Term
|
Definition
-Narcotic Analgesic
-Opioid |
|
|
Term
| Morphine/Fentanyl Effects |
|
Definition
-Acts directly on CNS opioid receptors
-Decreases myocardial O2 demand
-Alleviates anxiety |
|
|
Term
| Morphine/Fentanyl Indications |
|
Definition
Relieves pain from:
-musculoskeletal injuries
-burns
-ACS
-analgesia during pacing and after intubation
-kidney stones
-certain other medical conditions with physician guidance |
|
|
Term
| Morphine/Fentanyl Contraindications |
|
Definition
-hypersensitivity
-hypovolemia
-hypotension
-severe respiratory depression (consider etiology) |
|
|
Term
| Morphine/Fentanyl Side Effects (Cardiac) |
|
Definition
-hypotension
-bradycardia
-tachycardia |
|
|
Term
| Morphine/Fentanyl Side Effects (Respiratory) |
|
Definition
|
|
Term
| Morphine Side Effects (Neuro) |
|
Definition
-Altered LOC
-headache
-dizziness
-confusion |
|
|
Term
| Morphine Side Effects (GI) |
|
Definition
|
|
Term
| Morphine Side Effects (Other) |
|
Definition
|
|
Term
|
Definition
0.1 mg/kg (Up to 10 mg) IVP over 3 minutes
-repeat every 5 minutes up to a total max dose of 0.2 mg/kg depending on protocols/orders
-larger doses may be required for burns and other mechanisms that cause severe pain |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
-competitively blocks various opioid receptor sites
-reverses ventilator depression, sedation, and pupillary effects of opioids |
|
|
Term
|
Definition
| ventilatory depression and ALOC associated with suspected opioid overdose |
|
|
Term
|
Definition
|
|
Term
| Narcan Side effects (primarily resulted from opioid withdrawl) |
|
Definition
Cardiac: hypertension, tachycardia, hypotension
Other: Nausea, vomiting, tremors, diaphoresis, dyspnea |
|
|
Term
|
Definition
-0.4 mg IV; may give 2 mg IV in pts with BOTH ventilatory depression and signs of poor perfusion.
-repeat doses of 1.6-2 mg every 2-4 minutes as needed with a max total of 4.4 mg. |
|
|
Term
|
Definition
| 2 mg IM/IN, may be repeated once in 2-4 minutes. |
|
|
Term
|
Definition
|
|
Term
|
Definition
-Synthetic narcotic analgesic
-Opioid |
|
|
Term
| Fentanyl Side Effects (Neuro) |
|
Definition
|
|
Term
|
Definition
| 1 mcg/kg (up to 100 mcg) IVP over 3 minutes. May be given IN/IM. May repeat with 0.5 mcg/kg every 5 mins to a total of 3 mcg/kg |
|
|
