Morphine Flashcards
1
Q
Morphine
Indications
(3)
A
- significant pain
- sedation (CCP)
- autonomic dysreflexia (systolic BP > 160 mmHg)
2
Q
Morphine vs Fentanyl
When do you use Fentanyl
(5)
A
- allergy or adverse drug reaction
- haemodynamic instability
- known/suspected kidney disease
- NAS route preferred
- suspected ACS
3
Q
Morphine
Contraindications
(2)
A
- allergy or drug reaction
- kidney disease
4
Q
Morphine
Contraindications
(2)
A
- allergy or drug reaction
- kidney disease
5
Q
Morphine
Precautions
(6)
A
- hypotension
- respiratory tract burns
- respiratory depression/failure
- known addictions to narcotics
- concurrent MAOI therapy
- cardiac chest pain
6
Q
Morphine
Presentation
A
ampoule, 10mg/1mL
7
Q
Morphine
Onset
IM
A
5-10 minutes
8
Q
Morphine
Onset
IM
A
5-10 minutes
9
Q
Morphine
Onset
IV
A
2-5 minutes
10
Q
Morphine
Mix
A
1 x ampoule 10mg/1mL
9mL of sodium chloride
final concentration 10mg/10mL
11
Q
Morphine
Pain
Adult >70
IM
A
2.5-5mg
rpt. 5mg every 10 mins
max dose 10mg
12
Q
Morphine
Pain
Adult <70
IM
A
2.5-10mg
rpt. 5mg every 10 mins
max dose 20mg
13
Q
Morphine
Pain
Adult >70
IV
A
2.5mg
rpt. 5mg every 5 mins
max dose 10mg
14
Q
Morphine
Pain
Adult <70
IV
A
2.5-5mg
rpt. 5mg every 5 mins
max dose 20mg
15
Q
Morphine
Pain
Paediatrics
IV
A
100 microg/kg (single max dose 2.5mg)
rpt. @ 50 microg/kg (max dose 2.5mg) at 5 mins
max dose 200 microg/kg
