NCLEX Prioritization

Acute Myocardial Infarction

Acute Myocardial Infarction

Interruption of blood supply to the myocardium requiring immediate reperfusion.

MONA Protocol

  • Morphine for pain/anxiety reduction.
  • Oxygen to maintain saturation.
  • Nitroglycerin for vasodilation (check BP first).
  • Aspirin for antiplatelet effect.

Nursing Priorities

  • Obtain 12-lead ECG within 10 minutes of arrival.
  • Continuous cardiac rhythm monitoring for dysrhythmias.
  • Prepare for PCI (catheterization) if STEMI is identified.

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