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9 Cards in this Set

  • Front
  • Back
MORPHINE SULFATE
CLASS
Opioid analgesic, (schedule II drug)
MORPHINE SULFATE
ROUTE
IV, IO
MORPHINE SULFATE
Adult dose
2-4 mg slow IV over 1-5 min q 5-30 min; titrated to effect
MORPHINE SULFATE
Pediatric dose
0.1-0.2 mg/kg to a max total dose 15 mg
MORPHINE SULFATE
DRUG ACTION
Natural opium alkaloid that acts primarily as an analgesic.

Peripheral vasodilator which helps decrease preload and afterload.

Helps decrease myocardial oxygen demand in myocardial infarctions
MORPHINE SULFATE
INDICATIONS
Chest pain associated with ACS unresponsive to nitrates

Pulmonary edema, with or without associated pain

Moderate to severe acute or chronic pain
MORPHINE SULFATE
PRECAUTIONS
Pregnancy considerations (crosses the placenta)

Use with caution in the elderly

Bradycardia or heart blocks in inferior MI’s – may worsen these rhythms

Asthma (causes bronchospasms)

KEEP Naloxone (Narcan) CLOSE!!!!!!
MORPHINE SULFATE
SIDE EFFECTS
Hypotension, Tachycardia, Bradycardia, Palpitations, Respiratory depression, Euphoria

Causes vomiting in 50% of Pt.
MORPHINE SULFATE
CONTRAINDICATION
Hypersensitivity to narcotics, Hypovolemia, Hypotension (BP<90 systolic), Head Injury, undiagnosed abdominal pain, Increased ICP, Severe respiratory depression