A client enters the emergency department complaining of chest pain that is radiating down the left arm. The emergent treatment for this client includes: Select all that apply

Question

1. Morphine intravenously and oxygen.
2. Aspirin 325 mg po.
3. Open-heart surgery.
4. Heparin drip at 100 units per hour.
5. Foley catheter insertion.

Answer 1

1. Morphine intravenously and oxygen.
2. Aspirin 325 mg po.

Rationale: Morphine intravenously and oxygen. The mnemonic MONA, cited in the Advanced Cardiac Life Support (ACLS) guidelines, describes a protocol for treatment of clients with suspected myocardial infarction. The mnemonic stands for morphine, oxygen, nitroglycerin, and aspirin. MONA does not, however, imply a correct sequencing of treatment. Aspirin 325 mg po. The mnemonic MONA stands for morphine, oxygen, nitroglycerin, and aspirin. While the mnemonic does not imply a correct sequencing of treatment, it does describe a protocol for treatment of clients with suspected myocardial infarction. Open-heart surgery. Open heart surgery may be indicated later, but not on admission to the emergency department. Heparin drip at 100 units per hour. Heparin is not part of the admission protocol. Foley catheter insertion. A Foley catheter is not part of the admission protocol.