Name ( morphine )
Roxanal, morphine sulfate
Indication ( morphine )
Management for acute pain
Class ( morphine )
opioid analgesic, schedule II drug
Side effects ( morphine )
Confusion cns depression respiratory depression apnea bronchospasm dyspnea, orthostatic hypotension ,dry mouth
Dose ( morphine )
Moderate discomfort
0.1 mg:kg IM max 15 mg
Severe discomfort
max 0.1 mg kg IV IOmax 10 mg
PED
0.1 - 0.2 mg kg IC IO IV IO IM max 5 mg
MOA ( morphine )
Alleviates pain through cns system
Depresses brain stem respiratory center. Increases peripheral capillaries and increases Venus return . Decreases preload and after load of the heart ( right side ) decreases myocardial demand
Duration ( morphine )
2-4 hrs
immediate
20 mins peak
2-4 hours duration
Drug interaction ( morphine )
Other cns depressants MAOIS
Contraindications ( morphine )
Same as fentanyl
Special consideration ( morphine )
Pregnancy class C