Morphine Sulfate

Question 1

Morphine classification

Answer 1

Narcotic analgesic

Question 2

Morphine action

Answer 2

1. Analgesic, sedative, euphoric
2. Negative dromotropic effect (vagotonic)
3. Peripheral vasodilation

Question 3

Morphine onset and duration

Answer 3

1. IV 5 min, IM 10-30 min

2. IV/IM 4-5 hrs

Question 4

Morphine indication

Answer 4

1. Pain

2. Adjunct in treating Pulmonary edema

Question 5

Morphine contraindication

Answer 5

1. HEAD TRAUMA
2. ALOC
3. SYSTOLIC BP<100

Question 6

Morphine precautions

Answer 6

1. Respiratory depression (asthma, COPD)
2. Elderly
3. Hypotension
4. Pregnant
5. Right ventricular MI

Question 7

Morphine dosage and administration

Answer 7

Adult:
IV/IM 2mg increments every 2 min up to 10mg with BP>100.
Pediatric: .01mg/kg IV up to 10mg. Contact MBCH

Question 8

Morphine adverse reactions

Answer 8

Respiratory depression/arrest, hypotension, N/V, bradycardia, heart block

Question 9

Morphine referencing protocol

Answer 9

Trauma (Skeletal, Amputation, Burns, Crush)
Cardiac (CPx, ACS)
Medical (Abd Px)
Respiratory (Difficulty Breathing)