morphine sulfate

Question 1

morphine sulfate (class 2)

Answer 1

narcotic analgesic

CNS depressant

Question 2

morphine sulfate (actions 4)

Answer 2

CNS depression - binds to opiate receptors in the brain

decreases pain perception and anxiety

relaxes respiratory effort

produces peripheral vasodilation and subsequent reduced preload

Question 3

morphine sulfate (indications 4)

Answer 3

chest pain of suspected cardiac origin (for pain & anxiety relief) if nitro ineffective

moverate to severe pain (burns or isolated extremety trauma)

abdominal pain (non traumatic), suspected kidney stones

discomfort seconary to transcutaneous pacing in the awake pt

Question 4

morphine sulfate (dosage/route)

Answer 4

2-20mg in 2mg increpents slow IVP; titrated to pain relief & respiratory response

Question 5

morphine sulfate (side effects 4)

Answer 5

respiratory deppresion and/or arrest

decreased LOC

transient hypotension

nausea/vomiting (stimulation of comiting center)

Question 6

morphine sulfate (contraindications 6)

Answer 6

known hypersensitivity

volume depletion

suspected ectopic pregnancy, abruptio placenta or AAA)

unstable VS

head injury

MAOI within 14 days

Question 7

morphine sulfate (special information 6)

Answer 7

monitor BP, pulse, and RR between increments

utilize caution for pt with COPD, asthma, compromised respirations, & the elderly

consider utilazation of naloxone if pt demonstrates respiratory arrest or hypotension post administration. naloxone may not reverse hypotension

assess effectiveness of administration with reassessment of pain & respiratory status of pt

anticipate vomiting

goal is pt comfort not elimination of pain

Question 8

morphine sulfate (pedatric note 2)

Answer 8

refer to pediatric drug guide

0.1-0.2 mg/kg slow ivp to a max of 5mg