Drug Protocol

Card Set Information

Author:
chris.h
ID:
2614
Filename:
Drug Protocol
Updated:
2009-12-09 03:12:34
Tags:
Morphine
Folders:

Description:
Morphine
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  1. Presentation of Morphine
    10mg in 1ml ampoule
  2. Indications for Morphine
    Significant pain

    Autonomic Dysreflexia (GTN first line of Rx, Morphine considered if unresponsive to initial Rx)
  3. Contra-Indications of Morphine
    KSAR
  4. Precautions of Morphine
    • Elderly
    • Hypotension
    • Respiratory tract burns
    • Respiratory depression and failure
    • Known addiction to narcotics
    • Patients on MAOI's
  5. Side effects of Morphine
    • Bradycardia
    • Drowsiness
    • Hypotension
    • Nausea and vomiting
    • Pin point pupils
    • Respiratory depression
  6. Dosage of Morphine - Adult IM
    • 2.5-10mg IM as initial dose
    • Incremental doses of up to 5mg every 10 minutes until significant reduction of pain or onset of undesirable side effects.
    • Total max dose = 20mg

    • Hypotensive Pt's (BP less than 90mm Hg)
    • All dosages to be halved or no greater than 2.5mg incremental IV or 5mg IM.
    • ACPs must call for ICP backup if available
  7. Dosage of Morphine - Adult IV
    • 2.5-5mg IV as initial dose
    • Incremental doses of up to 5mg every 5 minutes until significant reduction of pain or onset of undesirable side effects.
    • Total max dose = 20mg

    • Hypotensive Pt's (BP less than 90mm Hg)
    • All dosages to be halved or no greater than 2.5mg incremental IV or 5mg IM.
    • ACPs must call for ICP backup if available
  8. Dosage of Morphine - Child IM (1 year to 12 y/o)
    200mcg/kg IM as the initial dose.

    Total max dose = 200mcg/kg.
  9. Dosage of Morphine - Child IV (1 year to 12 y/o)
    100mcg/kg IV as the initial dose up to a maximum bolus dose of 2.5mg.

    Further incremental doses of up to 50mcg/kg (up to a max bolus dose of 2.5mg) every 5 minutes until significant reduction of pain or onset of undesirable side effects. Total max dose = 200mcg
  10. Dosage of Morphine - Child under 1 year
    Medical consultation required

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