Morphine Sulfate

Question 1

Pharm and Actions

Answer 1

Analgesic; Peripheral vasodilator; Pupil constriction; Respiratory depressant; Cardiac effects of vasodilation- decreases myocardial oxygen consumption, deacreses left ventricular end- diastolic pressure; decreases cardiac work load; may decreases incidence of dysrrhythimas

Question 2

Indications

Answer 2

Chest pain not relieved by NTG; Pulmonary edema; Extremity fractures in absence of any head, chest, or abdominal injuries; Back/neck injuries when sedation/ pain relief are necessary to prevent a patient from moving around and potentially injuring themselves

Question 3

Contraindications

Answer 3

Hypotension; Head or abdominal injuries; Patients with respiratory difficulties except for pulmonary edema; Major blood loss; Decreased level of consciousness

Question 4

Administration

Answer 4

Adult 2-20 mg IV/IM titrate to response; Pediatric 0.1-0.2 mg/kg IV/IO

Question 5

Side Effects and Special Notes

Answer 5

Respiratory depression; Decreased BP; Decreased level of consciousness; Decreased heart rate; N/V; Have naloxone ready to reverse administration; Allergic reactions; may follow administration with Zofran for nausea

Question 6

Class

Answer 6

A