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14 Cards in this Set
- Front
- Back
Morphine Presentation
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10mg in 1ml amp
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Mophine Pharmacology
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A Narcotic analgesic
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Morphine Actions - CNS Effects |
Depression (leading to analgesia) Respiratory depression Depression of cough reflex Stimulation (changes of mood, euphoria or dysphoria, vomiting, pin- point pupils) Dependence (addiction) |
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Morphine Actions - Cardiovascular Effects |
Vasodilatation Decreases conduction velocity through the A-V Node |
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Morphine Metabolism
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By the liver and excreted by the kidneys
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Morphine Primary Emergency Indications
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1. Pain relief
2. Sedation to maintain intubation 3. Sedation facilitate intubation (where fentanyl not appropriate for RSI - modified or Paediatric IFS) |
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Morphine Contraindications
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1. History of hypersensitivity
2. Renal impairment / failure 3. Late second stage of labour |
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Morphine Precuations
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1. Elderly patients
2. Hypotension 3. Respiratory depression 4. Current asthma 5. Respiratory tract burns 6. Known addiction to opioids 7. Acute alcoholism 8. Pts on monoamine oxidase inhibitors |
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Morphine Route of Administration
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1. Intravenous
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Morphine Side Effects CNS
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1. Drowsiness
2. Respiratory depression |
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Morphine Side Effects CNS |
1. Hypotension 2. Bradycardia |
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Morphine Special Notes
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Morphine sulphate is a schedule 8 drug under the poisons act and its use must be carefully controlled with accountability and responsibility.
Side effects of morphine sulphate can be reversed with naloxon. |
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Morphine Times IV
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Onset 2-5 minutes |
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Morphine Times IM
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Onset: 10-30 mins
Peak: 30-60 mins Duration: 1 - 2 hrs |