Acute chest pain management Flashcards
1
Q
Discuss the MONA LISA approach to acute chest pain management
A
L - leads on, BP cuff, pulse oximeter
I - IV line for venous access
S - systolic BP <90mmHg give 200ml saline bolus instead of morphine or nitrate
A - allergies
M - morphine 10mg in 9cc water 1-3mg every 15min
O - oxygen per mask if needed
N - nitrates sublingually
A - aspirin chew 1/2 or 1 tablet
2
Q
What is the main allergy to be concerned with regarding the MONA LISA approach?
A
Aspirin
3
Q
When do you give a patient oxygen per mask?
A
Sat <94%
4
Q
Give contraindications for nitrates sublingually
A
Viagra in past 24hrs
Inferior MI
Posterior MI
5
Q
Why do inferior and posterior MIs contraindicate nitrates sublingually?
A
Preload reduction risk
