Drug Cards- Opiods Flashcards
Morphine
Class
MOA
Class: Opiod
MOA: CNS depressant, causes peripheral vasodilation, decreases sensitivity to pain.
Morphine
Indications (1)
-Severe Pain
Morphine
Contraindications (4)
-head injury
-volume depletion
-hypersensitivity
Morphine
Adverse Reactions (5)
-respiratory depression
-hypotension
-nausea
-dizziness
-ALOC
Morhpine
IV Dose
Adult: 2-5mg followed by 2mg every few minutes until pain is relieved or until respiratory depression ensues
Ped:0.1-0.2mg/kg
Morphine
IM Dose
Adult: 5-15mg Based on weight
Morphine
Onset
Peak
Duration
Onset: 5-10min
Peak: 20min
Duration: 2-4 hours
Hydromorphone (Dilaudid)
Class
MOA
Class: Opiods
MOA: CNS depressant, decreases sensitivity to pain
Hydromorphone (Dilaudid)
Indications (1)
-severe pain
Hydromorphone (Dilaudid)
Contraindications (3)
-shock
-severe hemorrhage
-hypersensitivity
Hydromorphone (Dilaudid)
Adverse Reactions (6)
-respiratory depression
-hypotension
-nausea
-dizziness
-ALOC
-bradycardia
Hydromorphone (Dilaudid)
Drug Interactions
Other CNS depressants can induce severe respiratory and/or CNS depression
Hydromorphone (Dilaudid)
IV/IM/PO Dose
Adult: 1-4mg, 0.015mg/kg max first dose 2mg, max cumulative dose 4mg
Ped: 0.015mg/kg
Hydromorphone (Dilaudid)
Onset
Peak
Duration
Onset: IM-variable, IV 5min, PO 15-30min
Peak: IM-variable, IV- 10-20min, PO- 30-60min
Duration: 2-3 hours
Fentanyl
Class
MOA
Class: Narcotic
MOA: CNS depressant, decreases sensitivity to pain
Fentanyl
Indications (3)
-severe pain
-adjunct to RSI
-maintenance of analgesia
Fentanyl
Contraindications (3)
-shock
-severe hemorrhage
-hypersensitivity
Fentanyl
Adverse Reactions (6)
-respiratory depression
-hypotension
-nausea
-dizziness
-ALOC
-bradycardia
Fentanyl
Drug Interactions
Increased effect when paired with other CNS depressants
Fentanyl
IV/IN Dose
Adult: 25-100mcg (1.0mcg/kg)
Ped: 2-12yo 1-2mcg/kg/dose
Fentanyl
Onset
Peak
Duration
Onset: Immediate
Peak: 10-15min
Duration- 30-60min