Everything Nurses >> Rx Corner >> Morphine vs Fentanyl in AMI
Morphine vs Fentanyl in AMI
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Posted 7 months ago With chest pain patients, we are taught MONA (morphine, o2, nitro, asa). As a transport nurse I LOVE fentanyl and in patients unrelieved by Morphine (still diaphoretic, pale, with pain) this is what I automatically give. The resulting pain and subsequent anxiety relief are remarkable. I have my theories, but was wondering what anyone else thinks about this and why it makes such a difference. |
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| Posted 7 months ago crzegrl, Fentanyl is great, so is stadol. Back in the day MONA was the golden rule for chest pain, now MONAB (B=b-blockers) is the rising new trend, maybe with the added b-blockers it reduces the cardiac O2 demand reducing chest pain and anxiety. |
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| Posted 7 months ago Most of my patients don't get all of the b-blockers cause they are too unstable! Something about hypotension....geesh! Actually, they usually have had one does of the b-b, and a few of the morphine and are still having pain.... |
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| Posted 7 months ago Hey, I should stick to my MEAO (morphine, epinephrine, atropine, amd Oxyen), the other stuff just complicates my drug interaction knowledge base. I trust that you will teach me right |
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| Posted 7 months ago Uhhh....don't look at my transcripts for pharmacology grades! |
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| Posted 7 months ago Okay I won't look at your transcripts, but how about teaching me what really works out on the pavement. I am always looking for ways to stay two steps ahead of decompensated shock. |