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11 Cards in this Set
- Front
- Back
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trade names
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duramorph, astramorph
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classification
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narcotic analgesic, CNS depressant
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action
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alters pain perception in the CNS.
Produces euphoria. decreases peripheral vascular resistance. decreases myocardial O2 demand by reducing preload and afterload. |
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indications
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moderate to severe pain.
chest pain of suspected acute myocardial infarct. acute pulmonary edema (cardiogenic shock). |
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contraindications
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altered level of consciousness.
head injury. abdominal pain of unknown origin. hypovolemia. patients at risk for respiratory depression. |
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adverse effects
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cardiovascular: bradycardia, tachycardia, hypotension, hypertension
gastrointestinal: nausea/ vomiting respiratory: depression, arrest neurological: dizziness, tremors, siezures, hallucinations |
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administration
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1-10mg IV @ 2mg/min. (titrate to relief of pain)
5-15mg IM |
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pediactrics
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0.1- 0.2mg/ kg IV @ 1-2mg/min. (titrate to relief of pain)
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onset
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IV 2-5 minutes
IM 5-10 minutes |
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duration
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3-5 hours
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precautions
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monitor patient for respiratory depression, hypotension and nausea.
Naloxone (narcan) is the antidote for overdose, consider prior to intubation. Naloxone will only reverse the respiratory effects of MS be prepared to treat for hypotension. |
