Drugs: Morphine Sulfate

Front 1

Morphine sulfate

Class

Back 1

Narcotic Analgesic (schedule 2)

Side note: "narcotic" in the EMS world means opiate derivative.

Front 2

Morphine sulfate

Route

Back 2

Slow IV push

Front 3

Morphine sulfate

Dose

Back 3

Adult: Titrated doses of 2-4 mg, up to a maximum of 10 mg.

Pediatric: 0.1 mg/kg

Front 4

Morphine sulfate

Drug Action

Back 4

Alleviates pain

Decreases peripheral vascular resistance - vasodilator

Decreases cardiac workload and oxygen demand on the heart.

Front 5

Morphine

Indications

Back 5

-Pain and anxiety secondary to AMI
-Chest pain unrelieved by nitroglycerin
-pulmonary edema (use with caution)
-Pain secondary to amputations, fractures, kidney stone, sickle cell crisis, and burns.

Front 6

Morphine

Precautions

Back 6

-Monitor respiratory status and blood pressure closely

-Notify Biotel prior to administration if patient is over 65 y.o., debilitated, has altered mental status, or systolic BP less than 110.

-CHF: be prepared to intubate

-Have Nalaxone (Narcan) readily available

Front 7

Morphine

Side Effects:

Back 7

-Respiratory depression
-Hypotension
-Bradycardia
-Nausea and vomiting

Front 8

Morphine

Contraindications:

Back 8

-Systolic BP less than 110 unless authorized by Biotel
-Head injury (because it is a CNS depressant).
-Severe respiratory depression

Front 9

Morphine

Antidote

Back 9

Naloxone (Narcan)