MORPHINE SULPHATE

MORPHINE SULPHATE

MORPHINE SULPHATE
Class
	Narcotic. Analgesic.
Action
	A potent narcotic agonist-analgesic of opiate receptors, inhibit ascending pain pathways thus altering response to pain, it also causes some vasodilatation, thus reducing myocardial oxygen demand.
Indications
	Myocardial infarction. Management of acute pain. Acute pulmonary edema.
Contraindications
	Known hypersensitivity. Respiratory depression. Patients suspected head injury. Undiagnosed abdominal pain. Hypotension.
Precaution
	Have Naloxone readily available in cases of respiratory depression to counteract the effects of morphine. Vital signs must be monitored frequently.
Side effects
	Respiratory depression. Apnea. Hypotension. Altered level of consciousness. Nausea / Vomiting.
Administration
Rout: IV/IO	Onset: seconds	Peak effect: 20 minutes	Duration: 2-4 hours
Adult Dose:
	2-5 mg slow IV/IO push. Maximum of 10 mg.
Pediatric Dose:
	0.05 mg/kg slow IV/IO push to the desired effect. May repeat q 5-10 minutes at ½ initial dose. Maximum dose: Not to exceed adult dose.