbide (such as Dilatrate, Isordil).

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