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9 Cards in this Set

  • Front
  • Back
Presentation
10mg/1mL glass ampoule
Pharmacology

opioid analgesic
CNS


-depression leading to analgesia
-resp depression
-depression of cough reflex
-stimulation (change of mood euphoria, vom, pp pupils/meiosis)
-dependence


Cardiovascular effects


-vasodilation
-decrease conduction velocity through AV node

Metabolism
by the liver excreted by the kidneys
PEI (5)
1. pain relief
2. acute LVF with shortness of breath and full field crackles
3. sedation to maintain intubation
4. sedation to enable intubation
5. RSI
CI (2)
1. known hypersensitivity
2. late second stage labour
Precautions (8)
1. frail pts
2. hypotension
3. respiratory depression
4. current asthma
5. resp tract burns
6. known addiction to opioids
7. acute alcoholism
8. pts on MAOIs
SE

CNS


-drowsiness
-resp depression
-euphoria
-n and v
-addiction
-pp pupils


Cardiovascular


-hypotension
-bradycardia

IV OPD
2-5 mins
10 min
1-2 hours
IM OPD
10-30 mins
30-60 min
1-2 hours