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Morphine is a schedule II narcotic that is widely used to treat both pain and pulmonary edema
Mechanism of Action
A potent CNS Depressant, increases peripheral venous capacity, decreases venous return, decreases myocardial oxygen demand derivative of opium, higher doses may cause respiratory depression, Narcan should be readily available when administering morphine sulfate
Servere pain associated with myocardial infarction of kidney stones; Pulmonary Edema, with or without associated pain.
hypotensive, hypovolemic, or dehydrated patients; apparent head injured patients; patients presenting with abdominal pain; pts with known hypersensitivity
Can cause respiratory depression; Pts that are extremely ill or who may have pre-exsisting respiratory depression may have serious side effects from the MS
Dosage and Administration
- Standard inital dose os 2-5 mg IV; inital dose of 2mg followed by 2mg every 3-5 minutes PRN for a maximum of 10mg; IM-5-15mg and based on pts weight
- Peds-sedation dose- 0.05-0.2mg/kg
- Pain Management-0.03-.05mg/kg IV/IO
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