Morphine Sulfate Flashcards

1
Q

Morphine Sulfate- Name

A

MS

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2
Q

Morphine Sulfate- Class

A

Opioid Narcotic

CNS Depressant

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3
Q

Morphine Sulfate- MoA

A

Alters pain perception and produces euphoria

Decreases myocardial oxygen demand by decreasing preload (venous pooling due to peripheral vasodilation) and decreasing afterload (decreased systemic vascular resistance due to peripheral vasodilation)

Depresses the CNS by interacting with opiate receptors in the brain

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4
Q

Morphine Sulfate- Indications

A

Moderate to severe pain

Chest pain of suspected myocardial origin

Pulmonary Edema from CHF with or without chest pain

Burns

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5
Q

Morphine Sulfate- Contra

A

Altered level of consciousness

Abdominal pain of unknown etiology (relative)

Patients at risk of respiratory depression

Head injury Hypovolemia

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6
Q

Morphine Sulfate- S/E

A

Cardiovascular: bradycardia, hypotension, (rebound tachycardia/hypertension)

Neurological: sedation, agitation, tremors/seizures, hallucinations

Respiratory: depression, arrest

Gastrointestinal: nausea/vomiting

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7
Q

Morphine Sulfate- Routes

A

IV, IO, IM, PO

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8
Q

Morphine Sulfate- A. Dose

A

Pain Relief:

1.0 – 10.0 mg IV/PO titrated to pain relief

or 5.0 – 10.0 mg IM as a single dose only

Pulmonary Edema:

5.0 – 10.0 mg slow IV push (2.0 mg/minute)

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9
Q

Morphine Sulfate- P. Dose

A

0.1 – 0.2 mg/kg slow IV push (1.0 mg/minute)/PO titrated to pain relief

or 0.2 mg/kg IM

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10
Q

Morphine Sulfate- EXTRAS

A

Precautions: Morphine Sulfate is an opiate derivative – Naloxone should be available to reverse any severe respiratory side effects

Interactions: Use with caution with patients taking other analgesics, depressants or narcotics

IV/IO/PO will have an onset of 2-5 minutes and IM will have an onset of 5-10 minutes.

Each will last approximately 3-5 hours

May draw 10 mg (1 ml) into a 10 ml syringe and mix with 9 ml of Normal Saline. This creates a 1 mg/1 ml concentration for better control when administering the medication.

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