MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome or ACS.

Morphine's use in the Acute Coronary Syndrome (ACS) algorithm.

Why Morphine is helpful for patients with ACS.

Contraindications and considerations for the safe administration of Morphine.

Morphine as an alternative to nitro for patients with chest pain that take PDE inhibitors.

Common dosing & administration of Morphine.

Monitoring of the patient's level of consciousness, pain, blood pressure, and respirations after administration.

Possible side effects of Morphine administration.

Narcan as an antidote to Morphine if needed.

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Even good CPR is far less efficient at circulating blood than a functioning heart.

The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include:

• Chest compression fraction (CCF);
• Chest compression rate;
• Chest compression depth;
• Allowing for full recoil; and
• Adequate ventilations.

Using real-time feedback devices and ETCO2 to assess CPR quality.

Three tips to limit pauses in CPR compressions to 10 seconds or less.

Limiting interruptions to chest compressions to less than 10 seconds so we can maintain a CCF of 80% requires teamwork and communication.

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Good luck with your ACLS class!

Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.

The use of epinephrine for severe anaphylaxis or unstable bradycardia.

Review epinephrine’s effects on blood vessels and bronchioles.

Why epinephrine is helpful for patients with anaphylaxis.

Using an epi drip for unstable bradycardia.

Epinephrine administration during cardiac arrest.

Starting and epinephrine or Dopamine drip for patients that have ROSC.

Review the effects of Dopamine based on mcg/kg/min dosing.

Monitoring the patient and titrating epi or Dopamine drips to prevent harm.

For more information on ACLS medications, check out passacls.com.

Connect with me:

Website: https://passacls.com

@PassACLS on X (formally known as Twitter)

@Pass-ACLS-Podcast on LinkedIn

Give back - buy Paul a bubble tea here

Good luck with your ACLS class!