Opioids (4)

Question 1

Morphine

Answer 1

Brand Name: Duramorph

Classification: Narcotic (opioid) (Schedule II)

Action: Analgesia and sedation through binding to opiate receptors

Indications: Moderate-severe pain

Contraindications: Hypotension and Hypersensitivity

Dose: 2-10 mg

Routes: IV, IO, IM, SQ, PO

Adverse Effects: Hypotension, Syncope, Tachycardia, Bradycardia, Apnea, Nausea, Vomiting, Respiratory depression

Other: Use appropriate monitors, Naloxone is an antagonist

Question 2

Hydromorphine

Answer 2

Brand Name: Dilaudid

Classification: Narcotic (opioid) (Schedule II)

Action: Analgesia and sedation through binding to opiate receptors

Indications: Moderate-Severe Pain

Contraindications: Hypersensitivity

Dose: 0.5-2.0 mg

Routes: IV, IO, IM, SQ, PO

Adverse Effects: Nausea, Vomiting, Cramps, Respiratory Depression

Other: Use appropriate monitors. Naloxone is an antagonist

Question 3

Fentanyl

Answer 3

Brand Name: Sublimaze

Classification: Narcotic (opioid) (Schedule II)

Action: Analgesia through binding to opiate receptors

Indications: Moderate-Severe Pain and Anesthetic

Contraindications: Hypersensitivity

Dose: 50-100 mcg

Routes: IV, IO, IM, SQ, IN

Adverse Effects: Nausea, Vomiting, Cramps, Chest wall rigidity, Respiratory Depression

Other: Use Appropriate monitors. Naloxone is an antagonist

Question 4

Meperidine

Answer 4

Brand Name: Demerol

Classification: Narcotic (opioid class II)

Action: Analgesia through binding to opiate receptors

Indications: Moderate-severe pain

Contraindications: Hypersensitivity, Pt on monamine oxidase inhibitors (MAOIs)

Dose: 25-100mg

Routes: IV, IO, IM, SQ, PO

Adverse Effects: Nausea, vomiting, euphoria, dysphoria, respiratory depression

Other: use appropriate monitors, naloxone is an antagonist