MONAB: Acute coronary syndrome sequence

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Last updated 6:38 PM on 9/25/26
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5 Terms

1
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Morphine

Given after nitrates fail, can mask ongoing ischemia and drop pressure.

Given after aspirin and nitroglycerin

2
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Oxygen

Only if the saturation is below 90%

3
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Nitroglycerin

Ask about PDE-5 inhibitors first, hold if systolic is under 90

4
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Aspirin

324 mg chewed, not swallowed. (Comes first with nitroglycerin)

5
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Beta blocker

Hold in cardiogenic shock, bradycardia, or heart block