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