OB-GYN 101
Pharmacy

Contents  ·  Introduction  ·  Learning Objectives  ·  Clinical Issues  ·  Procedures  ·  Library  ·  Pharmacy  ·  Lab  ·  Chest X-ray  ·  Ultrasound  ·  Videos  ·  Forms  ·  Progress Notes  ·  Facts Cards  ·  Students  ·  Search  ·  Feedback  ·  About Us

 

 

Morphine (MS Contin, Duramorph)

Category:

  • Analgesic

Description:

  • Opiate agonist analgesic

Indications:

  • Severe, acute pain

  • Moderate to severe chronic pain

  • Anesthesia adjunct for preoperative sedation

Contraindications:

  • Patients with impaired respiratory function.

Precautions:

  • Pregnancy Category C

  • In patients with myocardial infarction, morphine decreases systemic vascular resistance which may lead to severe hypotension.  To minimize, administer minimum effective dose and elevate patient’s legs.

  • Rapid administration may induce respiratory depression, therefore monitor patient’s respiratory function.

  • Patients will experience CNS effects of drowsiness and dizziness, therefore use caution with motor vehicle operation or other hazardous tasks.

  • Avoid prolonged, sustained usage to decrease addiction potential.

  • Use with caution with other CNS depressive medications.

Adverse Reactions (Side Effects):

  • Sedation

  • Dizziness

  • GI effects (nausea, vomiting, constipation)

 

 

 

Dosage:

Administered in smallest effective dose, as infrequently as possible and titrated to pain control

Administered orally, rectally, SQ, IM, slow IV, slow IV infusion, epidural and intrathecal (IT) injection

Adult:

  • Normal oral: 10-30mg 14h as needed

  • Normal rectal: 10-20mg q4h as needed

  • Normal SQ or IM: 10mg (range 5-20mg) q4h as needed

  • Normal IV: 2.5-15mg diluted in 4-5 mL sterile water for injection, slowly injected over 4-5 minutes

Labor anesthesia:

  • 10mg SQ or IM

 

The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks. Source: Operational Medicine 2001,  Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300

OB-GYN 101: Introductory Obstetrics & Gynecology
© 2003, 2004, 2005, 2008 Medical Education Division, Brookside Associates, Ltd.
All rights reserved

 

Advertise on this site