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Morphine Sulfate: Uses and Considerations

This document provides information on the central nervous system agent and analgesic morphine sulfate. It lists the drug's classification, dosages and routes of administration. The main actions are as a narcotic agonist binding to opioid receptors to produce analgesia, euphoria, respiratory depression and physical dependence. The indications given are for relief of severe acute and chronic pain as well as dyspnea and pain from acute left ventricular failure, pulmonary edema and myocardial infarction. Adverse effects include hypersensitivity reactions and respiratory depression. Contraindications include hypersensitivity, increased intracranial pressure, and use during pregnancy. Nursing considerations include monitoring vital signs and watching for paradoxical reactions when administering the drug.

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Sonny Dizon Pareñas
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86 views2 pages

Morphine Sulfate: Uses and Considerations

This document provides information on the central nervous system agent and analgesic morphine sulfate. It lists the drug's classification, dosages and routes of administration. The main actions are as a narcotic agonist binding to opioid receptors to produce analgesia, euphoria, respiratory depression and physical dependence. The indications given are for relief of severe acute and chronic pain as well as dyspnea and pain from acute left ventricular failure, pulmonary edema and myocardial infarction. Adverse effects include hypersensitivity reactions and respiratory depression. Contraindications include hypersensitivity, increased intracranial pressure, and use during pregnancy. Nursing considerations include monitoring vital signs and watching for paradoxical reactions when administering the drug.

Uploaded by

Sonny Dizon Pareñas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NAME

CLASSIFICATION

DOSAGE & ROUTE

ACTION

INDICATION

ADVERSE EFFECT body as a Whole: Hypersensitivity [Pruritus, rash, urticaria, edema, hemorrhagic urticaria (rare), anaphylactoid reaction (rare)], sweating, skeletal muscle flaccidity; cold, clammy skin, hypothermia..

CONTRAINDICATION

NURSING CONSIDERATION Assess lung sounds, PR and BP before drug administration and during peak of medication. Observe fore paradoxical spasm and withhold medication and notify physician if condition occurs. Administer PO medications with meals to minimize gastric irritation. Extended-release tablet should be swallowed-whole. It should not be crushed or chewed. If administering medication through inhalation, allow at least 1 minute between inhalation of aerosol medication. Advise the patient

GENERIC NAME: MORPHINE SULFATE central nervous system (cns) agent; analgesic; narcotic (opiate) agonist)

Availability morphine hydrochloride Rectal suppositories: 20 mg, 30 mg Syrup: 1 mg/ml, 5 mg/ml, 10 mg/ml, 20 mg/ml, 50 mg/ml Tablets: 10 mg, 20 mg, 40 mg, 60 mg

Natural opium alkaloid with agonist activity by binding with the same receptors as endogenous opioid peptides. Narcotic agonist effects are identified with 3 types of receptors: Analgesia at supraspinal level, euphoria, respiratory depression and physical dependence; analgesia at spinal level, sedation and miosis; and dysphoric,

Symptomatic relief of severe acute and chronic pain after nonnarcotic analgesics have failed and as preanesthetic medication; also used to relieve dyspnea of acute left ventricular failure and pulmonary edema and pain of MI.

Hypersensitivity to opiates; increased intracranial pressure; convulsive disorders; acute alcoholism; acute bronchial asthma, chronic pulmonary diseases, severe respiratory depression; chemicalirritant induced pulmonary edema; prostatic hypertrophy; diarrhea caused by poisoning until the toxic material has been eliminated; undiagnosed acute abdominal conditions; following biliary tract surgery and surgical anastomosis; pancreatitis; acute ulcerative colitis; severe liver or renal insufficiency; Addisons disease;

Brand Names: Astramorph PF, Avinza, DepoDur, Duramorph, Epimorph , Kadian, MSIR, MS Contin, Oramorph SR, Roxanol, RMS, Statex

hallucinogenic and cardiac stimulant effects.

hypothyroidism; during labor for delivery of a premature infant, in premature infants; pregnancy (category B; D in long-term use or when high dose is used); lactation.

to rinse mouth with water after each inhalation to minimize dry mouth. Inform the patient that Albuterol may cause an unusual or bad taste.

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