Morphine Sulfate Drug Card
Dose
5-10 mg
Action
Bonds to the opiate receptors in the brain to alter the perception and response to pain. Suppresses the fear and anxiety centers of the brain. Causes CNS depression. Increases the amount of blood the veins can hold and decreases venous return. Decreases preload and afterload, decreasing the hearts need for oxygen.
Adverse Effects
Confusion, sedation, headache, CNS depression, respiratory depression, apnea, bronchospasm, dyspnea, hypotension, orthostatic hypotension, syncope, bradycardia, tachycardia, nausea, vomiting, dry mouth
Contraindications
Head injury, exacerbated COPD, depressed respiratory drive, hypotension,undiagnosed abdominal pain, decreased level of consciousness, suspected hypovolemia, patients's who have taken MAOIs in the last 14 days.
Route
IV, IM, PO
Indications
Moderate to severe acute and chronic pain, severe heart failure, acute cardiogenic pulmonary edema, chest discomfort associated with AMI
Generic Name
Morphine Sulfate
Special Considerations
Morphine rapidly crosses the placenta, can cause the patient to vagal down if they have had an acute MI, narcan should be ready to give if necessary.
Class
Opioid analgesic: a potent pain killer derived from poppies. Schedule II Drug: very addictive but has medical uses.
Trade Name
Roxanol, MS Contin, Infamorph, Astramorph