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19 Cards in this Set
- Front
- Back
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Morphine Trade Names
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Duramorph, MS contin
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Morphine Class
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Narcotic (opiod)
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Morphine Mechanism of action
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analgesa, sedation, and alterations of mood. Opiods of this class do not usually eliminate pain, but they reduce the perception of pain by the CNS
-reduces pain of ischemia -reduces anxiety -venous pooling and decreases venous return to heart -decreases systemic vascular resistance (afterload) |
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Pain Response (sympathetic) What morphine reverses, and why a priority
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Pain increases sympathetic response= ^HR, ^systemic vascular tone, ^BP, ^myocardial o2 consumption ==reason for pain relief is a priority in management of acute coronary syndrome
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Morphine Indications
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-Analgesic of choice for continuing ischemic chest discomfort unresponsive to nitrates
-Pulmonary vascular congestion complicating acute coronary syndromes |
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Morphine Dose
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2 to 4 mg, slow IV push; give additional doses of 2 to 8mg IV.
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Morphine Precautions
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-Watch for Bradycardia
-CNS Depression -Nausea/Vomiting -Resp Depression -Hypotension |
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Morphine Contraindications
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-hypersensitivity to morphine or other opiates
-Resp depression -CNS depression d/t head injury, OD or poisoning -Intracranial pressure -Asthma -U/K abdominal pain -hypovolemia -hypotension |
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Morphine Special Considerations
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Ensure narcan and airway equip is availible
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Morphine Onset/Duration
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IV--Immediate (peak 20 min)
2 to 4 hours |
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Aspirin--Trade Name
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Bufferin
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Aspirin Class
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-Non-narcotic analgesic
-Antipyretic -Antiinflammatory -Salicylate |
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Aspirin Mechanism
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-Blocks synthesis of thomboxane A2, inhibiting platelet aggregation
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Aspirin Indications
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-Chest discomfort or other s/s suggestive of an acute coronary syndrome (unless hypersensitive)
-EKG changes suggestive of MI |
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Aspirin Dosing
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160 MG to 325 MG (chewed)
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Aspirin Precautions
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-Asthma (relative)
-active ulcer disease (relative contraindication) |
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Aspirin Contraindications
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-Hypersensitivity to ASA
-Recent Hx of GI Bleed -Bleeding disorders (hemophilia) |
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Aspirin Special Considerations
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-use caution in pt with hx of asthma, nasal allergies. Anaphylaxsis can occur with ASA sensitivity
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Aspirin Onset and Duration
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-20 to 30 minutes
-4 to 6 hours |
