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found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)

Posted By: gamt on 2008-04-08
In Reply to: MONA protocol? - ALH

Subject: found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)

x


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  • MONA protocol? - ALH
    • found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =) - gamt

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MONA protocol?
Subject: MONA protocol?

Troponin was 2.8 on admission, but, throughout the admission, that number was trending down.  The patient was started on s/l MONA protocol, and also heparin drip until Cardiology had a chance to see him. 
s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!
Subject: s/l bare aspirin. Is doc just mumbling baby aspirin, or is there really such a term? Thanks!


Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm
Subject: Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm

.
Baby Aspirin or baby aspirin?? Told 2 different things by QA
Subject: Baby Aspirin or baby aspirin?? Told 2 different things by QA

tx!
guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm

If either one ties in with the patient's history, etc.


not nitroglycerin? -nm
Subject: not nitroglycerin? -nm

xx
Nitroglycerin?
Subject: Nitroglycerin?


Tridil was nitroglycerin, so maybe sm
Subject: Tridil was nitroglycerin, so maybe sm

he is just using that as a general term.  Makes sense. They do that just to drive you over the edge!!!! 
I'd keep it nitroglycerin, singular.
Subject: I'd keep it nitroglycerin, singular.

It's like saying asprins...you can say it, but it just "ain't" right  
neither really - it's nitroglycerin patch
Subject: neither really - it's nitroglycerin patch

x
nitroglycerin sublingual?
Subject: nitroglycerin sublingual?

nitroglycerin sublingual, maybe?
IV morphine dosage
Subject: IV morphine dosage

The RN dicatates the dosage as 20/k at 84 cc/hour.  Is this how I properly transcribe it and does that mean 20 mg per kg? 
iv morphine dosage
Subject: iv morphine dosage

maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
iv morphine dosage
Subject: iv morphine dosage

maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
one of those days - says given morphine 4 mg with
Subject: one of those days - says given morphine 4 mg with

s/l "repeatis" or "a pitus" bolus - not sure if he's stumbling and means "repeated" bolus (not sure that makes sense, either) - any ideas?
it is slang for nitroglycerin paste
Subject: it is slang for nitroglycerin paste

x
Nitroglycerin dose question
Subject: Nitroglycerin dose question

Has anyone heard of a nitroglycerin dosage being one 150 or 1-150?  I am unsure how to type that.  Thanks.
would they give morphine for pain plus s/l PPD??
Subject: would they give morphine for pain plus s/l PPD??


Could he be saying "Nitro" for nitroglycerin paste?
Subject: Could he be saying "Nitro" for nitroglycerin paste?

x
Para morphine sulfate?
Subject: Para morphine sulfate?

Has anyone heard of this?  TIA
He was s/l "triangly" placed on IV nitroglycerin. Suggestions?
Subject: He was s/l "triangly" placed on IV nitroglycerin. Suggestions?


Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
Subject: Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm


S/l "six-mono-asteo" morphine?
Subject: S/l "six-mono-asteo" morphine?

The patient was found unconscious and brought to the hospital:

"She was positive for opiates on her screen and negative for (s/l six-mono-asteo) morphine. She had an elevated QTC and an elevated amitriptyline level"

Thanks in advance for any help
pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine


Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate
Subject: Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate

NM
Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm
Subject: Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm


Aspirin?
Subject: Aspirin?

x
aspirin and
Subject: aspirin and

States a med that starts with a "D" 75 mg b.i.d. (both aspirin and ?)
aspirin 325 mg (for CAD)? nm
Subject: aspirin 325 mg (for CAD)? nm

x
probably aspirin 81 mg
Subject: probably aspirin 81 mg


oxygen
Subject: oxygen

patient's O2 saturation was 100% on 2 liters of sl-permittative oxygen per nasal cannula
O2 is oxygen.
Subject: O2 is oxygen.


O for oxygen.
Subject: O for oxygen.

nm
heard of aspirin ES??? not me
Subject: heard of aspirin ES??? not me

my ears are so tired.  Have had mumblers and thick accents since 1 p.m.  Is it happy hour yet? LOL 
maybe...low-dose aspirin
Subject: maybe...low-dose aspirin


Not just saying Bayer aspirin? nm
Subject: Not just saying Bayer aspirin? nm


ESL wrestling with aspirin?
Subject: ESL wrestling with aspirin?

I hate guessing on drugs though--especially with no dosage or diagnosis. 
aspirin questions
Subject: aspirin questions

Can aspirin be dosed at 85 mg daily.  I am thinking 81 mg.  Doc says 85 mg.
Genacote (aspirin)?
Subject: Genacote (aspirin)?


but Aspirin is always capitalized
Subject: but Aspirin is always capitalized


Aspirin is never capitalized. nm
Subject: Aspirin is never capitalized. nm

m
per minute of oxygen??? nm
Subject: per minute of oxygen??? nm


only know oxygen saturation and that does NOT fit
Subject: only know oxygen saturation and that does NOT fit


unless he said while ON oxygen saturation....lol...
Subject: unless he said while ON oxygen saturation....lol...


Low flow oxygen
Subject: Low flow oxygen


s/l gen mask for oxygen
Subject: s/l gen mask for oxygen


oxygen saturation
Subject: oxygen saturation


nevermind he's saying oxygen nm
Subject: nevermind he's saying oxygen nm


she has been taking s/l nonalgesics rather than aspirin...thanks
Subject: she has been taking s/l nonalgesics rather than aspirin...thanks


I think he is saying. taking no analgesics other than aspirin thank you
Subject: I think he is saying. taking no analgesics other than aspirin thank you


Low-dose aspirin was my first thought too. nm
Subject: Low-dose aspirin was my first thought too. nm