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13 Cards in this Set

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Name
Morphine Sulfate
class
Narcotic; analgesic
Action (1-2)
1)Bonds with opiate receptors in the CNS altering both perception and emotional response to pain
2)Increases venous capacitance therfore reducing preload
Action (3-5)
3)decreases systemic vascular resistance
4)reduces myocardial oxygen reqs.
5)onset of action is 5 to 7min for IV
Use (1-5)
1)Cardiac chest pain
2)Severe Pain
3)Acute pulmonary edema
4)Isolated extremity fractures
5)Burns
Side effects
CNS: altered mentation; dizziness
Cardiovascualr: bradycardia; hypotension
Repiratory:Resp.depression/arrest
GI: Nausea; vomiting
Contras
Absolute: Head injury; Hypersensitivity; hypotension
Relative: not in out of hospital setting
Precautions
Naloxone should be available to reverse adverse effects
Drug Interactions
CNS depressants, antidepressant, phenothiazines, phenytoin, and MAOI inhibitors poteniate effects
Dont mix w/aminophylline, meperidine, NAHCO3
Preparations
2mg/ml and 10mg/mg ampules and 1mg/10ml preload
Adult dose
Cardiac: 2 to 5 mg IV@ 1 mg/min, rpt. every 3 -5 min. until pain is relieved or respiratory depression occurs
Pain relief: 2-5mg IV loading dose titrated to effect or 5-10mg IM rpt.PRN per protcol
Pedi Dose
0.1 to0.2 mg/kg IV over 5 min may repeat every 2 hours prn
Route:
IV; IM