MONA - morphine dose
2 to 4 mg every 5-15 minutes, IV push
MONA - oxygen
aim to keep pO2 at 94% or higher
(max 2L/min for COPD)
MONA - nitroglycerin dose
0.4 mg every 3-5 minutes for 3 doses
MONA - aspirin dose
160-325 mg
(NOT enteric coated, chewable)
Ventricular fibrillation/ v-fib
(patient will NOT have a pulse)
Interventions for v-fib
� Defibrillate
� Epinephrine 1 mg every 3-5 minutes
� Amiodarone 300 mg, then 150 mg
Ventricular Tachycardia/ v-tach
Interventions for patient in v-tach if they have a pulse
� Amiodarone drip 300 mg over 10 minutes
� Cardiovert
Interventions for a patient in v-tach who is pulseless
� Defibrillate
Supraventricular tachycardia/ SVT
Interventions for SVT
� Vagal manuever
� Adenosine 6 mg, then 12 mg
� Cardiovert
Interventions for 2nd degree heart block, type 2
� Paced
Interventions for stable sinus bradycardia
Dopamine (dose is weight based)
-OR-
Epinephrine
Interventions for unstable sinus bradycardia
� Atropine 0.5 mg (max 3 mg)
� Pacing
PEA
Pulseless electrical activity
MONA
� Morphine
� Oxygen
� Nitroglycerin
� Aspirin